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

221. AHRQ Safety Program for Perinatal Care: Safe Medication Administration (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
     May 01, 2017 - L&D unit staff are able to focus on patient care and have confidence that untoward events (change … learning from defects for oxytocin administration include— • Debriefing and analyzing near misses and adverse … safety elements of learning from defects are the same as for oxytocin: • Debriefing near misses and adverse … events related to magnesium sulfate use … Consider these factors: - Unit data suggesting adverse events or near misses related to oxytocin

222. Ohio Veterans’ Facility Relied on AHRQ Resource to Develop Diabetes Initiative | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/202301.html
     March 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse … Drug Events (ADE), Care Coordination, Chronic Conditions, Clinician-Patient Communication

223. At the American Society of Health Economists Conference, AHRQ to Highlight Its Deep Dive into COVID-19 | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/blog/ahrqviews/deep-dive-into-covid19.html
     June 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … healthcare is understanding and quantifying the impacts of the COVID-19 pandemic and how we can mitigate the adverse … effects of these kinds of catastrophic events in the future. 

224. TeamSTEPPS Teamwork Attitudes Questionnaire (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
     May 31, 2023 - Adverse events may be reduced by maintaining an information exchange with patients and their families

225. AHRQ Tools Help Wisconsin Hospitals Post Big Quality, Safety Gains | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/201527.html
     September 01, 2015 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … WHA achieved that goal for its work to improve adverse drug events and early elective deliveries. … In 2013, for example, nearly 1,800 improvement teams logged into more than 100 web-based learning events

226. Obsrounds (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
     August 07, 2012 - Poor communication among staff is a root cause of many patient adverse and sentinel events.

227. Previous TeamSTEPPS Webinars: 2013 | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/webinars/previous-webinars-2013.html
     August 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Identify common causes of adverse events for LEP and culturally diverse patients. … strategies for improving detection of medical errors and preventing high-risk scenarios from becoming safety events … Provide an approach to preventing safety events through the use of TeamSTEPPS tools.

228. Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/studies/index.html?page=480
     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 (736) Alcohol Use (61) Ambulatory Care and Surgery … Keywords: Opioids, Medication, Substance Abuse, Screening, Adverse Drug Events (ADE), Adverse Events

229. Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/studies/index.html?page=481
     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 … Keywords: Opioids, Medication, Substance Abuse, Screening, Adverse Drug Events (ADE), Adverse Events

230. 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.

231. Implementation Quick Start Guide: Medication Management (Half-Page) (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
     December 15, 2016 - medication reconciliation and medication management are well documented.2-5 One study found that adverse … drug events result in as many as 4.5 million ambulatory visits (office and emergency department) each … It will also help you identify patient behaviors that may be putting them at risk for an adverse drug … with patients and families to prepare the medication list and identify patients at risk for safety events … Adverse drug events in U.S. adult ambulatory medical care.

232. Team Training in Healthcare and TeamSTEPPS at Johns Hopkins
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-dec2013.pptx
     January 01, 2013 - Healthcare & TeamSTEPPS at JHU TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS Upcoming TeamSTEPPS Events … in pt. harm (Abstoss et al., 2011) Rates of RRS activations that resulted in codes (Donahue, 2011) Adverse … Use of evidence-based practice Handoffs Efficiency Reduced care delays Decision time Safety outcomes Adverse … events with teamwork and communication related root causes Infection rates Other harm related outcomes

233. 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.

234. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - events and close calls. … events, and near-misses. … events. … • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement. … drug events (ADEs).

235. Practice-Based Research Networks (PBRNs) | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
     September 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Field testing of a new ambulatory care electronic Medication Errors and Adverse Drug Events Reporting

236. TeamSTEPPS 2.0 Module 10: Measurement
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule10.pptx
     January 01, 2004 - Slide 19) Measure Level IV - Results Provide information on potential in-hospital complications and adverse … events Can help identify potential adverse events that might need further study Include indicators … The PSIs are a set of measures that provide information about potential in-hospital complications and adverse … events following surgeries, other hospital or care procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse events that might require further study

237. New Data Resource Provides Insights on Factors Related to Falls | Agency for Healthcare Research and Quality
     healthcare411.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

238. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     healthcare411.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,

239. TeamSTEPPS in Long-Term Care (LTC): Financial and Safety Benefits of Implementing TeamSTEPPS in Nursing Homes and LTC Facilities
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
     January 01, 2013 - TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS TeamSTEPPS in Long-Term Care Analysis of sentinel events … failure cited as a primary contributing factor in nearly 80 % of over 6,000 root cause analyses of adverse … events and close calls. 17 (Cost) Benefits of TeamSTEPPS Decreased malpractice claims Decreased … insurance premiums Decreased litigation Reduced rate of adverse drug events (from 30 to 18 per 1,000 … TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS TeamSTEPPS in Long-Term Care Upcoming TeamSTEPPS Events

240. 2021 National Healthcare Quality and Disparities Report: Executive Summary (pdf file)
     healthcare411.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