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Showing results for "adverse events".
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241. Guiding Principles Help Healthcare Community Address Potential Bias Resulting From Algorithms | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/894.html
     December 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … region, is applying a human factors engineering approach to healthcare delivery to reduce patient safety events … including a toolkit to help introduce emergency medicine clinical pharmacist programs to hospitals to avoid adverse … drug events in emergency department patients.

242. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
     January 01, 2020 - patient-level characteristics such as age, sex, type of AF, comorbidities, risk for stroke or bleeding events … utilization • Reduced medication use (e.g., need for anticoagulants, antiarrhythmic drugs) Harms or adverse … ) • In-hospital and 30-day stroke (any, by type), TIA • In-hospital and 30-day embolic events … vascular injury, infection leading to prolonged hospitalization or sepsis, pulmonary edema]) • Adverse … studies may be considered in the evaluation of harms if specifically designed to evaluate harms and/or adverse

243. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
     January 01, 2022 - lags far behind other types of patient safety events. … Unlike the types of safety events defined by existing Common Formats, diagnostic safety events tend … events) and to email written feedback within approximately 4 weeks. … The reliability of AHRQ Common Format Harm Scales in rating patient safety events. … A human factors and survey methodology-based design of a web-based adverse event reporting system for

244. Staff Training Instructor Guide | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
     October 01, 2020 - Slide Time: 5 minutes Say: To illustrate why LEP patients are at risk of patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot study. … is inspired by the 2006 book by John Kotter, Our Iceberg Is Melting: Changing and Succeeding Under Adverse … Our iceberg is melting: changing and succeeding under adverse conditions. … identified as a primary contributor to the clinical errors found in malpractice cases and sentinel events

245. AHRQ Evidence Reviews: Catalysts for Practice Change | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/blog/ahrqviews/epc-program-evidence-reviews.html
     January 01, 2022 - this section News Newsroom Blog AHRQ Views Newsletter Events … That includes adverse effects resulting from the unnecessary use of antibiotics, like Clostridium difficile

246. TeamSTEPPS 2.0: Module 10. Measurement | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module10/igmeasure.html
     March 01, 2014 - PSIs are a set of measures that provide information about potential in- hospital complications and adverse … events (outcomes) following surgeries, procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse events that might require further study … PSIs also include indicators for complications occurring in-hospital that may represent patient safety events … Such events can be mitigated with the implementation of TeamSTEPPS tools and strategies.

247. AHRQ Efforts To Address Long COVID | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/coronavirus/long-covid.html
     March 01, 2024 - pattern and progression or worsening over time, with the possibility of severe and life-threatening events … to improve the care of people living with multiple chronic conditions who are at increased risk for adverse

248. Ldusafety Facguide (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
     May 01, 2017 - L&D unit staff are able to focus on patient care and have confidence that untoward events (change in … Fostering a culture that supports debriefing by the clinical team immediately after a near miss, an adverse … event, or an otherwise complex episode of care. · A unit can decide its approach to debriefing events … Having a process in place to review severe maternal or neonatal morbidity and mortality events. · A unit … Factors to consider— Unit and malpractice claims data suggesting adverse events or near misses related

249. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
     October 01, 2020 - Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events

250. Labor and Delivery Unit Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
     July 01, 2023 - Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … L&D unit staff are able to focus on patient care and have confidence that untoward events (change in … Fostering a culture that supports debriefing by the clinical team immediately after a near miss, an adverse … Having a process in place to review severe maternal or neonatal morbidity and mortality events. … Factors to consider— Unit and malpractice claims data suggesting adverse events or near misses related

251. TeamSTEPPS Implementation Guide (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/implguide_0.pdf
     March 01, 2006 - Available organizational data, (e.g., adverse event and near miss reports, AHRQ Patient Safety Culture … that facilities may also use the Guide to develop TeamSTEPPS Action Plans in response to sentinel events …  You may start by doing simple counts of your target events or clinical outcomes and displaying … event or near miss = Rate of Labor & Delivery Adverse & Near-Miss Events Total number of patients … events or near misses) Who will be involved in the change?

252. CANDOR Acknowledgments (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-acknowledgments.pdf
     September 14, 2017 - advance the implementation of a transparent and just response to those who have been injured due to an adverse … team at every phase of CANDOR development, including during tool synthesis, training, and stakeholder events

253. About the Nursing Home Antimicrobial Stewardship Guide | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/nhguide/about/index.html
     March 01, 2023 - resident over the study period and, when taking into consideration the potential costs of treating adverse … health events, the cost savings was $1,098 per resident. 2 Why Is Antimicrobial Stewardship Important

254. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
     November 01, 2022 - The preventable harms for these medication errors include adverse drug events (ADEs), unscheduled hospital

255. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
     September 01, 2019 - 70% ---- ---- New 2.0 item Hospital management seems interested in patient safety only after an adverse … (F3R) Hospital management seems interested in patient safety only after an adverse event happens. … safety events have you reported? … (F3R) Hospital management seems interested in patient safety only after an adverse event happens … safety events have you reported?

256. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
     December 01, 2020 - Version 2019.01 of the PSI software has 17 measures, in addition to 1 patient safety and adverse events … • Adverse events associated with surgical procedures. • Hospital-acquired infections. … drug events 2004-2007 and 2009-2017 ADE - IV Heparin Adverse drug events 2004-2007 and 2009-2017 ADE … - Low Molecular Weight Heparin Adverse drug events 2004-2007 and 2009-2017 ADE - Warfarin Adverse drug … Adverse events after total knee arthroplasty: a national Medicare study.

257. Implementation Quick Start Guide: Create a Safe Medicine List Together (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-quickstart-final508.pdf
     April 04, 2018 - implementors and use them as peer coaches. 6 Evaluate your progress Evaluate effectiveness � How many adverse … drug events occur pre- and post-implementation?

258. AHRQ Signals Plan To Establish Healthcare Extension Service | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/888.html
     November 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … Adverse drug event prevention and detection in older emergency department patients .

259. Patient Safety Awareness Week 2020 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
     December 01, 2023 - Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … former Director of the Center for Quality Improvement and Patient Safety, highlights some of the planned events … https://www.ahrq.gov/patient-safety/news-events/psaw-2020/index.html  

260. Fall Prevention Toolkit (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
     March 01, 2013 - . † Adverse outcomes (a) Firm mattresses; low beds; appropriate chair heights and depths for easy transfer … and falls prevention) simultaneously and found an overall positive effect on the development of any adverse … However, Oliver and colleagues also note “so little empiric evidence on adverse effects of fall prevention … Fewer adverse events as a result of the SAFE or SORRY? … events.