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www.cpsi.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.cpsi.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.cpsi.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-curriculum-learning-guide-staff.pdf
March 01, 2021 - o The Vaccine Adverse Event Reporting System (VAERS – pronounced “vairs”), managed by the
CDC and the … the US
• CDC COVID Tracker
• CDC COVID Data Tracker for Health Care Personnel
1 Selected Adverse … • The Vaccine Adverse Event Reporting System (VAERS (pronounced “vairs”)), managed by the CDC and … Vaccines and Allergic Reactions
• CDC - V-Safe After Vaccination Health Checker App
2 Selected Adverse … Also, pregnant women with COVID-19 might be at
increased risk for other adverse outcomes, such as premature
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/teamattitude.pdf
December 09, 2015 - Adverse events may be reduced by maintaining an
information exchange with patients and their families
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_teamwork_attitudes_ques.pdf
April 24, 2017 - Adverse events may be reduced by maintaining an
information exchange with residents and their families
-
www.cpsi.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
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - ”
• “Patient safety” is defined as the avoidance and prevention of patient injuries
or adverse events … Hospital management seems interested in
patient safety only after an adverse event
happens .......
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-algorithm.pdf
December 14, 2015 - Mediterranean diet plus positive
lifestyle changes for all
Routine monitoring and follow-up,
including for adverse
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
December 01, 2017 - Adverse consequences of falls for residents are listed in Figure 1 .
Figure 1. … Adverse consequences of falls for residents
Reduced quality of life. … Adverse consequences of falls for nursing facilities
Increased paperwork for staff.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
December 22, 2017 - • “Patient safety” is defined as the avoidance and prevention of patient injuries
or adverse events … Hospital management seems interested in patient safety only after an
adverse event happens .......
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 09, 2016 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Hospital management seems interested in patient safety only after an adverse event happens
(1
(2
-
www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/how-to-use.html
July 01, 2023 - team members how to apply the Comprehensive Unit-based Safety Program (CUSP) to prevent obstetrical adverse
-
www.cpsi.ahrq.gov/news/newsroom/case-studies/index.html
February 01, 2024 - User Liaison Program (ULP)
(4)
WebM&M
(5)
Topics
Access to Care
(14)
Adverse … Impact Case Study Identifier: 2023-01 AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
June 05, 2016 - difficult to determine if a change in a measure (e.g., increased length of stay,
increased reporting of adverse … that are not expressed as rates
also can be used for monitoring, such as the occurrence of serious adverse
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
March 01, 2013 - . † Adverse outcomes (a) Firm mattresses; low beds; appropriate chair heights and depths for easy transfer … and falls prevention) simultaneously and found an overall positive effect on the development of any adverse … However, Oliver and colleagues also note “so little empiric evidence on adverse effects of fall prevention … Designing adverse event prevention programs using quality management methods: the case of falls in hospital … Fewer adverse events as a result of the SAFE or SORRY?
-
www.cpsi.ahrq.gov/hai/hai-carb-funding.html
November 01, 2021 - determine the clinical efficacy and effectiveness of preventive interventions including unintended adverse
-
www.cpsi.ahrq.gov/talkingquality/translate/compare/choose/standard.html
January 01, 2023 - standard that is beginning to emerge in health care: the standard of “never” or zero percent for certain adverse
-
www.cpsi.ahrq.gov/practiceimprovement/index.html
August 01, 2022 - Prevention
Tools to assist nursing homes that have electronic medical record systems to prevent adverse
-
www.cpsi.ahrq.gov/patient-safety/reports/national-action-plans.html
February 01, 2018 - National Action Plan for Adverse Drug Events identifies the Federal Government’s highest priority strategies
-
www.cpsi.ahrq.gov/research/findings/factsheets/primary/pbrn/index.html
October 01, 2018 - pandemic influenza event. 4
Field testing of a new ambulatory care electronic Medication Errors and Adverse … Field test results of a new ambulatory care Medication Errors and Adverse Drug Events Reporting System