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Showing results for "adverse events".
Users also searched for: patient safety indicators

301. Labor and Delivery Unit Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
     July 01, 2023 - 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 … A unit can decide its approach to debriefing events based on the seriousness of the event, expertise … Having a process in place to review severe maternal or neonatal morbidity and mortality events. … Factors to consider— Unit and malpractice claims data suggesting adverse events or near misses related

302. Create a Safe Medicine List Together (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
     April 10, 2018 - • Adverse drug events • Unsafe medicine issues • Medicine adherence • Satisfaction • Reported use … We will use several measures to evaluate effectiveness: How many adverse drug events occur pre- and

303. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
     August 22, 2023 - The board’s tracking of adverse events and delineated types of errors (including near misses) - focus … ensure they have/are part of QAPI efforts where appropriate and understand how to identify and report events … complaints in cardiology and cardiac surgery • Patient mortality triple the norm and rise in adverse … events and claims (often lagging indicators) • Patient complaints • Culture of Non- transparency … • Could a department hide embarrassing events from management and the board?

304. EvidenceNOW: Managing Unhealthy Alcohol Use | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/evidencenow/projects/alcohol/index.html
     November 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … It is associated with adverse effects on physical and mental health.

305. AHRQ and National Institute on Drug Abuse Advocate for Research To Advance Equity in Substance Use Disorder Treatment | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/819.html
     June 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … this week include: Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse … drug events and health care expenditures .

306. Strategy 4: IDEA Discharge Planning (Tool 4) (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
     May 22, 2013 - • Nearly 20 percent of patients experience an adverse event within a month of discharge, of which ¾ … could be prevented • Common complications post-discharge are adverse drug events, hospital-acquired

307. Data Infographics | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/data/infographics/index.html
     March 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Family Premiums for Employer-Sponsored Health Insurance Growing Pain of Spinal Stenosis Adverse … Drug Events Occurring in U.S.

308. Studies Summarize Current Evidence on Tools to Treat, Diagnose ADHD Symptoms in Children | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/906.html
     March 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … treatment options and have the strongest evidence base for improving ADHD symptoms but are associated with adverse … events, such as appetite suppression.

309. TeamSTEPPS for Patients: A Pilot Test in Labor and Delivery
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2014-materials/teamstepps-monthly-webinar-dec2014.pptx
     January 01, 2014 - 1 05.2 Page ‹#› TeamSTEPPS® TeamSTEPPS for Patients Slide ‹#› 11 Research Aims Identify L&D events … (Mutual Support) Adverse events may be reduced by maintaining an information exchange with patients and … TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® TeamSTEPPS for Patients Slide ‹#› Upcoming TeamSTEPPS Events

310. TeamSTEPPS 2.0: Module 10. Measurement | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/instructor/fundamentals/module10/igmeasure.html
     March 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … PSIs are a set of measures that provide information about potential in- hospital complications and adverse … events (outcomes) following surgeries, procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse events that might require further study … Such events can be mitigated with the implementation of TeamSTEPPS tools and strategies.

311. TeamSTEPPS Module 10: Measurement (Instructor Guide) (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/igmeasure.pdf
     January 01, 2004 - PSIs are a set of measures that provide information about potential in- hospital complications and adverse … events (outcomes) following surgeries, procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse events that might require further … also include indicators for complications occurring in-hospital that may represent patient safety events … Such events can be mitigated with the implementation of TeamSTEPPS tools and strategies.

312. New Models of Primary Care Workforce and Financing - Case Example #1: Stanford Coordinated Care (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
     October 01, 2016 - including lack of trust) • What the patient brings (e.g., issues of trauma such as early childhood adverse … events) Care is delivered primarily using an intensivist primary care team model, focusing on behavior … The LCSW may use eye movement desensitization reprocessing and mindfulness to put childhood events into … Department of Veterans Affairs] system, adverse childhood events can be a hidden driver of costs in … Early childhood experiences such as those uncovered using the Adverse Childhood Experiences Survey may

313. PowerPoint Presentation
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/TS_OBC_Webinar_Plitt_FINAL.pptx
     January 01, 2017 - patients with a diagnostic error Paid medical liability claims (Bishop, et al., 2011): Half related to events … When patients have difficulty with these self-management activities, they are at risk for adverse events

314. Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pptx
     November 19, 2008 - Proficiency Slide LEP 3 High-Risk Settings and Scenarios SAY: Research shows that 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. … identified as a primary contributor to the clinical errors found in malpractice cases and sentinel events

315. PS Grantee Report | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/research/findings/final-reports/index.html?page=4
     July 01, 2013 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Safety Publication Date: September 2012 Improving the Safety of Primary Care by Measuring Adverse … Events and Improvement ( application/pdf 516150 ) Principal Investigators: Kennerly, et al.

316. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
     July 12, 2018 - diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse

317. A Call for Action to Achieve Health Equity | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/blog/ahrqviews/achieve-health-equity.html
     August 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … Clearly, the COVID-19 pandemic has further illuminated the scale and adverse impacts of this problem,

318. Developing Innovative Simulation-Based Training to Improve Patient Safety in Radiation Oncology | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
     March 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Simulation is a technique that mimics real-world clinical events in a training environment so clinicians

319. 2019 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
     December 01, 2020 - Importance of Patient Safety Mortality Prevalence Cost Findings on Patient Safety Improving Trend: Adverse … Drug Events With Heparin and Factor Xa Improving Trend: Inpatient Adverse Drug Events With Anticoagulants

320. States That Didn’t Expand Medicaid Lost New General Internists to Expansion States | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/816.html
     May 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse