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www.innovations.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.innovations.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.innovations.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.innovations.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.innovations.ahrq.gov/health-literacy/professional-training/lepguide/references.html
September 01, 2020 - Language proficiency and adverse events in U.S. hospitals: a pilot study. … Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice … When things go wrong: responding to adverse events. A consensus statement of the Harvard hospitals.
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www.innovations.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.innovations.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.innovations.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.innovations.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.innovations.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.innovations.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
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www.innovations.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - mortality for pediatric surgical procedures
Rates of potentially avoidable complications and adverse … for Selected Procedures)
IQI 91 (Mortality for Selected Conditions)
PSI 90 (Patient Safety and Adverse … software
Further information about forthcoming updated ICD-9 PSI 90 composite (Patient Safety and Adverse … Consider inserting here the deidentified story of a patient who suffered the adverse event captured by … References
Slide 48
Sample Best Practices
Pressure ulcers represent an important patient adverse
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - 9
How to prevent adverse events after discharge 11
How does the IDEAL Discharge Planning strategy improve … requires the successful transfer of information from clinicians to the patient and family to reduce adverse … study.1 Of these adverse events, three-quarters could have been prevented or ameliorated. … At this time, no consensus exists on the single best method to prevent adverse events after discharge … The incidence and severity of adverse events affecting patients after discharge from the hospital.
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/6-sops101-webcast-2023-closing.pdf
January 01, 2023 - Exploring relationships between hospital patient
safety culture and adverse events.
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www.innovations.ahrq.gov/health-literacy/professional-training/lepguide/app-a.html
September 01, 2020 - Emphasize potential differences between patient safety events and adverse events and distinguish between … Provide examples of how using nonqualified interpreters can have adverse effects on patient care.
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www.innovations.ahrq.gov/news/newsletters/e-newsletter/900.html
February 01, 2024 - Reducing Adverse Events Related to Anticoagulants .
Implicit Bias Training .
Deprescribing . … Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events .
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www.innovations.ahrq.gov/news/newsletters/e-newsletter/892.html
December 01, 2023 - Making Healthcare Safer IV will provide evidence on 11 additional safety topics, including reducing adverse … Articles featured this week include:
Prescription opioid dose reductions and potential adverse events
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c3_pdi_staffpresentation.pdf
July 01, 2004 - pdi_resources.aspx
• The PDIs are a set of 16 indicators that reflect quality
of care inside hospitals and adverse … • Consider inserting here the deidentified story
of a patient who suffered the adverse event
captured
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www.innovations.ahrq.gov/news/newsletters/e-newsletter/875.html
August 01, 2023 - Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis . … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality
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www.innovations.ahrq.gov/teamstepps/officebasedcare/module1/office_intro-ig.html
September 01, 2015 - 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 … Reduced rate of adverse drug events.