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Showing results for "adverse events".
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  1. monahrq.ahrq.gov/es/programs/index.html?page=3
    March 31, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverseevents resulting from poor communication and system failures.
  2. Obsrounds (doc file)

    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.
  3. monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule10.pptx
    January 01, 2004 - Slide 19) Measure Level IV - Results Provide information on potential in-hospital complications and adverseevents Can help identify potential adverse events that might need further study Include indicators … The PSIs are a set of measures that provide information about potential in-hospital complications and adverseevents following surgeries, other hospital or care procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse events that might require further study
  4. monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
    December 15, 2016 - medication reconciliation and medication management are well documented.2-5 One study found that adverse … drug events result in as many as 4.5 million ambulatory visits (office and emergency department) each … It will also help you identify patient behaviors that may be putting them at risk for an adverse drug … with patients and families to prepare the medication list and identify patients at risk for safety eventsAdverse drug events in U.S. adult ambulatory medical care.
  5. monahrq.ahrq.gov/teamstepps/webinars/previous-webinars-2013.html
    August 01, 2017 - Studies Blog AHRQ Views Newsletter 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.
  6. 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
  7. monahrq.ahrq.gov/research/findings/studies/index.html?page=481
    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 (737) Alcohol Use (61) Ambulatory Care and Surgery … Keywords: Opioids, Medication, Substance Abuse, Screening, Adverse Drug Events (ADE), Adverse Events
  8. monahrq.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
    September 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Field testing of a new ambulatory care electronic Medication Errors and Adverse Drug Events Reporting
  9. monahrq.ahrq.gov/tools/index.html?page=3
    September 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … and quality of care for mothers and their newborns with an aim of decreasing maternal and neonatal adverseevents resulting from poor communication and system failures.
  10. monahrq.ahrq.gov/hai/universal-icu-decolonization/universal-icu-overvw.html
    September 01, 2013 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Safety and Adverse Events Introduction to the Protocol The Universal ICU Decolonization
  11. monahrq.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
    April 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now EventsAdverse events may be reduced by maintaining an information exchange with patients and their families
  12. monahrq.ahrq.gov/research/publications/search.html?page=17
    March 01, 2010 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … patient safety research and implementation projects, offers these 10 evidence-based tips to prevent adverseevents from occurring in your hospital.
  13. monahrq.ahrq.gov/es/tools/index.html?page=3
    September 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … and quality of care for mothers and their newborns with an aim of decreasing maternal and neonatal adverseevents resulting from poor communication and system failures.
  14. monahrq.ahrq.gov/news/newsletters/e-newsletter/886.html
    October 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Falls are one of the most frequently reported patient safety events in the NPSD, second only to medication … or other substance events. … Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive
  15. monahrq.ahrq.gov/news/newsroom/case-studies/index.html
    February 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … 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 … Impact Case Study Identifier: 2023-01 AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse … Drug Events (ADE), Care Coordination, Chronic Conditions, Clinician-Patient Communication, Diabetes,
  16. monahrq.ahrq.gov/teamstepps-program/curriculum/communication/tools/callout.html
    May 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Or a patient having wisdom teeth removed may have a strong adverse reaction to the sedation and require
  17. monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
    January 01, 2013 - TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS TeamSTEPPS in Long-Term Care Analysis of sentinel events … failure cited as a primary contributing factor in nearly 80 % of over 6,000 root cause analyses of adverseevents and close calls. 17 (Cost) Benefits of TeamSTEPPS Decreased malpractice claims Decreased … insurance premiums Decreased litigation Reduced rate of adverse drug events (from 30 to 18 per 1,000 … TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS TeamSTEPPS in Long-Term Care Upcoming TeamSTEPPS Events
  18. monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
    January 01, 2021 - The three measures that improved most reflect fewer adverse events in nursing homes (two measures) and … fewer adverse drug events involving the blood thinner heparin in hospital settings. … 2018, the incident rates of end stage renal disease due to diabetes decreased 48% from 526 to 273.1 events … Alaska Native, Black, and White populations, with respective incident rates of 273.1, 372.2, and 152.2 events … Hispanic communities were still more than double the rates in non-Hispanic White communities (142.8 events
  19. monahrq.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
    July 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … How to communicate an adverse event to patients and family members.
  20. monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
    May 01, 2017 - Defects (CUSP Element) Key Perinatal Safety Elements Examples Debrief and analyze near misses and adverseevents related to shoulder dystocia … · A unit can decide its approach to debriefing events based on seriousness of event, expertise available … case reviews Have a process in place to review severe maternal or neonatal morbidity and mortality events … Sample scenario: · Shoulder dystocia · Shoulder dystocia training can be effective at reducing adverse

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