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Showing results for "adverse events".
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221. Agency for Healthcare Research and Quality
     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

222. Research on Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/diagnostic-safety/research/index.html
     March 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Learning more about the link between diagnostic errors and outcomes, including adverse events.

223. Implementation Quick Start Guide: Medication Management (Half-Page) (pdf file)
     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 events … Adverse drug events in U.S. adult ambulatory medical care.

224. Team Training in Healthcare and TeamSTEPPS at Johns Hopkins
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-dec2013.pptx
     January 01, 2013 - Healthcare & TeamSTEPPS at JHU TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS Upcoming TeamSTEPPS Events … in pt. harm (Abstoss et al., 2011) Rates of RRS activations that resulted in codes (Donahue, 2011) Adverse … Use of evidence-based practice Handoffs Efficiency Reduced care delays Decision time Safety outcomes Adverse … events with teamwork and communication related root causes Infection rates Other harm related outcomes

225. AHRQ Health Literacy Tools for Use in Pharmacies | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/health-literacy/improve/pharmacy/tools.html
     January 01, 2024 - 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.

226. Practice-Based Research Networks (PBRNs) | Agency for Healthcare Research and Quality
     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

227. TeamSTEPPS 2.0 Module 10: Measurement
     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 adverse … events 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 adverse … events 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

228. New Data Resource Provides Insights on Factors Related to Falls | Agency for Healthcare Research and Quality
     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

229. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     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,

230. TeamSTEPPS in Long-Term Care (LTC): Financial and Safety Benefits of Implementing TeamSTEPPS in Nursing Homes and LTC Facilities
     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 adverse … events 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

231. 2021 National Healthcare Quality and Disparities Report: Executive Summary (pdf file)
     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

232. Tool: Call-Out | Agency for Healthcare Research and Quality
     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

233. Agency for Healthcare Research and Quality
     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 adverse … events resulting from poor communication and system failures.

234. Patient and Family Engagement | Agency for Healthcare Research and Quality
     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.

235. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
     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 adverse … events 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

236. TeamSTEPPS Additional Video: Labor and Delivery: Successful Outcome Using TeamSTEPPS | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps-program/resources/additional/labor.html
     July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse

237. Antibiotic Stewardship Slides, Part 2
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
     March 01, 2017 - about 40% of all prescriptions Antibiotics can cause harm to residents High risk of side effects and adverse … events Major risk factor for Clostridium difficile infection Driver of antibiotic resistance Prescribers … of commitments and activities designed to “optimize the treatment of infections while reducing the adverse … events associated with antibiotic use.” … commitments and activities designed to optimize the treatment of infections while reducing the harmful events

238. Agency for Healthcare Research and Quality
     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 adverse … events resulting from poor communication and system failures.

239. Universal ICU Decolonization Protocol Overview | Agency for Healthcare Research and Quality
     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

240. Teamwork Attitudes Questionnaire (T-TAQ) | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
     April 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Adverse events may be reduced by maintaining an information exchange with patients and their families