Results

Total Results: 514 records

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

361. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
     May 01, 2017 - parameters for provider notification and expectations for provider response ensures that signs of potential adverse … Defects (CUSP Module) Key Perinatal Safety Elements Examples Debrief and analyze near misses and adverse … events related to oxytocin use … · Unit can decide its approach to debriefing events based on seriousness of event, expertise available … Have a process in place to review severe maternal or neonatal morbidity and mortality events.

362. About Priority Populations | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/priority-populations/about/index.html
     June 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

363. Module 1: Preventing Falls in Hospitals—Slide Presentation | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
     September 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … understanding that even small failures in safety protocols or processes can lead to catastrophic or adverse … events if action is not taken to solve the problem.

364. SDOH Data and Analytics | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/sdoh/data-analytics.html
     July 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … security, transportation, financial strain, general well-being, social connectedness, physical safety, and adverse

365. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
     May 01, 2017 - Learn From Defects (CUSP Module) Key Perinatal Safety Elements Examples Debrief and analyze adverse … events related to cesarean section … · 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

366. Nursing Home Workplace Safety Resource List (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
     January 01, 2023 - page provides tips to encourage staff members to report conditions that could lead to near-misses or adverse … events.

367. TeamSTEPPS 2.0 Module 3: Communication
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule3.pptx
     December 01, 2005 - * 2010 - 2012: Ineffective communication among top 13 root causes of sentinel events reported ** * ( … JC Root Causes and Percentages for Sentinel Events (All Categories) January 1995−December 2005) ** (JC … As a patient safety officer, I covered all our sentinel events, as well as any other adverse events, … which may not have been sentinel events. … We use it in our adverse event reports.

368. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/instructor/scenarios/icu.html
     March 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Discuss how an unmanaged workload may lead to adverse outcomes for a patient.

369. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/ncepcr/care/coordination/mgmt.html
     August 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … between different locations (e.g., from hospital to primary care) are associated with increased risks of adverse … medication events, hospital readmissions, and higher health care costs. 25 Determining which transitions … such as medication reconciliation, assessment of adherence to treatment plans, and identification of adverse … events can facilitate intensified treatment and/or mobilize clinic supports.

370. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
     July 01, 2019 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Further, M+COs may not recognize the serious adverse health impact that inadequate linguistic services

371. Declines in Hospital-Acquired Conditions from 2014 to 2016 | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/data/infographics/hac-rates-decline.html
     August 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

372. Preventing Pressure Injuries in Hospitals
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
     June 16, 2017 - understanding that even small failures in safety protocols or processes can lead to catastrophic or adverse … events if action is not taken to solve the problem. … Memo on never events, July 7, 2008.

373. Train-the-Trainer Instructor Guide | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.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.

374. TeamSTEPPS for Patients and Patient Engagement
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-march2013.pptx
     January 01, 2013 - Understanding role of patients in patient safety, as well as barriers to engaging patients, can help reduce adverse … events and improve quality of care Scobie and Persaud.

375. AHRQ Stats | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsroom/ahrq-stats.html
     November 01, 2023 - (Source: Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem Inflammatory … Measures showing the most improvement included reduced adverse events among hospital patients receiving … (Source: Healthcare Cost and Utilization Project Statistical Brief #237: Patient Safety and Adverse … Events, 2011 and 2014 .) … Events, 2011 and 2014 .)

376. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
     July 01, 2018 - provide an overall grade on patient safety for their work area/unit and to indicate the number of events …  “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Hospital management seems interested in patient safety only after an adverse event happens ......... … Hospital management seems interested in patient safety only after an adverse event happens. … Frequency of Events Reported (Never, Rarely, Sometimes, Most of the time, Always) D1.

377. TeamSTEPPS Specialty Scenarios: ICU (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/icu.pdf
     March 19, 2014 - Discuss how an unmanaged workload may lead to adverse outcomes for a patient.

378. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … In addition, the toolkit can enable teams to address root causes of adverse events more effectively. … It investigates events or safety concerns, and determines an appropriate course of action with the employees

379. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
     December 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Percent know correct action for hypoglycemic symptoms 38 53.9 72.6 Slide 8 All Sentinel Events … limited health literacy: Poor compliance with medical management Increased risk of: Poor outcomes/adverse … events Infections/prolonged hospital stays Patient/family anxiety Slide 33 Summary: Health

380. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
     October 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … Root cause analysis is a systematic process during which all factors contributing to an adverse event … Surveys are also labor intensive and rely on staff members' recall of specific events.