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

201. AHRQ Welcomes Your Comments on Draft Report to Congress about Improving Patient Safety | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/blog/ahrqviews/comments-pso-draft-report.html
     February 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … Although we still see too many events such as adverse drug reactions, infections, or falls, momentum

202. AHRQ Releases Primer for Reducing Healthcare Carbon Emissions | Agency for Healthcare Research and Quality
     healthcare411.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 Newsletter 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

203. Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge Planning | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy4/index.html
     December 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … requires the successful transfer of information from clinicians to the patient and family to reduce adverse … events and prevent readmissions.

204. Mercy Health Uses AHRQ's Patient Safety Culture Survey and TeamSTEPPS® to Enhance Care | Agency for Healthcare Research and Quality
     healthcare411.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

205. Agency for Healthcare Research and Quality
     healthcare411.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

206. Research on Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/diagnostic-safety/research/index.html
     March 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Learning more about the link between diagnostic errors and outcomes, including adverse events.

207. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
     healthcare411.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

208. TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) (pdf file)
     healthcare411.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

209. Improving Antipsychotic Appropriateness in Dementia Patients (pdf file)
     healthcare411.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.

210. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
     healthcare411.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,

211. AHRQ Health Literacy Tools for Use in Pharmacies | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/health-literacy/improve/pharmacy/tools.html
     January 01, 2024 - 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.

212. Monitoring Progress for Sustainable Improvement (pdf file)
     healthcare411.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.,

213. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality
     healthcare411.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.

214. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
     healthcare411.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?

215. Multiple Settings | Agency for Healthcare Research and Quality
     healthcare411.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.

216. Medication Management Strategy: Intervention | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.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 … These tools will also help to identify patient behaviors that may be putting patients at risk for an adverse

217. Additional Videos for TeamSTEPPS 3.0 | Agency for Healthcare Research and Quality
     healthcare411.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.

218. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     healthcare411.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.

219. Agency for Healthcare Research and Quality
     healthcare411.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.

220. Agency for Healthcare Research and Quality
     healthcare411.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.