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Showing results for "adverse events".
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  1. 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
  2. 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 adverseevents, 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
  3. 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.
  4. 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
  5. 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 adverseevents resulting from poor communication and system failures. … Articles featured this week include: Anticoagulation-associated adverse drug events in hospitalized
  6. 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
  7. 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.
  8. 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 AdverseEvents Higher in Poor-Performing Hospitals January 30, 2024 New Tool Helps Manage Opioid
  9. 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 adverseevents, 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
  10. 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 adverseevents, and conducting clinical safety interventions.
  11. 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
  12. 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
  13. 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 adverseevents and prevent readmissions.
  14. 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
  15. 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.
  16. 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 adverseEvents 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
  17. 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
  18. 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
  19. 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
  20. 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.

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