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Showing results for "adverse events".
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181. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
     May 01, 2017 - Ways to reduce obstetrical adverse events include improving teamwork and communication among care teams … Root cause analyses of adverse events and near-misses (events that did not produce patient injury) … EARLY IMPACTS The most recent root cause analyses of adverse events and near-misses indicated that … poor communication is no longer a root cause; in fact, near-misses and adverse events attributed to … The weighted adverse events included in the measure are in-house maternal death, in-house neonatal

182. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/878.html
     August 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … (Source: JAMA Network Open , Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem … include: Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse

183. Highlight Consumer Rights, Protections, and Ways To Complain | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/talkingquality/explain/share-info/highlight.html
     September 01, 2019 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … For example, in the next few years, we may see systems that enable patients to report on adverse events

184. Study Finds Patients Who Self-Test Negative for COVID-19 Not Properly Quarantining | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/821.html
     June 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Analysis of Hospital-Level Readmission Rates and Variation in Adverse Events Among Patients With Pneumonia … Assessing adverse event reports of hysteroscopic sterilization device removal using natural language

185. Antibiotic Use Significantly Reduced in Long-Term Care Facilities Participating in AHRQ-Funded Project | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/803.html
     March 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … This included reductions in the use of fluoroquinolones, a class of antibiotics known to cause adverse … Relative risks of adverse events among older adults receiving opioids versus NSAIDs after hospital discharge

186. Hospital Readmissions | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/topics/hospital-readmissions.html
     January 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Readmissions and Adverse Events After Discharge This Patient Safety Primer from AHRQ's Patient Safety

187. Improving Clinical Performance and Safety Culture Through TeamSTEPPS Implementation
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
     January 01, 2016 - 05.2 Page ‹#› TeamSTEPPS® Clinical Performance & Safety Culture Slide ‹#› Upcoming TeamSTEPPS Events … 05.2 Page ‹#› TeamSTEPPS® Clinical Performance & Safety Culture Slide ‹#› Upcoming TeamSTEPPS Events … Register at: https://tslms.org  Learn more and register for all events at www.TeamSTEPPSportal.org … healthcare Optimizing patient outcomes by improving communication and other teamwork skills Reducing adverse … patient events related to communication breakdowns and/or poor teamwork TEAMSTEPPS 05.2 Mod 1 05.2

188. Strategy 4: IDEA Discharge Planning (Tool 4)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
     April 01, 2011 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … be prevented Common complications post-discharge are adverse drug events, hospital-acquired infections … have been prevented or ameliorated.1 Common post-discharge complications include adverse drug events … The incidence and severity of adverse events affecting patients after discharge from the hospital. … events and prevent readmissions.

189. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
     May 30, 2013 - fractures.3,9 Staff with requisite training and supplies available to respond to magnesium-related adverse … Defects (CUSP Module) Key Perinatal Safety Elements Examples Debrief and analyze near misses and adverse … events related to magnesium sulfate use … Have a process in place to review severe maternal or neonatal morbidity and mortality events. … events including respiratory depression 2.

190. Evidence Summary: Why focus on safety for patients with limited English proficiency? | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/lep/handouts/lepevidencesum.html
     December 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … TeamSTEPPS® Enhancing Safety for Patients With Limited English Proficiency Module Patient safety events … 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.

191. AHRQ Welcomes Your Comments on Draft Report to Congress about Improving Patient Safety | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/blog/ahrqviews/comments-pso-draft-report.html
     February 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … Although we still see too many events such as adverse drug reactions, infections, or falls, momentum

192. AHRQ Releases Primer for Reducing Healthcare Carbon Emissions | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsroom/press-releases/carbon-emissions.html
     September 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … Healthcare is both a significant contributor to climate change and responsible for managing the adverse … “Extreme weather events, declining air quality, and growing food and water insecurity now threaten healthcare

193. Implementing TeamSTEPPS to the Perioperative Service Area
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-051017.pptx
     January 01, 2017 - presentation TEAMSTEPPS 05.2 Slide ‹#› May TeamSTEPPS Monthly Webinar 2 Upcoming TeamSTEPPS Events … Set the tone for the training sessions Be transparent about the Peri Op safety events & trends Weave … May TeamSTEPPS Monthly Webinar Changes Since TS Training Increased reporting of patient safety events … Optimizing patient outcomes by early identification and resolution of patient safety concerns Reducing adverse … patient events related to communication breakdowns and poor teamwork TEAMSTEPPS 05.2 Slide ‹#›

194. Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/research/findings/studies/index.html?page=3
     January 01, 2024 - 1279) 2015 (1430) 2014 (662) 2013 (195) Topics Access to Care (417) Adverse … Drug Events (ADE) (321) Adverse Events (736) Alcohol Use (61) Ambulatory Care and Surgery … Results of the Pediatric Care BefOre Deterioration Events (CODE) survey. … Results of the Pediatric Care BefOre Deterioration Events (CODE) survey. … Keywords: Provider: Pharmacist, Medication, Adverse Drug Events (ADE), Adverse Events, Medical Errors

195. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.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 … The comprehensive toolkit will allow hospitals to improve the management of patient safety events by … implementing processes that facilitate full disclosure of an adverse event, apology, and fair and rapid

196. Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.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 … These projects sought to improve patient safety by measuring safety problems, characterizing adverse … events, and conducting clinical safety interventions.

197. TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teamattitude.pdf
     March 21, 2014 - Adverse events may be reduced by maintaining an information exchange with patients and their families

198. Improving Antipsychotic Appropriateness in Dementia Patients (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/carnahan.pdf
     January 01, 2014 - Description Antipsychotics have limited effectiveness in dementia and increase risk of mortality and other adverse … events.

199. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/sops/international/hospital/translators.html
     October 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Hospital management seems interested in patient safety only after an adverse event happens. … usually show interest in patient safety—they show interest in patient safety only when there is an adverse … Frequency of Events Reported ( More about this item: Refers to reports made to someone in authority … The term "rating" can be used instead of "grade." ) Number of Events Reported (No event reports,

200. Multiple Settings | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/multiple/index.html
     August 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 … PSOs can help providers develop successful approaches to improving quality and reducing adverse outcomes … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events is a resource to … help healthcare organizations detect, analyze, and learn from diagnostic safety events.