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healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - 70% ---- ----
New
2.0 item
Hospital management seems interested in
patient safety only after an adverse … (F3R)
Hospital management seems interested in
patient safety only after an adverse event
happens. … safety events have you reported? … (F3R)
Hospital management seems
interested in patient safety only
after an adverse event happens … safety events have you
reported?
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-quickstart-final508.pdf
April 04, 2018 - implementors and use them
as peer coaches.
6 Evaluate your progress
Evaluate effectiveness
� How many adverse … drug events occur pre-
and post-implementation?
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healthcare411.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.
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healthcare411.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
October 01, 2020 - Studies
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AHRQ Views
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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.
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healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
August 01, 2022 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … 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
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/827.html
August 01, 2022 - Studies
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Events … section
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Events … include:
The effect of structured medication review followed by face-to-face feedback to prescribers on adverse … drug events recognition and prevention in older inpatients - a multicenter interrupted time series study
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healthcare411.ahrq.gov/news/blog/ahrqviews/ahrq-digital-healthcare.html
February 01, 2024 - Studies
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Events … this section
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Events … It was an improbable endeavor to transform a field built on paper and adverse to change.
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healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
July 01, 2023 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … If successful, maternal and neonatal adverse events will decrease.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
March 01, 2013 - . † Adverse outcomes (a) Firm mattresses; low beds; appropriate chair heights and depths for easy transfer … and falls prevention) simultaneously and found an overall positive effect on the development of any adverse … However, Oliver and colleagues also note “so little empiric evidence on adverse effects of fall prevention … Fewer adverse events as a result of the SAFE or SORRY? … events.
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/817.html
May 01, 2022 - Studies
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Events … section
News
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Events … Articles featured this week include:
Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
April 12, 2018 - .
■ Answer your questions.
1 in 9
emergency
department admissions
are related to an
adverse drug
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
August 20, 2015 - improvement metrics, which allows for improvement of CANDOR processes, and prevention of similar harm 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.
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/867.html
June 01, 2023 - Studies
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Events … section
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Events … The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study .
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healthcare411.ahrq.gov/research/findings/final-reports/index.html?page=0
June 01, 2023 - Studies
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Events … : Older Adults Publication Date: August 2022
Management of Direct Anticoagulants to Lower Adverse … Events in Atrial Fibrillation (MODL-AF) ( application/pdf 412143 ) Principal Investigators: King
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healthcare411.ahrq.gov/research/findings/final-reports/index.html
June 01, 2023 - Studies
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Events … : Older Adults Publication Date: August 2022
Management of Direct Anticoagulants to Lower Adverse … Events in Atrial Fibrillation (MODL-AF) ( application/pdf 412143 ) Principal Investigators: King
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healthcare411.ahrq.gov/data/resources/index.html?page=4
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Filter by Topic
Access to Care
(4)
Adverse … Events
(1)
Ambulatory
(2)
By Payer
(2)
By State
(3)
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(1)
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/894.html
December 01, 2023 - Studies
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Events … section
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Events … region, is applying a human factors engineering approach to healthcare delivery to reduce patient safety events … including a toolkit to help introduce emergency medicine clinical pharmacist programs to hospitals to avoid adverse … drug events in emergency department patients.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - L&D unit staff are
able to focus on patient care and have
confidence that untoward events (change in … order; this is done to ensure
that no steps are missed rather than to
dictate a rigid sequence of events … Fostering a culture that supports
debriefing by the clinical team
immediately after a near miss, an
adverse … • Having a process in place to review
severe maternal or neonatal morbidity
and mortality events … Factors to consider—
o Unit and malpractice claims data
suggesting adverse events or near
misses
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healthcare411.ahrq.gov/nhguide/about/index.html
March 01, 2023 - Studies
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Events … resident over the study period and, when taking into consideration the potential costs of treating adverse … health events, the cost savings was $1,098 per resident. 2
Why Is Antimicrobial Stewardship Important
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healthcare411.ahrq.gov/news/blog/ahrqviews/epc-program-evidence-reviews.html
January 01, 2022 - Studies
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Events … this section
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Events … That includes adverse effects resulting from the unnecessary use of antibiotics, like Clostridium difficile