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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
June 05, 2016 - difficult to determine if a change in a measure (e.g., increased length of stay,
increased reporting of adverse … events) is a sign of a performance problem, often because
multiple factors may contribute to such a … that are not expressed as rates
also can be used for monitoring, such as the occurrence of serious adverse … events (e.g., a
sentinel event) that would require immediate action, or counts of desirable (e.g.,
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monahrq.ahrq.gov/teamstepps-program/resources/additional/index.html
September 01, 2023 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse … this technique, one tool in the TeamSTEPPS 3.0 training program, can improve communication, reduce adverse … events, and improve care quality.
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monahrq.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
February 01, 2019 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … Antibiotics can cause harm to residents
High risk of side effects and adverse events. … of commitments and activities designed to "optimize the treatment of infections while reducing the adverse … events associated with antibiotic use."
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monahrq.ahrq.gov/research/publications/search.html?page=0
January 01, 2024 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … considers how to most effectively elicit representative, in-depth narrative accounts of diagnosis-related events … enrich clinicians’ understanding of patient and family experience and reduce the harms that follow adverse … diagnostic events.
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monahrq.ahrq.gov/research/publications/search.html
January 01, 2024 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … considers how to most effectively elicit representative, in-depth narrative accounts of diagnosis-related events … enrich clinicians’ understanding of patient and family experience and reduce the harms that follow adverse … diagnostic events.
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monahrq.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
April 23, 2024 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … Results
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure Patients’ Risk of Adverse … Events Higher in Poor-Performing Hospitals
January 30, 2024
New Tool Helps Manage Opioid
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monahrq.ahrq.gov/news/newsletters/e-newsletter/index.html
April 30, 2024 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Results
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure Patients’ Risk of Adverse … Events Higher in Poor-Performing Hospitals
January 30, 2024
New Tool Helps Manage Opioid
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monahrq.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
May 01, 2023 - Studies
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AHRQ Views
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AHRQ News Now
Events … this section
News
Newsroom
Blog
AHRQ Views
Newsletter
Events … While these are reportable events, we can assume the risks are more widespread; safety events in many … Trends in adverse event rates in hospitalized patients. JAMA 2022 Jul 12;328(2):173-83.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
August 01, 2019 - Reporting Patient Safety Events
(Never, Rarely, Sometimes, Most of the time, Always, Does Not Apply … Hospital management seems interested in patient safety only after an adverse event happens. … Reliability of this composite measure—Cronbach’s alpha (3 items) = .72
Number of Events Reported … In the past 12 months, how many patient safety events have you reported?
-
monahrq.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - Studies
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Events … Primary Care Settings
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … These tools will also help to identify patient behaviors that may be putting patients at risk for an adverse
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monahrq.ahrq.gov/teamstepps/instructor/scenarios/dental.html
March 01, 2014 - Studies
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Events … This communication failure results in an adverse event. … If given to a pregnant woman, this medication can have adverse effects on the fetus.
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monahrq.ahrq.gov/research/findings/studies/index.html?page=4
January 01, 2024 - 1279)
2015
(1430)
2014
(662)
2013
(195)
Topics
Access to Care
(417)
Adverse … Drug Events (ADE)
(321)
Adverse Events
(737)
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
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monahrq.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy4/index.html
December 01, 2017 - Studies
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Events … Primary Care Settings
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … requires the successful transfer of information from clinicians to the patient and family to reduce adverse … events and prevent readmissions.
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - L&D
unit staff are able to focus on patient care and
have confidence that untoward events (change … learning
from defects for oxytocin administration
include—
• Debriefing and analyzing near
misses and adverse … safety elements of learning from
defects are the same as for oxytocin:
• Debriefing near misses and adverse … events related to magnesium sulfate
use … Consider
these factors:
- Unit data suggesting adverse
events or near misses related
to oxytocin
-
monahrq.ahrq.gov/news/newsroom/case-studies/202301.html
March 01, 2023 - Studies
Blog
AHRQ Views
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Events … AHRQ Social Media
AHRQ Stats
Impact Case Studies
Blog
Newsletter
Events … AHRQ Product(s):
SHARE Approach
Topic(s):
Access to Care,
Adverse … Drug Events (ADE),
Care Coordination,
Chronic Conditions,
Clinician-Patient Communication
-
monahrq.ahrq.gov/news/blog/ahrqviews/deep-dive-into-covid19.html
June 01, 2023 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … this section
News
Newsroom
Blog
AHRQ Views
Newsletter
Events … healthcare is understanding and quantifying the impacts of the COVID-19 pandemic and how we can mitigate the adverse … effects of these kinds of catastrophic events in the future.
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
May 31, 2023 - Adverse events may be reduced by
maintaining an information exchange
with patients and their families
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
August 07, 2012 - Poor communication among staff is a root cause of many patient adverse and sentinel events.
-
monahrq.ahrq.gov/teamstepps/webinars/previous-webinars-2013.html
August 01, 2017 - Studies
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AHRQ Views
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AHRQ News Now
Events … Identify common causes of adverse events for LEP and culturally diverse patients. … strategies for improving detection of medical errors and preventing high-risk scenarios from becoming safety events … Provide an approach to preventing safety events through the use of TeamSTEPPS tools.
-
monahrq.ahrq.gov/research/findings/studies/index.html?page=480
January 01, 2024 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … 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 … Keywords: Opioids, Medication, Substance Abuse, Screening, Adverse Drug Events (ADE), Adverse Events