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Showing results for "adverse events".
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141. TeamSTEPPS Additional Video: SBAR in Inpatient Medical Teams | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps-program/resources/additional/sbar.html
     July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … how this technique, one tool in the TeamSTEPPS training program, can improve communication, reduce adverse … events, and improve care quality.

142. Register Now: July 25 Webinar by National Action Alliance Will Address Involving Patients and Families in Safety | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/872.html
     July 01, 2023 - process can enrich clinicians’ understanding of patient and family experience and reduce harms following adverse … diagnostic events. … It describes the most effective ways of eliciting fulsome accounts about diagnosis-related events and … emergency departments to provide nonemergency care to residents, potentially placing residents at risk of adverse … events and generating wasteful Medicare spending.

143. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
     October 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Her team found that 10 percent of children with leukemia or lymphoma experienced adverse drug events

144. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsroom/case-studies/index.html?page=4
     June 01, 2017 - User Liaison Program (ULP) (4) WebM&M (5) Topics Access to Care (14) Adverse … Drug Events (ADE) (5) Asthma (2) Behavioral Health (16) Blood Clots (15) Blood Thinners … Study Identifier: 2017-10 AHRQ Product(s): Comprehensive Unit-based Safety Program (CUSP) Topic(s): Adverse … Drug Events (ADE), Healthcare Costs, Healthcare-Associated Infections (HAIs), Hospital Readmissions, … Safety Program (CUSP), Patient Safety Organization (PSO), Re-Engineered Discharge (RED) Topic(s): Adverse

145. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/about/areas.html
     February 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Learn about Patient Safety Patient Safety and Quality Areas Patient Safety News and Events … Team Training Falls Pressure Ulcers Diagnostic Safety Blood Clot Prevention and Treatment Adverse … Drug Events AHRQ Quality Indicators (QIs) Page last reviewed February

146. AHRQ Views Blog: Long COVID Is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/856.html
     March 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … Articles featured this week include: Automated capture of intraoperative adverse events using artificial … Near-miss events detected using the emergency department trigger tool . … Effect of apneic oxygenation with intubation to reduce severe desaturation and adverse tracheal intubation-associated … events in critically ill children.

147. Well-Child Visits on the Rise, But Disturbing Gaps Remain for Underserved Populations | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/828.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … and introduces Measure Dx , a new evidence-based tool that helps users identify diagnostic safety events … Drug-drug interactions are responsible for up to 14 percent of adverse drug reactions in hospitalized … Articles featured this week include: Quality measures for patients at risk of adverse outcomes in the

148. Create a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Assessment Form  (DOCX, 330 KB) Implementation Guide  (PDF, 402 KB) Learning From Antibiotic–Associated Adverse … Events Form (DOCX, 227 KB) Gap Analysis Tool  (DOCX, 382 KB) The Four Moments of Antibiotic Decision

149. Hospital Survey on Patient Safety (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
     December 22, 2017 - • “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … 1 2 3 4 5 SECTION D: Frequency of Events Reported In your hospital work area/unit, when the … Hospital management seems interested in patient safety only after an adverse event happens ....... … 1 2 3 4 5 SECTION G: Number of Events Reported In the past 12 months, how many event reports

150. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
     April 01, 2011 - ------------------------------------------------------------------- 9 How to prevent adverse events … one study.1 Of these adverse events, three-quarters could have been prevented or ameliorated. … At this time, no consensus exists on the single best method to prevent adverse events after discharge … The incidence and severity of adverse events affecting patients after discharge from the hospital. … How to prevent adverse events after discharge How does the IDEAL Discharge Planning strategy improve

151. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
     April 01, 2011 - 9 How to prevent adverse events after discharge 11 How does the IDEAL Discharge Planning strategy improve … study.1 Of these adverse events, three-quarters could have been prevented or ameliorated. … How to prevent adverse events after discharge Many of the challenges described above can be attributed … At this time, no consensus exists on the single best method to prevent adverse events after discharge … The incidence and severity of adverse events affecting patients after discharge from the hospital.

152. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
     December 01, 2017 - mortality for pediatric surgical procedures Rates of potentially avoidable complications and adverse … for Selected Procedures) IQI 91 (Mortality for Selected Conditions) PSI 90 (Patient Safety and Adverse … Events Composite) PDI 19 (Pediatric Patient Safety for Selected Indicators) are not in ICD-10 v6.0 … Consider inserting here the deidentified story of a patient who suffered the adverse event captured by … References Slide 48 Sample Best Practices Pressure ulcers represent an important patient adverse

153. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-roster-2023dec.pdf
     December 21, 2023 - Medical Officer Name Department/Agency Title Michael Lee, Pharm.D., BCPS, CAPT, USPHS IHS IHS Adverse … Events Coordinator, IHS Office of Quality, Division of Quality Assurance and Patient Safety Phillippe

154. Patient Narratives Can Catalyze Staff Improvement and Bolster Survey Scores | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/900.html
     February 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Reducing Adverse Events Related to Anticoagulants . Implicit Bias Training . Deprescribing . … Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events .

155. Selected Best Practices and Suggestions for Improvement (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
     May 20, 2016 - multidisciplinary review is required to identify system processes that may result in failures in care, adverse … events, and mortality … department within 3 days of discharge ∗ Death associated with drug reaction ∗ Death associated with adverse … department within 3 days of discharge ∗ Death associated with drug reaction ∗ Death associated with adverse … Summary data of sentinel events reviewed by The Joint Commission.

156. Study Finds Racial and Ethnic Inequities in End-of-Life Prescription Opioid Access | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/875.html
     August 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis . … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality

157. Comparing Quality Scores to an Independent Standard | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/talkingquality/translate/compare/choose/standard.html
     January 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … The Standard for “Never Events” There is one kind of standard that is beginning to emerge in health … care: the standard of “never” or zero percent for certain adverse and preventable events. … These events are preventable and should never happen.”

158. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
     June 09, 2016 - ” · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … questions when something does not seem right 1 2 3 4 5 9 SECTION D: Reporting Patient Safety Events … In the past 12 months, how many patient safety events have you reported? a. … Hospital management seems interested in patient safety only after an adverse event happens 1 2 3

159. Action Planning Worksheets | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
     November 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Adverse event due to a breakdown in team skills (e.g., communications, situation monitoring, mutual support … Staff members are concerned that we could have an adverse event due to breakdowns in team skills.   … prophylactic use of beta-blockers to prevent intra-operative myocardial ischemia]; decreased rates of adverse … events or near misses)   Who will be involved in the change?

160. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
     May 01, 2017 - Admin. 10 Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse events … inductions outside of policy-defined indications severe maternal or neonatal morbidity and mortality events … Admin. 23 Key Safety Elements: Learn From Defects Debrief near misses and adverse events related … magnesium sulfate outside of defined indications severe maternal or neonatal morbidity and mortality events … Consider these factors: Unit data suggesting adverse events or near misses related to oxytocin, magnesium