Results

Total Results: 395 records

Showing results for "adverse events".
Users also searched for: patient safety indicators

121. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
     April 01, 2011 - ------------------------------------------------------------------- 9 How to prevent adverse events … one study.1 Of these adverse events, three-quarters could have been prevented or ameliorated. … At this time, no consensus exists on the single best method to prevent adverse events after discharge … The incidence and severity of adverse events affecting patients after discharge from the hospital. … How to prevent adverse events after discharge How does the IDEAL Discharge Planning strategy improve

122. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
     April 01, 2011 - 9 How to prevent adverse events after discharge 11 How does the IDEAL Discharge Planning strategy improve … study.1 Of these adverse events, three-quarters could have been prevented or ameliorated. … How to prevent adverse events after discharge Many of the challenges described above can be attributed … At this time, no consensus exists on the single best method to prevent adverse events after discharge … The incidence and severity of adverse events affecting patients after discharge from the hospital.

123. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
     December 01, 2017 - mortality for pediatric surgical procedures Rates of potentially avoidable complications and adverse … for Selected Procedures) IQI 91 (Mortality for Selected Conditions) PSI 90 (Patient Safety and Adverse … Events Composite) PDI 19 (Pediatric Patient Safety for Selected Indicators) are not in ICD-10 v6.0 … Consider inserting here the deidentified story of a patient who suffered the adverse event captured by … References Slide 48 Sample Best Practices Pressure ulcers represent an important patient adverse

124. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-roster-2023dec.pdf
     December 21, 2023 - Medical Officer Name Department/Agency Title Michael Lee, Pharm.D., BCPS, CAPT, USPHS IHS IHS Adverse … Events Coordinator, IHS Office of Quality, Division of Quality Assurance and Patient Safety Phillippe

125. Patient Narratives Can Catalyze Staff Improvement and Bolster Survey Scores | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/900.html
     February 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Reducing Adverse Events Related to Anticoagulants . Implicit Bias Training . Deprescribing . … Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events .

126. Selected Best Practices and Suggestions for Improvement (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
     May 20, 2016 - multidisciplinary review is required to identify system processes that may result in failures in care, adverse … events, and mortality … department within 3 days of discharge ∗ Death associated with drug reaction ∗ Death associated with adverse … department within 3 days of discharge ∗ Death associated with drug reaction ∗ Death associated with adverse … Summary data of sentinel events reviewed by The Joint Commission.

127. Study Finds Racial and Ethnic Inequities in End-of-Life Prescription Opioid Access | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/875.html
     August 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis . … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality

128. Comparing Quality Scores to an Independent Standard | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/talkingquality/translate/compare/choose/standard.html
     January 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … The Standard for “Never Events” There is one kind of standard that is beginning to emerge in health … care: the standard of “never” or zero percent for certain adverse and preventable events. … These events are preventable and should never happen.”

129. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
     June 09, 2016 - ” · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … questions when something does not seem right 1 2 3 4 5 9 SECTION D: Reporting Patient Safety Events … In the past 12 months, how many patient safety events have you reported? a. … Hospital management seems interested in patient safety only after an adverse event happens 1 2 3

130. PS Grantee Report | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/research/findings/final-reports/index.html?page=1
     June 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent Adverse … Drug Events in the Nursing Home ( application/pdf 471675 ) Principal Investigators: Kane-Gill, … 023464 Topic(s): Medication Safety, Nursing Homes Publication Date: September 2018 Reducing Adverse … Drug Events from Anticoagulants, Diabetes Agents and Opioids in Primary Care ( application/pdf 470629

131. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
     May 01, 2017 - Admin. 10 Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse events … inductions outside of policy-defined indications severe maternal or neonatal morbidity and mortality events … Admin. 23 Key Safety Elements: Learn From Defects Debrief near misses and adverse events related … magnesium sulfate outside of defined indications severe maternal or neonatal morbidity and mortality events … Consider these factors: Unit data suggesting adverse events or near misses related to oxytocin, magnesium

132. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
     November 03, 2022 - of our resource – Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events … IHS • Enhanced Adverse Event Reporting Capabilities o IHS Safety Tracking and Response (I-STAR) is deployed … Current projects include working on overdue events and development of standardized reporting at the

133. Patient Safety Tools | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
     June 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … hospitals and nursing homes (including skilled nursing facilities) to collect data for all types of adverse … events, near misses, and unsafe conditions. … Research suggests that adverse events affect patients with limited English proficiency more frequently … If chest tubes are inserted incorrectly, patients can suffer adverse outcomes and even fatal complications

134. AHRQ Signals Interest in Research To Improve Healthcare for People With Disabilities | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/890.html
     November 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … antibiotics within 48 hours of presentation and in 13 percent of hospitalizations patients experienced an adverse … time to antibiotics varies markedly across simulated hospital scenarios, but new antibiotic-associated adverse … events were rare.

135. AHRQ Accelerates Efforts To Advance Health Equity | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/907.html
     April 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … of team strategies and tools to improve performance and approaches to team-based error disclosure on adverse … events. … Articles featured this week include: Transfusion-related errors and associated adverse reactions and

136. National Action Plans | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/reports/national-action-plans.html
     February 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … National Action Plan for Adverse Drug Events identifies the Federal Government’s highest priority strategies

137. Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/884.html
     October 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality … Risk factors for opioid-related adverse drug events among older adults after hospitalization for major

138. Evidence-based Practice Center Systematic Review Protocol: Home Mechanical Ventilators (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdf
     February 02, 2018 - These physiologic aberrations may result in several adverse outcomes that include, but are not limited … events? … events • Timing o At least 1 month of treatment • Setting o Home o Assisted living residence … (KQ 5) Adverse Events Table 1. … events Timing At least 1 month of treatment in home settings None Settings Therapy (BPAP, CPAP

139. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
     January 01, 2021 - ” • “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … 1 2 3 4 5 9 5 SECTION D: Reporting Patient Safety Events Think about your unit/work … In the past 12 months, how many patient safety events have you reported? a. … Hospital management seems interested in patient safety only after an adverse event happens .......

140. Register Now: August 22 Webinar by National Action Alliance Will Address Engaging Boards and Executive Leadership in Safety | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/874.html
     August 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … available to improve the safety culture of labor and delivery units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures. … Articles featured this week include: Anticoagulation-associated adverse drug events in hospitalized