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Total Results: 490 records

Showing results for "adverse".

181. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.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)

182. Strategy 4: IDEA Discharge Planning (Tool 4)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
     April 01, 2011 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … Nearly 20 percent of patients experience an adverse event within a month of discharge, of which ¾ could … be prevented Common complications post-discharge are adverse drug events, hospital-acquired infections … these events 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.

183. 2014-Women-Chartbook (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
     January 01, 2014 - Ambulatory Medical Care Visits Due to Adverse Effects of Care  Importance: Adverse effects of medical … care can arise from medical and surgical procedures as well as from adverse drug reactions. … Adult ambulatory medical care visits due to adverse effects of medical care per 1,000 population, by … Adult ambulatory medical care visits due to adverse effects of medical care per 1,000 population, by … Reducing the risk of adverse drug events in older adults.

184. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
     July 01, 2023 - Slide 11: Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse events … Slide 24: Key Safety Elements: Learn From Defects Debrief near misses and adverse events related … Consider these factors: Unit data suggesting adverse events or near misses related to oxytocin, magnesium

185. Obsrounds (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
     August 07, 2012 - Poor communication among staff is a root cause of many patient adverse and sentinel events.

186. Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
     August 01, 2022 - These projects sought to improve patient safety by measuring safety problems, characterizing adverse

187. Creating a Safe Medicine List: Patient Information/Reminder Flyer (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
     April 12, 2018 - . ■ Answer your questions. 1 in 9 emergency department admissions are related to an adverse drug

188. Universal ICU Decolonization Protocol Overview | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/universal-icu-decolonization/universal-icu-overvw.html
     September 01, 2013 - Safety and Adverse Events Introduction to the Protocol The Universal ICU Decolonization

189. AHRQ News Now | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/index.html
     April 30, 2024 - Improvement and Bolster Survey Scores February 6, 2024 Heart Failure Patients’ Risk of Adverse

190. Survey on Patient Safety (facility version) (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
     November 15, 2019 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Management in this facility seems interested in patient safety only after an adverse event happens

191. DARTNet Guided Exploration of Linkages Between Existing Health Data, Patient Reported Outcomes and PBRN Research” Webinar Presentation Slides (pdf file)
     pbrn.ahrq.gov/sites/default/files/docs/DARTNetDataWebinar.pdf
     August 18, 2015 - in eGFR oChange in ACR  Patient outcomes that matter oESRD oDeath – linkage to NDI CKD - Adverse … Outcomes  Adverse effects oNumber of individuals who develop hyperkalemia oRate of hip, forearm … Optimal Set* Summary and Conclusions Blurring QI and Research - CKD CKD – Positive Outcomes CKD - Adverse

192. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
     July 12, 2018 - diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse

193. TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teamattitude.pdf
     March 21, 2014 - Adverse events may be reduced by maintaining an information exchange with patients and their families

194. Improving Antipsychotic Appropriateness in Dementia Patients (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/carnahan.pdf
     January 01, 2014 - Description Antipsychotics have limited effectiveness in dementia and increase risk of mortality and other adverse

195. The PCORTF Mission, Vision, and Goal | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/pcor/strategic-framework/mission.html
     July 01, 2023 - SHARE: More topics in this section Patient-Centered Outcomes Research PCOR Strategic Framework Mission, Vision, and Goal Health Equity Patient-Centeredness, Diversity, and Stakeholder Engagement Strategic Priorities Cross-Cutting …

196. Teamwork Attitudes Questionnaire (T-TAQ) | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/officebasedcare/handouts/teamattitudes.html
     December 01, 2015 - Adverse events may be reduced by maintaining an information exchange with patients and their families

197. Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge Planning | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy4/index.html
     December 01, 2017 - requires the successful transfer of information from clinicians to the patient and family to reduce adverse

198. Evidence Summary: Why focus on safety for patients with limited English proficiency? | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/lep/handouts/lepevidencesum.html
     December 01, 2012 - Language proficiency and adverse events in U.S. hospitals: a pilot study.

199. Implementing Screening and Treatment of Unhealthy Alcohol Use During COVID-19 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/blog/ahrqviews/unhealthy-alcohol-use-during-covid19.html
     April 01, 2021 - spectrum of alcohol misuse from risky or hazardous drinking to alcohol use disorder, is associated with adverse

200. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
     May 01, 2023 - Trends in adverse event rates in hospitalized patients. JAMA  2022 Jul 12;328(2):173-83.