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ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
July 01, 2023 - Slide 14: Key Safety Elements: Learn From Defects
Debrief and analyze near misses and adverse events … Have a process in place to review serious maternal or neonatal adverse outcomes. … Consider these factors:
Unit data suggesting adverse events or near misses that may have been minimized
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ahrqpubs.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
January 01, 2021 - amount to more than $28 billion in excess healthcare costs, including pressure ulcers ($9.9 billion), adverse … understanding where value is gained and lost, and incorporating strategies that are proven to reduce or prevent adverse … The 21 st Century Care Initiative presents a major opportunity to reduce preventable adverse medical
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ahrqpubs.ahrq.gov/research/findings/studies/index.html?page=3
January 01, 2024 - 1279)
2015
(1430)
2014
(662)
2013
(195)
Topics
Access to Care
(417)
Adverse … Drug Events (ADE)
(321)
Adverse Events
(736)
Alcohol Use
(61)
Ambulatory Care and Surgery … Keywords: Provider: Pharmacist, Medication, Adverse Drug Events (ADE), Adverse Events, Medical Errors … Measures of neighborhood social and economic deprivation were highly associated with adverse consequences
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ahrqpubs.ahrq.gov/research/findings/final-reports/index.html?page=1
June 01, 2020 - Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent Adverse … 023464 Topic(s): Medication Safety, Nursing Homes Publication Date: September 2018
Reducing Adverse
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ahrqpubs.ahrq.gov/news/newsroom/case-studies/201509.html
January 01, 2018 - the technicians' work, the E.D. pharmacist can interpret the patient's medication history to look for adverse … Study Identifier:
2015-09
AHRQ Product(s):
Research
Topic(s):
Adverse
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/890.html
November 01, 2023 - antibiotics within 48 hours of presentation and in 13 percent of hospitalizations patients experienced an adverse … time to antibiotics varies markedly across simulated hospital scenarios, but new antibiotic-associated adverse
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/907.html
April 01, 2024 - of team strategies and tools to improve performance and approaches to team-based error disclosure on adverse … Articles featured this week include:
Transfusion-related errors and associated adverse reactions and
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ahrqpubs.ahrq.gov/teamstepps-program/resources/additional/index.html
September 01, 2023 - techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse … this technique, one tool in the TeamSTEPPS 3.0 training program, can improve communication, reduce adverse
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - ------------------------------------------------------------------- 9
How to prevent adverse events … Nearly 20 percent of patients experience an adverse event within 3 weeks of
discharge, according to … one study.1 Of these adverse events, three-quarters could
have been prevented or ameliorated. … The incidence and severity of adverse
events affecting patients after discharge from the hospital. … How to prevent adverse events after discharge
How does the IDEAL Discharge Planning strategy improve
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ahrqpubs.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - Forty-five percent of the errors had adverse consequences. … Provider communication timeliness and quality were important influences on
patients’ responses to adverse … Confronting an adverse medical event
collaboratively helped both patients and providers with patients … Patient perspectives
of patient--provider communication after adverse events. … Adverse events in primary care identified from a risk-
management database.
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdf
February 02, 2018 - These physiologic aberrations may result in
several adverse outcomes that include, but are not limited … quality of life (QoL), activities of daily living (ADL), dyspnea, sleep quality, exercise
tolerance, and adverse … life (QoL)
o Activities of daily living (ADL)
o Dyspnea
o Sleep quality
o Exercise tolerance
o Adverse … (KQ 5)
Adverse
Events
Table 1. … Quality of life (QoL)
Activities of daily living
(ADL)
Dyspnea
Sleep quality
Exercise tolerance
• Adverse
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - mortality for pediatric surgical procedures
Rates of potentially avoidable complications and adverse … for Selected Procedures)
IQI 91 (Mortality for Selected Conditions)
PSI 90 (Patient Safety and Adverse … software
Further information about forthcoming updated ICD-9 PSI 90 composite (Patient Safety and Adverse … Consider inserting here the deidentified story of a patient who suffered the adverse event captured by … References
Slide 48
Sample Best Practices
Pressure ulcers represent an important patient adverse
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - 9
How to prevent adverse events after discharge 11
How does the IDEAL Discharge Planning strategy improve … requires the successful transfer of information from clinicians to the patient and family to reduce adverse … study.1 Of these adverse events, three-quarters could have been prevented or ameliorated. … At this time, no consensus exists on the single best method to prevent adverse events after discharge … The incidence and severity of adverse events affecting patients after discharge from the hospital.
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/900.html
February 01, 2024 - Reducing Adverse Events Related to Anticoagulants .
Implicit Bias Training .
Deprescribing . … Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events .
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/892.html
December 01, 2023 - Making Healthcare Safer IV will provide evidence on 11 additional safety topics, including reducing adverse … Articles featured this week include:
Prescription opioid dose reductions and potential adverse events
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - • Implement a Care for the Caregiver program for providers involved in adverse events. … • Investigate and analyze an adverse event to learn from it and prevent future adverse
events. … Staff can use this decision tree when analyzing
an error or adverse event in an organization to help … a multidisciplinary team approach, known as
root cause analysis (RCA) to study healthcare-related adverse … These organizations consistently minimize adverse events despite carrying out
intrinsically complex
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/875.html
August 01, 2023 - Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis . … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality
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ahrqpubs.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - These tools will also help to identify patient behaviors that may be putting patients at risk for an adverse
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
August 01, 2022 - communicators who participate in conversations with patients, families, and caregivers following an adverse … demonstrate all of the skills and competencies should be involved in delivering communication about adverse
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
January 01, 2010 - engaging patients
and families in discharge planning
Nearly 20 percent of patients experience an adverse … of these could have been prevented
or ameliorated.1 Common post-discharge complications
include adverse … The
incidence and severity of adverse events affecting
patients after discharge from the hospital.