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Showing results for "adverse events".
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81. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
    May 01, 2017 - Professional Liability EFM interpretation and management are a common issue in litigation involving adverse … events, and the contribution of EFM use, EFM interpretation, and communication of EFM findings. … Have a process in place to review severe maternal or neonatal morbidity and mortality events. … events 17 AHRQ Safety Program for Perinatal Care Electronic Fetal Monitoring 17 Unit Next Steps … Past adverse events related to EFM use Synergy with related or similar initiatives Interest and enthusiasm

82. Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/findings/studies/index.html?page=1
    January 01, 2024 - Drug Events (ADE) (321) Adverse Events (736) Alcohol Use (61) Ambulatory Care and Surgery … events. … events were rare. … Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse events. … Keywords: Medication: Safety, Medication, Patient Safety, COVID-19, Adverse Drug Events (ADE), Adverse

83. Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/findings/studies/index.html?page=2
    January 01, 2024 - Drug Events (ADE) (321) Adverse Events (737) Alcohol Use (61) Ambulatory Care and Surgery … events. … events were rare. … Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse events. … Keywords: Medication: Safety, Medication, Patient Safety, COVID-19, Adverse Drug Events (ADE), Adverse

84. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
    July 01, 2023 - unit-established parameters for provider notification of EFM findings ensures that signs of potential adverse … Informal debriefings can be used by the clinical team immediately following a near miss or actual adverse … Finally, unit staff should disclose any unintended outcomes related to EFM use using unit policy for adverse … events. … Past adverse events related to EFM use.

85. Resource List - AHRQ Hospital Survey (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
    April 01, 2023 - • Implement a Care for the Caregiver program for providers involved in adverse events. … • Investigate and analyze an adverse event to learn from it and prevent future adverse events. … These organizations consistently minimize adverse events despite carrying out intrinsically complex and … Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primers/primer … Patient Safety Primer: Medication Errors and Adverse Drug Events 23.

86. Major Hospital Quality Measurement Sets | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
    February 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … The Patient Safety Indicators (PSIs) identify adverse events occurring during hospitalization. … They provide information on potential in-hospital complications and adverse events following surgeries

87. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - Forty-five percent of the errors had adverse consequences. … events. … Confronting an adverse medical event collaboratively helped both patients and providers with patients … Patient perspectives of patient--provider communication after adverse events. … Adverse events in primary care identified from a risk- management database.

88. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
    ahrqpubs.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
    January 01, 2004 - Because oral anticoagulants are associated with preventable adverse events at disproportionately high … events,4, 37 such as thrombotic events (under-treatment) or bleeding (over- treatment). … events are common18 and warfarin is involved in preventable adverse drug events at rates disproportionate … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Adverse drug events in ambulatory care. NEJM 2003 348(16):1556– 64. 19.

89. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
    January 01, 2019 - events … • Implement a Care for the Caregiver program for providers involved in adverse events. … • Investigate and analyze an adverse event to learn from it and prevent future adverse events. … These organizations consistently minimize adverse events despite carrying out intrinsically complex … drug events (ADEs).

90. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
    October 01, 2017 - Perinatal Safety 13 Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse … events, regardless of whether a rapid response was activated Debrief among clinical team after rapid … Response Call Log can facilitate a debrief Have a process in place to review serious maternal or neonatal adverse … Consider these factors: Unit data suggesting adverse events or near misses that may have been minimized … Debrief regularly after rapid response events, and solicit ongoing feedback from staff and patients to

91. New Challenge Competition Launched To Update and Re-Create TeamSTEPPS Videos | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/813.html
    May 01, 2022 - section News Newsroom Blog Newsletter AHRQ News Now Events … Patient Safety found no evidence of the so-called “July Effect,” an increase in patient safety and adverse … events after the annual summertime resident changeover. … patient records abstracted and analyzed using the Medicare Patient Safety Monitoring System, changes in adverse … Identifying over-the-counter information to prioritize for the purpose of reducing adverse drug reactions

92. First-of-its-Kind Study Examines Disparities in Healthcare Costs and Outcomes of Cigarette Smoking in the United States | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsroom/press-releases/smoking-cessation-disparities.html
    December 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … policymakers conduct cost-benefit analyses that accurately reflect the burden of healthcare costs and adverse … “Disparities in medical spending, as well as adverse health outcomes, are continuing to increase over

93. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
    May 01, 2023 - events and close calls. … These organizations consistently minimize adverse events despite carrying out intrinsically complex … Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primers/primer … /23 A growing evidence base supports specific strategies to prevent adverse drug events (ADEs). … Patient Safety Primer: Medication Errors and Adverse Drug Events 9.

94. AHRQ's Quality & Patient Safety Programs by Setting: Hospital Labor and Delivery Units | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/index.html
    July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures.

95. Survey on Patient Safety (facility version) (doc file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
    November 15, 2019 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … to ask questions when something does not seem right (1 (2 (3 (4 (5 SECTION D: Frequency of Events … Management in this facility seems interested in patient safety only after an adverse event happens … Shift changes are problematic for patients in this facility (1 (2 (3 (4 (5 SECTION G: Number of Events

96. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    April 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Cards and Outcome Measurements Report Protocol Opioid Stewardship Report Protocol Reducing Adverse … Events Related to Anticoagulants Report Protocol Implicit Bias Training Report Protocol … Deprescribing Report Protocol Computerized Clinical Decision Support To Prevent Medication Errors and Adverse … Drug Events Report Protocol Failure To Rescue—Rapid Response Systems Report Protocol Prevention

97. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/findings/evidence-based-reports/search.html?page=1
    November 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Permanente Research Affiliates Report Status: Final Efficacy of Dental Services for Reducing Adverse … Events in Those Receiving Chemotherapy for Cancer Date: July 2023 Report Type: Rapid Evidence Product … Scientific Resource Center Report Status: Final Efficacy of Dental Services for Reducing Adverse … Events in Those Undergoing Insertion of Implantable Cardiovascular Devices Date: July 2023 Report

98. Defining the New AHRQ: A Race for 21st Century Care | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
    January 01, 2021 - billion), adverse drug events ($4.1 billion), and falls ($1.5 billion), while diagnostic errors have … By advancing our efforts to reduce these events, we can lessen these avoidable financial burdens and, … understanding where value is gained and lost, and incorporating strategies that are proven to reduce or prevent adverse … The 21 st Century Care Initiative presents a major opportunity to reduce preventable adverse medical … events and improve medication management through new, evidence-based, individualized care management

99. AHRQ Views: Biden Administration Tackles Financial Strains on Healthcare Consumers | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/892.html
    December 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Making Healthcare Safer IV will provide evidence on 11 additional safety topics, including reducing adverse … events related to anticoagulants, opioid stewardship and addressing fatigue and sleepiness of clinicians … Articles featured this week include: Prescription opioid dose reductions and potential adverse events

100. AHRQ News Now | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/index.html?page=2
     April 05, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Results News Newsroom Blog Newsletter AHRQ News Now Events … ascending Top Story April 5, 2022 Dental Opioid Prescriptions Associated With Adverse … Patient-Generated Health Data Into Electronic Health Records February 8, 2022 Opioid Prescribing, Adverse … Change, Environmental Justice and AHRQ October 5, 2021 Drug Label Changes Could Reduce Adverse