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Showing results for "adverse events".
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  1. monahrq.ahrq.gov/news/blog/ahrqviews/addressing-historical-racism.html
    April 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events
  2. monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
    May 01, 2017 - Patients on perinatal units can experience cardiopulmonary and metabolic events or deterioration that … Defects (CUSP Module) Key Perinatal Safety Elements Examples Debrief and analyze near misses and adverseevents, regardless of whether a rapid response was activated. … · Unit can decide its approach to debriefing events based on seriousness of event, expertise available … Elements Examples Have a process in place to review severe maternal or neonatal morbidity and mortality events
  3. monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
    March 01, 2024 - able to use Measure Dx to guide their efforts to detect, analyze, and learn from diagnostic safety events … IHS • Existing Activities Regarding Diagnostic Safety o Voluntary adverse event report via I-STAR. … optimize this effort, as they are focused on root cause analysis standardization to help in identifying events
  4. monahrq.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
    April 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … outpatient monitoring for high-risk conditions, and (c) enhanced medication comprehension to reduce adverse … drug events.
  5. monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
    December 01, 2022 - Standard forms for the data collection and model procedures for the uniform registration of events are … , such as medication prescriptions and laboratory test results that are relevant to patient safety events … Measures and modules included in calculation of adverse event rates Measure Module One or more adverse … outcomes Birth - Maternal Adverse event associated with hypoglycemic agent Medication Adverse event … events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related to procedure
  6. monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
    December 01, 2023 - Standard forms for the data collection and model procedures for the uniform registration of the events … , such as medication prescriptions and laboratory test results that are relevant to patient safety events … Measures and modules included in calculation of adverse event rates Measure Module One or more adverse … outcomes Birth - Maternal Adverse event associated with hypoglycemic agent Medication Adverse event … events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related to procedure
  7. monahrq.ahrq.gov/pcor/library-of-resources/index.html
    April 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … database , which contains information on study participants and a summary of study outcomes, including adverseevents.
  8. monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
    April 01, 2016 - communicators who participate in conversations with patients, families, and caregivers following an adverse … demonstrate all of the skills and competencies should be involved in delivering communication about adverseevents to patients, families, and caregivers. … Future events are simply described. … Conventional Responses can include… ■ Describe Mary’s current condition and the events that led up to
  9. monahrq.ahrq.gov/pcor/strategic-framework/mission.html
    July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events
  10. monahrq.ahrq.gov/news/newsroom/case-studies/index.html?page=1
    September 01, 2021 - 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
  11. monahrq.ahrq.gov/teamstepps/instructor/reference/teamattitudesmanual.html
    April 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … safety, leadership, interpersonal interactions, attitudes toward stress, and knowledge of how to report adverseevents ( Sexton, et al., 2006 ). … Adverse events may be reduced by maintaining an information exchange with patients and their families
  12. monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - Care 1 INTRODUCTION High rates of readmissions are a major patient safety problem associated with adverseevents such as prescribing errors and misdiagnoses of conditions in the hospital and ambulatory care … As the evidence base for reducing adverse events and readmission from the primary care setting grows … role of the primary care team in improving quality and safety for patients and reducing postdischarge adverseevents and potentially preventable readmissions.
  13. monahrq.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
    April 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Guidance Supplemental Items Using CAHPS Surveys CAHPS Databases Webcasts & Recent Events … possibility of delays in care, which generates greater anxiety and contributes to a greater risk of adverse
  14. monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
    April 01, 2016 - Measure Exceptions Adverse effect, allergy, or intolerance to Aspirin and Plavix (Clopidogrel). … Ischemic Vascular Disease Secondary prevention is where the evidence is the best Reduces risk of vascular events
  15. monahrq.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
    March 01, 2013 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … Pay special attention to medicines for which the adverse consequences of taking them incorrectly are … Interventions for patients reporting feeling worse since discharge due to primary discharge diagnosis, adverse
  16. monahrq.ahrq.gov/news/newsroom/case-studies/index.html?page=7
    January 01, 2016 - 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
  17. monahrq.ahrq.gov/news/newsroom/case-studies/index.html?page=6
    August 01, 2016 - 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
  18. monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
    May 20, 2016 - abdominal surgeries, and is associated with significant risk of mortality between 14% and 50%.1 Other adverseevents include prolonged length of stay, subsequent surgeries and incisional herniation.2,3 • Proper
  19. monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
    November 01, 2012 - foreign objects avoidable.1 • Retained foreign objects represent a serious and significant patient adverse … Chasing zero events of harm: an urgent call to expand safety culture work and customer engagement.
  20. monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
    May 01, 2017 - L&D Unit Safety 30 Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverseevents. … 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

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