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Showing results for "adverse".

61. Strategy 4: IDEA Discharge Planning (Tool 3) (doc file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
    January 01, 2010 - for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these 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.

62. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
    August 01, 2022 - Is there a clear process for communication among staff in response to adverse events? … Identification and Analysis of Actual and Potential Adverse Events: Is there a process in place for … identifying, managing, and analyzing adverse events, near miss events, and unsafe conditions? … Do staff have access to a system for reporting adverse events? … Is an attempt made to disclose within the first 24 hours following an adverse event?

63. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/reports/liability/sands.html
    August 01, 2017 - 1986, 1 and it has been an early adopter of the Disclosure, Apology, and Offer (DA&O) approach to adverse … Its goals are to (1) proactively identify adverse events, (2) differentiate between injuries caused by … The DA&O approach to adverse events initially did not gain momentum as a risk management practice and … Physician name-based reporting : education; process change allowing institution-based reporting for adverse … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals. 

64. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
    August 01, 2022 - Is there a clear process for communication among staff in response to adverse events?         … Identification and Analysis of Actual and Potential Adverse Events Is there a process in place for … identifying, managing, and analyzing adverse events, near miss events, and unsafe conditions?     … Do staff have access to a system for reporting adverse events?         … Is an attempt made to disclose within the first 24 hours following an adverse event?        

65. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events … patient safety practices in eight categories encompassing commonly occurring care- and disease-specific adverse

66. Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/research/findings/studies/index.html
    January 01, 2024 - Drug Events (ADE) (321) Adverse Events (737) Alcohol Use (61) Ambulatory Care and Surgery … airway outcomes, including adverse tracheal intubation (TI)-associated events (TIAEs) and/or severe … Keywords: Diagnostic Safety and Quality, Medical Errors, Adverse Events, Patient Safety, Quality of … The study did not find significant differences in adverse events. AHRQ-funded; HS024511. … The objective of this observational cohort study was to compare rates of adverse functional outcomes

67. TeamSTEPPS for Office-Based Care: Introduction | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/teamstepps/officebasedcare/module1/office_intro.html
    February 01, 2016 - Clinical outcomes include: 50% reduction in the Weighted Adverse Outcome Score, which describes the … adverse event score per delivery. 50% decrease in the Severity Index, which measures the average severity … of each deliverty with an adverse event. ( Mann, et al., 2006 ). … Reduced rate of adverse drug events.

68. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
    November 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Prevention provides a strategy for preventing adverse … uses electronic medical records to develop weekly reports that identify residents at risk of common adverse … Adverse Events Pressure Ulcer Prevention . Pressure Ulcer Healing .

69. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
    August 01, 2022 - An adverse event is "any injury caused by medical care" and doesn't imply "error," "negligence," or poor … The diagram, developed by Robert Watcher, shows the distinction between adverse events and errors. … Not all adverse events are medical errors and not all medical errors are adverse events. … Do: Explain the diagram to others, and ask others to provide examples of adverse events that are not … errors and errors that are not adverse events.

70. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
    March 01, 2021 - primary care teams should consider individual patients’ risk factors for developing postdischarge adverse … If left unaddressed, behavioral health and social needs are key risk factors for postdischarge adverse … facilitating the implementation of these elements is important to enhance patient safety since the risk of adverse … new approach primary care teams can use to engage patients and families to help reduce postdischarge adverse

71. Staff COVID-19 Vaccine Administration Record (doc file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/staff-covid-vaccine-administration-record.docx
    May 01, 2022 - Contraindication: __________________________________________________________________________ Adverse … _____________________________ Refer to the CDC’s website for information on contraindications and adverse

72. Advances in Patient Safety and Medical Liability | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/reports/liability/index.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 … Hickson Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor … Bolkan Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital

73. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
    May 17, 2016 - regarding the definition of true postoperative respiratory failure, it still remains an important patient adverse … at increased risk for postoperative respiratory failure to better prepare clinicians to anticipate adverse … Decreased central nervous system input (head injury, ingestion of central nervous system depressant, adverse … Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

74. FileNewTemplate
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
    March 01, 2010 - Outcome Score (WAOS), which describes the adverse event score per delivery 50% decrease in the Severity … Index, which measures the average severity of each delivery with an adverse event Mann, S., Marcus, … Reduced rate of adverse drug events Improved medication reconciliation at patient admission Haig, K. … Some of the current clinical outcomes of team training include the following-- 50% reduction in adverse … event; reduced rate of adverse drug events; and improved medication reconciliation at patient admission

75. CHIPRA 150 Section 6, Antipsychotics Testing Summary (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-metabolic-monitoring-testing-summary.pdf
    December 31, 2015 - Antipsychotics are associated with potentially adverse metabolic impacts that include weight gain, … psychiatric disorders in children, these medications are associated with a number of potentially adverse … Fiscal Burden Although there is little research available on the fiscal burden associated with adverse

76. Table 7.B (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-6b-table-b1.pdf
    February 02, 2018 - Table 7.B Table VI.B.1 Identifying a record with one or more adverse

77. Improving Patient Safety Systems for Patients With Limited English Proficiency | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/index.html
    September 01, 2020 - PowerPoint Presentation: Executive Summary A Guide for Hospitals Research suggests that adverse … Common Causes of Adverse Events for LEP and Culturally Diverse Patients     Systems and Strategies To … Safety     Why Hospitals Should Focus on Patient Safety for LEP Populations     Common Causes of Adverse … Research suggests that adverse events affect LEP patients more frequently, are often caused by communication

78. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/sops/about/patient-safety-culture.html
    March 01, 2022 - 2 Hospitals with more positive SOPS scores had: Lower rates of in-hospital complications or adverse … Exploring relationships between hospital patient safety culture and adverse events. … The relationship between culture of safety and rate of adverse events in long-term care facilities.

79. AHRQ News Now | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/news/newsletters/e-newsletter/index.html?page=2
    April 05, 2022 - ascending Top Story April 5, 2022 Dental Opioid Prescriptions Associated With Adverse … Patient-Generated Health Data Into Electronic Health Records February 8, 2022 Opioid Prescribing, Adverse … Change, Environmental Justice and AHRQ October 5, 2021 Drug Label Changes Could Reduce Adverse

80. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
    October 01, 2017 - of life (QoL), activities of daily living (ADL), dyspnea, sleep quality, exercise tolerance, and adverse … emergency room visits, disease exacerbations, QoL, ADL, dyspnea, sleep quality, exercise tolerance, and adverse … (KQ 5) Adverse Events using the “CBK” approval code and home BPAP machines using the “MNT” and “ … These physiologic aberrations may result in several adverse outcomes that include, but are not limited … life (QoL) • Activities of daily living (ADL) • Dyspnea • Sleep quality • Exercise tolerance • Adverse