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monahrq.ahrq.gov/teamstepps-program/resources/additional/labor.html
July 01, 2023 - Studies
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Events … techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse
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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
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monahrq.ahrq.gov/nursing-home/materials/vaccination/index.html
September 01, 2023 - Studies
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Events … the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse … the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse
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monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-chui.html
March 01, 2022 - Studies
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Events … As a result, adverse drug events (ADEs) are frequent, costly, and potentially life-threatening,” according
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monahrq.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
February 01, 2022 - Studies
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Events … AHRQ Social Media
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Events … facilities also significantly reduced use of fluoroquinolones , a class of antibiotics known to cause adverse
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monahrq.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
July 01, 2019 - Studies
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Events … reducing the use of acute and institutional care, eliminating duplication of services, and reducing adverse … events resulting from conflicting management. … https://www.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
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monahrq.ahrq.gov/news/newsletters/e-newsletter/847.html
January 01, 2023 - Studies
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Events … section
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Events … Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving
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monahrq.ahrq.gov/news/newsletters/e-newsletter/829.html
August 01, 2022 - Studies
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Events … section
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Events … Articles featured this week include:
Accuracy of pressure ulcer events in US nursing home ratings . … Emergency department adverse events detected using the emergency department trigger tool .
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - unit-established parameters for provider notification of EFM findings ensures that signs of potential adverse … Defects (CUSP Module)
Key Perinatal Safety Elements
Examples
Debrief and analyze near misses and adverse … events and the contribution of EFM use, EFM interpretation, and communication of EFM findings
· Unit … can decide its approach to debriefing events based on seriousness of event, expertise available, and … case reviews
Have a process in place to review severe maternal or neonatal morbidity and mortality events
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monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
July 22, 2021 - IHS • Enhanced Adverse Event Reporting Capabilities: IHS Safety
Tracking and Response (I-STAR) system
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monahrq.ahrq.gov/news/newsletters/e-newsletter/898.html
January 01, 2024 - Studies
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Events … section
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Events … Hospital and associate professor of medicine at Harvard Medical School in Boston, is helping to reduce adverse … events during care transitions with digital health interventions that improve patient safety and outcomes … organizations and other groups can use these findings to improve how medication-related patient safety events
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monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 01, 2020 - patient-level characteristics such as age, sex, type of AF, comorbidities, risk for stroke or
bleeding events … utilization
• Reduced medication use (e.g., need for
anticoagulants, antiarrhythmic drugs)
Harms or adverse … )
• In-hospital and 30-day stroke (any, by type),
TIA
• In-hospital and 30-day embolic events … vascular
injury, infection leading to prolonged
hospitalization or sepsis, pulmonary edema])
• Adverse … studies may be considered in the evaluation
of harms if specifically designed to evaluate
harms and/or adverse
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monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
January 01, 2022 - lags far behind other types of patient safety events. … Unlike the types of safety
events defined by existing Common Formats, diagnostic safety
events tend … events) and to email
written feedback within approximately 4 weeks. … The reliability of AHRQ
Common Format Harm Scales in rating patient safety events. … A human factors and survey
methodology-based design of a web-based adverse event reporting system
for
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monahrq.ahrq.gov/patient-safety/patients-families/index.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 … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … Reconciliation
Learn about the processes that help detect and prevent medication discrepancies and adverse … drug events.
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monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
August 01, 2022 - Studies
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Events … Over time, the organization must continue to encourage frontline staff to report CANDOR events and other … adverse patient events by promoting transparency and a fair and just culture. … Celebrating staff for reporting CANDOR (and other) events, such as near misses and unsafe conditions. … Encourage your Team Leads to discuss actual CANDOR events to drive home important lessons.
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monahrq.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
April 01, 2018 - Studies
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Events … Primary Care Settings
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … Reconciliation
Learn about the processes that help detect and prevent medication discrepancies and adverse … drug events.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - L&D unit staff are able to focus on patient care and have confidence that untoward events (change in … Fostering a culture that supports debriefing by the clinical team immediately after a near miss, an adverse … event, or an otherwise complex episode of care.
· A unit can decide its approach to debriefing events … Having a process in place to review severe maternal or neonatal morbidity and mortality events.
· A unit … Factors to consider—
Unit and malpractice claims data suggesting adverse events or near misses related
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monahrq.ahrq.gov/news/newsletters/e-newsletter/835.html
October 01, 2022 - Studies
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Events … section
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Events … this week include:
The effect of a system-level tiered huddle system on reporting patient safety events … Understanding hazards for adverse drug events among older adults after hospital discharge: insights from
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monahrq.ahrq.gov/news/blog/ahrqviews/unhealthy-alcohol-use-during-covid19.html
April 01, 2021 - Studies
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Events … this section
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Events … spectrum of alcohol misuse from risky or hazardous drinking to alcohol use disorder, is associated with adverse
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monahrq.ahrq.gov/news/newsletters/e-newsletter/index.html?page=1
April 18, 2023 - Studies
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Events … Results
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Events … and Non-Hispanic Patients
July 12, 2022
Major Study Shows Significant Drop in In-Hospital Adverse