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pbrn.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
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pbrn.ahrq.gov/teamstepps-program/curriculum/intro/overview.html
July 01, 2023 - SHARE:
More topics in this section
TeamSTEPPS Program
TeamSTEPPS Updates
Welcome Guides
Curriculum Materials
Introduction to Curriculum
Section 1: Overview of Key Concepts and Tools
Section 2: Explanation and Value of the TeamSTEP…
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pbrn.ahrq.gov/patient-safety/settings/hospital/match/index.html
April 01, 2023 - process can detect and avert most medication discrepancies, potentially avoiding a large number of adverse
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pbrn.ahrq.gov/cpi/about/otherwebsites/pso.ahrq.gov/index.html
August 01, 2022 - access to Common Formats (uniform definitions and reporting formats for collecting information about adverse
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pbrn.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
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pbrn.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.
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pbrn.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - hospitals and nursing homes (including skilled nursing facilities) to collect data for all types of adverse … Research suggests that adverse events affect patients with limited English proficiency more frequently … If chest tubes are inserted incorrectly, patients can suffer adverse outcomes and even fatal complications
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pbrn.ahrq.gov/research/publications/search.html
January 01, 2024 - enrich clinicians’ understanding of patient and family experience and reduce the harms that follow adverse
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pbrn.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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pbrn.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
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pbrn.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.html
December 01, 2017 - Nurse shift changes require the successful transfer of information between nurses to prevent adverse
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pbrn.ahrq.gov/health-literacy/improve/pharmacy/tools.html
January 01, 2024 - (MTM) is a patient-centric and comprehensive approach to improve medication use, reduce the risk of adverse
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
January 01, 2010 - engaging patients
and families in discharge planning
Nearly 20 percent of patients experience an adverse … of these could have been prevented
or ameliorated.1 Common post-discharge complications
include adverse … The
incidence and severity of adverse events affecting
patients after discharge from the hospital.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
January 01, 2010 - for engaging patients and families in discharge planning
Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented
or ameliorated.1 Common post-discharge complications include adverse … The incidence and severity of adverse events affecting patients after discharge from the hospital.
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pbrn.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
February 01, 2022 - facilities also significantly reduced use of fluoroquinolones , a class of antibiotics known to cause adverse
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pbrn.ahrq.gov/news/newsroom/case-studies/202301.html
March 01, 2023 - AHRQ Product(s):
SHARE Approach
Topic(s):
Access to Care,
Adverse
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pbrn.ahrq.gov/news/blog/ahrqviews/deep-dive-into-covid19.html
June 01, 2023 - healthcare is understanding and quantifying the impacts of the COVID-19 pandemic and how we can mitigate the adverse
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - multidisciplinary review is required to identify system processes that may result
in failures in care, adverse … department within 3 days of discharge
∗ Death associated with drug reaction
∗ Death associated with adverse … department within 3 days of discharge
∗ Death associated with drug reaction
∗ Death associated with adverse
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-chui.html
March 01, 2022 - As a result, adverse drug events (ADEs) are frequent, costly, and potentially life-threatening,” according
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - Care
Need for Change
Nine percent of all births in the United States involve serious obstetrical adverse … For more than a decade, poor teamwork and communication have remained the leading
causes of maternal adverse … Ways to reduce obstetrical adverse events include improving teamwork and communication
among care teams … Newborns
The goal of the AHRQ Safety Program for Perinatal Care is to decrease maternal and neonatal
adverse … Root cause analyses of adverse
events and near-misses (events that did not produce
patient injury)