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  1. pbrn.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
    April 01, 2021 - outpatient monitoring for high-risk conditions, and (c) enhanced medication comprehension to reduce adversedrug events.
  2. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
    April 01, 2011 - within a month of discharge, of which ¾ could be prevented Common complications post-discharge are adversedrug events, hospital-acquired infections, and procedural complications Many complications can be attributed … these events could have been prevented or ameliorated.1 Common post-discharge complications include adversedrug events, healthcare-associated infections, and procedural complications.
  3. pbrn.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
    December 01, 2023 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families About AHRQ's Quality & Patient Safety Work Patie…
  4. pbrn.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
    April 01, 2017 - After implementation of SBAR to improve communication among clinical caregivers: Reduced rate of adversedrug events (from 30 to 18 per 1,000 patient days).
  5. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/icu.pdf
    March 19, 2014 - TeamSTEPPS Specialty Scenarios: ICU TeamSTEPPS 2.0 Specialty Scenarios - 59 Specialty Scenarios ICU Specialty Scenarios - 60 TeamSTEPPS 2.0 Specialty Scenarios ICU Scenario 48 Appropriate for: ICU Setting: Hospital A 44-year-old female is admitted to the Medical ICU in acute respirator…
  6. pbrn.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
    July 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families About AHRQ's Quality & Patient Safety Work Patie…
  7. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pdf
    November 19, 2008 - Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide Enhancing Safety for Patients With Limited English Proficiency TM TeamSTEPPS | Limited English Proficiency LEP 06.1 | Introduction INSTRUCTOR NOTE: This module may be customized based on t…
  8. pbrn.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
    September 01, 2016 - SHARE: More topics in this section News Newsroom Blog Newsletter Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning Health Systems National Advisory Council Meetings AHRQ Research Confere…
  9. pbrn.ahrq.gov/teamstepps/instructor/scenarios/icu.html
    March 01, 2014 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Curriculum Materials TeamSTEPPS® 2.0 TeamSTEPPS® Rapid Response Systems Guide Training Guide: Using Simulation in TeamSTEPPS® Training Patients with Limited English …
  10. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
    January 01, 2013 - TeamSTEPPS Decreased malpractice claims Decreased insurance premiums Decreased litigation Reduced rate of adversedrug events (from 30 to 18 per 1,000 patient days) Reductions in staff turnover rates Increased teamwork
  11. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2014-materials/teamstepps-monthly-webinar-dec2014.pptx
    January 01, 2014 - TeamSTEPPS for Patients: A Pilot Test in Labor and Delivery TeamSTEPPS for Patients: A Pilot Test in Labor and Delivery December 17, 2014 TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® TeamSTEPPS for Patients Slide ‹#› 1 Acknowledgements Project Sponsors Jim Battles, PhD (AHRQ) Heidi King, MS (DoD) Pro…
  12. pbrn.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
    March 01, 2013 - Interventions for patients reporting feeling worse since discharge due to primary discharge diagnosis, adversedrug event, or other symptoms may include: Providing patient education.
  13. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
    April 01, 2011 - Common complications post-discharge include adverse drug events, hospital-acquired infections, and procedural … Patients prescribed high-risk medications or complex medication regimens may be at higher risk of adversedrug events.4,6,8 Inadequate preparation for discharge.
  14. pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
    June 24, 2022 - Appendix 3: Data Abstraction TableOfContent Table of content Abstraction of criteria from existing sources Sheet number [Click to go to specific sheet] Pearson et. al 2018, white paper 1 Duke Margolis 2017, white paper 2 International Society for Pharmacoepidemiology (ISPE) position paper 3 Berger et al…
  15. pbrn.ahrq.gov/news/newsletters/e-newsletter/873.html
    July 01, 2023 - SHARE: More topics in this section News Newsroom Blog Newsletter AHRQ News Now Events Nonadherence With Guidelines Associated With Cardiac Surgery Infection Issue Number 873 AHRQ News Now is a weekl…
  16. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
    April 01, 2011 - Common complications post-discharge include adverse drug events, hospital-acquired infections, and procedural … Patients prescribed high-risk medications or complex medication regimens may be at higher risk of adversedrug events.4,6,8 • Inadequate preparation for discharge.
  17. pbrn.ahrq.gov/research/findings/final-reports/index.html
    June 01, 2023 - SHARE: Filter the Results Search All PS Grantee Reports Search Grantee Reports by Keyword Search   Select Publication Date 2023 (2) 2022 (5) 2021 (8) 2020 (10) 2019 (13) 2018 (11) 2017 (7) 2016 …
  18. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
    May 22, 2013 - within a month of discharge, of which ¾ could be prevented • Common complications post-discharge are adversedrug events, hospital-acquired infections, and procedural complications • Many complications can
  19. pbrn.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
    December 01, 2017 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …
  20. pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
    March 01, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare November Meeting Summary Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “…

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