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healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
November 01, 2022 - Studies
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Events … The preventable harms for these medication errors include adverse drug events (ADEs), unscheduled hospital
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healthcare411.ahrq.gov/sdoh/about.html
February 01, 2020 - Studies
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Events … Trauma (e.g., adverse childhood experiences, domestic violence, elder abuse).
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/861.html
April 01, 2023 - Studies
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Events … section
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Events … Understanding patient and clinician reported nonroutine events in ambulatory surgery. … Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/854.html
March 01, 2023 - Studies
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Events … section
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Events … non-Hispanic Black adult hospital patients who received a hypoglycemic agent experienced a related adverse … In 2019, the rate of severe maternal morbidity events was 12.3, 8.7 and 8.2 per every 1,000 delivery
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/770.html
June 01, 2021 - Studies
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Events … section
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Events … Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/820.html
June 01, 2022 - Studies
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Events … section
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Events … featured this week include:
Improving the approach to defining, classifying, reporting and monitoring adverse … events in seriously ill older adults: recommendations from a multi-stakeholder convening .
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/814.html
May 01, 2022 - Studies
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Events … section
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Events … Risk of tizanidine-induced adverse events after concomitant exposure to ciprofloxacin: a cohort study
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healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - L&D unit staff are able to focus on patient care and have confidence that untoward events (change in … Fostering a culture that supports debriefing by the clinical team immediately after a near miss, an adverse … A unit can decide its approach to debriefing events based on the seriousness of the event, expertise … Having a process in place to review severe maternal or neonatal morbidity and mortality events. … Factors to consider—
Unit and malpractice claims data suggesting adverse events or near misses related
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
April 10, 2018 - • Adverse drug events
• Unsafe medicine issues
• Medicine adherence
• Satisfaction
• Reported use … We will use several measures to evaluate effectiveness:
How many adverse drug events occur pre- and
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healthcare411.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
December 01, 2023 - Studies
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Events … Español
FAQs
Home
Patient Safety
Patient Safety News and Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … former Director of the Center for Quality Improvement and Patient Safety, highlights some of the planned events … https://www.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - The board’s tracking of adverse events and delineated types of errors (including near misses) -
focus … ensure they have/are part of QAPI efforts where
appropriate and understand how to identify and report events … complaints in
cardiology and cardiac
surgery
• Patient mortality triple
the norm and rise in
adverse … events and
claims (often lagging
indicators)
• Patient complaints
• Culture of Non-
transparency … • Could a department hide
embarrassing events from
management and the board?
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healthcare411.ahrq.gov/evidencenow/projects/alcohol/index.html
November 01, 2023 - Studies
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Events … It is associated with adverse effects on physical and mental health.
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/819.html
June 01, 2022 - Studies
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Events … section
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Events … this week include:
Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse … drug events and health care expenditures .
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
May 22, 2013 - • Nearly 20 percent of patients experience an adverse event
within a month of discharge, of which ¾ … could be prevented
• Common complications post-discharge are adverse drug
events, hospital-acquired
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healthcare411.ahrq.gov/data/infographics/index.html
March 01, 2024 - Studies
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Events … Family Premiums for Employer-Sponsored Health Insurance
Growing Pain of Spinal Stenosis
Adverse … Drug Events Occurring in U.S.
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/906.html
March 01, 2024 - Studies
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Events … section
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Events … treatment options and have the strongest evidence base for improving ADHD symptoms but are associated with adverse … events, such as appetite suppression.
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healthcare411.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
July 01, 2022 - Studies
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Events … Español
FAQs
Home
Patient Safety
Patient Safety News and Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … https://www.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2014-materials/teamstepps-monthly-webinar-dec2014.pptx
January 01, 2014 - 1 05.2 Page ‹#›
TeamSTEPPS®
TeamSTEPPS for Patients
Slide ‹#›
11
Research Aims
Identify L&D events … (Mutual Support)
Adverse events may be reduced by maintaining an information exchange with patients and … TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS®
TeamSTEPPS for Patients
Slide ‹#›
Upcoming TeamSTEPPS Events
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healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module10/igmeasure.html
March 01, 2014 - Studies
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Events … PSIs are a set of measures that provide information about potential in- hospital complications and adverse … events (outcomes) following surgeries, procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse events that might require further study … Such events can be mitigated with the implementation of TeamSTEPPS tools and strategies.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/igmeasure.pdf
January 01, 2004 - PSIs
are a set of measures that provide information about potential in-
hospital complications and adverse … events (outcomes) following
surgeries, procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse
events that might require further … also include
indicators for complications occurring in-hospital that may
represent patient safety events … Such events can be mitigated
with the implementation of TeamSTEPPS tools and strategies.