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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
August 01, 2022 - ___
Bylaws for medical staff and/or hospital
Peer review process
Oversight/management of adverse
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - Version 2019.01 of
the PSI software has 17 measures, in addition to 1 patient safety and adverse events … MPSMS is composed of 21 measures representing six types of adverse drug events (ADEs); six
types of … • Adverse events associated with surgical procedures.
• Hospital-acquired infections. … - Low Molecular Weight Heparin Adverse drug events 2004-2007 and 2009-2017
ADE - Warfarin Adverse drug … Adverse events after total knee arthroplasty: a
national Medicare study.
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teamstepps.ahrq.gov/research/findings/studies/index.html?page=485
January 01, 2024 - 1279)
2015
(1430)
2014
(662)
2013
(195)
Topics
Access to Care
(417)
Adverse … Drug Events (ADE)
(321)
Adverse Events
(737)
Alcohol Use
(61)
Ambulatory Care and Surgery
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teamstepps.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
September 01, 2018 - Field testing of a new ambulatory care electronic Medication Errors and Adverse Drug Events Reporting
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teamstepps.ahrq.gov/news/newsroom/case-studies/202301.html
March 01, 2023 - AHRQ Product(s):
SHARE Approach
Topic(s):
Access to Care,
Adverse
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teamstepps.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
February 01, 2022 - facilities also significantly reduced use of fluoroquinolones , a class of antibiotics known to cause adverse
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teamstepps.ahrq.gov/news/blog/ahrqviews/deep-dive-into-covid19.html
June 01, 2023 - healthcare is understanding and quantifying the impacts of the COVID-19 pandemic and how we can mitigate the adverse
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
March 01, 2017 - about 40% of all prescriptions
Antibiotics can cause harm to residents
High risk of side effects and adverse … of commitments and activities designed to “optimize the treatment of infections while reducing the adverse
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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
August 01, 2022 - management of patient safety events by implementing processes that facilitate full disclosure of an adverse
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teamstepps.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.html
December 01, 2017 - Nurse shift changes require the successful transfer of information between nurses to prevent adverse
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
December 01, 2020 - Importance of Patient Safety
Mortality
Prevalence
Cost
Findings on Patient Safety
Improving Trend: Adverse … Drug Events With Heparin and Factor Xa
Improving Trend: Inpatient Adverse Drug Events With Anticoagulants
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teamstepps.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - These projects sought to improve patient safety by measuring safety problems, characterizing adverse
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teamstepps.ahrq.gov/teamstepps-program/curriculum/intro/overview.html
July 01, 2023 - Skip to main content
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/index.html
April 23, 2024 - Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure Patients’ Risk of Adverse
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
December 01, 2022 - Overall, QSRS will generate adverse
event rates and trend national performance over time. … Table 1 lists adverse event categories monitored by QSRS. … Measures and modules included in calculation of adverse event rates
Measure Module
One or more adverse … outcomes Birth - Maternal
Adverse event associated with hypoglycemic agent Medication
Adverse event … outcome from arterial puncture Other Outcomes of Interest
Mechanical adverse event associated with
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teamstepps.ahrq.gov/news/blog/ahrqviews/ahrq-digital-healthcare.html
February 01, 2024 - It was an improbable endeavor to transform a field built on paper and adverse to change.
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teamstepps.ahrq.gov/news/blog/ahrqviews/unhealthy-alcohol-use-during-covid19.html
April 01, 2021 - spectrum of alcohol misuse from risky or hazardous drinking to alcohol use disorder, is associated with adverse
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teamstepps.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
May 01, 2023 - Trends in adverse event rates in hospitalized patients. JAMA 2022 Jul 12;328(2):173-83.
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/index.html?page=1
April 18, 2023 - and Non-Hispanic Patients
July 12, 2022
Major Study Shows Significant Drop in In-Hospital Adverse
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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - The sole objective of the Event Investigation and Analysis of an adverse event or near miss is to prevent … future adverse events.