Results

Total Results: 523 records

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

  1. healthcare411.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
    September 01, 2013 - Safety and Adverse Events 3 Introduction and Welcome This enhanced protocol is … from the manufacturer show that less than 1 percent of patients in clinical trials withdrew due to adverseevents. … /denominator of ICU patient days) by 1,000 = total events per 1,000 ICU patient days. … Product Safety and Adverse Events Chlorhexidine (CHG) Risk The risks associated with the use
  2. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
    August 01, 2010 - Nurse shift changes require the successful transfer of information between nurses to prevent adverseevents and medical errors. … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … 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
  3. healthcare411.ahrq.gov/cpi/about/35th-anniversary/index.html
    April 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Hospital-Acquired Conditions show that national efforts to reduce hospital-acquired conditions, such as adverse … drug events and injuries from falls, helped prevent an estimated 8,000 deaths and save $2.9 billion
  4. healthcare411.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.html
    March 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events
  5. healthcare411.ahrq.gov/hai/cusp/modules/spread/notes.html
    December 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Ask: How did the pilot CUSP team make a case for their project targeting adverse drug events?
  6. healthcare411.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html
    April 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … safety, leadership, interpersonal interactions, attitudes toward stress, and knowledge of how to report adverseevents ( Sexton, et al., 2006 ). … The 50-item T-TPQ was tested and refined during three critical events: cognitive interviews, small group
  7. Spreadnotes (doc file)

    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
    August 28, 2012 - ASK: · How did the pilot CUSP team make a case for their project targeting adverse drug events?
  8. healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - physician to observe overt and many times more subtle clues, such as changes in vital signs, sensorium, or events … physician by presenting a case and receiving feedback.42 The study reported a significant reduction in adverseevents and near- misses,42 suggesting that distributed cognition played a role by having the physician … Effect of systematic physician cross-checking on reducing adverse events in the emergency department
  9. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
    July 12, 2017 - We understand that even small failures in safety protocols can lead to catastrophic or adverse events
  10. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.docx
    September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe and … receive professional interpretation services.3 Hospitals have been held liable for LEP patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot study.
  11. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.docx
    September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe and … receive professional interpretation services.3 Hospitals have been held liable for LEP patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot study.
  12. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
    August 01, 2005 - Objective information can originate from a variety of sources, including adverse event and near-miss
  13. healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
    August 01, 2005 - Objective information can originate from a variety of sources, including adverse event and near-miss
  14. healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
    September 02, 2022 - Discuss the associated tasks and thought processes taking place during those events. 4 Domain 3: … SBAR),27-30 to structure communication with physicians and other diagnostic team members and reduce adverseevents. … in their day-to-day operations. 7 e Any safety events or “good catches” identified from these … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events. July 2022.
  15. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
    June 16, 2017 - understanding that even small failures in safety protocols or processes can lead to catastrophic or adverseevents if action is not taken to solve the problem.
  16. healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
    September 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … We understand that even small failures in safety protocols can lead to catastrophic or adverse events
  17. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docx
    April 30, 2013 - opportunities where they can interact with the health care team This handout gives information on routine events … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … Communicating to Improve Quality strategy may also help to meet other goals related to patient safety and never events
  18. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.pdf
    September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe and … professional interpretation services. 3 Hospitals have been held liable for LEP patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot study.
  19. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.pdf
    September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe … professional interpretation services. 3 Hospitals have been held liable for LEP patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot study.
  20. healthcare411.ahrq.gov/funding/process/study-section/prrvmtgs.html
    March 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

You selected to view results for the following site: