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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
January 01, 2010 - for engaging patients and families in discharge planning
Nearly 20 percent of patients experience an adverse … three-quarters 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.
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ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
July 01, 2023 - This principle calls for L&D unit teams to evaluate their processes and learn from adverse events, errors … to the Rapid Response toolcall
In addition, clinical teams can debrief and analyze near misses and adverse … debriefings, a regular forum with a multidisciplinary team for reviewing serious maternal or neonatal adverse … Consider these factors:
Unit data suggesting adverse events or near misses that may have been minimized
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/856.html
March 01, 2023 - Articles featured this week include:
Automated capture of intraoperative adverse events using artificial … Effect of apneic oxygenation with intubation to reduce severe desaturation and adverse tracheal intubation-associated
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/821.html
June 01, 2022 - Analysis of Hospital-Level Readmission Rates and Variation in Adverse Events Among Patients With Pneumonia … Assessing adverse event reports of hysteroscopic sterilization device removal using natural language
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/803.html
March 01, 2022 - This included reductions in the use of fluoroquinolones, a class of antibiotics known to cause adverse … Relative risks of adverse events among older adults receiving opioids versus NSAIDs after hospital discharge
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ahrqpubs.ahrq.gov/research/findings/studies/index.html?page=4
January 01, 2024 - 1279)
2015
(1430)
2014
(662)
2013
(195)
Topics
Access to Care
(417)
Adverse … Drug Events (ADE)
(321)
Adverse Events
(737)
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/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - multidisciplinary review is required to identify system processes that may result
in failures in care, adverse … department within 3 days of discharge
∗ Death associated with drug reaction
∗ Death associated with adverse … department within 3 days of discharge
∗ Death associated with drug reaction
∗ Death associated with adverse
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - Care
Need for Change
Nine percent of all births in the United States involve serious obstetrical adverse … For more than a decade, poor teamwork and communication have remained the leading
causes of maternal adverse … Ways to reduce obstetrical adverse events include improving teamwork and communication
among care teams … Newborns
The goal of the AHRQ Safety Program for Perinatal Care is to decrease maternal and neonatal
adverse … Root cause analyses of adverse
events and near-misses (events that did not produce
patient injury)
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - Care
Need for Change
Nine percent of all births in the United States involve serious obstetrical adverse … For more than a decade, poor teamwork and communication have remained the leading
causes of maternal adverse … Ways to reduce obstetrical adverse events include improving teamwork and communication
among care teams … Newborns
The goal of the AHRQ Safety Program for Perinatal Care is to decrease maternal and neonatal
adverse … Root cause analyses of adverse
events and near-misses (events that did not produce
patient injury)
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … Nearly 20 percent of patients experience an adverse event within a month of discharge, of which ¾ could … be prevented
Common complications post-discharge are adverse drug events, hospital-acquired infections … these events 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.
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/874.html
August 01, 2023 - available to improve the safety culture of labor and delivery units and decrease maternal and neonatal adverse … Articles featured this week include:
Anticoagulation-associated adverse drug events in hospitalized
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/884.html
October 01, 2023 - Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality … Risk factors for opioid-related adverse drug events among older adults after hospitalization for major
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/878.html
August 01, 2023 - (Source: JAMA Network Open , Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem … include:
Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/872.html
July 01, 2023 - process can enrich clinicians’ understanding of patient and family experience and reduce harms following adverse … emergency departments to provide nonemergency care to residents, potentially placing residents at risk of adverse
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
January 01, 2014 - Ambulatory Medical Care Visits Due to Adverse Effects of Care
Importance: Adverse effects of medical … care can arise from medical and surgical procedures
as well as from adverse drug reactions. … Adult ambulatory medical care visits due to adverse effects of medical care
per 1,000 population, by … Adult ambulatory medical care visits due to adverse effects of medical care
per 1,000 population, by … Reducing the risk of adverse drug events in older adults.
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
April 12, 2018 - .
■ Answer your questions.
1 in 9
emergency
department admissions
are related to an
adverse drug
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
November 15, 2019 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Management in this facility seems interested in patient safety only after an adverse event happens
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ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/index.html
July 01, 2023 - improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse
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ahrqpubs.ahrq.gov/teamstepps-program/resources/additional/sbar.html
July 01, 2023 - how this technique, one tool in the TeamSTEPPS training program, can improve communication, reduce adverse
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ahrqpubs.ahrq.gov/teamstepps-program/resources/additional/labor.html
July 01, 2023 - techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse