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Showing results for "adverse".

  1. teamstepps.ahrq.gov/data/infographics/hac-rates_2019.html
    July 01, 2020 - (PDF, 11.1 MB) Text Description: National efforts to reduce hospital-acquired conditions such as adverse … Specific rates are: Adverse drug events: 28% decrease. CAUTI: 5% decrease. CLABSI: 6% decrease.
  2. teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/index.html
    August 01, 2022 - In short, the CANDOR process is a more patient-centered approach that emphasized early disclosure of adverse … Support Interaction—Nurse Module 7: Resolution Resolution Facilitator Notes ( PowerPoint , 757 KB) Adverse … Event—Reasonable Care Video; Resolution Planning Video: Conversation with Family Adverse Event—Unreasonable … Care Video: Notification of Adverse Event Video: Planning for Meetings with Family Video: Disclosure
  3. teamstepps.ahrq.gov/antibiotic-use/long-term-care/improve/intervention.html
    June 01, 2021 - The Staff Safety Assessment Form and the Learning from Antibiotic-Associated Adverse Events Form … Staff Safety Assessment Form (DOCX, 330.3 KB) Learning From Antibiotic-Associated Adverse Events Form
  4. teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
    August 01, 2022 - It is estimated that one in seven patients is affected by adverse events, and that as many as half of … all clinicians will be involved in a serious adverse event at least once during their career. … Slide 6 Say: As referenced in Module 3, this diagram shows the distinction between adverse … errors are adverse events. … Therefore, it is important to recognize the distinction between medical errors and adverse events, as
  5. teamstepps.ahrq.gov/hai/hac/tools.html
    March 01, 2024 - To reduce these HACs and other adverse events in hospitals, frontline clinicians and others use many … Antibiotic use:  Toolkit To Improve Antibiotic Use in Acute Care Hospitals Adverse drug events: Medications … ICUs Medical devices: Toolkit for Decolonization of Non-ICU Patients With Devices Obstetrical adverse
  6. teamstepps.ahrq.gov/data/resources/index.html
    April 28, 2024 - Data Resource Name Search   Filter by Topic Access to Care (4) Adverse … HCUP Statistical Briefs: Adverse Events These HCUP Statistical Briefs provide statistics about adverse … Topics include infections (CDI and MRSA), adverse drug events (ADEs), and potentially avoidable injuries
  7. teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
    August 01, 2022 - their institutions include how to: Engage patients and families in disclosure communication following adverse … 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.
  8. teamstepps.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - patient safety practices in eight categories encompassing commonly occurring care and disease specific adverse … ADEs: Harms Due to Diabetic Agents ADEs: Reducing Adverse Drug Events in Older Adults ADEs: Harms … Systems Summary of Evidence Update (Not reviewed) The Clinical Pharmacist's Role in Preventing Adverse … Drug Events Summary of Evidence Update (Not reviewed) Protocols for High-Risk Drugs: Reducing Adverse … Evidence   Teach-Back (Not reviewed) (Not reviewed) Summary of Evidence   ADEs: Reducing Adverse
  9. teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
    October 01, 2018 - drug event to warfarin (Adverse drug events) …  Adverse drug events. … Adverse Drug Events • An adverse drug event (ADE) is an injury—including physical harm, mental harm, … Adverse Drug Events With Warfarin Adult hospital patients with an anticoagulant-related adverse drug … Events 30-Day Mortality for Colorectal Surgery Adverse Drug Events Adverse Events With Hypoglycemic
  10. teamstepps.ahrq.gov/news/newsletters/e-newsletter/818.html
    June 01, 2022 - Study Finds Relationship Between Readmission Rates, Adverse Events in Hospitals . … Study Finds Relationship Between Readmission Rates, Adverse Events in Hospitals Patients with pneumonia … admitted to hospitals with high readmission rates were more likely to experience adverse events, a new … The authors of the study, published in JAMA Network Open , cross-referenced Medicare patient-level adverse … records between 2010 and 2019, they found that patients were 13 percent more likely to suffer from an adverse
  11. teamstepps.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
    March 01, 2021 - and other Federal partners—realized that hospitals needed to understand specifically how and where adverse … Therefore, CMS created the MPSMS to measure the magnitude of adverse events among hospital patients covered … Features The QSRS: Offers an expanded array of adverse event measures.
  12. teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
    April 01, 2016 - Identification and Analysis of Actual and Potential Adverse Events a. … Do staff have access to a system for reporting adverse events? c. … Is an attempt made to disclose within the first 24 hours following an adverse event? h. … Do staff have access to a system for reporting adverse events? … Is an attempt made to disclose within the first 24 hours following an adverse event?
  13. teamstepps.ahrq.gov/news/newsletters/e-newsletter/868.html
    June 01, 2023 - Video-Assisted Coaching Reduced Intubation-Associated Adverse Events in Children, but Apneic Oxygenation … Video-Assisted Coaching Reduced Intubation-Associated Adverse Events in Children, but Apneic Oxygenation … Did Not Adverse tracheal intubation-associated events—unwanted events that occur as a result of the … intervention in 14 pediatric intensive care units and found that apneic oxygenation did not reduce adverse … Researchers found that use of video laryngoscope coaching did reduce adverse tracheal intubation-associated
  14. teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
    April 01, 2024 - her career to analyzing “clinical big data” to identify quality and safety issues that can result in adverse … datasets on safety events, including AHRQ’s Healthcare Cost and Utilization Project (HCUP), she profiled adverse … Hernandez-Boussard also examined factors that could contribute to adverse events such as hospital surgical … Her research focuses on older patients and aims to mitigate the risk of adverse outcomes related to postoperative
  15. teamstepps.ahrq.gov/patient-safety/resources/improve-discharge/index.html
    July 01, 2022 - PSNet Article: Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse … Readmission Rates With Mortality Rates After Hospital Discharge AHRQ PS Net Primer: Readmissions and Adverse … Toolkit To Improve Medication Reconciliation Across Care Settings Six New Jersey Hospitals Reduce Adverse … Patient Safety and Team Communication Through Daily Huddles AHRQ PSNet Primer: Medication Errors and Adverse
  16. teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
    January 01, 2013 - The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11. … Costs of adverse events in intensive care units. Crit Care Med 2007;35(11)2637-8. Pappas SH. … The cost of nurse-sensitive adverse events. J Nurs Adm 2008;38(5):230-6. … The costs and savings associated with prevention of adverse events by critical care nurses. … allows users to track the change in rate of any type of adverse event over time.
  17. teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
    January 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters 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.
  18. teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
    January 01, 2010 - for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters 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.
  19. teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
    August 01, 2022 - Is there a clear process for communication among staff in response to adverse events? … Identification and Analysis of Actual and Potential Adverse Events: Is there a process in place for … identifying, managing, and analyzing adverse events, near miss events, and unsafe conditions? … Do staff have access to a system for reporting adverse events? … Is an attempt made to disclose within the first 24 hours following an adverse event?
  20. teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
    August 01, 2022 - Is there a clear process for communication among staff in response to adverse events?         … Identification and Analysis of Actual and Potential Adverse Events Is there a process in place for … identifying, managing, and analyzing adverse events, near miss events, and unsafe conditions?     … Do staff have access to a system for reporting adverse events?         … Is an attempt made to disclose within the first 24 hours following an adverse event?        

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