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www.cpsi.ahrq.gov/teamstepps-program/evidence-base/labor.html
May 01, 2023 - Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized … Impact of a comprehensive patient safety strategy on obstetric adverse events.
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www.cpsi.ahrq.gov/research/findings/studies/index.html?page=1
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 … Seelye SM , Kipnis P Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse … Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse events. … Keywords: Medication: Safety, Medication, Patient Safety, COVID-19, Adverse Drug Events (ADE), Adverse
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www.cpsi.ahrq.gov/nursing-home/materials/vaccination/index.html
September 01, 2023 - the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse … the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse
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www.cpsi.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
December 01, 2009 - patient
safety research and implementation projects, offers these 10 evidence-based tips to prevent adverse … used incorrectly,
blood thinners can cause
uncontrollable bleeding and are among the top causes of
adverse
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
October 01, 2015 - • AHRQ QIs are indicators of hospital quality and
adverse events that patients may experience as … • Pediatric Quality Indicators (PDIs) reflect quality of care
inside hospitals and adverse events … • The PSIs are a set of 18 hospital-level indicators of
safety-related adverse events following operations … and Safety
• The PDIs are a set of 16 indicators that reflect quality
of care inside hospitals and adverse
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview.pptx
May 01, 2017 - An analysis of risk factors and adverse events in ambulatory surgery. … An analysis of risk factors and adverse events in ambulatory surgery.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
May 01, 2017 - Incidence of adverse drug events and potential adverse drug events. JAMA. 1995;274(1):29–34.
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www.cpsi.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
February 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.cpsi.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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www.cpsi.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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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
January 01, 2004 - the initial IOM goal
for some injury sources (for example, Brigham & Women’s Hospital in Boston
for adverse … trigger
systems), to successful interventions that addressed specific, single injury sources
(e.g., adverse
-
www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - System in the Sanford Health System
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … understanding and correcting weaknesses in the health care delivery system and to preventing actual adverse … report to make sure that the report was a near-miss (i.e., no harm came to the patient) and not an adverse … The wrong diagnosis: identifying causes of potentially adverse events in general practice using incident … Does error and adverse event reporting by physicians and nurses differ?
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www.cpsi.ahrq.gov/teamstepps-program/resources/additional/index.html
September 01, 2023 - techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse … this technique, one tool in the TeamSTEPPS 3.0 training program, can improve communication, reduce adverse
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - ------------------------------------------------------------------- 9
How to prevent adverse events … Nearly 20 percent of patients experience an adverse event within 3 weeks of
discharge, according to … one study.1 Of these adverse events, three-quarters could
have been prevented or ameliorated. … The incidence and severity of adverse
events affecting patients after discharge from the hospital. … How to prevent adverse events after discharge
How does the IDEAL Discharge Planning strategy improve
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www.cpsi.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
November 01, 2018 - Adverse event due to a breakdown in team skills (e.g., communications, situation monitoring, mutual support … Staff members are concerned that we could have an adverse event due to breakdowns in team skills.
… prophylactic use of beta-blockers to prevent intra-operative myocardial ischemia]; decreased rates of adverse
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www.cpsi.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