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www.cpsi.ahrq.gov/data/qualityindicators/index.html
November 01, 2020 - hospital level, the QIs are used to support internal quality improvement, monitoring, and assessment of adverse … Patient Safety Indicators (PSIs) help hospitals assess the incidence of adverse events and in-hospital … More specifically, they focus on potential in-hospital complications and adverse events following surgeries
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www.cpsi.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
December 01, 2023 - care, where the complexity of the system and the fragility of the patients creates a greater risk for adverse … a 2-year AHRQ grant in 2005 to evaluate an emergency medicine clinical pharmacist program to avoid adverse … Fairbanks evaluated over 10,000 ED cases for adverse events, and interviewed ED physicians and nurses
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/data/infographics/breast-cancer-radiotherapy.pdf
February 21, 2023 - Cancer-Free
Survival
Outcomes Similar at 5 and 10 Years
Whole Breast
Irradiation (WBI) Acute
Adverse
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www.cpsi.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
April 01, 2018 - Thrombosis and Thromboembolism
0
414
Medication Safety
126
416
-- Medication Errors/Preventable Adverse … --- Ordering/Prescribing Errors
6
418
---- Transcription Errors
5
415
-- Side Effects/Adverse … Robotic-Assisted Surgery
0
665
---- Computer-Assisted Radiotherapy
0
661
-- Computerized Adverse
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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - Fear of Litigation
With patient privacy laws and the fear of oversharing information about adverse … Report to appropriate parties – Providers will use their facility’s policies to report adverse events … 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. … , to Responding to Adverse Events).
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Associated With Financial Distress
An analysis of more than 132,000 individuals’ credit reports showed adverse … Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog
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www.cpsi.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
January 01, 2004 - Because oral
anticoagulants are associated with preventable adverse events at
disproportionately high … high (INR > 4), or safe (INR
≤ 2 but ≥ 4), based on cutoff values associated with increased risks of adverse … events are common18 and warfarin is
involved in preventable adverse drug events at rates disproportionate … Incidence
and preventability of adverse drug events among older
persons in the ambulatory setting. … Adverse drug
events in ambulatory care. NEJM 2003 348(16):1556–
64.
19.
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www.cpsi.ahrq.gov/research/findings/studies/index.html?page=484
January 01, 2024 - 1279)
2015
(1430)
2014
(662)
2013
(195)
Topics
Access to Care
(417)
Adverse … Drug Events (ADE)
(321)
Adverse Events
(737)
Alcohol Use
(61)
Ambulatory Care and Surgery … Keywords: Adverse Events, Falls, Hospitals, Patient Safety, Prevention
Braithwaite S , Friedman … Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse … Keywords: Adverse Events, Hospitals, Medical Errors, Patient Safety, Quality Indicators (QIs)
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www.cpsi.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumtheo.html
October 01, 2014 - the location of the subclavian vein is feasible and improves patient safety by minimizing immediate adverse … Model economic costs of adverse outcomes of central venous cannulations in ED.
Career Goals: Dr.
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www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
July 01, 2023 - improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse … Simulations—that an L&D unit can use to teach team members how to apply CUSP to prevent obstetrical adverse
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www.cpsi.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-fac-guide.html
February 01, 2017 - whether your patients were evaluated by a physical or occupational therapist, and finally, whether any adverse … Slide 29: Events
Say:
The next columns are designed to help track any adverse events that might … Slide 30: Event Codes
Say:
If no adverse events occurred, use "0" (the code for "none") to indicate … that no adverse events took place. … and the percentage of patients achieving their RASS or SAS target, as well as determine the top 10 adverse
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T3-Antibiogram_Factsheet_Phase_3.pdf
May 01, 2014 - The adverse consequences of
inappropriate prescribing practices are serious and have become a major
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
January 01, 2005 - process characterized by fragmented, nonstandardized, and haphazard care that
leads to errors and adverse … Many adverse effects
occur during the peridischarge period, and many could be prevented with
relatively … The incidence
and severity of adverse events affecting patients after
discharge from the hospital. … Incidence of
adverse events and negligence in hospitalized patients. … Incidence of
adverse drug events and potential adverse drug events.
Implications for prevention.
-
www.cpsi.ahrq.gov/patient-safety/reports/liability/acknowledgements.html
August 01, 2017 - System in the Sanford Health System
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Transitional Care Medication Safety: Stakeholders' Perspectives
Medication Discrepancies and Potential Adverse
-
www.cpsi.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
April 01, 2024 - Cards and Outcome Measurements
Report
Protocol
Opioid Stewardship
Report
Protocol
Reducing Adverse … Deprescribing
Report
Protocol
Computerized Clinical Decision Support To Prevent Medication Errors and Adverse
-
www.cpsi.ahrq.gov/news/newsletters/e-newsletter/848.html
January 01, 2023 - published in the journal Cancer found that 10 percent of children with leukemia or lymphoma experienced adverse … systematic review, from AHRQ’s Effective Health Care Program, also found PBI had significantly fewer acute adverse … events than WBI, though there was no apparent difference in late adverse events.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro-ig.pptx
January 20, 2006 - Some of the current clinical outcomes of team training include the following:
50 percent reduction in adverse … percent decrease in the Severity Index, which measures the average severity of each delivery with an adverse … event (Mann, Marcus, & Sachs, 2006);
Reduced rate of adverse drug events; and
Improved medication reconciliation
-
www.cpsi.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
January 01, 2024 - improve patient and family
engagement and self-efficacy, improving care coordination and reducing adverse … Adverse drug events and medication errors in Australia. … Incidence and Preventability of Adverse Drug Events Among Older
Persons in the Ambulatory Setting. … Incidence and preventability of adverse drug events among older
persons in the ambulatory setting. … Adverse reactions as a cause of hospital admission in the aged. Drugs Aging. 1992;2(4):356-367.
-
www.cpsi.ahrq.gov/topics/transitions-care.html
ensure safe and seamless transitions of patients from one care setting to another, reducing preventable adverse
-
www.cpsi.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - Slide 28: Communicating Adverse Events
Say:
Communication following an adverse event can been especially … Each facility has policies and procedures to follow after an adverse event occurs, and most involve working … Slide 30: How To Communicate About An Adverse Event
Say:
It is important to remember that residents … and family members can experience a number of emotions when an adverse event occurs, so communication … about an adverse event should be compassionate and sensitive.