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Showing results for "adverse events".
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241. New Data Resource Provides Insights on Factors Related to Falls | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/886.html
     October 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Falls are one of the most frequently reported patient safety events in the NPSD, second only to medication … or other substance events. … Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive

242. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsroom/case-studies/index.html
     February 01, 2024 - 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 … Impact Case Study Identifier: 2023-01 AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse … Drug Events (ADE), Care Coordination, Chronic Conditions, Clinician-Patient Communication, Diabetes,

243. 2021 National Healthcare Quality and Disparities Report: Executive Summary (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
     January 01, 2021 - The three measures that improved most reflect fewer adverse events in nursing homes (two measures) and … fewer adverse drug events involving the blood thinner heparin in hospital settings. … 2018, the incident rates of end stage renal disease due to diabetes decreased 48% from 526 to 273.1 events … Alaska Native, Black, and White populations, with respective incident rates of 273.1, 372.2, and 152.2 events … Hispanic communities were still more than double the rates in non-Hispanic White communities (142.8 events

244. Tool: Call-Out | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/teamstepps-program/curriculum/communication/tools/callout.html
     May 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Or a patient having wisdom teeth removed may have a strong adverse reaction to the sedation and require

245. Illinois Hospitals Use AHRQ's Patient Safety Culture Survey to Improve Quality | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsroom/case-studies/cquips0804.html
     October 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … The first is to share the results of surveys or data on adverse outcomes within a department.

246. Agency for Healthcare Research and Quality
     cahps.ahrq.gov/es/programs/index.html?page=3
     March 31, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now 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.

247. Patient and Family Engagement | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
     July 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … How to communicate an adverse event to patients and family members.

248. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
     May 01, 2017 - Defects (CUSP Element) Key Perinatal Safety Elements Examples Debrief and analyze near misses and adverse … events related to shoulder dystocia … · 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 … Sample scenario: · Shoulder dystocia · Shoulder dystocia training can be effective at reducing adverse

249. TeamSTEPPS Additional Video: Labor and Delivery: Successful Outcome Using TeamSTEPPS | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/teamstepps-program/resources/additional/labor.html
     July 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

250. Antibiotic Stewardship Slides, Part 2
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
     March 01, 2017 - about 40% of all prescriptions Antibiotics can cause harm to residents High risk of side effects and adverse … events Major risk factor for Clostridium difficile infection Driver of antibiotic resistance Prescribers … of commitments and activities designed to “optimize the treatment of infections while reducing the adverse … events associated with antibiotic use.” … commitments and activities designed to optimize the treatment of infections while reducing the harmful events

251. COVID-19 Vaccination | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/nursing-home/materials/vaccination/index.html
     September 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse … the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse

252. Improving Medication Safety for Older Adults | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/funding/grantee-profiles/grtprofile-chui.html
     March 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … As a result, adverse drug events (ADEs) are frequent, costly, and potentially life-threatening,” according

253. New Study Shows Reduced Antibiotic Use at Long-term Care Facilities Participating in HHS-funded Program | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
     February 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … facilities also significantly reduced use of fluoroquinolones , a class of antibiotics known to cause adverse

254. Medicare Pay-for-Performance Programs Not Linked to Consistent Quality, Safety Improvements | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/829.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: Accuracy of pressure ulcer events in US nursing home ratings . … Emergency department adverse events detected using the emergency department trigger tool .

255. Systemic and Public Policy Changes Needed To Improve Care for Patients With Psychiatric Conditions and Substance Use Disorders | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/847.html
     January 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving

256. Meeting Minutes, April 2019 | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
     July 01, 2019 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Careers Contact Us Español FAQs Home News Events … reducing the use of acute and institutional care, eliminating duplication of services, and reducing adverse … events resulting from conflicting management. … https://www.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html  

257. New Tool Helps Manage Opioid Use in Older Adults | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/898.html
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Hospital and associate professor of medicine at Harvard Medical School in Boston, is helping to reduce adverse … events during care transitions with digital health interventions that improve patient safety and outcomes … organizations and other groups can use these findings to improve how medication-related patient safety events

258. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
     May 01, 2017 - unit-established parameters for provider notification of EFM findings ensures that signs of potential adverse … Defects (CUSP Module) Key Perinatal Safety Elements Examples Debrief and analyze near misses and adverse … events and the contribution of EFM use, EFM interpretation, and communication of EFM findings · Unit … can decide its approach to debriefing events based on seriousness of event, expertise available, and … case reviews Have a process in place to review severe maternal or neonatal morbidity and mortality events

259. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
     January 01, 2020 - patient-level characteristics such as age, sex, type of AF, comorbidities, risk for stroke or bleeding events … utilization • Reduced medication use (e.g., need for anticoagulants, antiarrhythmic drugs) Harms or adverse … ) • In-hospital and 30-day stroke (any, by type), TIA • In-hospital and 30-day embolic events … vascular injury, infection leading to prolonged hospitalization or sepsis, pulmonary edema]) • Adverse … studies may be considered in the evaluation of harms if specifically designed to evaluate harms and/or adverse

260. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
     January 01, 2022 - lags far behind other types of patient safety events. … Unlike the types of safety events defined by existing Common Formats, diagnostic safety events tend … events) and to email written feedback within approximately 4 weeks. … The reliability of AHRQ Common Format Harm Scales in rating patient safety events. … A human factors and survey methodology-based design of a web-based adverse event reporting system for