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Showing results for "adverse events".
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281. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
     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?

282. Implementation Quick Start Guide: Create a Safe Medicine List Together (pdf file)
     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?

283. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     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.

284. Staff Training Instructor Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.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.

285. Acknowledgments | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.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 … 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

286. Reducing Hospital Readmissions; Opportunity to Evaluate Diagnostic Safety Tool; New Patient Safety Research | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/827.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now 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

287. AHRQ’s Digital Healthcare Research Program: 20 Years of Innovation | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/blog/ahrqviews/ahrq-digital-healthcare.html
     February 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … It was an improbable endeavor to transform a field built on paper and adverse to change.

288. Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
     July 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 … If successful, maternal and neonatal adverse events will decrease.

289. Fall Prevention Toolkit (doc file)
     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.

290. AcademyHealth’s Annual Research Meeting: An Opportunity to Connect, Engage and Inspire | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/817.html
     May 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Articles featured this week include: Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced

291. Creating a Safe Medicine List: Patient Information/Reminder Flyer (pdf file)
     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

292. An Overview of the CANDOR Process
     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.

293. AHRQ Announces New Challenge Competition To Highlight the Impact of its Patient Safety Tools | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/867.html
     June 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study .

294. PS Grantee Report | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/final-reports/index.html?page=0
     June 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now 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

295. Grantee Final Reports: Patient Safety | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/final-reports/index.html
     June 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now 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

296. Data Resources | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/data/resources/index.html?page=4
     Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Data Resource Name Search   Filter by Topic Access to Care (4) Adverse … Events (1) Ambulatory (2) By Payer (2) By State (3) Children (3) Children (1)

297. Guiding Principles Help Healthcare Community Address Potential Bias Resulting From Algorithms | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/894.html
     December 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now 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.

298. Labor and Delivery Unit Safety (pdf file)
     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

299. About the Nursing Home Antimicrobial Stewardship Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/nhguide/about/index.html
     March 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now 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

300. AHRQ Evidence Reviews: Catalysts for Practice Change | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/blog/ahrqviews/epc-program-evidence-reviews.html
     January 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … That includes adverse effects resulting from the unnecessary use of antibiotics, like Clostridium difficile