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teamstepps.ahrq.gov/research/findings/evidence-based-reports/search.html?page=1
November 01, 2023 - Permanente Research Affiliates Report Status: Final
Efficacy of Dental Services for Reducing Adverse … Scientific Resource Center Report Status: Final
Efficacy of Dental Services for Reducing Adverse
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
May 22, 2014 - Adverse effects of interventions
● Activity-related injury
● Adverse effects of medication ( diarrhea … joint disease (i.e., knee, hip)
● Respiratory disease (i.e., asthma, COPD)
● Sleep apnea
o BMI
o Adverse … effects
● Activity-related injuries, including fracture
● Adverse effects of medications (e.g., diarrhea … later
● Among trials that report on clinical outcomes, for BMI, health-related quality of life,
and adverse
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-roster-2023dec.pdf
December 21, 2023 - Medical Officer
Name Department/Agency Title
Michael Lee, Pharm.D.,
BCPS, CAPT, USPHS
IHS IHS Adverse
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
April 01, 2023 - • 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 … Patient Safety Primer: Medication Errors and Adverse Drug Events
https://psnet.ahrq.gov/primers/primer … Patient Safety Primer: Medication Errors and Adverse Drug Events
23.
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teamstepps.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
January 01, 2021 - amount to more than $28 billion in excess healthcare costs, including pressure ulcers ($9.9 billion), adverse … understanding where value is gained and lost, and incorporating strategies that are proven to reduce or prevent adverse … The 21 st Century Care Initiative presents a major opportunity to reduce preventable adverse medical
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teamstepps.ahrq.gov/news/newsroom/case-studies/201509.html
January 01, 2018 - the technicians' work, the E.D. pharmacist can interpret the patient's medication history to look for adverse … Study Identifier:
2015-09
AHRQ Product(s):
Research
Topic(s):
Adverse
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/907.html
April 01, 2024 - of team strategies and tools to improve performance and approaches to team-based error disclosure on adverse … Articles featured this week include:
Transfusion-related errors and associated adverse reactions and
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/890.html
November 01, 2023 - antibiotics within 48 hours of presentation and in 13 percent of hospitalizations patients experienced an adverse … time to antibiotics varies markedly across simulated hospital scenarios, but new antibiotic-associated adverse
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdf
February 02, 2018 - These physiologic aberrations may result in
several adverse outcomes that include, but are not limited … quality of life (QoL), activities of daily living (ADL), dyspnea, sleep quality, exercise
tolerance, and adverse … life (QoL)
o Activities of daily living (ADL)
o Dyspnea
o Sleep quality
o Exercise tolerance
o Adverse … (KQ 5)
Adverse
Events
Table 1. … Quality of life (QoL)
Activities of daily living
(ADL)
Dyspnea
Sleep quality
Exercise tolerance
• Adverse
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teamstepps.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - mortality for pediatric surgical procedures
Rates of potentially avoidable complications and adverse … for Selected Procedures)
IQI 91 (Mortality for Selected Conditions)
PSI 90 (Patient Safety and Adverse … software
Further information about forthcoming updated ICD-9 PSI 90 composite (Patient Safety and Adverse … Consider inserting here the deidentified story of a patient who suffered the adverse event captured by … References
Slide 48
Sample Best Practices
Pressure ulcers represent an important patient adverse
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - 9
How to prevent adverse events after discharge 11
How does the IDEAL Discharge Planning strategy improve … requires the successful transfer of information from clinicians to the patient and family to reduce adverse … study.1 Of these adverse events, three-quarters could have been prevented or ameliorated. … At this time, no consensus exists on the single best method to prevent adverse events after discharge … 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/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 .
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/892.html
December 01, 2023 - Making Healthcare Safer IV will provide evidence on 11 additional safety topics, including reducing adverse … Articles featured this week include:
Prescription opioid dose reductions and potential adverse events
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teamstepps.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
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teamstepps.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
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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
August 01, 2022 - communicators who participate in conversations with patients, families, and caregivers following an adverse … demonstrate all of the skills and competencies should be involved in delivering communication about adverse
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_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.
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teamstepps.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.
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/821.html
June 01, 2022 - Analysis of Hospital-Level Readmission Rates and Variation in Adverse Events Among Patients With Pneumonia … Assessing adverse event reports of hysteroscopic sterilization device removal using natural language
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/856.html
March 01, 2023 - Articles featured this week include:
Automated capture of intraoperative adverse events using artificial … Effect of apneic oxygenation with intubation to reduce severe desaturation and adverse tracheal intubation-associated