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teamstepps.ahrq.gov/news/newsletters/e-newsletter/803.html
March 01, 2022 - This included reductions in the use of fluoroquinolones, a class of antibiotics known to cause adverse … Relative risks of adverse events among older adults receiving opioids versus NSAIDs after hospital discharge
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - multidisciplinary review is required to identify system processes that may result
in failures in care, adverse … department within 3 days of discharge
∗ Death associated with drug reaction
∗ Death associated with adverse … department within 3 days of discharge
∗ Death associated with drug reaction
∗ Death associated with adverse
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … 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 infections … these events 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.
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teamstepps.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
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teamstepps.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
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teamstepps.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
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teamstepps.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
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
November 15, 2019 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Management in this facility seems interested in patient safety only after an adverse event happens
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teamstepps.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
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teamstepps.ahrq.gov/research/findings/studies/index.html?page=480
January 01, 2024 - 1279)
2015
(1430)
2014
(662)
2013
(195)
Topics
Access to Care
(417)
Adverse … Drug Events (ADE)
(321)
Adverse Events
(736)
Alcohol Use
(61)
Ambulatory Care and Surgery … Keywords: Opioids, Medication, Substance Abuse, Screening, Adverse Drug Events (ADE), Adverse Events
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teamstepps.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
December 01, 2023 - Readmissions
High rates of readmissions are a major patient safety problem associated with adverse
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teamstepps.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
January 01, 2024 - Assessment Form (DOCX, 330 KB)
Implementation Guide (PDF, 402 KB)
Learning From Antibiotic–Associated Adverse
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
July 22, 2021 - IHS • Enhanced Adverse Event Reporting Capabilities: IHS Safety
Tracking and Response (I-STAR) system
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teamstepps.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - hospitals and nursing homes (including skilled nursing facilities) to collect data for all types of adverse … Research suggests that adverse events affect patients with limited English proficiency more frequently … If chest tubes are inserted incorrectly, patients can suffer adverse outcomes and even fatal complications
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - ”
• “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 .......
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
December 22, 2017 - • “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 .......
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 09, 2016 - · “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
(1
(2
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teamstepps.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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teamstepps.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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teamstepps.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