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

181. Research on Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/diagnostic-safety/research/index.html
     March 01, 2024 - Learning more about the link between diagnostic errors and outcomes, including adverse events.

182. 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 adverse … events related to magnesium sulfate use. … Consider these factors: · Unit data suggesting adverse events or near misses related to oxytocin, magnesium

183. Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
     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.

184. Strategy 4: IDEA Discharge Planning (Tool 1) (doc file)
     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.

185. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality
     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 .

186. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     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

187. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     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

188. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
     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,

189. New Data Resource Provides Insights on Factors Related to Falls | Agency for Healthcare Research and Quality
     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

190. AHRQ Health Literacy Tools for Use in Pharmacies | Agency for Healthcare Research and Quality
     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 adverse … events, and improve medication adherence.

191. Strategy 4: IDEA Discharge Planning (Tool 4)
     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.

192. Improving Clinical Performance and Safety Culture Through TeamSTEPPS Implementation
     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

193. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
     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 adverse … events 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.

194. AHRQ-Funded Studies Highlight Dental Antibiotic Prescribing Trends | Agency for Healthcare Research and Quality
     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

195. Nonadherence With Guidelines Associated With Cardiac Surgery Infection | Agency for Healthcare Research and Quality
     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 adverse … events, according to an AHRQ-funded study in the Journal of Thoracic and Cardiovascular Surgery .

196. DARTNet Guided Exploration of Linkages Between Existing Health Data, Patient Reported Outcomes and PBRN Research” Webinar Presentation Slides (pdf file)
     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

197. TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) (pdf file)
     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

198. Improving Antipsychotic Appropriateness in Dementia Patients (pdf file)
     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 adverse … events.

199. Universal ICU Decolonization Protocol Overview | Agency for Healthcare Research and Quality
     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

200. Teamwork Attitudes Questionnaire (T-TAQ) | Agency for Healthcare Research and Quality
     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