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Showing results for "adverse events".
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361. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
     March 01, 2013 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … Pay special attention to medicines for which the adverse consequences of taking them incorrectly are … Interventions for patients reporting feeling worse since discharge due to primary discharge diagnosis, adverse

362. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsroom/case-studies/index.html?page=7
     January 01, 2016 - 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

363. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsroom/case-studies/index.html?page=6
     August 01, 2016 - 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

364. Selected Best Practices and Suggestions for Improvement (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
     May 20, 2016 - abdominal surgeries, and is associated with significant risk of mortality between 14% and 50%.1 Other adverse … events include prolonged length of stay, subsequent surgeries and incisional herniation.2,3 • Proper

365. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
     January 01, 2021 - Care 1 INTRODUCTION High rates of readmissions are a major patient safety problem associated with adverse … events such as prescribing errors and misdiagnoses of conditions in the hospital and ambulatory care … As the evidence base for reducing adverse events and readmission from the primary care setting grows … role of the primary care team in improving quality and safety for patients and reducing postdischarge adverse … events and potentially preventable readmissions.

366. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
     May 01, 2017 - L&D Unit Safety 30 Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse … events. … Have a process in place to review severe maternal or neonatal morbidity and mortality events. … Factors to consider: Unit and malpractice claims data suggesting adverse events or near misses related

367. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
     May 01, 2017 - parameters for provider notification and expectations for provider response ensures that signs of potential adverse … Defects (CUSP Module) Key Perinatal Safety Elements Examples Debrief and analyze near misses and adverse … events related to oxytocin use … · Unit can decide its approach to debriefing events based on seriousness of event, expertise available … Have a process in place to review severe maternal or neonatal morbidity and mortality events.

368. About Priority Populations | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/priority-populations/about/index.html
     June 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

369. SDOH Data and Analytics | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/sdoh/data-analytics.html
     July 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … security, transportation, financial strain, general well-being, social connectedness, physical safety, and adverse

370. Module 1: Preventing Falls in Hospitals—Slide Presentation | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
     September 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … 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.

371. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
     May 01, 2017 - Learn From Defects (CUSP Module) Key Perinatal Safety Elements Examples Debrief and analyze adverse … events related to cesarean section … · 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

372. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/teamstepps/instructor/scenarios/icu.html
     March 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Discuss how an unmanaged workload may lead to adverse outcomes for a patient.

373. TeamSTEPPS 2.0 Module 3: Communication
     cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule3.pptx
     December 01, 2005 - * 2010 - 2012: Ineffective communication among top 13 root causes of sentinel events reported ** * ( … JC Root Causes and Percentages for Sentinel Events (All Categories) January 1995−December 2005) ** (JC … As a patient safety officer, I covered all our sentinel events, as well as any other adverse events, … which may not have been sentinel events. … We use it in our adverse event reports.

374. Nursing Home Workplace Safety Resource List (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
     January 01, 2023 - page provides tips to encourage staff members to report conditions that could lead to near-misses or adverse … events.

375. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
     July 01, 2019 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Further, M+COs may not recognize the serious adverse health impact that inadequate linguistic services

376. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/ncepcr/care/coordination/mgmt.html
     August 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … between different locations (e.g., from hospital to primary care) are associated with increased risks of adverse … medication events, hospital readmissions, and higher health care costs. 25 Determining which transitions … such as medication reconciliation, assessment of adherence to treatment plans, and identification of adverse … events can facilitate intensified treatment and/or mobilize clinic supports.

377. Declines in Hospital-Acquired Conditions from 2014 to 2016 | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/data/infographics/hac-rates-decline.html
     August 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

378. Preventing Pressure Injuries in Hospitals
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.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. … Memo on never events, July 7, 2008.

379. Train-the-Trainer Instructor Guide | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
     October 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Slide Time: 5 minutes Say: To illustrate why LEP patients are at risk of patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot study. … is inspired by the 2006 book by John Kotter, Our Iceberg Is Melting: Changing and Succeeding Under Adverse … Our iceberg is melting: changing and succeeding under adverse conditions.

380. AHRQ Stats | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsroom/ahrq-stats.html
     November 01, 2023 - (Source: Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem Inflammatory … Measures showing the most improvement included reduced adverse events among hospital patients receiving … (Source: Healthcare Cost and Utilization Project Statistical Brief #237: Patient Safety and Adverse … Events, 2011 and 2014 .) … Events, 2011 and 2014 .)