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Showing results for "adverse events".
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121. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
     September 01, 2016 - in the past 12 months, and about respondent perceptions of the frequency of events reported. … Watson Senior Vice President Michigan Health & Hospital Association 3 of adverse events and discussion … offers a way for PSO members to share accounts of patient safety events. … The alerts describe the reported events and provide information on how to prevent similar events. … Exploring relationships between hospital patient safety culture and adverse events.

122. Primary Care-Based Efforts To Reduce Potentially Preventable Readmissions | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
     December 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 … Readmissions High rates of readmissions are a major patient safety problem associated with adverse … events such as prescribing errors and misdiagnoses of conditions in the hospital and ambulatory care

123. Changing the System To Improve Antibiotic Safety | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/antibiotic-use/long-term-care/safety/system-change.html
     June 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Improve Antibiotic Safety – Facilitator Guide (DOCX, 2.3 MB) Learning From Antibiotic-Associated Adverse … Events  (DOCX, 226.7 KB) Page last reviewed June 2021 Page originally

124. AHRQ News Now | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/index.html?page=2
     April 05, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Results News Newsroom Blog Newsletter AHRQ News Now Events … ascending Top Story April 5, 2022 Dental Opioid Prescriptions Associated With Adverse … Patient-Generated Health Data Into Electronic Health Records February 8, 2022 Opioid Prescribing, Adverse … Change, Environmental Justice and AHRQ October 5, 2021 Drug Label Changes Could Reduce Adverse

125. Peer Support Interaction—Nurse: Video | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/candor/videos/nurses.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 … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … This video demonstrates an example of emotional support provided for the nurse caregiver after an adverse

126. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Slide 28: Communicating Adverse Events Say: Communication following an adverse event can been especially … Slide 30: How To Communicate About An Adverse Event Say: It is important to remember that residents … and family members can experience a number of emotions when an adverse event occurs, so communication … about an adverse event should be compassionate and sensitive.

127. AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsroom/case-studies/201509.html
     January 01, 2018 - AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … the technicians' work, the E.D. pharmacist can interpret the patient's medication history to look for adverse … events, one of the many reasons patients come to the E.D. … Study Identifier: 2015-09 AHRQ Product(s): Research Topic(s): Adverse … Drug Events (ADE), Outcomes, Patient Safety, Provider: Pharmacist Geographic

128. Understanding SOPS® Surveys: A Primer for New Users - Gray (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
     January 01, 2022 - Lower readmission rates2 Better financial performance/operating margin if they had an EHR 2 Lower adverse

129. How To Use the Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/how-to-use.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 … team members how to apply the Comprehensive Unit-based Safety Program (CUSP) to prevent obstetrical adverse … events.

130. TeamSTEPPS® 2.0 Leadership Briefing | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
     April 01, 2017 - drug events (from 30 to 18 per 1,000 patient days). … Outcome Score, which describes the adverse event score per delivery. … A 50% decrease in the Severity Index, which measures the average severity of each delivery with an adverse … events and close calls (VA Center for Patient Safety). … events and close calls.

131. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
     May 01, 2017 - This principle calls for L&D unit teams to evaluate their processes and learn from adverse events, … Rapid Response toolcall • In addition, clinical teams can debrief and analyze near misses and adverse … events, regardless of whether a rapid response was activated. … Consider these factors: o Unit data suggesting adverse events or near misses that may have been … • Regularly debrief after rapid response events, and solicit ongoing feedback from staff and patients

132. Rapid Response for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
     July 01, 2023 - This principle calls for L&D unit teams to evaluate their processes and learn from adverse events, errors … to the Rapid Response toolcall In addition, clinical teams can debrief and analyze near misses and adverse … events, regardless of whether a rapid response was activated. … debriefings, a regular forum with a multidisciplinary team for reviewing serious maternal or neonatal adverse … Consider these factors: Unit data suggesting adverse events or near misses that may have been minimized

133. TeamSTEPPS Limited English Proficiency Module: Evidence Summary (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepevidencesum.pdf
     January 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.

134. Patient Safety Organizations Program | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/cpi/about/otherwebsites/pso.ahrq.gov/index.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … the creation of PSOs and the development of Common Formats for uniform reporting of patient safety events … external experts who can assist providers in the collection, analysis, and aggregation of patient safety events … access to Common Formats (uniform definitions and reporting formats for collecting information about adverse … events).

135. Practice Improvement | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/practiceimprovement/index.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Prevention Tools to assist nursing homes that have electronic medical record systems to prevent adverse … events. … Communication and Optimal Resolution (CANDOR) Toolkit Process for practitioners to use when unexpected events

136. Morningbriefing (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
     August 07, 2012 - After receiving an update on the patients, proceed to Question II, unless there was an adverse event. … If an adverse event occurred, you should also use the Learn From Defects Form. II.

137. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
     November 01, 2021 - ............................................................................... 2 Descriptions of Events … • Patient safety concerns such as falls, pressure injuries, and adverse medication events were reported … Among the blood and blood product concerns (n = 10; 3.3%), there were three incidents involving an adverse … In two instances, adverse reactions to medications used to treat COVID-19 were identified. … intervention in place o Secondary patient morbidity • Surgery or anesthesia o Characteristics of surgical adverse

138. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
     July 01, 2023 - Slide 11: Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse events … Severe maternal or neonatal morbidity and mortality events. … Slide 24: Key Safety Elements: Learn From Defects Debrief near misses and adverse events related … Severe maternal or neonatal morbidity and mortality events. … Consider these factors: Unit data suggesting adverse events or near misses related to oxytocin, magnesium

139. Health Literacy Tools for Providers of Medication Therapy Management | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/health-literacy/improve/pharmacy/medication-mgt.html
     September 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … (MTM) is a patient-centric and comprehensive approach to improve medication use, reduce the risk of adverse … events, and improve medication adherence.

140. Hospital Survey on Patient Safety (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
     June 09, 2016 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … to ask questions when something does not seem right (1 (2 (3 (4 (5 SECTION D: Frequency of Events … Hospital management seems interested in patient safety only after an adverse event happens (1 (2 … Shift changes are problematic for patients in this hospital (1 (2 (3 (4 (5 SECTION G: Number of Events