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Showing results for "adverse events".
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261. TeamSTEPPS Implementation Guide (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/implguide_0.pdf
     March 01, 2006 - Available organizational data, (e.g., adverse event and near miss reports, AHRQ Patient Safety Culture … that facilities may also use the Guide to develop TeamSTEPPS Action Plans in response to sentinel events …  You may start by doing simple counts of your target events or clinical outcomes and displaying … event or near miss = Rate of Labor & Delivery Adverse & Near-Miss Events Total number of patients … events or near misses) Who will be involved in the change?

262. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/896.html
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

263. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.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 … , and surgeon, along with a lack of familiarity with the new equipment as an important cause of the adverse

264. AHRQ Views: 20 Years of Innovation From the Digital Healthcare Research Program | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/901.html
     February 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … comment): Documentation Burden AHRQ in the Professional Literature Decision-making during high-risk events … Guideline concordance and antibiotic-associated adverse events between Veterans Administration and non-Veterans

265. Nonadherence With Guidelines Associated With Cardiac Surgery Infection | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/873.html
     July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … the Society of Thoracic Surgeons’ (STS) postoperative cardiac surgery guidelines is associated with adverse … events, according to an AHRQ-funded study in the Journal of Thoracic and Cardiovascular Surgery .

266. AHRQ-Funded Studies Highlight Dental Antibiotic Prescribing Trends | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/877.html
     August 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic

267. CANDOR Acknowledgments (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-acknowledgments.pdf
     September 14, 2017 - advance the implementation of a transparent and just response to those who have been injured due to an adverse … team at every phase of CANDOR development, including during tool synthesis, training, and stakeholder events

268. Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/research/findings/studies/index.html?page=485
     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

269. The Dartmouth Practice-based Research Network | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/ncepcr/communities/pbrn/registry/dartmouth-practice-based-research-network.html
     January 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … health or disease related issues: Use of Benzodiazephines/Benzodiazepine Agonists in Chronic Insomnia, Adverse

270. Funding HAI and Antibiotic Resistance Research | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/hai-carb-funding.html
     November 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … determine the clinical efficacy and effectiveness of preventive interventions including unintended adverse

271. Introduction to the Fundamentals of TeamSTEPPS Concepts and Tools (Part 1 of 3)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-071217.pptx
     January 01, 2017 - TEAMSTEPPS 05.2 Slide ‹#› 2 Upcoming TeamSTEPPS Events Master Training Courses Registration for … TEAMSTEPPS 05.2 Slide ‹#› A table shows the Most Frequently Identified Root Causes of Sentinel Events … Communication, and Leadership are in the top three positions for 2013, 2014, and 2015, totaling 79% of adverse … events. 13 TEAMSTEPPS 05.2 Slide ‹#› A team of experts becomes an Expert Team. 14 TeamSTEPPS … Situation: She’s having a lot of ABD events that are now requiring stimulation.

272. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
     September 01, 2019 - 70% ---- ---- New 2.0 item Hospital management seems interested in patient safety only after an adverse … (F3R) Hospital management seems interested in patient safety only after an adverse event happens. … safety events have you reported? … (F3R) Hospital management seems interested in patient safety only after an adverse event happens … safety events have you reported?

273. Patient Safety Awareness Week 2020 | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
     December 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Español FAQs Home Patient Safety Patient Safety News and Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … former Director of the Center for Quality Improvement and Patient Safety, highlights some of the planned events … https://www.ahrq.gov/patient-safety/news-events/psaw-2020/index.html  

274. Implementation Quick Start Guide: Create a Safe Medicine List Together (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-quickstart-final508.pdf
     April 04, 2018 - implementors and use them as peer coaches. 6 Evaluate your progress Evaluate effectiveness � How many adverse … drug events occur pre- and post-implementation?

275. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
     December 01, 2020 - Version 2019.01 of the PSI software has 17 measures, in addition to 1 patient safety and adverse events … • Adverse events associated with surgical procedures. • Hospital-acquired infections. … drug events 2004-2007 and 2009-2017 ADE - IV Heparin Adverse drug events 2004-2007 and 2009-2017 ADE … - Low Molecular Weight Heparin Adverse drug events 2004-2007 and 2009-2017 ADE - Warfarin Adverse drug … Adverse events after total knee arthroplasty: a national Medicare study.

276. Staff Training Instructor Guide | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
     October 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Slide Time: 5 minutes Say: To illustrate why LEP patients are at risk of patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot study. … is inspired by the 2006 book by John Kotter, Our Iceberg Is Melting: Changing and Succeeding Under Adverse … Our iceberg is melting: changing and succeeding under adverse conditions.

277. Acknowledgments | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.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 … advance the implementation of a transparent and just response to those who have been injured due to an adverse … team at every phase of CANDOR development, including during tool synthesis, training, and stakeholder events

278. Reducing Hospital Readmissions; Opportunity to Evaluate Diagnostic Safety Tool; New Patient Safety Research | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/827.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … include: The effect of structured medication review followed by face-to-face feedback to prescribers on adverse … drug events recognition and prevention in older inpatients - a multicenter interrupted time series study

279. AHRQ’s Digital Healthcare Research Program: 20 Years of Innovation | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/blog/ahrqviews/ahrq-digital-healthcare.html
     February 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … It was an improbable endeavor to transform a field built on paper and adverse to change.

280. Fall Prevention Toolkit (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
     March 01, 2013 - . † Adverse outcomes (a) Firm mattresses; low beds; appropriate chair heights and depths for easy transfer … and falls prevention) simultaneously and found an overall positive effect on the development of any adverse … However, Oliver and colleagues also note “so little empiric evidence on adverse effects of fall prevention … Fewer adverse events as a result of the SAFE or SORRY? … events.