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preventiveservices.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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preventiveservices.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - On average, every patient admitted to an intensive care unit suffers an adverse event.
44,000 to 99,000 … Incidence of adverse drug events and potential adverse drug events. JAMA . 1995;274(1):29-34. … An alternative strategy for studying adverse events in medical care. Lancet . 349:309-313,1997.
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preventiveservices.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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preventiveservices.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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preventiveservices.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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preventiveservices.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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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-webinar-slides.pdf
May 25, 2017 - • Miscommunication and omissions can lead to
medical errors and adverse events.
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preventiveservices.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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preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
July 01, 2023 - Incidence of adverse drug events and potential adverse drug events. JAMA 1995;274(1):29–34.
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preventiveservices.ahrq.gov/npsd/data/chartbook/index.html
September 01, 2023 - Event Reporting for Hospitals ( CFER-H, versions 1.1 and 1.2 ), including generic safety concerns and adverse
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preventiveservices.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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preventiveservices.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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preventiveservices.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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preventiveservices.ahrq.gov/sdoh/about.html
February 01, 2020 - Trauma (e.g., adverse childhood experiences, domestic violence, elder abuse).
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preventiveservices.ahrq.gov/topics/index.html?page=1
January 01, 2012 - ensure safe and seamless transitions of patients from one care setting to another, reducing preventable adverse
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preventiveservices.ahrq.gov/es/topics/index.html?page=1
January 01, 2012 - ensure safe and seamless transitions of patients from one care setting to another, reducing preventable adverse
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preventiveservices.ahrq.gov/topics/childrenadolescents.html
January 01, 2011 - Incidence, Costs of Sports-Related Injuries
Recent Research Studies
Adverse
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preventiveservices.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
July 01, 2018 - How to communicate an adverse event to patients and family members.
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preventiveservices.ahrq.gov/patient-safety/reports/engage/interventions/index.html
June 01, 2023 - These tools will also help to identify risks for an adverse drug event, such as overdosing, underdosing
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preventiveservices.ahrq.gov/teamstepps-program/curriculum/communication/tools/callout.html
May 01, 2023 - Or a patient having wisdom teeth removed may have a strong adverse reaction to the sedation and require