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141. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/crane.html
     August 01, 2017 - Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home Steven Crane, Phillip D Sloane

142. Guiding Principles Help Healthcare Community Address Potential Bias Resulting From Algorithms | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/894.html
     December 01, 2023 - including a toolkit to help introduce emergency medicine clinical pharmacist programs to hospitals to avoid adverse … drug events in emergency department patients.

143. TeamSTEPPS in Long-Term Care (LTC): Financial and Safety Benefits of Implementing TeamSTEPPS in Nursing Homes and LTC Facilities
     www.qualitymeasures.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 adverse … drug events (from 30 to 18 per 1,000 patient days) Reductions in staff turnover rates Increased teamwork

144. Funding HAI and Antibiotic Resistance Research | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/hai-carb-funding.html
     November 01, 2021 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

145. TeamSTEPPS for Patients: A Pilot Test in Labor and Delivery
     www.qualitymeasures.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…

146. Reducing Harms from Unsafe Use of Antibiotics and Preventing the Spread of Antibiotic Resistance | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/funding/grantee-profiles/grtprofile-trautner.html
     October 01, 2023 - Taking prescription antibiotics without a prescription increases the risk of antibiotic resistance, adverse … drug reactions, damage to the microbiome, and other harms.

147. Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/studies/index.html?page=484
     January 01, 2024 - 1279) 2015 (1430) 2014 (662) 2013 (195) Topics Access to Care (417) Adverse … Drug Events (ADE) (321) Adverse Events (737) Alcohol Use (61) Ambulatory Care and Surgery

148. TeamSTEPPS® 2.0 Leadership Briefing | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
     April 01, 2017 - After implementation of SBAR to improve communication among clinical caregivers: Reduced rate of adverse … drug events (from 30 to 18 per 1,000 patient days).

149. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/instructor/scenarios/dental.html
     March 01, 2014 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

150. Universal ICU Decolonization Protocol Overview | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/universal-icu-decolonization/universal-icu-overvw.html
     September 01, 2013 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

151. Universal ICU Decolonization Protocol Overview | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-overvw.html
     September 01, 2013 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

152. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
     www.qualitymeasures.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, adverse … drug event, or other symptoms may include: Providing patient education.

153. AHRQ Views: 20 Years of Innovation From the Digital Healthcare Research Program | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/901.html
     February 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

154. Appendix 3: Data Abstraction (xls file)
     www.qualitymeasures.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…

155. Chartbook on Women's Health Care: Slide Presentation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
     March 01, 2020 - 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.

156. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/instructor/scenarios/icu.html
     March 01, 2014 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

157. Chapter 6. Assessment and Process Evaluation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/chapter-6.html
     July 01, 2022 - The third measure identifies adverse drug events (ADEs) from unreconciled medication on admission.

158. Behavioral Health Risk Assessment (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0085-fullreport.pdf
     December 31, 2015 - Behavioral Health Risk Assessment Behavioral Health Risk Assessment Section 1. Basic Measure Information 1.A. Measure Name Behavioral Health Risk Assessment 1.B. Measure Number 0085 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measures to a broad …

159. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
     www.qualitymeasures.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 adverse … drug events.4,6,8 • Inadequate preparation for discharge.

160. Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/studies/index.html?page=485
     January 01, 2024 - 1279) 2015 (1430) 2014 (662) 2013 (195) Topics Access to Care (417) Adverse … Drug Events (ADE) (321) Adverse Events (737) Alcohol Use (61) Ambulatory Care and Surgery