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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/854.html
March 01, 2023 - non-Hispanic Black adult hospital patients who received a hypoglycemic agent experienced a related adverse
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/819.html
June 01, 2022 - this week include:
Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/825.html
August 01, 2022 - Articles featured this week include:
Trends in adverse event rates in hospitalized patients, 2010-2019
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/820.html
June 01, 2022 - featured this week include:
Improving the approach to defining, classifying, reporting and monitoring adverse
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/835.html
October 01, 2022 - Understanding hazards for adverse drug events among older adults after hospital discharge: insights from
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/814.html
May 01, 2022 - Risk of tizanidine-induced adverse events after concomitant exposure to ciprofloxacin: a cohort study
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ahrqpubs.ahrq.gov/patient-safety/patients-families/index.html
June 01, 2023 - Reconciliation
Learn about the processes that help detect and prevent medication discrepancies and adverse
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - These organizations consistently minimize adverse events despite carrying out
intrinsically complex and … 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 … help health professionals
standardize the process and improve the way they investigate medical errors, adverse … /psnet.ahrq.gov/primers/primer/23
A growing evidence base supports specific strategies to prevent adverse
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - abdominal surgeries, and is
associated with significant risk of mortality between 14% and 50%.1 Other adverse
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/906.html
March 01, 2024 - treatment options and have the strongest evidence base for improving ADHD symptoms but are associated with adverse
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/901.html
February 01, 2024 - Guideline concordance and antibiotic-associated adverse events between Veterans Administration and non-Veterans
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - Fostering a culture that supports debriefing by the clinical team immediately after a near miss, an adverse … Factors to consider—
Unit and malpractice claims data suggesting adverse events or near misses related
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/igmeasure.pdf
January 01, 2004 - PSIs
are a set of measures that provide information about potential in-
hospital complications and adverse … The PSIs can be used to help hospitals identify potential adverse
events that might require further
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ahrqpubs.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
April 01, 2018 - Reconciliation
Learn about the processes that help detect and prevent medication discrepancies and adverse
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ahrqpubs.ahrq.gov/teamstepps/readiness/informationitems.html
April 01, 2016 - Objective information can originate from a variety of sources, including adverse event and near-miss
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
July 23, 2010 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … As noted above, one study found that more than 70 percent of adverse events are caused by breakdowns … successful transfer of information between nurses going off duty and nurses coming on duty to prevent adverse
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ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
July 01, 2023 - If successful, maternal and neonatal adverse events will decrease.
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/816.html
May 01, 2022 - of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/894.html
December 01, 2023 - including a toolkit to help introduce emergency medicine clinical pharmacist programs to hospitals to avoid adverse
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ahrqpubs.ahrq.gov/funding/policies/nofoguidance/index.html
January 01, 2024 - Determination of the clinical efficacy and effectiveness of preventive interventions, including unintended adverse