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ce.effectivehealthcare.ahrq.gov/data/infographics/adverse-drug-events.html
August 01, 2018 - Home
Data & Analytics
Data Infographics
Adverse Drug Events Occurring … Information Knowledgebase
Data Sources Available from AHRQ
Adverse Drug Events Occurring … Hospitals
Adverse Drug Events Occurring in U.S. … August 2018
Page originally created August 2018
Internet Citation: Adverse Drug Events Occurring
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ce.effectivehealthcare.ahrq.gov/teamstepps/primarycare/handouts/pcvideo.html
January 01, 2013 - What problems do you see occurring? … What problems do you see occurring?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - or three of the contributing factors from above and discuss how you will prevent these factors from occurring … or three of the contributing factors from above and discuss how you will prevent these factors from occurring
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ce.effectivehealthcare.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
March 01, 2021 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/video.pdf
December 03, 2015 - What problems do you see
occurring?
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ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - National Academy of Medicine report that elevated awareness of longstanding risks and patient harms occurring … inaugural report consisted of 50 patient safety practices in eight categories encompassing commonly occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
January 01, 2004 - Post-fielding
surveillance, akin to post-marketing surveillance for adverse events, may detect
rarely occurring … Twenty-three (2.8 percent)
comments identified important, rarely occurring problems. … However, rarely occurring problems in
Post-fielding Surveillance
333
data sources, for example … Table 2: Rarely occurring problems in data extraction or conversion detected by
analysis of clinician … milieu of data sources on which a decision support system
relies, it is not surprising that rarely occurring
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ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
June 01, 2021 - solving
Solves one problem in one particular instance
Generally does not help prevent future harm from occurring … adaptive interventions to change culture and beliefs
Identifies system opportunities to prevent them from occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx
November 01, 2019 - of the negative contributing factors from above and discuss how you will prevent these factors from occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0207-technical-specifications.pdf
January 30, 2020 - These time periods are assessed
cumulatively, such that readmissions occurring within prior time periods
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ce.effectivehealthcare.ahrq.gov/teamstepps/readiness/abouttips.html
April 01, 2016 - Identify all the changes that are currently occurring within the organization, determine who the changes … Identify current safety and quality initiatives (e.g., Lean Six Sigma) that may be occurring within the … For example, TeamSTEPPS behaviors can be used during normally occurring handoffs to enhance information
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Slide 18
Say:
Once the CANDOR system is activated, two processes are occurring at the same … Investigation: to determine how the event occurred, and how to mitigate that event or even prevent it from occurring … organization as a whole, with feedback on the investigation and its plans to prevent the adverse harm from occurring … allowing for clarification and improvement of the CANDOR processes and preventing similar harm events from occurring … along with information as to what action the organization is taking to prevent a similar event from occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_ut-tachysystole.docx
May 01, 2017 - Contractions are now lasting 60 seconds and occurring every 90 seconds with very little return to baseline … Pulse 110
BP 140/85
Resp Rate 20
FHR: 130; late decelerations are occurring with each contraction (Category … Contractions are now lasting 60 seconds and occurring every 90 seconds with very little return to baseline … their assessment after trigger #2
Pulse 110
BP 140/85
Resp Rate 20
FHR: 130; late decelerations are occurring
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-5.html
July 01, 2022 - How do you monitor and measure that reconciliation is occurring? … How do you monitor and measure that reconciliation is occurring?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - Slide 18
Say:
Once the CANDOR system is activated, two processes are occurring at the same
time: … Investigation: to determine how the event occurred, and how to mitigate that
event or even prevent it from occurring … organization as a whole, with
feedback on the investigation and its plans to prevent the adverse harm from
occurring … for clarification and improvement of the
CANDOR processes and preventing similar harm events from occurring … along with information as to what action the organization
is taking to prevent a similar event from occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
November 01, 2019 - solving
Solves one problem in one particular instance
Generally does not help prevent future harm from occurring … adaptive interventions to change culture and beliefs
Identifies system opportunities to prevent harm from occurring
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-ut-tachysystole.html
July 01, 2023 - Contractions are now lasting 60 seconds and occurring every 90 seconds with very little return to baseline … Pulse 110
BP 140/85
Resp Rate 20
FHR: 130; late decelerations are occurring with each contraction … Contractions are now lasting 60 seconds and occurring every 90 seconds with very little return to baseline … assessment after trigger #2
Pulse 110
BP 140/85
Resp Rate 20
FHR: 130; late decelerations are occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-technicalspecs.pdf
October 29, 2019 - Imaging studies of the head (CT or MR; Table IMG1) for the evaluation of
atraumatic seizure (Table IMG2) occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - organization can demonstrate its commitment to making sure steps are taken to prevent a similar event from occurring … Identify trends occurring in your legal community regarding medical litigation. … What is occurring in your legal community regarding medical litigation?