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ahrqpubs.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
January 01, 2024 - Scope
The incidence of adverse events, such as surgical site infections and surgical errors, is an
immense … Previous attempts to reduce
adverse events in the OR have focused on enhancing skills and training for … Research in complex settings suggests that adverse events are
often caused by a combination of active
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
March 01, 2024 - IHS • Existing Activities Regarding Diagnostic Safety
o Voluntary adverse event report via I-STAR.
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ahrqpubs.ahrq.gov/pcor/library-of-resources/index.html
April 01, 2021 - database , which contains information on study participants and a summary of study outcomes, including adverse
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ahrqpubs.ahrq.gov/news/newsroom/case-studies/index.html?page=1
September 01, 2021 - User Liaison Program (ULP)
(4)
WebM&M
(5)
Topics
Access to Care
(14)
Adverse
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/795.html
January 01, 2022 - Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process
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ahrqpubs.ahrq.gov/teamstepps/readiness/index.html
August 01, 2015 - 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/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - Fostering a culture that supports
debriefing by the clinical team
immediately after a near miss, an
adverse … Factors to consider—
o Unit and malpractice claims data
suggesting adverse events or near
misses
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ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
April 01, 2023 - possibility of delays in care, which generates greater anxiety and contributes to a greater risk of adverse
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - 70% ---- ----
New
2.0 item
Hospital management seems interested in
patient safety only after an adverse … (F3R)
Hospital management seems interested in
patient safety only after an adverse event
happens. … -----------
New 2.0
item
Hospital management seems interested
in patient safety only after an adverse … (F3R)
Hospital management seems
interested in patient safety only
after an adverse event happens
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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.pptx
May 01, 2017 - L&D Unit Safety
30
Key Safety Elements: Learn From Defects
Debrief and analyze near misses and adverse … Factors to consider:
Unit and malpractice claims data suggesting adverse events or near misses related
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ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Elements
Slide 31: Key Safety Elements: Learn From Defects
Debrief and analyze near misses and adverse … Factors to consider:
Unit and malpractice claims data suggesting adverse events or near misses related
-
ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - 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
-
ahrqpubs.ahrq.gov/news/newsroom/case-studies/index.html?page=7
January 01, 2016 - User Liaison Program (ULP)
(4)
WebM&M
(5)
Topics
Access to Care
(14)
Adverse
-
ahrqpubs.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
April 01, 2021 - outpatient monitoring for high-risk conditions, and (c) enhanced medication comprehension to reduce adverse
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - Charges and lengths of stay attributable to adverse
patient-care events using pediatric-specific quality
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
August 01, 2022 - , and surgeon, along with a lack of familiarity with the new equipment as an important cause of the adverse
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ahrqpubs.ahrq.gov/news/newsroom/ahrq-stats.html
November 01, 2023 - (Source: Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem Inflammatory … Measures showing the most improvement included reduced adverse events among hospital patients receiving … (Source: Healthcare Cost and Utilization Project Statistical Brief #237: Patient Safety and Adverse … (Source: Healthcare Cost and Utilization Project Statistical Brief #237: Patient Safety and Adverse … Hospital-Acquired Conditions
The overall rate of hospital-acquired conditions, such as pressure ulcers or adverse
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ahrqpubs.ahrq.gov/downloads/pub/advances/vol4/Miranda.pdf
July 01, 2004 - collaborative patient-physician relationship (e.g.,
“Make sure your doctor knows about any allergies and adverse … Medications and adverse drug events are a key and often-cited patient safety
topic that patient behavior
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - foreign objects avoidable.1
• Retained foreign objects represent a serious and significant patient adverse
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - • Pressure ulcers represent an important patient adverse event that is associated with significant