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

381. Declines in Hospital-Acquired Conditions from 2014 to 2016 | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/data/infographics/hac-rates-decline.html
     August 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

382. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
     July 01, 2019 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Further, M+COs may not recognize the serious adverse health impact that inadequate linguistic services

383. AHRQ New Models of Primary Care Workforce and Financing - Executive Summary (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/workforce-executive-summary.pdf
     October 01, 2016 - traditional “promotora,” or health promoter, roles in the community, conducting outreach at community events … Cutting-edge innovation: Practices use screening tools such as the Adverse Childhood Events Survey to

384. Preventing Pressure Injuries in Hospitals
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
     June 16, 2017 - understanding that even small failures in safety protocols or processes can lead to catastrophic or adverse … events if action is not taken to solve the problem. … Memo on never events, July 7, 2008.

385. Train-the-Trainer Instructor Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.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.

386. TeamSTEPPS for Patients and Patient Engagement
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-march2013.pptx
     January 01, 2013 - Understanding role of patients in patient safety, as well as barriers to engaging patients, can help reduce adverse … events and improve quality of care Scobie and Persaud.

387. AHRQ Stats | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/ahrq-stats.html
     November 01, 2023 - (Source: Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem Inflammatory … Measures showing the most improvement included reduced adverse events among hospital patients receiving … (Source: Healthcare Cost and Utilization Project Statistical Brief #237: Patient Safety and Adverse … Events, 2011 and 2014 .) … Events, 2011 and 2014 .)

388. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
     July 01, 2018 - provide an overall grade on patient safety for their work area/unit and to indicate the number of events …  “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Hospital management seems interested in patient safety only after an adverse event happens ......... … Hospital management seems interested in patient safety only after an adverse event happens. … Frequency of Events Reported (Never, Rarely, Sometimes, Most of the time, Always) D1.

389. TeamSTEPPS Specialty Scenarios: ICU (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/icu.pdf
     March 19, 2014 - Discuss how an unmanaged workload may lead to adverse outcomes for a patient.

390. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … In addition, the toolkit can enable teams to address root causes of adverse events more effectively. … It investigates events or safety concerns, and determines an appropriate course of action with the employees

391. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
     December 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Percent know correct action for hypoglycemic symptoms 38 53.9 72.6 Slide 8 All Sentinel Events … limited health literacy: Poor compliance with medical management Increased risk of: Poor outcomes/adverse … events Infections/prolonged hospital stays Patient/family anxiety Slide 33 Summary: Health

392. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
     October 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … Root cause analysis is a systematic process during which all factors contributing to an adverse event … Surveys are also labor intensive and rely on staff members' recall of specific events.

393. Postdischarge Followup Phone Call Script (Patient Version) (pdf file)
     healthcare411.ahrq.gov/sites/default/files/publications/files/postdisphone.pdf
     February 14, 2013 - Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse … events.

394. Planning Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
     July 01, 2019 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Further, M+COs may not recognize the serious adverse health impact that lower levels of cultural competence

395. Selected Best Practices and Suggestions for Improvement (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
     May 17, 2016 - Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

396. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
     August 01, 2010 - Nurse shift changes require the successful transfer of information between nurses to prevent adverse … events and medical errors. … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … are on the Centers for Medicare and Medicaid Services’ list of hospital-acquired complications “never events … communication during nurse transitions, for example: Reduce the incidence of never events by 5 percent

397. Specific Tools To Support Change (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
     January 01, 2011 - • Sentinel events: transfusion reaction, wrong blood type, wrong-site surgery, foreign body left … in during procedure, medical equipment- related adverse events, medication errors … • Other care-related adverse events: patient falls, in-hospital hip fracture or fall http://www.oecd.org … Hospital of Philadelphia annually reviews all findings from root cause analyses of serious safety events … This electronic toolbox provides States with tools they can use or modify as they develop or improve adverse

398. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
     April 27, 2022 - The remaining 2 studies (Giardina et al29,30) analyzed existing data sets of patient reports of adverse … events and patient complaints, respectively. … Secondary analysis of patient reports of adverse Timeliness, accuracy, communication events ( … The determination of error depends on the temporal or sequential context of events. … Tracking Progress in improving diagnosis: a framework for defining undesirable diagnostic events.

399. OBC PPT Q4
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2018-materials/ts-obc-webinar-uw.pptx
     January 01, 2018 - patients experience a diagnostic error Paid medical liability claims (Bishop et al, 2013) Half arose from events … Paid malpractice claims for adverse events in inpatient and outpatient settings.

400. Slide 1
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-091317.pptx
     January 01, 2017 - Leaders Team Perceptions Annual Culture of Safety HCAHPS - Satisfaction Core Measures Incident Reports Adverse … Events Switch Model Identify Coaches and Leaders Fundamentals of TeamSTEPPS Simulation Involve Pt.