-
www.ahrq.gov/data/infographics/adverse-drug-events.html
August 01, 2018 - Adverse 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 Originating During the Hospital Stay, 2011
-
www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
January 01, 2024 - Second, we sought to document the nature and extent to which medication administration
workarounds occur … studies of healthcare professionals’ workaround
behaviors that address when and to what extent they occur … In summary, research suggests that workarounds occur and are theoretically linked to medication
errors … As our
study suggests, barriers are necessary for workarounds to occur. … It may also occur due to the greater
likelihood of the pharmacist observing and correcting potentially
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sleep.pdf
June 02, 2025 - – Sporadic motor movements may occur with low muscle tone between these movements.
-
www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/overview.html
July 01, 2021 - Transitions of care can occur in multiple ways; from one inpatient setting to another, from inpatient
-
www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
April 01, 2018 - Is proactive, identifying the possible adverse events before they actually occur, thus enabling the decision … major limitation of isolated database analyses in which the interactions of different-level processes occur … of ambulatory procedures, they are constrained in that complications, particularly infections that occur … Each site visit represented a different context in which SSIs can occur within the ambulatory surgery … a useful method for incorporating the data gathered from the site visits, because contamination can occur
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-bathing.docx
March 01, 2022 - No. 20(22)-0036
March 2022
During your stay, bathing will occur every day with a special antiseptic
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/precautions/ppe-quiz-key.html
March 01, 2017 - Gowns should be worn when splashing or spraying of blood or other body fluids could occur during resident
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/precautions/ppe-quiz.html
March 01, 2017 - Gowns should be worn when splashing or spraying of blood or other body fluids could occur during resident
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Identifying where and when in the care process mishaps occur, and changing
processes of care to reduce … and the NQF formally endorsed a list of Serious Reportable Events in health care
that should never occur—what … Many rare, but serious, events are cause for considerable concern when
they occur. … reportable
events that should be reported and investigated by all health care facilities if they
occur … Excludes emergent situations that occur in
the course of surgery and/or whose
exigency precludes obtaining
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
November 01, 2017 - Communicate risk changes as they occur. … Improve root cause analyses when adverse events occur. … When would the meeting occur? … How would communication occur with other disciplines to confirm changes in care? … When would the meeting occur?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-quiz-key.docx
March 01, 2017 - Gowns should be worn when splashing or spraying of blood or other body fluids could occur during resident
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-quiz.docx
March 01, 2017 - Gowns should be worn when splashing or spraying of blood or other body fluids could occur during resident
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
June 02, 2025 - In the huddle, the team anticipates problems that may occur and makes plans for them:
• The patient
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl_pcmh-items_cg-cahps-adult-survey_2357-2a.docx
June 02, 2025 - Some items cover events that occur with low frequency in the general population.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-info-english-557-6a.docx
June 02, 2025 - Please note: Some items cover events that occur with low frequency in the general population.
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-8.html
July 01, 2022 - The process must encompass all areas where patient transitions occur in your facility: admission, transfer
-
www.ahrq.gov/patient-safety/settings/hospital/match/chapter-8.html
July 01, 2022 - The process must encompass all areas where patient transitions occur in your facility: admission, transfer
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
May 01, 2003 - feel exposed or vulnerable when reporting a medical
error or event—otherwise, disclosure will rarely occur … Because adverse events usually
occur as a result of multiple failures, it is imperative that medical … patients and families following unexpected
outcomes, and the importance of seeking support when errors occur … care team is one of the leading causes for why errors are not caught before serious
adverse events occur … Why do errors occur? Ambul Outreach 2000
(Spring):16–20.
21.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
June 01, 2021 - Five potential health problems can occur as a result of taking an antibiotic.
1.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-infographic.pdf
February 01, 2022 - patients experiences a
diagnostic error firsthand.11 in 3
Diagnostic-related
communication failures
occur