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Showing results for "adverse events".
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141. Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/884.html
     October 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality … Risk factors for opioid-related adverse drug events among older adults after hospitalization for major

142. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
     May 01, 2017 - This principle calls for L&D unit teams to evaluate their processes and learn from adverse events, … Rapid Response toolcall • In addition, clinical teams can debrief and analyze near misses and adverse … events, regardless of whether a rapid response was activated. … Consider these factors: o Unit data suggesting adverse events or near misses that may have been … • Regularly debrief after rapid response events, and solicit ongoing feedback from staff and patients

143. TeamSTEPPS Limited English Proficiency Module: Evidence Summary (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepevidencesum.pdf
     January 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.

144. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
     July 01, 2023 - Slide 11: Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse events … Severe maternal or neonatal morbidity and mortality events. … Slide 24: Key Safety Elements: Learn From Defects Debrief near misses and adverse events related … Severe maternal or neonatal morbidity and mortality events. … Consider these factors: Unit data suggesting adverse events or near misses related to oxytocin, magnesium

145. Register Now: August 22 Webinar by National Action Alliance Will Address Engaging Boards and Executive Leadership in Safety | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/874.html
     August 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … available to improve the safety culture of labor and delivery units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures. … Articles featured this week include: Anticoagulation-associated adverse drug events in hospitalized

146. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
     August 01, 2022 - Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … The comprehensive toolkit will allow hospitals to improve the management of patient safety events by … implementing processes that facilitate full disclosure of an adverse event, apology, and fair and rapid

147. Morningbriefing (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
     August 07, 2012 - After receiving an update on the patients, proceed to Question II, unless there was an adverse event. … If an adverse event occurred, you should also use the Learn From Defects Form. II.

148. AHRQ News Now | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/index.html
     April 30, 2024 - Results News Newsroom Blog Newsletter AHRQ News Now Events … Improvement and Bolster Survey Scores February 6, 2024 Heart Failure Patients’ Risk of Adverse … Events Higher in Poor-Performing Hospitals January 30, 2024 New Tool Helps Manage Opioid

149. Patient Safety Tools | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
     June 01, 2022 - hospitals and nursing homes (including skilled nursing facilities) to collect data for all types of adverse … events, near misses, and unsafe conditions. … Quality Indicators through free software programs that can help hospitals identify quality of care events … Research suggests that adverse events affect patients with limited English proficiency more frequently … If chest tubes are inserted incorrectly, patients can suffer adverse outcomes and even fatal complications

150. Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
     August 01, 2022 - Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … These projects sought to improve patient safety by measuring safety problems, characterizing adverse … events, and conducting clinical safety interventions.

151. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/878.html
     August 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … (Source: JAMA Network Open , Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem … include: Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse

152. Hospital Survey on Patient Safety (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
     June 09, 2016 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … to ask questions when something does not seem right (1 (2 (3 (4 (5 SECTION D: Frequency of Events … Hospital management seems interested in patient safety only after an adverse event happens (1 (2 … Shift changes are problematic for patients in this hospital (1 (2 (3 (4 (5 SECTION G: Number of Events

153. Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge Planning | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy4/index.html
     December 01, 2017 - Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … requires the successful transfer of information from clinicians to the patient and family to reduce adverse … events and prevent readmissions.

154. Medication Management Strategy: Intervention | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
     June 01, 2023 - Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … These tools will also help to identify patient behaviors that may be putting patients at risk for an adverse

155. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
     May 01, 2023 - this section News Newsroom Blog AHRQ Views Newsletter Events … While these are reportable events, we can assume the risks are more widespread; safety events in many … Trends in adverse event rates in hospitalized patients. JAMA  2022 Jul 12;328(2):173-83.

156. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
     December 01, 2017 - Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … mortality for pediatric surgical procedures Rates of potentially avoidable complications and adverse … Events Composite) PDI 19 (Pediatric Patient Safety for Selected Indicators) are not in ICD-10 v6.0 … Events Composite): http://www.qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf Slide 17 … Consider inserting here the deidentified story of a patient who suffered the adverse event captured by

157. Oregon Rural Practice-based Research Network | Practice-Based Research Networks | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/pbrn-registry/oregon-rural-practice-based-research-network
     May 06, 2013 - diesease related interests: Access to care-dental services, drug sampling policies, medication errors and adverse … drug events, patient-centered primary care home, practice transformation, rural health delivery systems

158. AHRQ Welcomes Your Comments on Draft Report to Congress about Improving Patient Safety | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/blog/ahrqviews/comments-pso-draft-report.html
     February 01, 2021 - this section News Newsroom Blog AHRQ Views Newsletter Events … Although we still see too many events such as adverse drug reactions, infections, or falls, momentum

159. AHRQ Releases Primer for Reducing Healthcare Carbon Emissions | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsroom/press-releases/carbon-emissions.html
     September 01, 2022 - AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … Healthcare is both a significant contributor to climate change and responsible for managing the adverse … “Extreme weather events, declining air quality, and growing food and water insecurity now threaten healthcare

160. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/match/index.html
     April 01, 2023 - Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … process can detect and avert most medication discrepancies, potentially avoiding a large number of adverse … drug events and related costs for care of affected patients.