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Showing results for "adverse events".
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261. TeamSTEPPS Module 10: Measurement (Instructor Guide) (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/igmeasure.pdf
     January 01, 2004 - PSIs are a set of measures that provide information about potential in- hospital complications and adverse … events (outcomes) following surgeries, procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse events that might require further … also include indicators for complications occurring in-hospital that may represent patient safety events … Such events can be mitigated with the implementation of TeamSTEPPS tools and strategies.

262. A Call for Action to Achieve Health Equity | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/blog/ahrqviews/achieve-health-equity.html
     August 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … Clearly, the COVID-19 pandemic has further illuminated the scale and adverse impacts of this problem,

263. Developing Innovative Simulation-Based Training to Improve Patient Safety in Radiation Oncology | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
     March 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Simulation is a technique that mimics real-world clinical events in a training environment so clinicians

264. 2019 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
     December 01, 2020 - Importance of Patient Safety Mortality Prevalence Cost Findings on Patient Safety Improving Trend: Adverse … Drug Events With Heparin and Factor Xa Improving Trend: Inpatient Adverse Drug Events With Anticoagulants

265. States That Didn’t Expand Medicaid Lost New General Internists to Expansion States | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/816.html
     May 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse

266. AHRQ Signals Plan To Establish Healthcare Extension Service | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/888.html
     November 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Adverse drug event prevention and detection in older emergency department patients .

267. AHRQ Efforts To Address Long COVID | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/coronavirus/long-covid.html
     March 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … pattern and progression or worsening over time, with the possibility of severe and life-threatening events … to improve the care of people living with multiple chronic conditions who are at increased risk for adverse

268. Resource List - AHRQ Medical Office Survey (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
     April 01, 2023 - Staff can use this decision tree when analyzing an error or adverse event in an organization to help … events and close calls. … events, and near-misses. … These organizations consistently minimize adverse events despite carrying out intrinsically complex and … drug events (ADEs).

269. PS Grantee Report | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/research/findings/final-reports/index.html?page=2
     September 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patient Safety Tools Publication Date: June 2015 Enhancing the Detection and Management of Adverse … Drug Events in the Nursing Home ( application/pdf 787663 ) Principal Investigators: Handler, et

270. AHRQ Research Priorities and Compliance Guidance | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/funding/policies/nofoguidance/index.html
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Surveillance, measurement, detection, and reporting of patient safety events. … Determination of the clinical efficacy and effectiveness of preventive interventions, including unintended adverse

271. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
     October 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events

272. Information Items | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/teamstepps/readiness/informationitems.html
     April 01, 2016 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Objective information can originate from a variety of sources, including adverse event and near-miss

273. AHRQ Views Blog Post: 2021—An AHRQ Year in Review | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/795.html
     January 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process

274. Yale Center for Healthcare Innovation, Redesign, and Learning | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
     June 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general

275. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse (doc file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
     May 01, 2017 - Defects (CUSP Module) Key Perinatal Safety Elements Examples Debrief and analyze near misses and adverse … events related to cord prolapse … · A unit can decide its approach to debriefing events based on seriousness of event, expertise available … case reviews Have a process in place to review severe maternal or neonatal morbidity and mortality events

276. Resource List - AHRQ Nursing Home Survey (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - These organizations consistently minimize adverse events despite carrying out intrinsically complex and … events and close calls. … events, and near-misses. … • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement. … drug events (ADEs).

277. Strategy 3: Bedside Shift Report (Tool 3)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
     July 23, 2010 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … As noted above, one study found that more than 70 percent of adverse events are caused by breakdowns … infections, and air embolism, all of which are on CMS’s list of hospital-acquired complications “never events … successful transfer of information between nurses going off duty and nurses coming on duty to prevent adverse … events and medical errors.

278. System-Affiliated Rural Hospitals Not Necessarily Immune From Risk of Closure | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/825.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Articles featured this week include: Trends in adverse event rates in hospitalized patients, 2010-2019

279. AHRQ Views Blog Post: With TeamSTEPPS 3.0, AHRQ Refreshes a Landmark Patient Safety Training Curriculum | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/880.html
     September 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … of implementation factors related to addressing social determinants to reduce racial disparities in adverse

280. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
     July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Elements Slide 31: Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse … events. … Have a process in place to review severe maternal or neonatal morbidity and mortality events. … Factors to consider: Unit and malpractice claims data suggesting adverse events or near misses related