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

401. Module 1: Preventing Pressure Injuries in Hospitals (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
     July 12, 2017 - We understand that even small failures in safety protocols can lead to catastrophic or adverse events

402. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
     August 01, 2005 - Objective information can originate from a variety of sources, including adverse event and near-miss

403. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
     August 01, 2005 - Objective information can originate from a variety of sources, including adverse event and near-miss

404. Preventing Falls in Hospitals
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.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.

405. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
     September 02, 2022 - Discuss the associated tasks and thought processes taking place during those events. 4 Domain 3: … SBAR),27-30 to structure communication with physicians and other diagnostic team members and reduce adverse … events. … in their day-to-day operations. 7 e Any safety events or “good catches” identified from these … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events. July 2022.

406. Module 1: Preventing Falls in Hospitals—Training Guide | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.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 … We understand that even small failures in safety protocols can lead to catastrophic or adverse events

407. Readiness Assessment Survey (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.pdf
     September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe and … professional interpretation services. 3 Hospitals have been held liable for LEP patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot study.

408. Readiness Assessment Survey (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.pdf
     September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe … professional interpretation services. 3 Hospitals have been held liable for LEP patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot study.

409. Strategy 2: Communicating to Improve Quality (Implementation Handbook) (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docx
     April 30, 2013 - opportunities where they can interact with the health care team This handout gives information on routine events … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … Communicating to Improve Quality strategy may also help to meet other goals related to patient safety and never events

410. CUSP Toolkit, The Role of the Nurse Manager, Facilitator Notes | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
     December 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Quality/Safety Say: Nurse managers should obtain data on quality outcomes and adverse events monthly

411. Scientific Peer Review Meeting Schedules | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/funding/process/study-section/prrvmtgs.html
     March 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

412. Selected Best Practices and Suggestions for Improvement (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
     January 01, 2012 - • Pressure ulcers represent an important patient adverse event that is associated with significant

413. 3. Breadth and Focus Areas of Federal Agency Research Portfolios in HSR and PCR | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
     July 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … effective strategies to reduce medical errors and harms, such as healthcare-associated infections, adverse … drug events, and preventable hospital readmissions ( Agency for Healthcare Research and Quality, 2018 … the provision of a treatment as appropriate), as well as both intermediate (e.g., disease control, adverse … patient safety events, patient experience) and definitive outcomes of care (e.g., quality of life, mortality

414. Strategy 2: Communicating to Improve Quality (Implementation Handbook) (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
     April 30, 2013 - where they can interact with the health care team • This handout gives information on routine events … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … to Improve Quality strategy may also help to meet other goals related to patient safety and never events

415. Goals and Outcomes | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/lep/handouts/lepgoals.html
     December 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

416. Action Planning | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/lep/handouts/lepactionplan.html
     December 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

417. TeamSTEPPS Fundamentals Course: Module 1 | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1evidencebase.html
     March 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Our iceberg is melting: changing and succeeding under adverse conditions. New York: St.

418. AHRQ Equal Employment Opportunity Policy | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/policy/eeo/index.html
     February 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

419. AHRQ Research Funding Priorities & Special Emphasis Notices | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/funding/priorities-contacts/special-emphasis-notices/index.html
     November 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

420. TeamSTEPPS 2.0 Module 1: Introduction
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule1.pptx
     January 01, 2011 - Washington state, improved the time from decision to the performance of a Caesarean section, with no adverse … Video Discussion Think about the breakdowns you observed in the stories: Can you think of similar events … Of course, you would want to scrub them so that you're only sharing the sequence of events.