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Total Results: 529 records

Showing results for "adverse".

101. Executive Briefing
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/leadership-brief/ts-leadershipbrief.pptx
     January 01, 2013 - Consider reviewing a variety of sources, including adverse event and near-miss reports, root cause analyses … Units1 After implementation of multiple teamwork strategies and tools: A 50% reduction in the Weighted Adverse … Outcome Score, which describes the adverse event score per delivery A 50% decrease in the Severity Index … , which measures the average severity of each delivery with an adverse event Intensive Care Units2 After … database shows similar results, with communication failure cited as a primary contributing factor to adverse

102. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
     July 01, 2023 - Professional Liability EFM interpretation and management are a common issue in litigation involving adverse … Slide 13: Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse events … Disclosing any unintended outcomes using unit policy for adverse events. … Past adverse events related to EFM use. Synergy with related or similar initiatives.

103. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
     April 02, 2020 - Measuring errors and adverse events in health care. … Lessons from a patient partnership intervention to prevent adverse drug events. … Consensus building for development of outpatient adverse drug event triggers. … Computerized surveillance of adverse drug events in hospital patients. … Adverse events during hospitalization: results of a patient survey.

104. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
     July 01, 2023 - Liability Say: Further, EFM interpretation and management is a common issue in litigation involving adverse … unit-established parameters for provider notification of EFM findings ensures that signs of potential adverse … Informal debriefings can be used by the clinical team immediately following a near miss or actual adverse … Finally, unit staff should disclose any unintended outcomes related to EFM use using unit policy for adverse … Past adverse events related to EFM use.

105. Universal ICU Decolonization: An Enhanced Protocol | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/hai/universal-icu-decolonization/index.html
     September 01, 2013 - Safety and Adverse Events The REDUCE MRSA Trial (Randomized Evaluation of Decolonization … Safety and Adverse Events Authors University of California Irvine Susan Huang, MD, MPH Adrijana

106. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
     April 01, 2024 - Cards and Outcome Measurements Report Protocol Opioid Stewardship Report Protocol Reducing Adverse … Deprescribing Report Protocol Computerized Clinical Decision Support To Prevent Medication Errors and Adverse

107. Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/848.html
     January 01, 2023 - published in the journal Cancer found that 10 percent of children with leukemia or lymphoma experienced adverse … systematic review, from AHRQ’s Effective Health Care Program, also found PBI had significantly fewer acute adverse … events than WBI, though there was no apparent difference in late adverse events.

108. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     healthcare411.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
     January 01, 2024 - improve patient and family engagement and self-efficacy, improving care coordination and reducing adverse … Adverse drug events and medication errors in Australia. … Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Setting. … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Adverse reactions as a cause of hospital admission in the aged. Drugs Aging. 1992;2(4):356-367.

109. TeamSTEPPS® 2.0 Leadership Briefing | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
     April 01, 2017 - Consider reviewing a variety of sources, including adverse event and near-miss reports, root cause analyses … After implementation of SBAR to improve communication among clinical caregivers: Reduced rate of adverse … After implementation of multiple teamwork strategies and tools: A 50% reduction in the Weighted Adverse … Outcome Score, which describes the adverse event score per delivery. … A 50% decrease in the Severity Index, which measures the average severity of each delivery with an adverse

110. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - Slide 28: Communicating Adverse Events Say: Communication following an adverse event can been especially … Each facility has policies and procedures to follow after an adverse event occurs, and most involve working … Slide 30: How To Communicate About An Adverse Event Say: It is 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.

111. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - to establish an initiative to help States and health care systems test new models of care delivery, adverse … Clinician responses were more varied and were affected by type of adverse event, but they did agree … Clinician responses were more varied and were affected by type of adverse event, but clinicians did … These adverse events are relevant because obstetric and perinatal-related claims are among the most … An ACEx2 program differs from other disclosure and offer models “because it focuses on adverse events

112. I-PASS: Integrating High Quality Handoffs into TeamSTEPPS and Hospital Care
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-may2015.pptx
     January 01, 2015 - Safety in the US: Ongoing Problems Institute of Medicine, 1999 44,000-98,000 deaths per year due to adverse … events Office of the Inspector General, 2010 180,000 deaths per year due to adverse events North Carolina … 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› Results: Medical Error and Preventable Adverse … JAMA 2013; 310: 2262-2270   Pre-RHB Post-RHB p-value Medical Errors 33.8 18.3 <0.001 Preventable Adverse … implementation associated with: Primary outcome A significant reduction in overall error rates and preventable adverse

113. Rapidresponse Facguide (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
     May 01, 2017 - 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

114. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
     October 01, 2017 - Perinatal Safety 13 Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse … Response Call Log can facilitate a debrief Have a process in place to review serious maternal or neonatal adverse … Consider these factors: Unit data suggesting adverse events or near misses that may have been minimized

115. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
     healthcare411.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
     January 01, 2024 - work, we found that NTMx exposure is potentially modifiable and the associated AKI is an avoidable adverse … in designated cardiac, neurosurgery, and orthopedic procedures35 and a 34.5% reduction in overall adverse … Occurrence of adverse, often preventable, events in community hospitals involving nephrotoxic drugs or … A trigger tool to identify adverse events in the intensive care unit. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention.

116. Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/studies/index.html?page=1
     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 … Seelye SM , Kipnis P Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse … Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse events. … Keywords: Medication: Safety, Medication, Patient Safety, COVID-19, Adverse Drug Events (ADE), Adverse

117. Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/studies/index.html?page=2
     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 … Seelye SM , Kipnis P Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse … Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse events. … Keywords: Medication: Safety, Medication, Patient Safety, COVID-19, Adverse Drug Events (ADE), Adverse

118. TeamSTEPPS®: Research/Evidence Base | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/evidence-base/labor-delivery.html
     July 01, 2015 - Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized … Impact of a comprehensive patient safety strategy on obstetric adverse events.

119. COVID-19 Vaccination | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/nursing-home/materials/vaccination/index.html
     September 01, 2023 - the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse … the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse

120. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
     October 01, 2023 - Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Her team found that 10 percent of children with leukemia or lymphoma experienced adverse drug events