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Showing results for "adverse events".
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  1. 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
  2. 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
  3. 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
  4. 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 adverseevents if action is not taken to solve the problem.
  5. 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 adverseevents. … 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.
  6. 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
  7. 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.
  8. 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.
  9. 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
  10. 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
  11. monahrq.ahrq.gov/funding/process/study-section/prrvmtgs.html
    March 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events
  12. 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
  13. 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
  14. 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
  15. monahrq.ahrq.gov/teamstepps/lep/handouts/lepgoals.html
    December 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events
  16. monahrq.ahrq.gov/teamstepps/lep/handouts/lepactionplan.html
    December 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events
  17. 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.
  18. monahrq.ahrq.gov/policy/eeo/index.html
    February 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events
  19. monahrq.ahrq.gov/funding/priorities-contacts/special-emphasis-notices/index.html
    November 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events
  20. 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.

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