-
healthcare411.ahrq.gov/news/newsroom/case-studies/index.html?page=4
June 01, 2017 - User Liaison Program (ULP)
(4)
WebM&M
(5)
Topics
Access to Care
(14)
Adverse … Study Identifier: 2017-10 AHRQ Product(s): Comprehensive Unit-based Safety Program (CUSP) Topic(s): Adverse … Safety Program (CUSP), Patient Safety Organization (PSO), Re-Engineered Discharge (RED) Topic(s): Adverse
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
October 01, 2015 - • AHRQ QIs are indicators of hospital quality and
adverse events that patients may experience as … • Pediatric Quality Indicators (PDIs) reflect quality of care
inside hospitals and adverse events … • The PSIs are a set of 18 hospital-level indicators of
safety-related adverse events following operations … and Safety
• The PDIs are a set of 16 indicators that reflect quality
of care inside hospitals and adverse
-
healthcare411.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
February 01, 2023 - The Patient Safety Indicators (PSIs) identify adverse events occurring during hospitalization. … They provide information on potential in-hospital complications and adverse events following surgeries
-
healthcare411.ahrq.gov/health-literacy/improve/pharmacy/medication-mgt.html
September 01, 2020 - (MTM) is a patient-centric and comprehensive approach to improve medication use, reduce the risk of adverse
-
healthcare411.ahrq.gov/research/findings/evidence-based-reports/search.html?page=1
November 01, 2023 - Permanente Research Affiliates Report Status: Final
Efficacy of Dental Services for Reducing Adverse … Scientific Resource Center Report Status: Final
Efficacy of Dental Services for Reducing Adverse
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
May 22, 2014 - Adverse effects of interventions
● Activity-related injury
● Adverse effects of medication ( diarrhea … joint disease (i.e., knee, hip)
● Respiratory disease (i.e., asthma, COPD)
● Sleep apnea
o BMI
o Adverse … effects
● Activity-related injuries, including fracture
● Adverse effects of medications (e.g., diarrhea … later
● Among trials that report on clinical outcomes, for BMI, health-related quality of life,
and adverse
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-roster-2023dec.pdf
December 21, 2023 - Medical Officer
Name Department/Agency Title
Michael Lee, Pharm.D.,
BCPS, CAPT, USPHS
IHS IHS Adverse
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
April 01, 2023 - • Implement a Care for the Caregiver program for providers involved in adverse events. … • Investigate and analyze an adverse event to learn from it and prevent future adverse
events. … Staff can use this decision tree when analyzing
an error or adverse event in an organization to help … Patient Safety Primer: Medication Errors and Adverse Drug Events
https://psnet.ahrq.gov/primers/primer … Patient Safety Primer: Medication Errors and Adverse Drug Events
23.
-
healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
July 01, 2023 - Slide 14: Key Safety Elements: Learn From Defects
Debrief and analyze near misses and adverse events … Have a process in place to review serious maternal or neonatal adverse outcomes. … Consider these factors:
Unit data suggesting adverse events or near misses that may have been minimized
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
May 01, 2017 - This
principle calls for L&D unit teams to evaluate
their processes and learn from adverse
events, … 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:
o Unit data suggesting adverse events or
near misses that may have been
-
healthcare411.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
January 01, 2021 - amount to more than $28 billion in excess healthcare costs, including pressure ulcers ($9.9 billion), adverse … understanding where value is gained and lost, and incorporating strategies that are proven to reduce or prevent adverse … The 21 st Century Care Initiative presents a major opportunity to reduce preventable adverse medical
-
healthcare411.ahrq.gov/research/findings/studies/index.html?page=3
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 … 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
-
healthcare411.ahrq.gov/news/newsroom/case-studies/201509.html
January 01, 2018 - the technicians' work, the E.D. pharmacist can interpret the patient's medication history to look for adverse … Study Identifier:
2015-09
AHRQ Product(s):
Research
Topic(s):
Adverse
-
healthcare411.ahrq.gov/news/newsletters/e-newsletter/907.html
April 01, 2024 - of team strategies and tools to improve performance and approaches to team-based error disclosure on adverse … Articles featured this week include:
Transfusion-related errors and associated adverse reactions and
-
healthcare411.ahrq.gov/news/newsletters/e-newsletter/890.html
November 01, 2023 - antibiotics within 48 hours of presentation and in 13 percent of hospitalizations patients experienced an adverse … time to antibiotics varies markedly across simulated hospital scenarios, but new antibiotic-associated adverse
-
healthcare411.ahrq.gov/teamstepps-program/resources/additional/index.html
September 01, 2023 - techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse … this technique, one tool in the TeamSTEPPS 3.0 training program, can improve communication, reduce adverse
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - ------------------------------------------------------------------- 9
How to prevent adverse events … Nearly 20 percent of patients experience an adverse event within 3 weeks of
discharge, according to … one study.1 Of these adverse events, three-quarters could
have been prevented or ameliorated. … The incidence and severity of adverse
events affecting patients after discharge from the hospital. … How to prevent adverse events after discharge
How does the IDEAL Discharge Planning strategy improve
-
healthcare411.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - Forty-five percent of the errors had adverse consequences. … Provider communication timeliness and quality were important influences on
patients’ responses to adverse … Confronting an adverse medical event
collaboratively helped both patients and providers with patients … Patient perspectives
of patient--provider communication after adverse events. … Adverse events in primary care identified from a risk-
management database.
-
healthcare411.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
November 01, 2018 - Adverse event due to a breakdown in team skills (e.g., communications, situation monitoring, mutual support … Staff members are concerned that we could have an adverse event due to breakdowns in team skills.
… prophylactic use of beta-blockers to prevent intra-operative myocardial ischemia]; decreased rates of adverse
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdf
February 02, 2018 - These physiologic aberrations may result in
several adverse outcomes that include, but are not limited … quality of life (QoL), activities of daily living (ADL), dyspnea, sleep quality, exercise
tolerance, and adverse … life (QoL)
o Activities of daily living (ADL)
o Dyspnea
o Sleep quality
o Exercise tolerance
o Adverse … (KQ 5)
Adverse
Events
Table 1. … Quality of life (QoL)
Activities of daily living
(ADL)
Dyspnea
Sleep quality
Exercise tolerance
• Adverse