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Showing results for "adverse events".
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341. Spreadnotes (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
     August 28, 2012 - ASK: · How did the pilot CUSP team make a case for their project targeting adverse drug events?

342. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
     August 01, 2022 - physician to observe overt and many times more subtle clues, such as changes in vital signs, sensorium, or events … physician by presenting a case and receiving feedback.42 The study reported a significant reduction in adverse … events and near- misses,42 suggesting that distributed cognition played a role by having the physician … Effect of systematic physician cross-checking on reducing adverse events in the emergency department

343. Readiness Assessment Survey (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.docx
     September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe and … receive 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.

344. Readiness Assessment Survey (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.docx
     September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe and … receive 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.

345. Module 1: Preventing Pressure Injuries in Hospitals (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
     July 12, 2017 - We understand that even small failures in safety protocols can lead to catastrophic or adverse events

346. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
     August 01, 2005 - Objective information can originate from a variety of sources, including adverse event and near-miss

347. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
     August 01, 2005 - Objective information can originate from a variety of sources, including adverse event and near-miss

348. TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ) Manual | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html
     April 01, 2017 - safety, leadership, interpersonal interactions, attitudes toward stress, and knowledge of how to report adverse … events ( Sexton, et al., 2006 ). … The 50-item T-TPQ was tested and refined during three critical events: cognitive interviews, small group

349. Guide to Patient and Family Engagement in Hospital Quality and Safety | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.html
     March 01, 2023 - Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events

350. CUSP Toolkit Spread Facilitator Notes | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/cusp/modules/spread/notes.html
     December 01, 2012 - Ask: How did the pilot CUSP team make a case for their project targeting adverse drug events?

351. AHRQ's 35th Anniversary | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/cpi/about/35th-anniversary/index.html
     April 01, 2024 - Hospital-Acquired Conditions show that national efforts to reduce hospital-acquired conditions, such as adverse … drug events and injuries from falls, helped prevent an estimated 8,000 deaths and save $2.9 billion

352. Preventing Falls in Hospitals
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
     June 16, 2017 - understanding that even small failures in safety protocols or processes can lead to catastrophic or adverse … events if action is not taken to solve the problem.

353. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
     September 02, 2022 - Discuss the associated tasks and thought processes taking place during those events. 4 Domain 3: … SBAR),27-30 to structure communication with physicians and other diagnostic team members and reduce adverse … events. … in their day-to-day operations. 7 e Any safety events or “good catches” identified from these … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events. July 2022.

354. PPRNet: Primary (Care) Practice Research Network (pdf file)
     pbrn.ahrq.gov/sites/default/files/docs/page/PPRNet.pdf
     May 01, 2015 - practices with practice staff, clinicians, and patients to understand their perspectives on reducing adverse … drug events.”

355. Readiness Assessment Survey (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.pdf
     September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe and … 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.

356. Readiness Assessment Survey (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.pdf
     September 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.

357. Selected Best Practices and Suggestions for Improvement (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
     January 01, 2012 - • Pressure ulcers represent an important patient adverse event that is associated with significant

358. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
     pbrn.ahrq.gov/sites/default/files/docs/AHRQPBRNFinalRapidCycleResearchGuidanceDocument_0.pdf
     June 01, 2015 - http://pbrn.ahrq.gov/events/advanced-methods-primary-care-research-stepped-wedge-design AHRQ PBRN … View the Webinar recording on AHRQ’s PBRN Events page here: https://pbrn.ahrq.gov/events/dissemination … http://pbrn.ahrq.gov/events/advanced-methods- primary-care-research-stepped-wedge-design. … information systems can reduce medical errors and might pose a viable option for the prevention of adverse … drug events.

359. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
     pbrn.ahrq.gov/sites/default/files/docs/page/AHRQPBRNFinalRapidCycleResearchGuidanceDocument_1.pdf
     June 01, 2015 - http://pbrn.ahrq.gov/events/advanced-methods-primary-care-research-stepped-wedge-design AHRQ PBRN … View the Webinar recording on AHRQ’s PBRN Events page here: https://pbrn.ahrq.gov/events/dissemination … http://pbrn.ahrq.gov/events/advanced-methods- primary-care-research-stepped-wedge-design. … information systems can reduce medical errors and might pose a viable option for the prevention of adverse … drug events.

360. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
     pbrn.ahrq.gov/sites/default/files/docs/page/AHRQPBRNFinalRapidCycleResearchGuidanceDocument.pdf
     June 01, 2015 - http://pbrn.ahrq.gov/events/advanced-methods-primary-care-research-stepped-wedge-design AHRQ PBRN … View the Webinar recording on AHRQ’s PBRN Events page here: https://pbrn.ahrq.gov/events/dissemination … http://pbrn.ahrq.gov/events/advanced-methods- primary-care-research-stepped-wedge-design. … information systems can reduce medical errors and might pose a viable option for the prevention of adverse … drug events.