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Showing results for "adverse events".
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141. Gap Analysis Facilitator's Guide: Appendix A | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … management Disruptive behavior and/or code of conduct Investigation of occurrences (i.e., sentinel events …  ___ Bylaws for medical staff and/or hospital Peer review process Oversight/management of adverse … or "harm" events ___  ___ Organizational safety and/or quality plan FMEAs or other

142. Safemed Facguide (doc file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
     May 01, 2017 - learning from defects for oxytocin administration include— Debriefing and analyzing near misses and adverse … Having a process in place to review severe maternal or neonatal morbidity and mortality events. … key safety elements of learning from defects are the same as for oxytocin: Debriefing near misses and adverse … events related to magnesium sulfate use. … Consider these factors: · Unit data suggesting adverse events or near misses related to oxytocin, magnesium

143. 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

144. Strategy 3: Nurse Bedside Shift Report | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.html
     December 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … Nurse shift changes require the successful transfer of information between nurses to prevent adverse … events and medical errors.

145. Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … These projects sought to improve patient safety by measuring safety problems, characterizing adverse … events, and conducting clinical safety interventions.

146. Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
     January 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.

147. Strategy 4: IDEA Discharge Planning (Tool 1) (doc file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
     January 01, 2010 - for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.

148. Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/topics/index.html?page=1
     January 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … ensure safe and seamless transitions of patients from one care setting to another, reducing preventable adverse … events, drug-related errors, and other problems.

149. Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/es/topics/index.html?page=1
     January 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … ensure safe and seamless transitions of patients from one care setting to another, reducing preventable adverse … events, drug-related errors, and other problems.

150. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
     May 01, 2017 - Ways to reduce obstetrical adverse events include improving teamwork and communication among care teams … Root cause analyses of adverse events and near-misses (events that did not produce patient injury) … EARLY IMPACTS The most recent root cause analyses of adverse events and near-misses indicated that … poor communication is no longer a root cause; in fact, near-misses and adverse events attributed to … The weighted adverse events included in the measure are in-house maternal death, in-house neonatal

151. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
     May 01, 2017 - Ways to reduce obstetrical adverse events include improving teamwork and communication among care teams … Root cause analyses of adverse events and near-misses (events that did not produce patient injury) … EARLY IMPACTS The most recent root cause analyses of adverse events and near-misses indicated that … poor communication is no longer a root cause; in fact, near-misses and adverse events attributed to … The weighted adverse events included in the measure are in-house maternal death, in-house neonatal

152. Biosketches | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
     September 01, 2016 - for health care safety and quality in a variety of fields, including patient engagement, response to adverse … events, diagnostic error reduction, rapid response, and infection prevention, among others. … Safety Monitoring System, a nationwide surveillance project aimed at identifying the rates of specific adverse … events within the Medicare population. … paper, and led the AHRQ-Brigham medication safety HIT CERT CEDAR (Calling for Earlier Detection of Adverse

153. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/878.html
     August 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … (Source: JAMA Network Open , Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem … include: Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse

154. Highlight Consumer Rights, Protections, and Ways To Complain | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/talkingquality/explain/share-info/highlight.html
     September 01, 2019 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … For example, in the next few years, we may see systems that enable patients to report on adverse events

155. Study Finds Patients Who Self-Test Negative for COVID-19 Not Properly Quarantining | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/821.html
     June 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Analysis of Hospital-Level Readmission Rates and Variation in Adverse Events Among Patients With Pneumonia … Assessing adverse event reports of hysteroscopic sterilization device removal using natural language

156. Antibiotic Use Significantly Reduced in Long-Term Care Facilities Participating in AHRQ-Funded Project | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/803.html
     March 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … This included reductions in the use of fluoroquinolones, a class of antibiotics known to cause adverse … Relative risks of adverse events among older adults receiving opioids versus NSAIDs after hospital discharge

157. Hospital Readmissions | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/topics/hospital-readmissions.html
     January 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Readmissions and Adverse Events After Discharge This Patient Safety Primer from AHRQ's Patient Safety

158. Strategy 4: IDEA Discharge Planning (Tool 4)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
     April 01, 2011 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … be prevented Common complications post-discharge are adverse drug events, hospital-acquired infections … have been prevented or ameliorated.1 Common post-discharge complications include adverse drug events … The incidence and severity of adverse events affecting patients after discharge from the hospital. … events and prevent readmissions.

159. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
     May 30, 2013 - fractures.3,9 Staff with requisite training and supplies available to respond to magnesium-related adverse … Defects (CUSP Module) Key Perinatal Safety Elements Examples Debrief and analyze near misses and adverse … events related to magnesium sulfate use … Have a process in place to review severe maternal or neonatal morbidity and mortality events. … events including respiratory depression 2.

160. Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge Planning | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy4/index.html
     December 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … requires the successful transfer of information from clinicians to the patient and family to reduce adverse … events and prevent readmissions.