-
preventiveservices.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
April 01, 2024 - Outcome Measurements
Report
Protocol
Opioid Stewardship
Report
Protocol
Reducing Adverse … Deprescribing
Report
Protocol
Computerized Clinical Decision Support To Prevent Medication Errors and Adverse
-
preventiveservices.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
April 01, 2017 - Consider reviewing a variety of sources, including adverse event and near-miss reports, root cause analyses … After implementation of SBAR to improve communication among clinical caregivers:
Reduced rate of adverse … After implementation of multiple teamwork strategies and tools:
A 50% reduction in the Weighted Adverse … Outcome Score, which describes the adverse event score per delivery. … A 50% decrease in the Severity Index, which measures the average severity of each delivery with an adverse
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanagement_webinar_slides.pdf
January 01, 2015 - • 2.3 billion prescriptions are prescribed by
primary care clinicians each year (CDC)
• Adverse drug … million ambulatory visits each year 1
• Medication reconciliation improves patient
safety and reduces adverse … Adverse drug events in U.S. adult ambulatory medical care.
-
preventiveservices.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
October 01, 2023 - Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Her team found that 10 percent of children with leukemia or lymphoma experienced adverse drug events
-
preventiveservices.ahrq.gov/news/newsroom/case-studies/index.html?page=4
June 01, 2017 - User Liaison Program (ULP)
(4)
WebM&M
(5)
Topics
Access to Care
(14)
Adverse … Study Identifier: 2017-10 AHRQ Product(s): Comprehensive Unit-based Safety Program (CUSP) Topic(s): Adverse … Safety Program (CUSP), Patient Safety Organization (PSO), Re-Engineered Discharge (RED) Topic(s): Adverse
-
preventiveservices.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
February 01, 2023 - The Patient Safety Indicators (PSIs) identify adverse events occurring during hospitalization. … They provide information on potential in-hospital complications and adverse events following surgeries
-
preventiveservices.ahrq.gov/health-literacy/improve/pharmacy/medication-mgt.html
September 01, 2020 - (MTM) is a patient-centric and comprehensive approach to improve medication use, reduce the risk of adverse
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
May 22, 2014 - Adverse effects of interventions
● Activity-related injury
● Adverse effects of medication ( diarrhea … joint disease (i.e., knee, hip)
● Respiratory disease (i.e., asthma, COPD)
● Sleep apnea
o BMI
o Adverse … effects
● Activity-related injuries, including fracture
● Adverse effects of medications (e.g., diarrhea … later
● Among trials that report on clinical outcomes, for BMI, health-related quality of life,
and adverse
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-roster-2023dec.pdf
December 21, 2023 - Medical Officer
Name Department/Agency Title
Michael Lee, Pharm.D.,
BCPS, CAPT, USPHS
IHS IHS Adverse
-
preventiveservices.ahrq.gov/research/findings/evidence-based-reports/search.html?page=1
September 01, 2023 - Permanente Research Affiliates Report Status: Final
Efficacy of Dental Services for Reducing Adverse … Scientific Resource Center Report Status: Final
Efficacy of Dental Services for Reducing Adverse
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
April 01, 2023 - • 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 … Patient Safety Primer: Medication Errors and Adverse Drug Events
https://psnet.ahrq.gov/primers/primer … Patient Safety Primer: Medication Errors and Adverse Drug Events
23.
-
preventiveservices.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
January 01, 2021 - amount to more than $28 billion in excess healthcare costs, including pressure ulcers ($9.9 billion), adverse … understanding where value is gained and lost, and incorporating strategies that are proven to reduce or prevent adverse … The 21 st Century Care Initiative presents a major opportunity to reduce preventable adverse medical
-
preventiveservices.ahrq.gov/news/newsletters/e-newsletter/890.html
November 01, 2023 - antibiotics within 48 hours of presentation and in 13 percent of hospitalizations patients experienced an adverse … time to antibiotics varies markedly across simulated hospital scenarios, but new antibiotic-associated adverse
-
preventiveservices.ahrq.gov/news/newsletters/e-newsletter/907.html
April 01, 2024 - of team strategies and tools to improve performance and approaches to team-based error disclosure on adverse … Articles featured this week include:
Transfusion-related errors and associated adverse reactions
-
preventiveservices.ahrq.gov/teamstepps-program/resources/additional/index.html
September 01, 2023 - techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse … this technique, one tool in the TeamSTEPPS 3.0 training program, can improve communication, reduce adverse
-
preventiveservices.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
-
preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - mortality for pediatric surgical procedures
Rates of potentially avoidable complications and adverse … for Selected Procedures)
IQI 91 (Mortality for Selected Conditions)
PSI 90 (Patient Safety and Adverse … software
Further information about forthcoming updated ICD-9 PSI 90 composite (Patient Safety and Adverse … Consider inserting here the deidentified story of a patient who suffered the adverse event captured by … References
Slide 48
Sample Best Practices
Pressure ulcers represent an important patient adverse
-
preventiveservices.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
-
preventiveservices.ahrq.gov/news/patient-safety-highlights.html
April 01, 2024 - of team strategies and tools to improve performance and approaches to team-based error disclosure on adverse
-
preventiveservices.ahrq.gov/news/newsletters/e-newsletter/892.html
December 01, 2023 - Making Healthcare Safer IV will provide evidence on 11 additional safety topics, including reducing adverse … Articles featured this week include:
Prescription opioid dose reductions and potential adverse events