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241. Improving Patient Safety by Engaging Patients and Families (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
     April 01, 2025 - Improving Patient Safety by Engaging Patients and Families AHRQ-Funded Patient Safety Project Highlights Improving Patient Safety by Engaging Patients and Families Overview Research has shown that involving patients, as well as their families and caregivers, in the planning, delivery, and evaluation of their heal…

242. 2014-Women-Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
     January 01, 2014 - Adverse drug events occur in 15% or more of older patients presenting to offices, hospitals, and extended … Importance: Adverse effects of medical care can arise from medical and surgical procedures as well as from adverse … drug reactions. … Reducing the risk of adverse drug events in older adults.

243. Final Progress Report: Preventing Opioid Misuse Through Safe Opioid Use Agreements Between Patients and Surgical Providers (PROMISE-ME) (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/stulberg-report.pdf
     January 01, 2024 - Nonmedical use of opioids can lead to adverse drug events (ADEs) and frequently is a pathway to use

244. Resources by National Action Plan Foundational Area | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/resources/foundational-area.html
     March 01, 2025 - Resources by National Action Plan Foundational Area Contents Culture, Leadership, and Governance Patient and Family Engagement Workforce Safety Learning Systems Culture, Leadership, and Governance AHRQ Patient Safety Net (PSNet) Primer: Safety Culture This resource provides an overview of patient safety culture…

245. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
     March 01, 2025 - Interventions for patients reporting feeling worse since discharge due to primary discharge diagnosis, adverse … drug event, or other symptoms may include: Providing patient education.

246. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
     January 01, 2025 - adverse outcomes such as infections due to urinary catheters, ventilator-associated pneumonia, or adverse … drug events.

247. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
     December 01, 2023 - 2023 National Healthcare Quality and Disparities Report Data Sources 2023 National Healthcare Quality and Disparities Report Data Sources U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov …

248. Appendix VII: Public Comments Submitted Between March 7 and March 21, 2008 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apvii.html
     June 01, 2010 - address annual assessment of medication use and misuse, noncompliance with medications, monitoring adverse … drug events, and polypharmacy.

249. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
     January 01, 2025 - 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 “…

250. Making Healthcare Safer Practices: 10. Harms Due to Opioids (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
     March 01, 2020 - Accordingly, in the National Action Plan for Adverse Drug Event Prevention, opioids are one of three … National Action Plan for Adverse Drug Event Prevention.Washington, DC: U.S.

251. Scientific Rationale (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/scientific-rationale.pdf
     March 01, 2022 - Scientific Rationale Decolonization of Non-ICU Patients With Devices Section 4 – Scientific Rationale The Burden of Healthcare-Associated Infections Healthcare-associated infections (HAIs) have been recognized as a major preventable cause of morbidity and mortality in the United States. In 1999, the Ins…

252. Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How …

253. Study Finds Association Between Smoking and Chronic Pain | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/938.html
     November 01, 2024 - Improving adverse drug event reporting by healthcare professionals .

254. Slide Presentation - Progress Update: The National Action Alliance for Patient and Workforce Safety—What, Why and How? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/progress-update-2024-slides.pdf
     January 01, 2024 - 13th Statement of Work for the QIO Program: • Continues to focus on infection prevention and control, adverse … drug events, and safety events • Directs resources to impact health care workforce challenges • Positions

255. Protocol - Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/sleep-apnea-protocol.pdf
     June 09, 2020 - Protocol - Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients Evidence-based Practice Center Systematic Review Protocol Project Title: Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients I. Backgrou…

256. Meeting Minutes, March 27, 2015 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0315-minutes.html
     July 01, 2015 - Meeting Minutes, March 27, 2015 National Advisory Council Minutes from the March 27, 2015, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 7, 2014, Meeting Summary Director's Update and Strategic Directi…

257. Emergency Departments Don’t Coordinate How They Collect, Use Social Needs Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/918.html
     June 01, 2024 - Emergency Departments Don’t Coordinate How They Collect, Use Social Needs Information Issue Number 918 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. June 25, 2024 AHRQ Stats Access more data on this topic in the associated statistical brief , plus addition…

258. Appendix F. Interventions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appf.html
     March 01, 2017 - Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool … Reducing the risk of adverse drug events in older adults (Pretorius, Am Fam Physician, 2013, PMID 23547549

259. Morning Briefing and Shadowing (Slide Presentation) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing-slides/slides.html
     October 01, 2014 - Morning Briefing and Shadowing (Slide Presentation) On the CUSP: Stop BSI This PowerPoint slide presentation was shown on July 12, 2011. Contents Slide 1. Improving Situational Awareness by Conducting a Morning Briefing Slide 2. Situation Awareness: An Overview Slide 3. Briefing Defined Slide 4. Eff…

260. Methods (continued, 3) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3b.html
     July 01, 2018 - After discharge, one in five hospital patients will experience an adverse event (with adverse drug events … There were no significant differences between the experimental and control groups in the rates of adverse … drug events, close calls, or self-reported experience of care.