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Showing results for "adverse events".
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261. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
     July 22, 2021 - IHS • Enhanced Adverse Event Reporting Capabilities: IHS Safety Tracking and Response (I-STAR) system

262. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
     April 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … Reconciliation Learn about the processes that help detect and prevent medication discrepancies and adverse … drug events.

263. AHRQ Views Blog: Helping Healthcare Systems Reduce Carbon Pollution | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/835.html
     October 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … this week include: The effect of a system-level tiered huddle system on reporting patient safety events … Understanding hazards for adverse drug events among older adults after hospital discharge: insights from

264. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/patients-families/index.html
     June 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … Reconciliation Learn about the processes that help detect and prevent medication discrepancies and adverse … drug events.

265. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/896.html
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

266. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Over time, the organization must continue to encourage frontline staff to report CANDOR events and other … adverse patient events by promoting transparency and a fair and just culture. … Celebrating staff for reporting CANDOR (and other) events, such as near misses and unsafe conditions. … Encourage your Team Leads to discuss actual CANDOR events to drive home important lessons.

267. Implementing Screening and Treatment of Unhealthy Alcohol Use During COVID-19 | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/blog/ahrqviews/unhealthy-alcohol-use-during-covid19.html
     April 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … spectrum of alcohol misuse from risky or hazardous drinking to alcohol use disorder, is associated with adverse

268. AHRQ News Now | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/index.html?page=1
     April 18, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Results News Newsroom Blog Newsletter AHRQ News Now Events … and Non-Hispanic Patients July 12, 2022 Major Study Shows Significant Drop in In-Hospital Adverse

269. AHRQ Views: 20 Years of Innovation From the Digital Healthcare Research Program | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/901.html
     February 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … comment): Documentation Burden AHRQ in the Professional Literature Decision-making during high-risk events … Guideline concordance and antibiotic-associated adverse events between Veterans Administration and non-Veterans

270. Ldusafety Facguide (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
     May 01, 2017 - L&D unit staff are able to focus on patient care and have confidence that untoward events (change in … Fostering a culture that supports debriefing by the clinical team immediately after a near miss, an adverse … event, or an otherwise complex episode of care. · A unit can decide its approach to debriefing events … Having a process in place to review severe maternal or neonatal morbidity and mortality events. · A unit … Factors to consider— Unit and malpractice claims data suggesting adverse events or near misses related

271. AHRQ-Funded Studies Highlight Dental Antibiotic Prescribing Trends | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/877.html
     August 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic

272. Nonadherence With Guidelines Associated With Cardiac Surgery Infection | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/873.html
     July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … the Society of Thoracic Surgeons’ (STS) postoperative cardiac surgery guidelines is associated with adverse … events, according to an AHRQ-funded study in the Journal of Thoracic and Cardiovascular Surgery .

273. Agency for Healthcare Research and Quality
     cahps.ahrq.gov/research/findings/studies/index.html?page=485
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … 1279) 2015 (1430) 2014 (662) 2013 (195) Topics Access to Care (417) Adverse … Drug Events (ADE) (321) Adverse Events (737) Alcohol Use (61) Ambulatory Care and Surgery

274. TeamSTEPPS Implementation Guide (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/implguide_0.pdf
     March 01, 2006 - Available organizational data, (e.g., adverse event and near miss reports, AHRQ Patient Safety Culture … that facilities may also use the Guide to develop TeamSTEPPS Action Plans in response to sentinel events …  You may start by doing simple counts of your target events or clinical outcomes and displaying … event or near miss = Rate of Labor & Delivery Adverse & Near-Miss Events Total number of patients … events or near misses) Who will be involved in the change?

275. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.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 … , and surgeon, along with a lack of familiarity with the new equipment as an important cause of the adverse

276. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
     December 01, 2020 - Version 2019.01 of the PSI software has 17 measures, in addition to 1 patient safety and adverse events … • Adverse events associated with surgical procedures. • Hospital-acquired infections. … drug events 2004-2007 and 2009-2017 ADE - IV Heparin Adverse drug events 2004-2007 and 2009-2017 ADE … - Low Molecular Weight Heparin Adverse drug events 2004-2007 and 2009-2017 ADE - Warfarin Adverse drug … Adverse events after total knee arthroplasty: a national Medicare study.

277. The Dartmouth Practice-based Research Network | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/ncepcr/communities/pbrn/registry/dartmouth-practice-based-research-network.html
     January 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … health or disease related issues: Use of Benzodiazephines/Benzodiazepine Agonists in Chronic Insomnia, Adverse

278. Funding HAI and Antibiotic Resistance Research | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/hai/hai-carb-funding.html
     November 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … determine the clinical efficacy and effectiveness of preventive interventions including unintended adverse

279. Introduction to the Fundamentals of TeamSTEPPS Concepts and Tools (Part 1 of 3)
     cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-071217.pptx
     January 01, 2017 - TEAMSTEPPS 05.2 Slide ‹#› 2 Upcoming TeamSTEPPS Events Master Training Courses Registration for … TEAMSTEPPS 05.2 Slide ‹#› A table shows the Most Frequently Identified Root Causes of Sentinel Events … Communication, and Leadership are in the top three positions for 2013, 2014, and 2015, totaling 79% of adverse … events. 13 TEAMSTEPPS 05.2 Slide ‹#› A team of experts becomes an Expert Team. 14 TeamSTEPPS … Situation: She’s having a lot of ABD events that are now requiring stimulation.

280. CANDOR Acknowledgments (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-acknowledgments.pdf
     September 14, 2017 - advance the implementation of a transparent and just response to those who have been injured due to an adverse … team at every phase of CANDOR development, including during tool synthesis, training, and stakeholder events