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

  1. pbrn.ahrq.gov/diagnostic-safety/research/index.html
    March 01, 2024 - Learning more about the link between diagnostic errors and outcomes, including adverse events.
  2. Safemed Facguide (doc file)

    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
    May 01, 2017 - learning from defects for oxytocin administration include— Debriefing and analyzing near misses and adverse … Having a process in place to review severe maternal or neonatal morbidity and mortality events. … key safety elements of learning from defects are the same as for oxytocin: Debriefing near misses and adverseevents related to magnesium sulfate use. … Consider these factors: · Unit data suggesting adverse events or near misses related to oxytocin, magnesium
  3. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
    January 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.
  4. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
    January 01, 2010 - for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.
  5. pbrn.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - section News Newsroom Blog Newsletter AHRQ News Now Events … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .
  6. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
    May 01, 2017 - Ways to reduce obstetrical adverse events include improving teamwork and communication among care teams … Root cause analyses of adverse events and near-misses (events that did not produce patient injury) … EARLY IMPACTS The most recent root cause analyses of adverse events and near-misses indicated that … poor communication is no longer a root cause; in fact, near-misses and adverse events attributed to … The weighted adverse events included in the measure are in-house maternal death, in-house neonatal
  7. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
    May 01, 2017 - Ways to reduce obstetrical adverse events include improving teamwork and communication among care teams … Root cause analyses of adverse events and near-misses (events that did not produce patient injury) … EARLY IMPACTS The most recent root cause analyses of adverse events and near-misses indicated that … poor communication is no longer a root cause; in fact, near-misses and adverse events attributed to … The weighted adverse events included in the measure are in-house maternal death, in-house neonatal
  8. pbrn.ahrq.gov/sops/international/hospital/translators.html
    October 01, 2014 - The survey also includes questions asking for an overall rating on patient safety and the number of events … Hospital management seems interested in patient safety only after an adverse event happens. … usually show interest in patient safety—they show interest in patient safety only when there is an adverse … Frequency of Events Reported ( More about this item: Refers to reports made to someone in authority … The term "rating" can be used instead of "grade." ) Number of Events Reported (No event reports,
  9. pbrn.ahrq.gov/news/newsletters/e-newsletter/886.html
    October 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … Falls are one of the most frequently reported patient safety events in the NPSD, second only to medication … or other substance events. … Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive
  10. pbrn.ahrq.gov/health-literacy/improve/pharmacy/tools.html
    January 01, 2024 - (MTM) is a patient-centric and comprehensive approach to improve medication use, reduce the risk of adverseevents, and improve medication adherence.
  11. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
    April 01, 2011 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … be prevented Common complications post-discharge are adverse drug events, hospital-acquired infections … have been prevented or ameliorated.1 Common post-discharge complications include adverse drug events … The incidence and severity of adverse events affecting patients after discharge from the hospital. … events and prevent readmissions.
  12. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
    January 01, 2016 - 05.2 Page ‹#› TeamSTEPPS® Clinical Performance & Safety Culture Slide ‹#› Upcoming TeamSTEPPS Events … 05.2 Page ‹#› TeamSTEPPS® Clinical Performance & Safety Culture Slide ‹#› Upcoming TeamSTEPPS Events … Register at: https://tslms.org  Learn more and register for all events at www.TeamSTEPPSportal.org … healthcare Optimizing patient outcomes by improving communication and other teamwork skills Reducing adverse … patient events related to communication breakdowns and/or poor teamwork TEAMSTEPPS 05.2 Mod 1 05.2
  13. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
    May 30, 2013 - fractures.3,9 Staff with requisite training and supplies available to respond to magnesium-related adverse … Defects (CUSP Module) Key Perinatal Safety Elements Examples Debrief and analyze near misses and adverseevents related to magnesium sulfate use … Have a process in place to review severe maternal or neonatal morbidity and mortality events. … events including respiratory depression 2.
  14. pbrn.ahrq.gov/news/newsletters/e-newsletter/877.html
    August 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic
  15. pbrn.ahrq.gov/news/newsletters/e-newsletter/873.html
    July 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … the Society of Thoracic Surgeons’ (STS) postoperative cardiac surgery guidelines is associated with adverseevents, according to an AHRQ-funded study in the Journal of Thoracic and Cardiovascular Surgery .
  16. pbrn.ahrq.gov/sites/default/files/docs/DARTNetDataWebinar.pdf
    August 18, 2015 - in eGFR oChange in ACR  Patient outcomes that matter oESRD oDeath – linkage to NDI CKD - Adverse … Outcomes  Adverse effects oNumber of individuals who develop hyperkalemia oRate of hip, forearm … Awareness, Assessment, Adaptation, Acceleration-A Guidance Document Visit http://pbrn.ahrq.gov/events … for webinar registration information and details on other upcoming PBRN-relevant events If you … Optimal Set* Summary and Conclusions Blurring QI and Research - CKD CKD – Positive Outcomes CKD - Adverse
  17. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teamattitude.pdf
    March 21, 2014 - Adverse events may be reduced by maintaining an information exchange with patients and their families
  18. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/carnahan.pdf
    January 01, 2014 - Description Antipsychotics have limited effectiveness in dementia and increase risk of mortality and other adverseevents.
  19. pbrn.ahrq.gov/hai/universal-icu-decolonization/universal-icu-overvw.html
    September 01, 2013 - Safety and Adverse Events Introduction to the Protocol The Universal ICU Decolonization
  20. pbrn.ahrq.gov/teamstepps/officebasedcare/handouts/teamattitudes.html
    December 01, 2015 - Adverse events may be reduced by maintaining an information exchange with patients and their families

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