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www.cahps.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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www.cahps.ahrq.gov/news/newsletters/e-newsletter/803.html
March 01, 2022 - This included reductions in the use of fluoroquinolones, a class of antibiotics known to cause adverse … Relative risks of adverse events among older adults receiving opioids versus NSAIDs after hospital discharge
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - multidisciplinary review is required to identify system processes that may result
in failures in care, adverse … department within 3 days of discharge
∗ Death associated with drug reaction
∗ Death associated with adverse … department within 3 days of discharge
∗ Death associated with drug reaction
∗ Death associated with adverse
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - Care
Need for Change
Nine percent of all births in the United States involve serious obstetrical adverse … For more than a decade, poor teamwork and communication have remained the leading
causes of maternal adverse … Ways to reduce obstetrical adverse events include improving teamwork and communication
among care teams … Newborns
The goal of the AHRQ Safety Program for Perinatal Care is to decrease maternal and neonatal
adverse … Root cause analyses of adverse
events and near-misses (events that did not produce
patient injury)
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - Care
Need for Change
Nine percent of all births in the United States involve serious obstetrical adverse … For more than a decade, poor teamwork and communication have remained the leading
causes of maternal adverse … Ways to reduce obstetrical adverse events include improving teamwork and communication
among care teams … Newborns
The goal of the AHRQ Safety Program for Perinatal Care is to decrease maternal and neonatal
adverse … Root cause analyses of adverse
events and near-misses (events that did not produce
patient injury)
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … Nearly 20 percent of patients experience an adverse event within a month of discharge, of which ¾ could … be prevented
Common complications post-discharge are adverse drug events, hospital-acquired infections … these events 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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www.cahps.ahrq.gov/news/newsletters/e-newsletter/874.html
August 01, 2023 - available to improve the safety culture of labor and delivery units and decrease maternal and neonatal adverse … Articles featured this week include:
Anticoagulation-associated adverse drug events in hospitalized
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/878.html
August 01, 2023 - (Source: JAMA Network Open , Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem … include:
Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/872.html
July 01, 2023 - process can enrich clinicians’ understanding of patient and family experience and reduce harms following adverse … emergency departments to provide nonemergency care to residents, potentially placing residents at risk of adverse
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/884.html
October 01, 2023 - Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality … Risk factors for opioid-related adverse drug events among older adults after hospitalization for major
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www.cahps.ahrq.gov/questions/resources/glossary.html
November 01, 2020 - Top of Page
M
Medical Error: An unintended but preventable adverse effect of care, whether or … Morbidity also refers to adverse effects caused by a treatment.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
November 15, 2019 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Management in this facility seems interested in patient safety only after an adverse event happens
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www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/index.html
July 01, 2023 - improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse
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www.cahps.ahrq.gov/research/findings/studies/index.html?page=480
January 01, 2024 - 1279)
2015
(1430)
2014
(662)
2013
(195)
Topics
Access to Care
(417)
Adverse … Drug Events (ADE)
(321)
Adverse Events
(736)
Alcohol Use
(61)
Ambulatory Care and Surgery … Keywords: Opioids, Medication, Substance Abuse, Screening, Adverse Drug Events (ADE), Adverse Events
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Maternity-Care-Measures.pdf
February 23, 2012 - The Work Group also aimed to develop an
outcome measure assessing adverse events during birth. … (USPSTF 2009)
Alcohol and substance abuse in pregnant women have been linked to a variety of
adverse … Adverse effects of prenatal alcohol exposure can range from
subtle developmental problems, or fetal … Because of the potential adverse
consequences of prenatal alcohol exposure, short screening … Measure Importance
Relationship to
desired
outcome
Maternal obesity is associated with adverse
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www.cahps.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
December 01, 2023 - Readmissions
High rates of readmissions are a major patient safety problem associated with adverse
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www.cahps.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
January 01, 2024 - Assessment Form (DOCX, 330 KB)
Implementation Guide (PDF, 402 KB)
Learning From Antibiotic–Associated Adverse
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - where the local facilitator provided updates on program
activities and debriefed on near-misses or adverse … EARLY IMPACTS
The most recent root cause analyses of adverse events and near-misses indicated that … poor
communication is no longer a root cause; in fact, near-misses and adverse events attributed to … WPHWB also experienced an approximately 7 percent decrease in the Modified Adverse
Outcome Index (MAOI … The
weighted adverse events included in the measure are in-house maternal death, in-house neonatal
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
July 22, 2021 - IHS • Enhanced Adverse Event Reporting Capabilities: IHS Safety
Tracking and Response (I-STAR) system
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www.cahps.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - hospitals and nursing homes (including skilled nursing facilities) to collect data for all types of adverse … Research suggests that adverse events affect patients with limited English proficiency more frequently … If chest tubes are inserted incorrectly, patients can suffer adverse outcomes and even fatal complications