Results

Total Results: 394 records

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

201. Monitoring Progress for Sustainable Improvement (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
     June 05, 2016 - difficult to determine if a change in a measure (e.g., increased length of stay, increased reporting of adverse … events) is a sign of a performance problem, often because multiple factors may contribute to such a … that are not expressed as rates also can be used for monitoring, such as the occurrence of serious adverse … events (e.g., a sentinel event) that would require immediate action, or counts of desirable (e.g.,

202. Antibiotic Stewardship | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
     February 01, 2019 - Antibiotics can cause harm to residents High risk of side effects and adverse events. … of commitments and activities designed to "optimize the treatment of infections while reducing the adverse … events associated with antibiotic use."

203. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
     August 01, 2019 - Reporting Patient Safety Events (Never, Rarely, Sometimes, Most of the time, Always, Does Not Apply … Hospital management seems interested in patient safety only after an adverse event happens. … Reliability of this composite measure—Cronbach’s alpha (3 items) = .72 Number of Events Reported … In the past 12 months, how many patient safety events have you reported?

204. New Tool Helps Manage Opioid Use in Older Adults | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/898.html
     January 01, 2024 - section News Newsroom Blog Newsletter AHRQ News Now Events … Hospital and associate professor of medicine at Harvard Medical School in Boston, is helping to reduce adverse … events during care transitions with digital health interventions that improve patient safety and outcomes … organizations and other groups can use these findings to improve how medication-related patient safety events

205. AHRQ Views: 20 Years of Innovation From the Digital Healthcare Research Program | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/901.html
     February 01, 2024 - section News Newsroom Blog Newsletter AHRQ News Now Events … comment): Documentation Burden AHRQ in the Professional Literature Decision-making during high-risk events … Guideline concordance and antibiotic-associated adverse events between Veterans Administration and non-Veterans

206. AHRQ Safety Program for Perinatal Care: Safe Medication Administration (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
     May 01, 2017 - L&D unit staff are able to focus on patient care and have confidence that untoward events (change … learning from defects for oxytocin administration include— • Debriefing and analyzing near misses and adverse … 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

207. TeamSTEPPS Teamwork Attitudes Questionnaire (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
     May 31, 2023 - Adverse events may be reduced by maintaining an information exchange with patients and their families

208. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/scenarios/dental.html
     March 01, 2014 - This communication failure results in an adverse event. … If given to a pregnant woman, this medication can have adverse effects on the fetus.

209. Teamwork Attitudes Questionnaire (T-TAQ) | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
     April 01, 2017 - Adverse events may be reduced by maintaining an information exchange with patients and their families

210. TeamSTEPPS® for Office-Based Care - TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/teamattitude.pdf
     December 09, 2015 - Adverse events may be reduced by maintaining an information exchange with patients and their families

211. Tool: Call-Out | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps-program/curriculum/communication/tools/callout.html
     May 01, 2023 - Or a patient having wisdom teeth removed may have a strong adverse reaction to the sedation and require

212. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsroom/case-studies/index.html
     February 01, 2024 - User Liaison Program (ULP) (4) WebM&M (5) Topics Access to Care (14) Adverse … Drug Events (ADE) (5) Asthma (2) Behavioral Health (16) Blood Clots (15) Blood Thinners … Impact Case Study Identifier: 2023-01 AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse … Drug Events (ADE), Care Coordination, Chronic Conditions, Clinician-Patient Communication, Diabetes,

213. Obsrounds (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
     August 07, 2012 - Poor communication among staff is a root cause of many patient adverse and sentinel events.

214. New Study Shows Reduced Antibiotic Use at Long-term Care Facilities Participating in HHS-funded Program | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
     February 01, 2022 - AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … facilities also significantly reduced use of fluoroquinolones , a class of antibiotics known to cause adverse

215. Implementation Quick Start Guide: Medication Management (Half-Page) (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
     December 15, 2016 - medication reconciliation and medication management are well documented.2-5 One study found that adverse … drug events result in as many as 4.5 million ambulatory visits (office and emergency department) each … It will also help you identify patient behaviors that may be putting them at risk for an adverse drug … with patients and families to prepare the medication list and identify patients at risk for safety events … Adverse drug events in U.S. adult ambulatory medical care.

216. Team Training in Healthcare and TeamSTEPPS at Johns Hopkins
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-dec2013.pptx
     January 01, 2013 - Healthcare & TeamSTEPPS at JHU TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS Upcoming TeamSTEPPS Events … in pt. harm (Abstoss et al., 2011) Rates of RRS activations that resulted in codes (Donahue, 2011) Adverse … Use of evidence-based practice Handoffs Efficiency Reduced care delays Decision time Safety outcomes Adverse … events with teamwork and communication related root causes Infection rates Other harm related outcomes

217. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
     August 01, 2022 - Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … , and surgeon, along with a lack of familiarity with the new equipment as an important cause of the adverse

218. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - events and close calls. … events, and near-misses. … events. … • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement. … drug events (ADEs).

219. TeamSTEPPS 2.0 Module 10: Measurement
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule10.pptx
     January 01, 2004 - Slide 19) Measure Level IV - Results Provide information on potential in-hospital complications and adverse … events Can help identify potential adverse events that might need further study Include indicators … The PSIs are a set of measures that provide information about potential in-hospital complications and adverse … events following surgeries, other hospital or care procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse events that might require further study

220. Patient and Family Engagement | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
     July 01, 2018 - How to communicate an adverse event to patients and family members.