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Showing results for "adverse".

81. Patient Narratives Can Catalyze Staff Improvement and Bolster Survey Scores | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/900.html
    February 01, 2024 - Reducing Adverse Events Related to Anticoagulants . Implicit Bias Training . Deprescribing . … Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events .

82. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
    January 01, 2019 - • 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 … a multidisciplinary team approach, known as root cause analysis (RCA) to study healthcare-related adverse … These organizations consistently minimize adverse events despite carrying out intrinsically complex

83. Study Finds Racial and Ethnic Inequities in End-of-Life Prescription Opioid Access | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/875.html
    August 01, 2023 - Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis . … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality

84. Medication Management Strategy: Intervention | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
    June 01, 2023 - These tools will also help to identify patient behaviors that may be putting patients at risk for an adverse

85. Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
    January 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … of these 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.

86. Rapid Response for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
    July 01, 2023 - This principle calls for L&D unit teams to evaluate their processes and learn from adverse events, errors … to the Rapid Response toolcall In addition, clinical teams can debrief and analyze near misses and adverse … debriefings, a regular forum with a multidisciplinary team for reviewing serious maternal or neonatal adverse … Consider these factors: Unit data suggesting adverse events or near misses that may have been minimized

87. PS Grantee Report | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/research/findings/final-reports/index.html?page=2
    September 01, 2018 - Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent Adverse … 023464 Topic(s): Medication Safety, Nursing Homes Publication Date: September 2018 Reducing Adverse

88. Tool 1: Overview | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1.html
    March 01, 2013 - lab tests or a referral to a specialist) failed to get that care. 10,11 Medicine Reconciliation and Adverse … may result in the patient failing to take needed medicine, taking duplicate medicine, or experiencing adverse … The result of hospitals' failure to ensure an effective transition has included adverse events, high

89. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
    January 01, 2004 - are common.1 Among older patients, oral anticoagulants are associated with 10 percent of preventable adverse … Since medication-related adverse events are common1 and warfarin is involved in preventable adverse … to systematic inaccuracies in adherence assessment and could place patients at risk for preventable adverse … Adverse drug events in ambulatory care. N Engl J Med 2003;348(16):1556–64. 2. … Incidence and preventability of adverse drug events among older persons in the ambulatory setting.

90. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
    preventiveservices.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)

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

92. Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/884.html
    October 01, 2023 - Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality … Risk factors for opioid-related adverse drug events among older adults after hospitalization for major

93. Register Now: July 25 Webinar by National Action Alliance Will Address Involving Patients and Families in Safety | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/872.html
    July 01, 2023 - process can enrich clinicians’ understanding of patient and family experience and reduce harms following adverse … emergency departments to provide nonemergency care to residents, potentially placing residents at risk of adverse

94. Register Now: August 22 Webinar by National Action Alliance Will Address Engaging Boards and Executive Leadership in Safety | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/874.html
    August 01, 2023 - available to improve the safety culture of labor and delivery units and decrease maternal and neonatal adverse … Articles featured this week include: Anticoagulation-associated adverse drug events in hospitalized

95. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/878.html
    August 01, 2023 - (Source: JAMA Network Open , Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem … include: Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse

96. Glossary | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/questions/resources/glossary.html
    November 01, 2020 - Top of Page M   Medical Error: An unintended but preventable adverse effect of care, whether or … Morbidity also refers to adverse effects caused by a treatment.

97. Obsrounds (doc file)
    preventiveservices.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.

98. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
    March 01, 2016 - Staff can use this decision tree when analyzing an error or adverse event in an organization to help … a multidisciplinary team approach, known as Root Cause Analysis (RCA) to study health care-related adverse … Sorry http://www.nhsla.com/Claims/Documents/Saying%20Sorry%20-%20Leaflet.pdf Although victims of adverse … presents the principles of a just culture, a nonpunitive environment that encourages reporting of adverse … /psnet.ahrq.gov/primers/primer/23 A growing evidence base supports specific strategies to prevent adverse

99. AHRQ's Quality & Patient Safety Programs by Setting: Hospital Labor and Delivery Units | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/index.html
    July 01, 2023 - improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse

100. Program Evaluation - PowerPoint Presentation
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8_program-evaluation.pptx
     July 01, 2023 - Severe Maternal Morbidity (SMM) Calls by professional organizations to review SMM to better understand adverse … in SMM has been driven by: Calls by professional organizations to review SMM to better understand adverse … becoming better established and improving over time Collectively, these will lead lead to reductions in adverse