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1561. Meeting Minutes, July 2019 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2019-07-nac/nacmtg0719-minutes.html
      November 01, 2019 - risk for people with “rising risk,” and targeted interventions for people at high risk for avoidable adverse

1562. Making Healthcare Safer Practices: 15. Care Transitions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
      March 01, 2020 - adequate discharge arrangements can lead to costly and unnecessary hospital readmissions, preventable adverse … Safety lapses can result in negative clinical outcomes,1-4 preventable adverse events,5-9 and avoidable … The incidence and severity of adverse events affecting patients after discharge from the hospital. … that includes resources to address areas of the discharge process that are predisposed to result in adverse

1563. Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Kind_31.pdf
      March 31, 2008 - vulnerable group of patients who are often unable to advocate for themselves and who are at high risk for adverse … Each of these hospitalizations was treated as a separate event (17 subjects contributed 2 discharge

1564. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship-references.html
      August 01, 2024 - Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event

1565. Dissemination Planning Tool: Exhibit A from Volume 4 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advances/planning.html
      July 01, 2022 - For example, You may want to disseminate 1) an event reporting system as a large product or 2) separately

1566. QDR 2014: Chartbook for Hispanic Health Care, Part 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt1.pdf
      October 01, 2015 - same time, several racial and ethnic disparities in rates of childhood immunization and rates of adverse

1567. Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-slides.pptx
      November 01, 2019 - cure in evaluable population: 95% for TMP/SMX and 86% for placebo (p < 0.001) TMP/SMX associated with adverse

1568. Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
      September 04, 2020 - Patient record review of the incidence, consequences, and causes of diagnostic adverse events.

1569. Person-Centered Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-person-centered.html
      May 01, 2024 - disabilities or increased social risks with the goal of increasing functioning and decreasing pain and adverse

1570. Final Progress Report: What Is Patient Safety in the Medical Home? (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
      January 01, 2024 - diagnoses; • Delay in proper treatment or preventive services; • Medication errors and preventable adverse

1571. Six Building Blocks How-To-Implement Toolkit: Design and Implement Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
      February 18, 2021 - • Host a community question/answer event and invite patients and community leaders, such as school … pain is important for several reasons: • Any patient using LtOT, regardless of dose, has a risk of adverse … dangerous opioid dosages or combinations—such as with sedatives—are putting patients at risk for adverse … https://cmeregistration.hms.harvard.edu/events/collaborative-care-approaches-for-the-management-of-oud/event-summary … https://cmeregistration.hms.harvard.edu/events/collaborative-care-approaches-for-the-management-of-oud/event-summary

1572. The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
      September 01, 2022 - moxifloxacin—are not recommended as first-line therapy due to concerns about fluoroquinolones causing adverse

1573. Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
      January 01, 2024 - Following identification, the de-identified clinical note was faxed to the event encounter clinician … Event reporting to a primary care patient safety reporting system: a report from the ASIPS collaborative … Error in medicine: adverse events in intensive care.

1574. SOPS Frequently Asked Questions | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/about/faq/index.html
      June 01, 2022 - Safety culture surveys are useful for measuring organizational conditions that can lead to adverse events

1575. State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
      January 17, 2024 - can lead to inappropriate treatments, disease progression, preventable hospitalizations, and other adverse … and a “prescribing cascade,” where a second, potentially unnecessary drug is prescribed to treat the adverse … drug event. … Medications (i.e., polypharmacy and deprescribing, medication reconciliation, and adverse medication … May 15, 2023. https://gedcollaborative.com/event/ aging-in-the-geriatric-ed/. 70.

1576. Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
      August 01, 2024 - However, it is difficult to infer changes in safety or adverse outcomes based on test use or even inappropriate … consider the total value of diagnostic stewardship, including downstream effects on length of stay, adverse … Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event

1577. CHIPRA 119 Section 5, Literature Review and Discussion (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-5-lit-review.pdf
      March 19, 2012 - These risk factors put infants at risk for hypothermia and are associated with adverse outcomes. … The study concluded that hypothermia is associated with adverse outcomes. … These are also the infants most likely to suffer from the adverse effects of hypothermia and in whom … Increased brain temperature after hypoxic event may result in exacerbated cerebral damage. … These are also the infants most likely to suffer from the adverse effects of hypothermia and in whom

1578. Appendix F. Interventions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
      January 01, 2015 - Consider for Inclusion Evidence Level Rationale Diagramming patients' views of root causes of adverse … Reducing the risk of adverse drug events in older adults (Pretorius, Am Fam Physician, 2013, PMID 23547549 … potentially inappropriate prescriptions and screening tool to alert doctors to the right treatment reduced adverse

1579. Module 3. Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
      October 01, 2014 - objectives, which are to: Gain knowledge and skills to understand systems of care and minimize adverse

1580. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
      June 01, 2015 - information systems can reduce medical errors and might pose a viable option for the prevention of adverse