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Showing results for "adverse events".
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1. Adverse Drug Events Occurring in U.S. Hospitals | Agency for Healthcare Research and Quality
   www.innovations.ahrq.gov/data/infographics/adverse-drug-events.html
   August 01, 2018 - Drug Events Occurring in U.S. … Drug Events Occurring in U.S. … Hospitals Adverse Drug Events Occurring in U.S. … Hospitals (PDF, 1.5 MB) Source:   HCUP Statistical Brief #164: Characteristics of Adverse Drug Events … Drug Events Occurring in U.S.

2. Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals | Agency for Healthcare Research and Quality
   www.innovations.ahrq.gov/news/newsletters/e-newsletter/899.html
   February 01, 2024 - Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals … [PDF, 9 MB]) Today's Headlines: Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing … Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals Patients with heart … Additional articles featured this week include: Adverse safety events in emergency medical services … Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse events.

3. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
   www.innovations.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
   July 01, 2022 - Researchers of this study tracked a total of 21 adverse events over the study period. … Examples of the events included adverse medication events such as those associated with the use of insulin … Adverse events are often defined as physical or psychological harm caused by a person’s interaction with … Tracking the rates of adverse events is a common way of measuring changes in patient safety. … In the study, researchers examined the rates of adverse events by looking at the raw (observed) rates

4. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
   www.innovations.ahrq.gov/hai/pfp/methods.html
   December 01, 2017 - Events Associated With Hip Joint Replacements MPSMS Adverse Events Associated With Knee Joint Replacements … events for all patients to adverse events for patients with one of the four diagnoses. … Events Associated With Hip Joint Replacements 1.02 3.70 0.28 All Other HACs Adverse Events … Events Associated With Hip Joint Replacements 30,413 32,750,000 0.929 MPSMS Adverse Events … events for all diagnoses to adverse events for the four diagnoses.

5. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
   www.innovations.ahrq.gov/patient-safety/reports/liability/neumiller.html
   August 01, 2017 - Incidence and preventability of adverse drug events in nursing homes. … Incidence of adverse drug events and potential adverse drug events; implications for prevention: ADE … The Canadian adverse events study: the incidence of adverse events among hospital patients in Canada. … National surveillance of emergency department visits for outpatient adverse drug events. … Adverse drug events in ambulatory care. N Engl J Med 2003; 348:1556‑64. 33.

6. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
   www.innovations.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
   September 01, 2022 - events were occurring in order to prevent them. … This chart review-based surveillance system determines national rates for 21 types of adverse events, … events. … use/misuse, surgical site infections, and other surgical and anesthesia-related adverse events, as well … as obstetric and neonatal adverse events.

7. Module 7: Resolution | Agency for Healthcare Research and Quality
   www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
   August 01, 2022 - Slide 1 Say: When adverse patient events occur, the patient and their family are looking for … events. … Following patient harm events, the patient and/or family might sue the caregiver and/or organization, … When harm occurs, patients often express the desire to protect others from future events. … These metrics include organizational performance relative to adverse events, financial impact, as well

8. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
   www.innovations.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
   January 01, 2024 - Between 19 to 28 percent of patients experience adverse events during care transitions. … These adverse events, which may lead to hospital readmissions, represent an ongoing threat to patient … events. … Building on his efforts to reduce adverse events during care transitions, Dr. … It also will help patients to understand their individualized risks of adverse events during care transitions

9. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
   www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
   August 01, 2022 - events. … events and promote better care for patients through candid, caring communication in the wake of an adverse … events from happening in the future. … It also emphasizes the organization's commitment to improve the reporting and monitoring of adverse events … event (see Adverse Event (Reasonable Care) and Adverse Event (Unreasonable Care)) .

10. Table 5.A.1. Evidence Table (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
    January 01, 2014 - events, including adverse drug events (ADEs). … adverse events, including 256 ADEs. The 2010;11(5):568-578. … The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in … Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study … Detecting Adverse Events Using Information Technology.

11. Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) (pdf file)
    www.innovations.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
    January 01, 2024 - Results: The project generated new epidemiological evidence of patient safety risks and adverse events … The proposed Aims were: Aim 1: To analyze the frequency and determinants of errors and adverse events … Despite the frequency of ambulatory patient safety errors and adverse events, most efforts to study … Second, rare adverse events are challenging to accurately identify. … Adverse drug events in the outpatient setting: an 11-year national analysis.

12. Declines in Hospital-Acquired Conditions (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
    January 01, 2019 - in Hospital- Acquired Conditions National efforts to reduce hospital-acquired conditions such as adverse … drug events and injuries from falls helped prevent 20,700 deaths and saved $7.7 billion between 2014 … Adverse Drug Events -28% CAUTI* -5% CLABSI+ -6% Clostridioides difficile Infections -37% … Falls -5% Obstetric Adverse Events -3% Pressure Ulcers Surgical Site Infections Ventilator

13. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
    July 01, 2020 - infections, adverse drug events, and injuries due to procedures, as well as pressure ulcers/pressure … For example, measured adverse drug events continued to drop from 2014 to 2017, while measured pressure … Urinary Tract Infections Adverse Drug Events 99 92 88 86 https://www.ahrq.gov/sites/default/files … National number of adverse events captured by PSIs 18 and 19 on obstetric injury and national number … To estimate the rate of adverse events for each of the 21 HACs for all patients for which the MPSMS

14. References | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/hai/pfp/hacrate2013-refs.html
    October 01, 2015 - Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Adverse drug events in hospitalized patients. … Obstetric Adverse Events Abuhamad A, Grobman WA. … Adverse events in hospitals: methods for identifying events. Washington, DC: U.S. … Adverse events in hospitals: methods for identifying events. Washington, DC: U.S.

15. Appendix F: PowerPoint Presentation: Executive Summary | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/health-literacy/professional-training/lepguide/app-f.html
    September 01, 2020 - (continued) Slide 10: Causes of Adverse Events for LEP and Culturally Diverse Patients Slide 11: Systems … Language proficiency and adverse events in U.S. hospitals: a pilot study. … Types of Physical Harm Experienced From Adverse Events by English Speaking and LeP Patients. … Common Causes: Adverse Events for LEP Culturally Diverse Patients Use of Family Members/Friends or … Language proficiency and adverse events in US hospitals: a pilot study. Int J Qual Health Care .

16. Patient and Family Engagement | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - Introduction to Adverse Events Slide 23. Immediate Response to an Adverse Event 4 Slide 24. … Introduction to Adverse Events Say: Adverse events occur when a patient is harmed as a result of … Medical providers are committed to caring for their patients; however, adverse events can happen. … The Second Victim: Health Care Workers 7 Say: Adverse events are often system failures. … Organizations need to engage in strategies to address adverse events.

17. Appendix | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/hai/pfp/hacrate2013-appendix.html
    October 01, 2015 - 2013) Femoral Artery Puncture for Catheter Angiographic Procedures 59,000 1.8 MPSMS (2013) Adverse … Events Associated With Hip Joint Replacements 21,000 0.63 MPSMS (2013) Adverse Events Associated … in Measured HACs c Projected Cost Savings in 2013 d Projected Reductions in Deaths in 2013 e Adverse … $149,600,000 1,628 Falls 260,000 240,000 20,000 8% $144,680,000 1' 100 Obstetric Adverse … 50% 25% 10,000 $17,000 Falls 200,000 25% 50% 12.5% 25,000 $7,234 Obstetric Adverse

18. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
    July 01, 2023 - Slide 17: Engaging After Adverse Events Say: Adverse events occur when a patient is harmed as a … Medical providers are committed to caring for their patients; however, adverse events can happen. … Slide 22: The Second Victim: Health Care Workers Say: Adverse events are often system failures. … Hospitals today recognize that health care workers are the second victims of adverse events and often … Organizations need to engage in strategies to address adverse events.

19. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/index.html
    August 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 … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … events and a more proactive method to achieving an amicable and fair resolution for the patient/family … Care Video: Notification of Adverse Event Video: Planning for Meetings with Family Video: Disclosure

20. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - infections, adverse drug events, and injuries due to procedures, as well as pressure ulcers/pressure … For example, measured adverse drug events continued to drop from 2014 to 2017, while measured pressure … Preliminary 2017 2019 Goal (20% Reduction of each HAC) Adverse Drug Events 33.7 30.0 27.1 … National number of adverse events captured by PSIs 18 and 19 on obstetric injury and national number … Due to changes in how some conditions and adverse events are described in ICD-9 and ICD-10, the data