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Showing results for "adverse".
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Pf-Engagement-Facnotes (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docxMay 01, 2017 - If an adverse outcome occurs, take the following immediate steps: 1. … Report to appropriate parties – Providers will use their facility’s policies to report adverse events … Communication about adverse events is a delicate process that requires collaboration with and guidance … Communicate with the patient – Providers communicate by sharing relevant facts about an adverse event … Organizations should be prepared to respond and communicate proactively when adverse events occur. -
Rapid Response for Perinatal Safety: Slide Presentation | Agency for Healthcare Research and Quality
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.htmlJuly 01, 2023 - Slide 14: Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse … Have a process in place to review serious maternal or neonatal adverse outcomes. … Consider these factors: Unit data suggesting adverse events or near misses that may have been minimized -
Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdfMay 01, 2004 - The impact of the errors was reported by leveraging a well-established severity scale wherein adverse … Percent of incorrect orders leading to a potential adverse drug event (pADE) pADEs June/July 2003 … Relationship between medication errors and adverse drug events. … Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and … Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA 1995;274(1):35–43. 9. -
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdfJanuary 01, 2023 - extent of harm to the patient after discovery of the incident and after any attempts to minimize adverse
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www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdfJanuary 01, 2024 - probability that medical practitioners will hear the alarms, respond to them appropriately, and thus avoid adverse
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www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdfJanuary 01, 2024 - Paid malpractice claims for adverse events in inpatient and outpatient settings.
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www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdfJanuary 01, 2024 - during the full duration of dosing and testing and ready to intervene in the unlikely event of an adverse
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Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT) (pdf file)
www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdfJanuary 01, 2024 - Study Rationale Communication failures continue to be the most frequently cited “root cause” of adverse -
www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdfJanuary 01, 2025 - Serious Reportable Adverse Events in Healthcare The “Never Events” Maintenance Committee was appointed
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/hp-survey-strategies-webcast-transcript.pdfApril 01, 2016 - acutely aware of the propensity within the Medicaid population to have experienced early childhood -- adverse
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdfDecember 01, 2020 - These measures generally represent rates of adverse events or deaths.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-slides.pptxSeptember 01, 2022 - sending urine cultures Discuss empiric antibiotic options for UTIs that are effective and minimize adverse … reduces subsequent risk of UTI6-8 Treatment of ASB is associated with— Avoidable antibiotic-associated adverse … Alternative therapy Oral cephalosporins Fluoroquinolones no longer recommended due to their associated adverse … patient’s previous urine culture results and associated susceptibility data, as well as antibiotic adverse … patient’s previous urine culture results and associated susceptibility data, as well as antibiotic adverse
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.htmlAugust 01, 2022 - clinician attitudes about the disclosure of individual, team, and system failures associated with four adverse … members tended to agree on which system failures were important to disclose, regardless of the type of adverse … Clinician responses were more varied and were affected by type of adverse event, but they did agree with … Jackson Memorial Hospital) sought to improve patient safety by measuring safety problems, characterizing adverse … transitioning from hospital to home care to determine the potential for discrepancies to result in an adverse
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Suggested Timeline for Implementation (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/timeline-tasks.pdfJune 01, 2021 - Providers Week 14 Changing the System To Improve Antibiotic Safety Learning From Antibiotic Adverse … Making Form Each Antibiotic Stewardship Team member should complete a Learning From Antibiotic Adverse … analyze data using the Monthly Data Collection Form Introduce the Learning from Antibiotic Adverse … data from the Monthly Data Collection Form • Use the Staff Safety Assessments and Learning From Adverse … Monthly • Learning From Antibiotic Adverse Events Form. Discuss quarterly. -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptxJanuary 01, 2006 - The QIs are a set of indicators for adverse events that patients may experience as a result of an inpatient … Consider inserting here the deidentified story of a patient who suffered the adverse event captured by … You may also want to report the number of patients with the adverse event to make it more tangible to
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www.ahrq.gov/es/nursing-home/resources/search.html?page=13January 01, 2022 - Vaccine Adverse Event Reporting System Reporting Form This webpage hosts a writable PDF form that provides … instructions for reporting a vaccine adverse event.
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www.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.htmlFebruary 01, 2023 - The Patient Safety Indicators (PSIs) identify adverse events occurring during hospitalization. … They provide information on potential in-hospital complications and adverse events following surgeries
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-interim-data-graphic-2014.pdfJanuary 01, 2014 - 2.1 MILLION 2.1 MILLION From 2010–2014, 17 percent of hospital-acquired conditions (HACs) such as adverse
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Guide Promotional Postcard (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdfApril 01, 2018 - diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse -
www.ahrq.gov/news/newsroom/case-studies/201509.htmlJanuary 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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