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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - These organizations consistently minimize adverse events despite carrying out
intrinsically complex and … 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 … help health professionals
standardize the process and improve the way they investigate medical errors, adverse … /psnet.ahrq.gov/primers/primer/23
A growing evidence base supports specific strategies to prevent adverse
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - abdominal surgeries, and is
associated with significant risk of mortality between 14% and 50%.1 Other adverse
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/906.html
March 01, 2024 - treatment options and have the strongest evidence base for improving ADHD symptoms but are associated with adverse
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/901.html
February 01, 2024 - Guideline concordance and antibiotic-associated adverse events between Veterans Administration and non-Veterans
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/igmeasure.pdf
January 01, 2004 - PSIs
are a set of measures that provide information about potential in-
hospital complications and adverse … The PSIs can be used to help hospitals identify potential adverse
events that might require further
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teamstepps.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
April 01, 2018 - Reconciliation
Learn about the processes that help detect and prevent medication discrepancies and adverse
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teamstepps.ahrq.gov/teamstepps/readiness/informationitems.html
April 01, 2016 - Objective information can originate from a variety of sources, including adverse event and near-miss
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
July 23, 2010 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … As noted above, one study found that more than 70 percent of adverse events are caused by breakdowns … successful transfer of information between nurses going off duty and nurses coming on duty to prevent adverse
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teamstepps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
July 01, 2023 - If successful, maternal and neonatal adverse events will decrease.
-
teamstepps.ahrq.gov/news/newsletters/e-newsletter/894.html
December 01, 2023 - including a toolkit to help introduce emergency medicine clinical pharmacist programs to hospitals to avoid adverse
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teamstepps.ahrq.gov/funding/policies/nofoguidance/index.html
January 01, 2024 - Determination of the clinical efficacy and effectiveness of preventive interventions, including unintended adverse
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
March 01, 2024 - IHS • Existing Activities Regarding Diagnostic Safety
o Voluntary adverse event report via I-STAR.
-
teamstepps.ahrq.gov/pcor/library-of-resources/index.html
April 01, 2021 - database , which contains information on study participants and a summary of study outcomes, including adverse
-
teamstepps.ahrq.gov/news/newsletters/e-newsletter/795.html
January 01, 2022 - Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process
-
teamstepps.ahrq.gov/teamstepps/readiness/index.html
August 01, 2015 - Objective information can originate from a variety of sources, including adverse event and near-miss
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - 70% ---- ----
New
2.0 item
Hospital management seems interested in
patient safety only after an adverse … (F3R)
Hospital management seems interested in
patient safety only after an adverse event
happens. … -----------
New 2.0
item
Hospital management seems interested
in patient safety only after an adverse … (F3R)
Hospital management seems
interested in patient safety only
after an adverse event happens
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teamstepps.ahrq.gov/news/newsroom/case-studies/index.html?page=7
January 01, 2016 - User Liaison Program (ULP)
(4)
WebM&M
(5)
Topics
Access to Care
(14)
Adverse
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teamstepps.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
April 01, 2021 - outpatient monitoring for high-risk conditions, and (c) enhanced medication comprehension to reduce adverse
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - Charges and lengths of stay attributable to adverse
patient-care events using pediatric-specific quality
-
teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
August 01, 2022 - , and surgeon, along with a lack of familiarity with the new equipment as an important cause of the adverse