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Showing results for "adverse events".
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81. Strategy 4: IDEA Discharge Planning (Tool 3) (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
    January 01, 2010 - for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.

82. Information to Help Hospitals Get Started
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
    July 23, 2010 - For example, one study found that more than 70% of adverse events are caused by breakdowns in communication … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … Common complications post-discharge are adverse drug events, healthcare-associated infections, and procedural … complications include adverse drug events, healthcare-associated infections, and procedural complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.

83. Staff COVID-19 Vaccine Administration Record (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/staff-covid-vaccine-administration-record.docx
    May 01, 2022 - Contraindication: __________________________________________________________________________ Adverse … _____________________________ Refer to the CDC’s website for information on contraindications and adverse … events. 5. 6.

84. Improving Patient Safety in Healthcare | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
    December 01, 2023 - care, where the complexity of the system and the fragility of the patients creates a greater risk for adverse … events. … a 2-year AHRQ grant in 2005 to evaluate an emergency medicine clinical pharmacist program to avoid adverse … drug events in emergency department (ED) patients. … Fairbanks evaluated over 10,000 ED cases for adverse events, and interviewed ED physicians and nurses

85. Making Health Care Safer II, Executive Summary (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
    March 01, 2013 - drug events, or pressure ulcers. … In contrast, events an order of magnitude or more lower in frequency were considered “rare;” such events … Practices Designed for a Specific Patient Safety Target Adverse Drug Events High-alert drugs: patient … ‘Global trigger tool’ shows that adverse events in hospitals may be ten times greater than previously … Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. OEI-06-09-00090.

86. Slide 1
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro.pptx
    January 01, 2010 - critical role in providing quality health care Clinical outcomes include: 50% reduction in the Weighted Adverse … Outcome Score, which describes the adverse event score per delivery 50% decrease in the Severity Index … , which measures the average severity of each delivery with an adverse event (Mann, et al., 2006) Reduced … rate of adverse drug events Improved medication reconciliation at patient admission (Haig, et al., 2006

87. Silence A Commentary | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/reports/liability/silence.html
    August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home Carole Hemmelgarn Three … Some of the key elements of CRPs are reporting and responding to adverse events, continuous communication … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals.

88. Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/programs/index.html?page=2
    April 28, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … To reduce HACs and other adverse events in hospitals, frontline clinicians and others use many of the … uses electronic medical records to develop weekly reports that identify residents at risk of common adverse … events in nursing homes to help clinical staff intervene early.

89. Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
    July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures. … Simulations—that an L&D unit can use to teach team members how to apply CUSP to prevent obstetrical adverse … events.

90. VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
    September 26, 2023 - environments Fewer than anticipated accidents or events of harm An “accident or event of harm” could … and reliable operations across the system Unclear Policy Error in Data Report Unjust Response to Adverse … /AE reporting ratio may indicate a positive reporting culture in which Close Calls are reported and Adverse … Events are prevented. … Leadership Engagement Stop the Line Close Call (CC)/Adverse Event (AE) Reporting These documents

91. Health Systems Research | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/opioids/health-systems-research.html
    July 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Older adults have a high prevalence of chronic pain and are especially vulnerable to adverse events from … Characterizing Opioid-Related Adverse Events in Older Adults After Hospital Discharge.  … Prescribing of opioids at hospital discharge and associated adverse patient outcomes.

92. Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/news/newsletters/e-newsletter/848.html
    January 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … published in the journal Cancer found that 10 percent of children with leukemia or lymphoma experienced adverse … drug events due to outpatient medication errors. … systematic review, from AHRQ’s Effective Health Care Program, also found PBI had significantly fewer acute adverse … events than WBI, though there was no apparent difference in late adverse events.

93. References | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/references.html
    July 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … The costs of adverse drug events in hospitalized patients. … Adverse Drug Events Prevention Study Group. JAMA 1997; 277(4):307-11. … Identifying hospital admissions due to adverse drug events using a computer-based monitor.

94. Acknowledgments | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/reports/liability/acknowledgements.html
    August 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home Advances in Patient Safety

95. Measure Descriptions for Daily Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-fac-guide.html
    February 01, 2017 - events associated with mobilization occurred and, if so, what types of events occurred. … Slide 29: Events Say: The next columns are designed to help track any adverse events that might … This field allows you to document up to three events if multiple events occurred. … Slide 30: Event Codes Say: If no adverse events occurred, use "0" (the code for "none") to indicate … that no adverse events took place.

96. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/findings/evidence-based-reports/search.html
    April 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Affiliation: RTI International—University of North Carolina at Chapel Hill Report Status: Final Adverse … Status: Final Computerized Clinical Decision Support To Prevent Medication Errors and Adverse … International—University of North Carolina at Chapel Hill Report Status: Final Reducing Adverse … Drug Events Related to Anticoagulant Use in Adults Date: January 2024 Report Type: Rapid Evidence

97. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
    August 01, 2022 - ensure that these tiers of support are provided to caregivers after they have in been involved in an adverse … responsible for item or Action Plan Reporting Culture Are policies in place to support reporting adverse … clinical events? … Does your facility review patient safety events openly and share lessons learned? … YES  NO       Adverse Event Investigation Process Is an adverse event policy in place?

98. Infographic - New AHRQ Report Compares Early Stage Breast Cancer Radiotherapy Approaches (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/data/infographics/breast-cancer-radiotherapy.pdf
    February 21, 2023 - Cancer-Free Survival Outcomes Similar at 5 and 10 Years Whole Breast Irradiation (WBI) Acute Adverse … Events Were Significantly Fewer With PBI Compared With WBI Partial Breast Irradiation (PBI)

99. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
    May 17, 2016 - regarding the definition of true postoperative respiratory failure, it still remains an important patient adverse … at increased risk for postoperative respiratory failure to better prepare clinicians to anticipate adverse … events postoperatively, as well as improve allocation of resources after surgery.5 • Some risk factors … Decreased central nervous system input (head injury, ingestion of central nervous system depressant, adverse … Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

100. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
     October 01, 2017 - events? … events Through a noninvasive interface after HMV, BPAP, or CPAP Patients with chronic respiratory … (KQ 5) Adverse Events using the “CBK” approval code and home BPAP machines using the “MNT” and “ … These physiologic aberrations may result in several adverse outcomes that include, but are not limited … events Timing • At least 1 month of treatment Setting • Home • Assisted living residence