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Total Results: 490 records

Showing results for "adverse".

101. Primary Care-Based Efforts To Reduce Potentially Preventable Readmissions | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
     December 01, 2023 - Readmissions High rates of readmissions are a major patient safety problem associated with adverse

102. Infographic - New AHRQ Report Compares Early Stage Breast Cancer Radiotherapy Approaches (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/data/infographics/breast-cancer-radiotherapy.pdf
     February 21, 2023 - Cancer-Free Survival Outcomes Similar at 5 and 10 Years Whole Breast Irradiation (WBI) Acute Adverse

103. Medication Management Strategy: Intervention | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
     June 01, 2023 - These tools will also help to identify patient behaviors that may be putting patients at risk for an adverse

104. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation | Agency for Healthcare Research and Quality
     pbrn.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.

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

106. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
     May 01, 2017 - Fear of Litigation With patient privacy laws and the fear of oversharing information about adverse … Report to appropriate parties – Providers will use their facility’s policies to report adverse events … Communicate with the patient – Providers communicate by sharing relevant facts about an adverse event … Organizations should be prepared to respond and communicate proactively when adverse events occur. … , to Responding to Adverse Events).

107. Create a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
     January 01, 2024 - Assessment Form  (DOCX, 330 KB) Implementation Guide  (PDF, 402 KB) Learning From Antibiotic–Associated Adverse

108. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
     pbrn.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
     January 01, 2004 - Because oral anticoagulants are associated with preventable adverse events at disproportionately high … high (INR > 4), or safe (INR ≤ 2 but ≥ 4), based on cutoff values associated with increased risks of adverse … events are common18 and warfarin is involved in preventable adverse drug events at rates disproportionate … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Adverse drug events in ambulatory care. NEJM 2003 348(16):1556– 64. 19.

109. Additional Videos for TeamSTEPPS 3.0 | Agency for Healthcare Research and Quality
     pbrn.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

110. AHRQ-Funded Patient Safety Research Featured in Health Affairs | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/reports/healthaffairs.html
     March 01, 2019 - patient-safety efforts nationwide, AHRQ has funded studies that aim to reduce medication errors and adverse

111. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
     May 01, 2017 - Professional Liability EFM interpretation and management are a common issue in litigation involving adverse … Fetal Monitoring 12 Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse … episode involving an abnormal fetal tracing Disclosing any unintended outcomes using unit policy for adverse … Past adverse events related to EFM use Synergy with related or similar initiatives Interest and enthusiasm

112. Monitoring for Perinatal Safety: Electronic Fetal Monitoring (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
     May 01, 2017 - 3 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. • Synergy with related or similar initiatives (e.g., initiatives

113. TeamSTEPPS® 2.0 Leadership Briefing | Agency for Healthcare Research and Quality
     pbrn.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

114. AHRQ Accelerates Efforts To Advance Health Equity | Agency for Healthcare Research and Quality
     pbrn.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

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

116. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Staff can use this decision tree when analyzing an error or adverse event in an organization to help … These organizations consistently minimize adverse events despite carrying out intrinsically complex … Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primers/primer … /23 A growing evidence base supports specific strategies to prevent adverse drug events (ADEs). … Patient Safety Primer: Medication Errors and Adverse Drug Events 9.

117. Communication Assessment Guide | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
     August 01, 2022 - communicators who participate in conversations with patients, families, and caregivers following an adverse … demonstrate all of the skills and competencies should be involved in delivering communication about adverse

118. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     pbrn.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.

119. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     pbrn.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.

120. Comparing Quality Scores to an Independent Standard | Agency for Healthcare Research and Quality
     pbrn.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