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Showing results for "adverse events".
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281. Section 1: Overview of Key Concepts and Tools | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/teamstepps-program/curriculum/intro/overview.html
     July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

282. TeamSTEPPS 2.0 Readiness Assessment | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/teamstepps/readiness/index.html
     August 01, 2015 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Objective information can originate from a variety of sources, including adverse event and near-miss

283. AHRQ Data Underscore Uneven Impact of COVID-19 | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/blog/ahrqviews/uneven-impact-covid19.html
     December 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events

284. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/resources/learning-lab/index.html
     February 01, 2024 - drug events. … Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general … drug events. … patient safety events. … events, and improve efficiency for ED healthcare providers.

285. Addressing Historical Racism and Inequality in American Healthcare | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/blog/ahrqviews/addressing-historical-racism.html
     April 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events

286. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems (doc file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
     May 01, 2017 - Patients on perinatal units can experience cardiopulmonary and metabolic events or deterioration that … Defects (CUSP Module) Key Perinatal Safety Elements Examples Debrief and analyze near misses and adverse … events, regardless of whether a rapid response was activated. … · Unit can decide its approach to debriefing events based on seriousness of event, expertise available … Elements Examples Have a process in place to review severe maternal or neonatal morbidity and mortality events

287. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
     March 01, 2024 - able to use Measure Dx to guide their efforts to detect, analyze, and learn from diagnostic safety events … IHS • Existing Activities Regarding Diagnostic Safety o Voluntary adverse event report via I-STAR. … optimize this effort, as they are focused on root cause analysis standardization to help in identifying events

288. Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations (ASCENT) | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
     April 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … outpatient monitoring for high-risk conditions, and (c) enhanced medication comprehension to reduce adverse … drug events.

289. 2022 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
     December 01, 2022 - Standard forms for the data collection and model procedures for the uniform registration of events are … , such as medication prescriptions and laboratory test results that are relevant to patient safety events … Measures and modules included in calculation of adverse event rates Measure Module One or more adverse … outcomes Birth - Maternal Adverse event associated with hypoglycemic agent Medication Adverse event … events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related to procedure

290. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
     January 01, 2024 - Scope The incidence of adverse events, such as surgical site infections and surgical errors, is an immense … Previous attempts to reduce adverse events in the OR have focused on enhancing skills and training for … Research in complex settings suggests that adverse events are often caused by a combination of active

291. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
     December 01, 2023 - Standard forms for the data collection and model procedures for the uniform registration of the events … , such as medication prescriptions and laboratory test results that are relevant to patient safety events … Measures and modules included in calculation of adverse event rates Measure Module One or more adverse … outcomes Birth - Maternal Adverse event associated with hypoglycemic agent Medication Adverse event … events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related to procedure

292. Library of PCOR Resources | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/pcor/library-of-resources/index.html
     April 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … database , which contains information on study participants and a summary of study outcomes, including adverse … events.

293. Mod5-Comm-Assessment (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
     April 01, 2016 - communicators who participate in conversations with patients, families, and caregivers following an adverse … demonstrate all of the skills and competencies should be involved in delivering communication about adverse … events to patients, families, and caregivers. … Future events are simply described. … Conventional Responses can include… ■ Describe Mary’s current condition and the events that led up to

294. The PCORTF Mission, Vision, and Goal | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/pcor/strategic-framework/mission.html
     July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

295. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsroom/case-studies/index.html?page=1
     September 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … User Liaison Program (ULP) (4) WebM&M (5) Topics Access to Care (14) Adverse … Drug Events (ADE) (5) Asthma (2) Behavioral Health (16) Blood Clots (15) Blood Thinners

296. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
     January 01, 2021 - Care 1 INTRODUCTION High rates of readmissions are a major patient safety problem associated with adverse … events such as prescribing errors and misdiagnoses of conditions in the hospital and ambulatory care … As the evidence base for reducing adverse events and readmission from the primary care setting grows … role of the primary care team in improving quality and safety for patients and reducing postdischarge adverse … events and potentially preventable readmissions.

297. Strategy 6E: Rapid Referral Programs | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
     April 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Guidance Supplemental Items Using CAHPS Surveys CAHPS Databases Webcasts & Recent Events … possibility of delays in care, which generates greater anxiety and contributes to a greater risk of adverse

298. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsroom/case-studies/index.html?page=7
     January 01, 2016 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … User Liaison Program (ULP) (4) WebM&M (5) Topics Access to Care (14) Adverse … Drug Events (ADE) (5) Asthma (2) Behavioral Health (16) Blood Clots (15) Blood Thinners

299. Selected Best Practices and Suggestions for Improvement (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
     May 20, 2016 - abdominal surgeries, and is associated with significant risk of mortality between 14% and 50%.1 Other adverse … events include prolonged length of stay, subsequent surgeries and incisional herniation.2,3 • Proper

300. Selected Best Practices and Suggestions for Improvement (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
     November 01, 2012 - foreign objects avoidable.1 • Retained foreign objects represent a serious and significant patient adverse … Chasing zero events of harm: an urgent call to expand safety culture work and customer engagement.