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preventiveservices.ahrq.gov/workingforquality/events/webinar-introduction-to-the-stakeholder-toolkit.html
November 01, 2016 - Partnership, are to reduce preventable hospital admissions and readmissions, reduce the incidence of adverse
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
August 01, 2010 - Nurse shift changes require the successful transfer of information between
nurses to prevent adverse … One study found that more than 70 percent of adverse events are caused
by breakdowns in communication
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preventiveservices.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
December 01, 2012 - Quality/Safety
Say:
Nurse managers should obtain data on quality outcomes and adverse events monthly
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
January 01, 2022 - A human factors and survey
methodology-based design of a web-based adverse event reporting system
for
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
March 01, 2013 - We understand that even small failures in safety protocols can lead to catastrophic or adverse events
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
January 01, 2024 - Patient
record review of the incidence, consequences, and causes of diagnostic adverse events. … Association between cancer-specific adverse event triggers and mortality: a validation study. … An electronic trigger based on care
escalation to identify preventable adverse events in hospitalised … Reducing preventable adverse events in obstetrics by improving interprofessional communication
skills
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preventiveservices.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - the American College of
Cardiology/American Heart Association guidelines for management and increased adverse
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/comments/prp-wound-care-comments.pdf
September 01, 2020 - to homogenize
the production method variables are
necessary to better evaluate the
efficiency and adverse … measures is
included in KQ#4.
17
Commentator
& Affiliation
Section Comment Response
adverse
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-facilitator-guide.pdf
November 01, 2019 - worse outcomes after
the decision was made to de-escalate therapy, and
were spared from potential adverse
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
September 01, 2017 - We understand that even small failures in safety protocols can lead to catastrophic or adverse events
-
preventiveservices.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
January 01, 2024 - Conditions of Participation has emphasized identifying
‘‘at an early stage all patients likely to suffer adverse
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/liquid-biopsy-topicrefinement.pdf
July 29, 2021 - KQ 2a KQ 2b
diagnosis
Intermediate
outcomes
False
positives and
negatives
Adverse … validity
KQ 3a
KQ 3b
Intermediate
outcomes
False
positives and
negatives
Adverse … considered as a
relevant intermediate outcome
For diagnostic and treatment selection applications, “adverse
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
January 01, 2023 - page provides tips to encourage staff members to report conditions that could
lead to near-misses or adverse
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preventiveservices.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
September 01, 2020 - they are in, how much activity limitation they have, what they are willing to put up with, how risk-adverse … fully informed through the use of decision aids are better able to cope with treatment outcomes and adverse
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - Recent data from the Medicare Patient Safety Monitoring
System found that rates of adverse events did … central line-associated
bloodstream infection, ventilator-associated pneumonia) and post-procedural adverse … a program to improve local safety culture did not
lead to significant reductions in SSI and other adverse … • How involved they were with the safety program or other quality improvement initiatives;
• How adverse
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preventiveservices.ahrq.gov/sops/about/faq/index.html
June 01, 2022 - Safety culture surveys are useful for measuring organizational conditions that can lead to adverse events
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dx-team-assessment-scale-jtcommjqualpatsaf.pdf
February 01, 2024 - Team members have a systematic process in place to capture and learn
from near misses and no-harm adverse
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - “Patient safety” is defined as the avoidance and prevention of patient injuries
or adverse events … Hospital management seems interested in patient safety only after an
adverse event happens ......... … Hospital management seems interested in patient safety only after an adverse event
happens.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docx
April 30, 2013 - One study found that more than 70 percent of adverse events are caused by breakdowns in communication
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
April 30, 2013 - One study found that more than 70 percent of adverse
events are caused by breakdowns in communication