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Showing results for "adverse event".
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1601. Meeting Minutes, May 2022 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2022-05-nac/nacmtg051222-minutes.html
      August 01, 2022 - Yu noted the issue of costs from adverse events.

1602. Patient Access to Medical Notes in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-1.pdf
      May 01, 2016 - subject to aggressive treatment goals and complex medication regimens, and are at significant risk of adverse

1603. Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/ratwani-report.pdf
      January 01, 2024 - In addition, the report suggested that there are serious medical errors and adverse patient outcomes

1604. Nursingnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursingnotes.docx
      June 02, 2025 - Slide 22 SAY: Nurse managers should obtain data on quality outcomes and adverse events monthly

1605. National Advisory Council (NAC) Virtual Meeting Minutes: May 12, 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2022-05-nac/nacmtg051222-minutes.pdf
      January 01, 2022 - Yu noted the issue of costs from adverse events.

1606. Final Progress Report: Caregiver innovations to reduce harm in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
      January 01, 2025 - to enable the frontline caregivers, including parents and parent advisors, to identify errors and adverse … e-trigger tools can be used to detect potential diagnostic events, allowing health systems to monitor event … ventilation that most institutions strive to avoid because of their potential as a life-threatening event

1607. Final Progress Report: : State of the Science on Safe Medication Administration (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
      January 01, 2024 - Scope and Methods: One out of every three adverse drugs events precipitated by a medication error occurs

1608. Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
      November 01, 2019 - However, the seizure event generates considerable distress and concern for family members and caregivers … Drivers of Overuse Febrile seizures can be a stressful event that may prompt a parent to seek the assistance … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … Sedation and general anesthesia in children undergoing MRI and CT: Adverse events and outcomes.

1609. Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
      June 10, 2008 - It is only after a serious breakdown in the system occurs, (e.g., an adverse event), that an investigation

1610. Getting Started: Laying the Groundwork for Implementing Automatic Referral and Effective Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-implementation-guide.pdf
      March 01, 2023 - Messaging for a Clinical Manager Clinical Manager CR Benefits -Improving patient health -Reducing adverse … implementation Ways to Reduce Barrier/Opposition Generally, CR improves patient health and reduces adverse

1611. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
      February 04, 2022 - Team members have a systematic process in place to capture and learn from near-misses and no-harm adverse … SBAR_NurseToPhysician-400-300.html Call-Out Tactic used to communicate critical information during an emergent event … • Occurs after an event or shift. • Designed to improve teamwork skills. … Consequences may include lawsuits, business losses, and adverse media coverage. d. … SBAR_NurseToPhysician-400-300.html Call-Out Tactic used to communicate critical information during an emergent event

1612. An Introduction to Assessing Practices: Issues to Consider (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdf
      September 01, 2015 - reporting systems and their use Safety and reliability • Medication error monitoring and prevention • Adverse … event monitoring and prevention Staff morale and satisfaction • Staff satisfaction • Staff burnout

1613. Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
      January 01, 2024 - The probability of the binary outcomes (indicating the occurrence of a PSI event for a patient) was … Others, such as an embolic or thrombotic event, may not be clearly specified as to whether the condition … Significant adverse outcomes are rare, prompting the need for Maternal Health Surveillance Indicators … Sentinel Event Alert, Preventing Maternal Death. Issue 44, January 26, 2010.

1614. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Miranda.pdf
      July 01, 2004 - collaborative patient-physician relationship (e.g., “Make sure your doctor knows about any allergies and adverse … Medications and adverse drug events are a key and often-cited patient safety topic that patient behavior

1615. Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
      January 01, 2025 - Applications include profiling EMS provider credentials, tracking service times by scene and medical event … Importance of the topics covered 4.71 Organization of the day 4.59 Usefulness of information provided 4.62 Event … Adverse design of defibrillators: turning off the machine when trying to shock.

1616. Nutritional Research Series - Volume 4: Effects of Eicosapentanoic Acid and Docosahexanoic Acid on Mortality Across Diverse Settings: Systematic Review and Meta-Analysis of Randomized Trials and Prospective Cohorts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp4.pdf
      February 01, 2012 - different considerations compared with other nutrients whose reference intakes are set to prevent adverse

1617. Module 2. Communicating Change in a Resident's Condition | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.html
      October 01, 2014 - When procedures for team communication are in place, the number of "adverse events" (negative effects … three main components are to: Gain knowledge and skills to understand systems of care and minimize adverse

1618. Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
      January 01, 2014 - appropriate, timely care 24/7, and that they will have the capacity to protect and care for the public in the event … Next, the patient flow team participated in a 3-1/2-day kaizen (i.e., continuous quality improvement) event … The team met weekly for 1 month after the kaizen event to discuss progress on these followup tasks, as … the American College of Cardiology/American Heart Association guidelines for management and increased adverse

1619. Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
      November 01, 2015 - We're so excited to have you with us at today's event which will focus on complications dealing with … Bacterania hasn't been about 4 percent or less of cases of bacteria, so it's an uncommon event. … individuals in the facility, many of whom are very susceptible to getting C. difficile infections and adverse

1620. Rafael Borja (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
      September 09, 2014 - We’re so excited to have you with us at today’s event which will focus on complications dealing with … Bacterania hasn’t been about 4 percent or less of cases of bacteria, so it’s an uncommon event. … individuals in the facility, many of whom are very susceptible to getting C. difficile infections and adverse