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ahrqpubs.ahrq.gov/cpi/about/35th-anniversary/index.html
April 01, 2024 - Studies
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Events … Hospital-Acquired Conditions show that national efforts to reduce hospital-acquired conditions, such as adverse … drug events and injuries from falls, helped prevent an estimated 8,000 deaths and save $2.9 billion
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ahrqpubs.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.html
March 01, 2023 - Studies
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Events … Primary Care Settings
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
August 28, 2012 - ASK:
· How did the pilot CUSP team make a case for their project targeting adverse drug events?
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - physician to observe overt and
many times more subtle clues, such as changes in vital signs, sensorium, or events … physician by presenting
a case and receiving feedback.42 The study reported a significant reduction in adverse … events and near-
misses,42 suggesting that distributed cognition played a role by having the physician … Effect of systematic physician cross-checking on reducing adverse events in the emergency
department
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - We understand that even small failures in safety protocols can lead to catastrophic or adverse events
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
August 01, 2005 - Objective information
can originate from a variety of sources, including adverse event and near-miss
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
August 01, 2005 - Objective information
can originate from a variety of sources, including adverse event and near-miss
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - understanding that even small failures in safety protocols or processes can lead to catastrophic or adverse … events if action is not taken to solve the problem.
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
September 01, 2017 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … We understand that even small failures in safety protocols can lead to catastrophic or adverse events
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - • Pressure ulcers represent an important patient adverse event that is associated with significant
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ahrqpubs.ahrq.gov/funding/process/study-section/prrvmtgs.html
March 01, 2024 - Studies
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Events
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ahrqpubs.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
December 01, 2012 - Studies
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Events … Quality/Safety
Say:
Nurse managers should obtain data on quality outcomes and adverse events monthly
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
April 30, 2013 - where
they can interact
with the health care
team
• This handout gives information on routine events … One study found that more than 70 percent of adverse
events are caused by breakdowns in communication … to Improve Quality strategy may also help to meet other goals
related to patient safety and never events
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ahrqpubs.ahrq.gov/funding/priorities-contacts/special-emphasis-notices/index.html
November 01, 2023 - Studies
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Events
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ahrqpubs.ahrq.gov/policy/eeo/index.html
February 01, 2024 - Studies
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Events
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ahrqpubs.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1evidencebase.html
March 01, 2014 - Studies
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Events … Our iceberg is melting: changing and succeeding under adverse conditions. New York: St.
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ahrqpubs.ahrq.gov/funding/process/dates/index.html
September 01, 2023 - Studies
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Events
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ahrqpubs.ahrq.gov/policymakers/hrqa99b.html
October 01, 2014 - Studies
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Events … increase in the appropriate use of drugs, biological products, or devices; and (II) the prevention of adverse
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ahrqpubs.ahrq.gov/downloads/pub/advances/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
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ahrqpubs.ahrq.gov/funding/policies/polfrnot/index.html
July 01, 2014 - Studies
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Events