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www.qualitymeasures.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
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www.qualitymeasures.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
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www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - events. … To emphasize the importance of eliminating the occurrence of adverse events and ADEs, several health … The incidence and severity of adverse events affecting patients after discharge from the hospital. … Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from … National burden of preventable adverse drug events associated with inpatient injectable medications:
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
June 01, 2021 - not associated with increased morbidity or mortality
Unnecessary antibiotics are associated with:
Adverse … Events/Notes
TMP-SMX (Bactrim) Oral Concentrates in urinary tract Hyperkalemia, rash, warfarin interaction … Events form and encourage staff to use this when a resident was harmed or had the potential to be harmed … of Antibiotic Decision Making Form
Monthly Data Collection Form
Learning From Antibiotic-Associated Adverse … Events
23
UTI Management
23
Disclaimer
The findings and recommendations in this presentation
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www.qualitymeasures.ahrq.gov/es/hai/universal-icu-decolonization/index.html
September 01, 2013 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Safety and Adverse Events
The REDUCE MRSA Trial (Randomized Evaluation of Decolonization … Safety and Adverse Events
Authors
University of California Irvine
Susan Huang, MD, MPH
Adrijana
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - Do they believe the organization is aware of all the patient harm events? … Have they heard of events that should have been reported but were not reported? … Other methods of reporting CANDOR events may include in-person reporting. … The sole objective of the Event Investigation and Analysis of an adverse event or near miss is to prevent … future adverse events.
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www.qualitymeasures.ahrq.gov/teamstepps/officebasedcare/module1/office_intro.html
February 01, 2016 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … 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 deliverty with an adverse event. ( Mann, et al., 2006 ). … Reduced rate of adverse drug events.
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www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - This can help prevent safety events and/or medical errors. … Report to appropriate parties – Providers will use their facility’s policies to report adverse events … Communication about adverse events is a delicate process that requires collaboration with and guidance … Organizations should be prepared to respond and communicate proactively when adverse events occur. … , to Responding to Adverse Events).
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www.qualitymeasures.ahrq.gov/research/findings/studies/index.html?page=484
January 01, 2024 - Drug Events (ADE)
(321)
Adverse Events
(737)
Alcohol Use
(61)
Ambulatory Care and Surgery … Keywords: Adverse Events, Falls, Hospitals, Patient Safety, Prevention
Braithwaite S , Friedman … events. … events. … Keywords: Adverse Events, Hospitals, Medical Errors, Patient Safety, Quality Indicators (QIs)
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/6-sops101-webcast-2023-closing.pdf
January 01, 2023 - Exploring relationships between hospital patient
safety culture and adverse events.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
June 01, 2021 - provide oversight through quality improvement activities such as reviewing medications, monitoring for adverse … necessary, thereby protecting residents from unnecessary antibiotic exposure and antibiotic-associated adverse … It can be helpful to separate the events into “pre-prescriptive” events, which are the events prior to … A reduction in adverse events means improved resident safety and sometimes cost savings. … antibiotics
· Use of guideline-concordant antibiotics
· Clostridioides difficile infection rates
· Adverse
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www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - System in the Sanford Health System
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … understanding and correcting weaknesses in the health care delivery system and to preventing actual adverse … report to make sure that the report was a near-miss (i.e., no harm came to the patient) and not an adverse … The wrong diagnosis: identifying causes of potentially adverse events in general practice using incident … Does error and adverse event reporting by physicians and nurses differ?
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Researchers found that the interventions could prevent more than 3,100 ASCVD events over 10 years and … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Associated With Financial Distress
An analysis of more than 132,000 individuals’ credit reports showed adverse … Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog
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www.qualitymeasures.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/uti.html
September 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Recommend empiric treatment options for UTIs that are effective and minimize adverse events.
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www.qualitymeasures.ahrq.gov/research/findings/studies/index.html?page=1
January 01, 2024 - Drug Events (ADE)
(321)
Adverse Events
(736)
Alcohol Use
(61)
Ambulatory Care and Surgery … events. … events were rare. … Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse events. … Keywords: Medication: Safety, Medication, Patient Safety, COVID-19, Adverse Drug Events (ADE), Adverse
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/references.html
September 01, 2020 - Language proficiency and adverse events in U.S. hospitals: a pilot study. … Are language barriers associated with serious medical events in hospitalized pediatric patients? … Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice … CMS improves patient safety for Medicare and Medicaid by addressing never events. … When things go wrong: responding to adverse events. A consensus statement of the Harvard hospitals.
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www.qualitymeasures.ahrq.gov/teamstepps/evidence-base/labor-delivery.html
July 01, 2015 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events … Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized … Impact of a comprehensive patient safety strategy on obstetric adverse events.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
March 01, 2010 - Outcome Score (WAOS), 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, S., Marcus, … Reduced rate of adverse drug events
Improved medication reconciliation at patient admission
Haig, K. … Some of the current clinical outcomes of team training include the following-- 50% reduction in adverse … event; reduced rate of adverse drug events; and improved medication reconciliation at patient admission
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
October 01, 2016 - The adverse consequences of unnecessary antibiotic use include adverse drug reactions or interactions … this procedure can help reduce unnecessary prescribing and lead to fewer antibiotic failures and/or adverse … events.
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www.qualitymeasures.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumtheo.html
October 01, 2014 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … the location of the subclavian vein is feasible and improves patient safety by minimizing immediate adverse … events. … Model economic costs of adverse outcomes of central venous cannulations in ED.
Career Goals: Dr.