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Showing results for "adverse events".
Users also searched for: patient safety indicators

141. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
     November 01, 2021 - ............................................................................... 2 Descriptions of Events … • Patient safety concerns such as falls, pressure injuries, and adverse medication events were reported … Among the blood and blood product concerns (n = 10; 3.3%), there were three incidents involving an adverse … In two instances, adverse reactions to medications used to treat COVID-19 were identified. … intervention in place o Secondary patient morbidity • Surgery or anesthesia o Characteristics of surgical adverse

142. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
     July 01, 2023 - Slide 11: Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse events … Severe maternal or neonatal morbidity and mortality events. … Slide 24: Key Safety Elements: Learn From Defects Debrief near misses and adverse events related … Severe maternal or neonatal morbidity and mortality events. … Consider these factors: Unit data suggesting adverse events or near misses related to oxytocin, magnesium

143. Health Literacy Tools for Providers of Medication Therapy Management | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/health-literacy/improve/pharmacy/medication-mgt.html
     September 01, 2020 - Studies Blog AHRQ Views Newsletter 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.

144. Hospital Survey on Patient Safety (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
     June 09, 2016 - · “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 … Hospital management seems interested in patient safety only after an adverse event happens (1 (2 … Shift changes are problematic for patients in this hospital (1 (2 (3 (4 (5 SECTION G: Number of Events

145. TeamSTEPPS Additional Video: SBAR in Inpatient Medical Teams | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps-program/resources/additional/sbar.html
     July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … how this technique, one tool in the TeamSTEPPS training program, can improve communication, reduce adverse … events, and improve care quality.

146. Register Now: July 25 Webinar by National Action Alliance Will Address Involving Patients and Families in Safety | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/872.html
     July 01, 2023 - process can enrich clinicians’ understanding of patient and family experience and reduce harms following adverse … diagnostic events. … It describes the most effective ways of eliciting fulsome accounts about diagnosis-related events and … emergency departments to provide nonemergency care to residents, potentially placing residents at risk of adverse … events and generating wasteful Medicare spending.

147. Understanding SOPS® Surveys: A Primer for New Users - Gray (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
     January 01, 2022 - Lower readmission rates2 Better financial performance/operating margin if they had an EHR 2 Lower adverse

148. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
     October 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Her team found that 10 percent of children with leukemia or lymphoma experienced adverse drug events

149. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/index.html?page=4
     June 01, 2017 - 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 … Study Identifier: 2017-10 AHRQ Product(s): Comprehensive Unit-based Safety Program (CUSP) Topic(s): Adverse … Drug Events (ADE), Healthcare Costs, Healthcare-Associated Infections (HAIs), Hospital Readmissions, … Safety Program (CUSP), Patient Safety Organization (PSO), Re-Engineered Discharge (RED) Topic(s): Adverse

150. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/about/areas.html
     February 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Learn about Patient Safety Patient Safety and Quality Areas Patient Safety News and Events … Team Training Falls Pressure Ulcers Diagnostic Safety Blood Clot Prevention and Treatment Adverse … Drug Events AHRQ Quality Indicators (QIs) Page last reviewed February

151. AHRQ Views Blog: Long COVID Is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/856.html
     March 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … Articles featured this week include: Automated capture of intraoperative adverse events using artificial … Near-miss events detected using the emergency department trigger tool . … Effect of apneic oxygenation with intubation to reduce severe desaturation and adverse tracheal intubation-associated … events in critically ill children.

152. Well-Child Visits on the Rise, But Disturbing Gaps Remain for Underserved Populations | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/828.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … and introduces Measure Dx , a new evidence-based tool that helps users identify diagnostic safety events … Drug-drug interactions are responsible for up to 14 percent of adverse drug reactions in hospitalized … Articles featured this week include: Quality measures for patients at risk of adverse outcomes in the

153. Create a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Assessment Form  (DOCX, 330 KB) Implementation Guide  (PDF, 402 KB) Learning From Antibiotic–Associated Adverse … Events Form (DOCX, 227 KB) Gap Analysis Tool  (DOCX, 382 KB) The Four Moments of Antibiotic Decision

154. Hospital Survey on Patient Safety (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
     December 22, 2017 - • “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … 1 2 3 4 5 SECTION D: Frequency of Events Reported In your hospital work area/unit, when the … Hospital management seems interested in patient safety only after an adverse event happens ....... … 1 2 3 4 5 SECTION G: Number of Events Reported In the past 12 months, how many event reports

155. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
     April 01, 2011 - ------------------------------------------------------------------- 9 How to prevent adverse events … one study.1 Of these adverse events, three-quarters could have been prevented or ameliorated. … At this time, no consensus exists on the single best method to prevent adverse events after discharge … The incidence and severity of adverse events affecting patients after discharge from the hospital. … How to prevent adverse events after discharge How does the IDEAL Discharge Planning strategy improve

156. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
     April 01, 2011 - 9 How to prevent adverse events after discharge 11 How does the IDEAL Discharge Planning strategy improve … study.1 Of these adverse events, three-quarters could have been prevented or ameliorated. … How to prevent adverse events after discharge Many of the challenges described above can be attributed … At this time, no consensus exists on the single best method to prevent adverse events after discharge … The incidence and severity of adverse events affecting patients after discharge from the hospital.

157. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
     December 01, 2017 - mortality for pediatric surgical procedures Rates of potentially avoidable complications and adverse … for Selected Procedures) IQI 91 (Mortality for Selected Conditions) PSI 90 (Patient Safety and Adverse … Events Composite) PDI 19 (Pediatric Patient Safety for Selected Indicators) are not in ICD-10 v6.0 … Consider inserting here the deidentified story of a patient who suffered the adverse event captured by … References Slide 48 Sample Best Practices Pressure ulcers represent an important patient adverse

158. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-roster-2023dec.pdf
     December 21, 2023 - Medical Officer Name Department/Agency Title Michael Lee, Pharm.D., BCPS, CAPT, USPHS IHS IHS Adverse … Events Coordinator, IHS Office of Quality, Division of Quality Assurance and Patient Safety Phillippe

159. Patient Narratives Can Catalyze Staff Improvement and Bolster Survey Scores | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/900.html
     February 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Reducing Adverse Events Related to Anticoagulants . Implicit Bias Training . Deprescribing . … Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events .

160. Selected Best Practices and Suggestions for Improvement (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
     May 20, 2016 - multidisciplinary review is required to identify system processes that may result in failures in care, adverse … events, and mortality … department within 3 days of discharge ∗ Death associated with drug reaction ∗ Death associated with adverse … department within 3 days of discharge ∗ Death associated with drug reaction ∗ Death associated with adverse … Summary data of sentinel events reviewed by The Joint Commission.