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patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - ”
• “Patient safety” is defined as the avoidance and prevention of patient injuries
or adverse events … Hospital management seems interested in
patient safety only after an adverse event
happens .......
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
May 01, 2017 - learning from defects for oxytocin administration include—
Debriefing and analyzing near misses and adverse … key safety elements of learning from defects are the same as for oxytocin:
Debriefing near misses and adverse … Consider these factors:
· Unit data suggesting adverse events or near misses related to oxytocin, magnesium
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
December 22, 2017 - • “Patient safety” is defined as the avoidance and prevention of patient injuries
or adverse events … Hospital management seems interested in patient safety only after an
adverse event happens .......
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 09, 2016 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Hospital management seems interested in patient safety only after an adverse event happens
(1
(2
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
June 09, 2016 - ”
· “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Hospital management seems interested in patient safety only after an adverse event happens
1
2
3
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
May 31, 2023 - Adverse events may be reduced by
maintaining an information exchange
with patients and their families
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patientregistry.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/how-to-use.html
July 01, 2023 - team members how to apply the Comprehensive Unit-based Safety Program (CUSP) to prevent obstetrical adverse
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patientregistry.ahrq.gov/news/newsroom/case-studies/index.html
February 01, 2024 - User Liaison Program (ULP)
(4)
WebM&M
(5)
Topics
Access to Care
(14)
Adverse … Impact Case Study Identifier: 2023-01 AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
January 01, 2022 - Lower readmission rates2
Better financial performance/operating margin if they had an EHR 2
Lower adverse
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
June 05, 2016 - difficult to determine if a change in a measure (e.g., increased length of stay,
increased reporting of adverse … that are not expressed as rates
also can be used for monitoring, such as the occurrence of serious adverse
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
March 01, 2013 - . † Adverse outcomes (a) Firm mattresses; low beds; appropriate chair heights and depths for easy transfer … and falls prevention) simultaneously and found an overall positive effect on the development of any adverse … However, Oliver and colleagues also note “so little empiric evidence on adverse effects of fall prevention … Designing adverse event prevention programs using quality management methods: the case of falls in hospital … Fewer adverse events as a result of the SAFE or SORRY?
-
patientregistry.ahrq.gov/hai/hai-carb-funding.html
November 01, 2021 - determine the clinical efficacy and effectiveness of preventive interventions including unintended adverse
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patientregistry.ahrq.gov/talkingquality/translate/compare/choose/standard.html
January 01, 2023 - standard that is beginning to emerge in health care: the standard of “never” or zero percent for certain adverse
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patientregistry.ahrq.gov/practiceimprovement/index.html
August 01, 2022 - Prevention
Tools to assist nursing homes that have electronic medical record systems to prevent adverse
-
patientregistry.ahrq.gov/patient-safety/reports/national-action-plans.html
February 01, 2018 - National Action Plan for Adverse Drug Events identifies the Federal Government’s highest priority strategies
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - fractures.3,9
Staff with requisite training and supplies available to respond to magnesium-related adverse … Use of uniform, unit-established parameters for provider notification ensures that signs of potential adverse … Defects (CUSP Module)
Key Perinatal Safety Elements
Examples
Debrief and analyze near misses and adverse … myocardial damage
· Staff with requisite training and supplies available to respond to magnesium-related adverse
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
November 03, 2022 - IHS • Enhanced Adverse Event Reporting Capabilities
o IHS Safety Tracking and Response (I-STAR) is deployed
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patientregistry.ahrq.gov/news/newsletters/e-newsletter/847.html
January 01, 2023 - Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving
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patientregistry.ahrq.gov/evidencenow/projects/alcohol/index.html
November 01, 2023 - It is associated with adverse effects on physical and mental health.
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patientregistry.ahrq.gov/sdoh/about.html
February 01, 2020 - Trauma (e.g., adverse childhood experiences, domestic violence, elder abuse).