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www.ahrq.gov/patient-safety/reports/hotline/eval4.htmlMay 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events IV. Evaluation Aims, Methods, and Results Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for …
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www.ahrq.gov/pcor/library-of-resources/index.htmlApril 01, 2021 - Library of PCOR Resources The Agency for Healthcare Research and Quality (AHRQ) provides this comprehensive Web library of patient-centered outcomes research (PCOR) resources to highlight the existing collection of PCOR projects conducted by public, private, nonprofit, and academic sources. The library of resou…
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www.ahrq.gov/news/newsroom/case-studies/201714.htmlSeptember 01, 2019 - Medication Therapy Tools Help Pharmacists Educate Patients, Improve Adherence and Safety Search All Impact Case Studies November 2017 AHRQ’s Health Literacy Tools for Providers of Medication Therapy Management make it easier for pharmacists to help patients understand and correctly manage their medication…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdfMarch 01, 2004 - Regulation of Health Policy: Patient Safety and the States 405 Regulation of Health Policy: Patient Safety and the States Joanna Weinberg, Lee H. Hilborne, Quang-Tuyen Nguyen Abstract In its 1999 report on patient safety, the Institute of Medicine recommended a nationwide mandatory reporting system to co…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdfApril 27, 2008 - Minding the Gaps: Creating Resilience in Health Care Minding the Gaps: Creating Resilience in Health Care Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD; Richard Cook, MD Abstract Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
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www.ahrq.gov/sites/default/files/2024-02/green-report.pdfJanuary 01, 2024 - Nature of preventable adverse drug events in hospitals:A literature review.
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Antibiotic-Patient-Safety-Facilitator-Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docxJune 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Improving Antibiotic Use Is a Patient Safety Issue Long-Term Care Slide Title and Commentary Slide Number and Slide Improving Antibiotic Use Is a Patient Safety Issue Long-Term Care SAY: Welcome to this presentation titled “Improving Antibiotic Use Is a Patie… -
www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdfJanuary 01, 2024 - Final Progress Report: Weekend Effects and the July Phenomenon in Patient Safety --------------------------------------- Weekend Effects and the July Phenomenon in Patient Safety Final Research Report to AHRQ Principal Investigator: Joel S. Weissman, PhD February 6, 2006 Co-Investigators and Study Staff (i…
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www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdfJanuary 01, 2024 - Final Progress Report: Quality Care and Error Reduction in Rural Hospitals Principal Investigator: Cook, Ann F. Title of the Project: Quality Care and Error Reduction in Rural Hospitals Principal Investigator: Ann Cook, Ph.D. Co-investigator: Helena Hoas, Ph.D. Team Member: Katarina Guttmannova, Ph.D. Organizat…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptxOctober 01, 2022 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Antibiotic Stewardship and MRSA Reduction ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Antibiotic Stewardship 1 Educational Objectives Understand the goals of antibiotic ste…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdfApril 22, 2004 - The system analysis uncovered new side effects of the technology, including unanticipated routes to adverse … drug events. … Systems analysis of adverse drug events. JAMA 1995 Jul 5;274(1):35–43. 15. Nolan T.
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdfSeptember 28, 2016 - reduction in HACs and that approximately $19.8 billion in health care costs were saved from 2010 to 2014 Adverse … Drug Events Pressure Ulcers Catheter Associated Urinary Tract Infections Surgical Site
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Slide 1 (ppt file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/briefing-slides/Morning-Briefing-and-Shadowing-July-12-2011-508.pptJanuary 01, 2011 - Slide 1 On the CUSP: STOP BSI Improving Situational Awareness by Conducting a Morning Briefing Situation Awareness -- An Overview Members of the team have an understanding of what’s going on and what is likely to happen next Teams are alert to developing situations, sensitive to cues, and aware of their impli… -
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pdfJune 16, 2016 - CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction in adverse … drug events (ADEs) (Ammenwerth, et al., 2008) … CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction in adverse … drug events (ADEs) (Ammenwerth, et al., 2008) … The effect of electronic prescribing on medication errors and adverse drug events: a systematic review
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003-Ss-Antimicrobial-Prophylaxis-Part-2-Fg (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docxApril 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Antimicrobial Prophylaxis: Part 2 Beyond the Basics Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Antimicrobial Prophylaxis: Part 2, Beyond the Basics SAY: This pr… -
www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.htmlSeptember 01, 2016 - Biosketches Jason Adelman, MD, MS Chief Patient Safety Officer and Associate Chief Quality Officer Columbia University Medical Center/New York-Presbyterian Hospital Dr. Adelman is the Chief Patient Safety Officer and Associate Chief Quality Officer at Columbia University Medical Center/NewYork-Presbyter…
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www.ahrq.gov/news/events/nac/2018-03-nac/nacmtg0317-minutes.htmlJuly 01, 2018 - For example, rates of HACs related to adverse drug events have been falling for the past 5 years.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptxApril 01, 2011 - within a month of discharge, of which ¾ could be prevented Common complications post-discharge are adverse … drug 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 adverse … drug events, healthcare-associated infections, and procedural complications.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.htmlMay 01, 2016 - having significant drops in hemoglobin while on anticoagulation can spur chart review to determine if an adverse … drug event occurred, to assess the level of harm, and to examine the case for error. 20 An approach … reviewed for a list of "triggers" for further review. 21 Triggers potentially related to anticoagulant adverse … drug events (ADEs), such as an elevated INR, elevated PTT, use of anticoagulant reversal agents, change
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide6.htmlMay 01, 2016 - having significant drops in hemoglobin while on anticoagulation can spur chart review to determine if an adverse … drug event occurred, to assess the level of harm, and to examine the case for error. 20 An approach … reviewed for a list of "triggers" for further review. 21 Triggers potentially related to anticoagulant adverse … drug events (ADEs), such as an elevated INR, elevated PTT, use of anticoagulant reversal agents, change
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