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Showing results for "adverse events".
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321. AHRQ Signals Plan To Establish Healthcare Extension Service | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/888.html
     November 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Adverse drug event prevention and detection in older emergency department patients .

322. AHRQ Efforts To Address Long COVID | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/coronavirus/long-covid.html
     March 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … pattern and progression or worsening over time, with the possibility of severe and life-threatening events … to improve the care of people living with multiple chronic conditions who are at increased risk for adverse

323. Resource List - AHRQ Medical Office Survey (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
     April 01, 2023 - Staff can use this decision tree when analyzing an error or adverse event in an organization to help … events and close calls. … events, and near-misses. … These organizations consistently minimize adverse events despite carrying out intrinsically complex and … drug events (ADEs).

324. TeamSTEPPS Implementation Guide | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/instructor/essentials/implguide.html
     November 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … supporting the need for a TeamSTEPPS Intervention could originate from a variety of sources, including adverse … Available organizational data, (e.g., adverse event and near miss reports, AHRQ Patient Safety Culture … so that facilities may also use the Guide to develop TeamSTEPPS Action Plans in response to sentinel events

325. AHRQ Research Priorities and Compliance Guidance | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/funding/policies/nofoguidance/index.html
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Surveillance, measurement, detection, and reporting of patient safety events. … Determination of the clinical efficacy and effectiveness of preventive interventions, including unintended adverse

326. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
     October 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events

327. Information Items | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/readiness/informationitems.html
     April 01, 2016 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Objective information can originate from a variety of sources, including adverse event and near-miss

328. AHRQ Views Blog Post: 2021—An AHRQ Year in Review | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/795.html
     January 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process

329. Yale Center for Healthcare Innovation, Redesign, and Learning | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
     June 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general

330. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
     May 01, 2017 - Defects (CUSP Module) Key Perinatal Safety Elements Examples Debrief and analyze near misses and adverse … events related to cord prolapse … · 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

331. Resource List - AHRQ Nursing Home Survey (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - These organizations consistently minimize adverse events despite carrying out intrinsically complex and … events and close calls. … events, and near-misses. … • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement. … drug events (ADEs).

332. Strategy 3: Bedside Shift Report (Tool 3)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
     July 23, 2010 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … As noted above, one study found that more than 70 percent of adverse events are caused by breakdowns … infections, and air embolism, all of which are on CMS’s list of hospital-acquired complications “never events … successful transfer of information between nurses going off duty and nurses coming on duty to prevent adverse … events and medical errors.

333. Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pdf
     November 19, 2008 - The Story of Willie Ramirez 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. … 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

334. System-Affiliated Rural Hospitals Not Necessarily Immune From Risk of Closure | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/825.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Articles featured this week include: Trends in adverse event rates in hospitalized patients, 2010-2019

335. AHRQ Views Blog Post: With TeamSTEPPS 3.0, AHRQ Refreshes a Landmark Patient Safety Training Curriculum | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/880.html
     September 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … of implementation factors related to addressing social determinants to reduce racial disparities in adverse

336. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
     July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Elements Slide 31: Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse … events. … Have 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

337. Section 1: Overview of Key Concepts and Tools | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps-program/curriculum/intro/overview.html
     July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

338. TeamSTEPPS 2.0 Readiness Assessment | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/readiness/index.html
     August 01, 2015 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Objective information can originate from a variety of sources, including adverse event and near-miss

339. AHRQ Data Underscore Uneven Impact of COVID-19 | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/blog/ahrqviews/uneven-impact-covid19.html
     December 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events

340. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/resources/learning-lab/index.html
     February 01, 2024 - drug events. … Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general … drug events. … patient safety events. … events, and improve efficiency for ED healthcare providers.