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cahps.ahrq.gov/news/newsroom/press-releases/carbon-emissions.html
September 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … AHRQ Social Media
AHRQ Stats
Impact Case Studies
Blog
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Events … Healthcare is both a significant contributor to climate change and responsible for managing the adverse … “Extreme weather events, declining air quality, and growing food and water insecurity now threaten healthcare
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-051017.pptx
January 01, 2017 - presentation
TEAMSTEPPS 05.2
Slide ‹#›
May TeamSTEPPS Monthly Webinar
2
Upcoming TeamSTEPPS Events … Set the tone for the training sessions
Be transparent about the Peri Op safety events & trends
Weave … May TeamSTEPPS Monthly Webinar
Changes Since TS Training
Increased reporting of patient safety events … Optimizing patient outcomes by early identification and resolution of patient safety concerns
Reducing adverse … patient events related to communication breakdowns and poor teamwork
TEAMSTEPPS 05.2
Slide ‹#›
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cahps.ahrq.gov/research/findings/studies/index.html?page=3
January 01, 2024 - 1279)
2015
(1430)
2014
(662)
2013
(195)
Topics
Access to Care
(417)
Adverse … Drug Events (ADE)
(321)
Adverse Events
(736)
Alcohol Use
(61)
Ambulatory Care and Surgery … Results of the Pediatric Care BefOre Deterioration Events (CODE) survey. … Results of the Pediatric Care BefOre Deterioration Events (CODE) survey. … Keywords: Provider: Pharmacist, Medication, Adverse Drug Events (ADE), Adverse Events, Medical Errors
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cahps.ahrq.gov/news/newsroom/case-studies/201411.html
August 01, 2014 - AHRQ Social Media
AHRQ Stats
Impact Case Studies
Blog
Newsletter
Events … Overall, the biggest areas of improvement included the survey domains "frequency of events reported," … Implementing "Just Culture Principles," which include creating an open and just environment, learning from adverse … events, implementing safe systems, and instituting safe behavioral choices. … For example, Mercy saw a significant decline in claims (and dollars spent) in obstetrics events, she
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cahps.ahrq.gov/health-literacy/improve/pharmacy/tools.html
January 01, 2024 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … (MTM) is a patient-centric and comprehensive approach to improve medication use, reduce the risk of adverse … events, and improve medication adherence.
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cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.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 … The comprehensive toolkit will allow hospitals to improve the management of patient safety events by … implementing processes that facilitate full disclosure of an adverse event, apology, and fair and rapid
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teamattitude.pdf
March 21, 2014 - Adverse events may be reduced by maintaining an
information exchange with patients and their families
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/carnahan.pdf
January 01, 2014 - Description
Antipsychotics have limited effectiveness in
dementia and increase risk of mortality and other
adverse … events.
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cahps.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Hospital management seems interested in patient safety only after an adverse event happens. … usually show interest in patient safety—they show interest in patient safety only when there is an adverse … Frequency of Events Reported
( More about this item: Refers to reports made to someone in authority … The term "rating" can be used instead of "grade." )
Number of Events Reported
(No event reports,
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
June 05, 2016 - difficult to determine if a change in a measure (e.g., increased length of stay,
increased reporting of adverse … events) is a sign of a performance problem, often because
multiple factors may contribute to such a … that are not expressed as rates
also can be used for monitoring, such as the occurrence of serious adverse … events (e.g., a
sentinel event) that would require immediate action, or counts of desirable (e.g.,
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cahps.ahrq.gov/patient-safety/settings/multiple/index.html
August 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 … PSOs can help providers develop successful approaches to improving quality and reducing adverse outcomes … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events is a resource to … help healthcare organizations detect, analyze, and learn from diagnostic safety events.
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cahps.ahrq.gov/teamstepps-program/resources/additional/index.html
September 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse … this technique, one tool in the TeamSTEPPS 3.0 training program, can improve communication, reduce adverse … events, and improve care quality.
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cahps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
February 01, 2019 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Antibiotics can cause harm to residents
High risk of side effects and adverse events. … of commitments and activities designed to "optimize the treatment of infections while reducing the adverse … events associated with antibiotic use."
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cahps.ahrq.gov/research/publications/search.html?page=0
January 01, 2024 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … considers how to most effectively elicit representative, in-depth narrative accounts of diagnosis-related events … enrich clinicians’ understanding of patient and family experience and reduce the harms that follow adverse … diagnostic events.
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cahps.ahrq.gov/research/publications/search.html
January 01, 2024 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … considers how to most effectively elicit representative, in-depth narrative accounts of diagnosis-related events … enrich clinicians’ understanding of patient and family experience and reduce the harms that follow adverse … diagnostic events.
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cahps.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
April 23, 2024 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Results
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure Patients’ Risk of Adverse … Events Higher in Poor-Performing Hospitals
January 30, 2024
New Tool Helps Manage Opioid
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cahps.ahrq.gov/news/newsletters/e-newsletter/index.html
April 30, 2024 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Results
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure Patients’ Risk of Adverse … Events Higher in Poor-Performing Hospitals
January 30, 2024
New Tool Helps Manage Opioid
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cahps.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
May 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … this section
News
Newsroom
Blog
AHRQ Views
Newsletter
Events … While these are reportable events, we can assume the risks are more widespread; safety events in many … Trends in adverse event rates in hospitalized patients. JAMA 2022 Jul 12;328(2):173-83.
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cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
August 01, 2019 - Reporting Patient Safety Events
(Never, Rarely, Sometimes, Most of the time, Always, Does Not Apply … Hospital management seems interested in patient safety only after an adverse event happens. … Reliability of this composite measure—Cronbach’s alpha (3 items) = .72
Number of Events Reported … In the past 12 months, how many patient safety events have you reported?
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cahps.ahrq.gov/teamstepps/instructor/scenarios/dental.html
March 01, 2014 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … This communication failure results in an adverse event. … If given to a pregnant woman, this medication can have adverse effects on the fetus.