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Showing results for "adverse".

1741. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      ce.effectivehealthcare.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)

1742. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      ce.effectivehealthcare.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)

1743. Strategy 4: IDEA Discharge Planning (Tool 4)
      ce.effectivehealthcare.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.

1744. Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
      February 24, 2008 - Introduction Public and professional concern over patient safety, adverse health care events, and medical … Lucian Leape on the causes and prevention of errors and adverse events in health care. … Preventing adverse drug events. Am J Health Syst Pharm 1995; 52: 379-382. 6. Leape LL. … The nature of adverse events in hospitalized patients. … Pharmacist participation on physician rounds and adverse drug events in the intensive care unit.

1745. 2014-Women-Chartbook (pdf file)
      ce.effectivehealthcare.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.

1746. Obsrounds (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
      August 07, 2012 - Poor communication among staff is a root cause of many patient adverse and sentinel events.

1747. Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
      May 01, 2007 - Adverse events identified during the pilot study included: hemangioma, oropharyngeal bleed, bleeding … Additional information was gathered (e.g., unit, service, education needed, adverse event), coded, and … On review of data obtained from the CHB Safety Events Reporting System, adverse event rates in FY 2005 … There is no available literature describing the rate of readmissions for pediatric patients with an adverse

1748. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.pdf
      May 21, 2020 - diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse

1749. Creating a Safe Medicine List: Patient Information/Reminder Flyer (pdf file)
      ce.effectivehealthcare.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

1750. Survey on Patient Safety (facility version) (doc file)
      ce.effectivehealthcare.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

1751. Facilitator-Notes (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
      March 01, 2017 - SLIDE 27 SAY: Communication following an adverse event can been especially challenging. … Each facility has policies and procedures to follow after an adverse event occurs, and most involve working … important to remember that residents and family members can experience a number of emotions when an adverse … event occurs, so communication about an adverse event should be compassionate and sensitive.

1752. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
      January 01, 2016 - Complications of care and adverse events occurring in the inpatient hospital setting that may be related … possibility of underestimating the prevalence of some of the PSIs attributable to inpatient care: adverse … These data help estimate the volume of those adverse events that occur in the admission during which … The Selected Infections Due to Medical Care hospital-level PSI was developed to capture adverse events … The use of ICD-9-CM diagnosis and procedure codes from administrative data to identify potential adverse

1753. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
      March 01, 2016 - 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 health care-related adverse … Sorry http://www.nhsla.com/Claims/Documents/Saying%20Sorry%20-%20Leaflet.pdf Although victims of adverse … presents the principles of a just culture, a nonpunitive environment that encourages reporting of adverse … /psnet.ahrq.gov/primers/primer/23 A growing evidence base supports specific strategies to prevent adverse

1754. Survey on Patient Safety (facility version) (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
      November 18, 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

1755. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
      July 12, 2018 - diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse

1756. TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teamattitude.pdf
      March 21, 2014 - Adverse events may be reduced by maintaining an information exchange with patients and their families

1757. Slide 1 (ppt file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
      October 01, 2015 - Infrastructure advisory Engaging in everyday care How-to strategies Engaging with after an adverse … on the CUSP team Provide input to improve policies and procedures Advise on how to communicate an adverse

1758. Selected Best Practices and Suggestions for Improvement (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4t_combo_pdi08-postophemorrhage-bestpractices.pdf
      May 16, 2016 - http://www.who.int/surgery/publications/Postoperativecare.pdf • Anticoagulant Toolkit: Reducing Adverse … Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

1759. Implementation Quick Start Guide: Medication Mangement (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartfull.pdf
      December 15, 2016 - to medication reconciliation and medication management are well documented.2-5 One study found that adverse … It will also help you identify patient behaviors that may be putting them at risk for an adverse drug … Adverse drug events in U.S. adult ambulatory medical care.

1760. Team Training in Healthcare and TeamSTEPPS at Johns Hopkins
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-dec2013.pptx
      January 01, 2013 - in pt. harm (Abstoss et al., 2011) Rates of RRS activations that resulted in codes (Donahue, 2011) Adverse … Use of evidence-based practice Handoffs Efficiency Reduced care delays Decision time Safety outcomes Adverse