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pbrn.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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pbrn.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - PSOs can help providers develop successful approaches to improving quality and reducing adverse outcomes
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pbrn.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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pbrn.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
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pbrn.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?
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pbrn.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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pbrn.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
October 01, 2020 - Language proficiency and adverse events in U.S. hospitals: a pilot study. … is inspired by the 2006 book by John Kotter, Our Iceberg Is Melting: Changing and Succeeding Under Adverse … Our iceberg is melting: changing and succeeding under adverse conditions.
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pbrn.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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pbrn.ahrq.gov/news/newsletters/e-newsletter/896.html
January 01, 2024 - Changes in hospital adverse events and patient outcomes associated with private equity acquisition .
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pbrn.ahrq.gov/data/infographics/index.html
March 01, 2024 - Family Premiums for Employer-Sponsored Health Insurance
Growing Pain of Spinal Stenosis
Adverse
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pbrn.ahrq.gov/priority-populations/about/index.html
June 01, 2021 - SHARE:
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Priority Populations
About Priority Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents
Special Healthcare Needs
Women
Pu…
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pbrn.ahrq.gov/news/blog/ahrqviews/achieve-health-equity.html
August 01, 2021 - Clearly, the COVID-19 pandemic has further illuminated the scale and adverse impacts of this problem,
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pbrn.ahrq.gov/research/findings/final-reports/index.html
June 01, 2023 - : Older Adults Publication Date: August 2022
Management of Direct Anticoagulants to Lower Adverse
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pbrn.ahrq.gov/teamstepps/webinars/previous-webinars-2013.html
August 01, 2017 - Identify common causes of adverse events for LEP and culturally diverse patients.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-quickstart-final508.pdf
April 04, 2018 - implementors and use them
as peer coaches.
6 Evaluate your progress
Evaluate effectiveness
� How many adverse
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - Staff can use this decision tree when analyzing an
error or adverse event in an organization to help … a multi-disciplinary team approach, known as
Root Cause Analysis (RCA) to study healthcare-related adverse … health professionals
standardize the process and improve the way they investigate medical errors, adverse … Staff can use this decision tree when
analyzing an error or adverse event in an organization to help … //psnet.ahrq.gov/primers/primer/23
A growing evidence base supports specific strategies to prevent adverse
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
May 22, 2013 - • 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
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - The sole objective of the Event Investigation and Analysis of an adverse event or near miss is to prevent … future adverse events.
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pbrn.ahrq.gov/news/blog/ahrqviews/addressing-historical-racism.html
April 01, 2021 - SHARE:
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News
Newsroom
Blog
AHRQ Views
Newsletter
Events
AHRQ Views: Blog posts from AHRQ leaders
Addressing Historical Racism and Inequality in American Healthcare
APR
…
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
March 01, 2023 - SHARE:
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Funding & Grants
Notice of Funding Opportunities
Research Policies
Funding Priorities
Training & Education Funding
Grant Application, Review & Award Process
Post Award Grants Management
AHR…