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Showing results for "adverse".

121. Final Topic Refinement Document - Therapeutic Options for Obesity in the Medicare Population (pdf file)
     monahrq.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

122. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     monahrq.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

123. Resource List - AHRQ Hospital Survey (pdf file)
     monahrq.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.

124. Rapid Response for Perinatal Safety: Slide Presentation | Agency for Healthcare Research and Quality
     monahrq.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

125. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
     monahrq.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

126. Defining the New AHRQ: A Race for 21st Century Care | Agency for Healthcare Research and Quality
     monahrq.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

127. Agency for Healthcare Research and Quality
     monahrq.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

128. AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients | Agency for Healthcare Research and Quality
     monahrq.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

129. AHRQ Signals Interest in Research To Improve Healthcare for People With Disabilities | Agency for Healthcare Research and Quality
     monahrq.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

130. AHRQ Accelerates Efforts To Advance Health Equity | Agency for Healthcare Research and Quality
     monahrq.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

131. Additional Videos for TeamSTEPPS 3.0 | Agency for Healthcare Research and Quality
     monahrq.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

132. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
     monahrq.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

133. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
     monahrq.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.

134. Action Planning Worksheets | Agency for Healthcare Research and Quality
     monahrq.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

135. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
     December 01, 2017 - mortality for pediatric surgical procedures Rates of potentially avoidable complications and adverse … for Selected Procedures) IQI 91 (Mortality for Selected Conditions) PSI 90 (Patient Safety and Adverse … software Further information about forthcoming updated ICD-9 PSI 90 composite (Patient Safety and Adverse … Consider inserting here the deidentified story of a patient who suffered the adverse event captured by … References Slide 48 Sample Best Practices Pressure ulcers represent an important patient adverse

136. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
     April 01, 2011 - 9 How to prevent adverse events after discharge 11 How does the IDEAL Discharge Planning strategy improve … requires the successful transfer of information from clinicians to the patient and family to reduce adverse … study.1 Of these adverse events, three-quarters could have been prevented or ameliorated. … At this time, no consensus exists on the single best method to prevent adverse events after discharge … The incidence and severity of adverse events affecting patients after discharge from the hospital.

137. AHRQ Views: Biden Administration Tackles Financial Strains on Healthcare Consumers | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/892.html
     December 01, 2023 - Making Healthcare Safer IV will provide evidence on 11 additional safety topics, including reducing adverse … Articles featured this week include: Prescription opioid dose reductions and potential adverse events

138. Patient Narratives Can Catalyze Staff Improvement and Bolster Survey Scores | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/900.html
     February 01, 2024 - Reducing Adverse Events Related to Anticoagulants . Implicit Bias Training . Deprescribing . … Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events .

139. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
     January 01, 2019 - • 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 … a multidisciplinary team approach, known as root cause analysis (RCA) to study healthcare-related adverse … These organizations consistently minimize adverse events despite carrying out intrinsically complex

140. Study Finds Racial and Ethnic Inequities in End-of-Life Prescription Opioid Access | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/875.html
     August 01, 2023 - Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis . … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality