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Showing results for "adverse events".
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101. Infographic - New AHRQ Report Compares Early Stage Breast Cancer Radiotherapy Approaches (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/data/infographics/breast-cancer-radiotherapy.pdf
     February 21, 2023 - Cancer-Free Survival Outcomes Similar at 5 and 10 Years Whole Breast Irradiation (WBI) Acute Adverse … Events Were Significantly Fewer With PBI Compared With WBI Partial Breast Irradiation (PBI)

102. Major Hospital Quality Measurement Sets | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
     February 01, 2023 - The Patient Safety Indicators (PSIs) identify adverse events occurring during hospitalization. … They provide information on potential in-hospital complications and adverse events following surgeries

103. Selected Best Practices and Suggestions for Improvement (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - regarding the definition of true postoperative respiratory failure, it still remains an important patient adverse … at increased risk for postoperative respiratory failure to better prepare clinicians to anticipate adverse … events postoperatively, as well as improve allocation of resources after surgery.5 • Some risk factors … Decreased central nervous system input (head injury, ingestion of central nervous system depressant, adverse … Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

104. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
     October 01, 2017 - events? … events Through a noninvasive interface after HMV, BPAP, or CPAP Patients with chronic respiratory … (KQ 5) Adverse Events using the “CBK” approval code and home BPAP machines using the “MNT” and “ … These physiologic aberrations may result in several adverse outcomes that include, but are not limited … events Timing • At least 1 month of treatment Setting • Home • Assisted living residence

105. Register Now: July 25 Webinar by National Action Alliance Will Address Involving Patients and Families in Safety | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/872.html
     July 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … process can enrich clinicians’ understanding of patient and family experience and reduce harms following adverse … diagnostic events. … emergency departments to provide nonemergency care to residents, potentially placing residents at risk of adverse … events and generating wasteful Medicare spending.

106. Comparing Quality Scores to an Independent Standard | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/talkingquality/translate/compare/choose/standard.html
     January 01, 2023 - The Standard for “Never Events” There is one kind of standard that is beginning to emerge in health … care: the standard of “never” or zero percent for certain adverse and preventable events. … These events are preventable and should never happen.”

107. Board and Senior Leadership PowerPoint Presentations on the AHRQ Quality Indicators (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
     October 01, 2015 - • AHRQ QIs are indicators of hospital quality and adverse events that patients may experience as … • Pediatric Quality Indicators (PDIs) reflect quality of care inside hospitals and adverse events … • The PSIs are a set of 18 hospital-level indicators of safety-related adverse events following operations … and Safety • The PDIs are a set of 16 indicators that reflect quality of care inside hospitals and adverse … • PDIs measure events likely preventable through changes at the system or provider level.

108. AHRQ Views: Biden Administration Tackles Financial Strains on Healthcare Consumers | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/892.html
     December 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … Making Healthcare Safer IV will provide evidence on 11 additional safety topics, including reducing adverse … events related to anticoagulants, opioid stewardship and addressing fatigue and sleepiness of clinicians … Articles featured this week include: Prescription opioid dose reductions and potential adverse events

109. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
     May 01, 2017 - This can help prevent safety events and/or medical errors. … Report to appropriate parties – Providers will use their facility’s policies to report adverse events … Communication about adverse events is a delicate process that requires collaboration with and guidance … Organizations should be prepared to respond and communicate proactively when adverse events occur. … , to Responding to Adverse Events).

110. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - events. … drug events. … events. … These adverse events are relevant because obstetric and perinatal-related claims are among the most … An ACEx2 program differs from other disclosure and offer models “because it focuses on adverse events

111. Monitoring for Perinatal Safety: Electronic Fetal Monitoring (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
     May 01, 2017 - 3 SAY: Further, EFM interpretation and management is a common issue in litigation involving adverse … individual staff skills with respect to EFM interpretation may not be enough to reduce perinatal safety events … Perinatal Care Electronic Fetal Monitoring 8 SAY: A unit can decide its approach to debriefing events … events. … • Past adverse events related to EFM use. • Synergy with related or similar initiatives (e.g., initiatives

112. Communication Assessment Guide | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
     August 01, 2022 - Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … communicators who participate in conversations with patients, families, and caregivers following an adverse … demonstrate all of the skills and competencies should be involved in delivering communication about adverse … events to patients, families, and caregivers.

113. Gap Analysis Facilitator's Guide: Appendix A | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
     August 01, 2022 - Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … management Disruptive behavior and/or code of conduct Investigation of occurrences (i.e., sentinel events …  ___ Bylaws for medical staff and/or hospital Peer review process Oversight/management of adverse … or "harm" events ___  ___ Organizational safety and/or quality plan FMEAs or other

114. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
     May 01, 2017 - Professional Liability EFM interpretation and management are a common issue in litigation involving adverse … events, and the contribution of EFM use, EFM interpretation, and communication of EFM findings. … Have a process in place to review severe maternal or neonatal morbidity and mortality events. … events 17 AHRQ Safety Program for Perinatal Care Electronic Fetal Monitoring 17 Unit Next Steps … Past adverse events related to EFM use Synergy with related or similar initiatives Interest and enthusiasm

115. National Action Plans | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/reports/national-action-plans.html
     February 01, 2018 - Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … National Action Plan for Adverse Drug Events identifies the Federal Government’s highest priority strategies

116. AHRQ Views Blog: Long COVID Is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/856.html
     March 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … Articles featured this week include: Automated capture of intraoperative adverse events using artificial … Near-miss events detected using the emergency department trigger tool . … Effect of apneic oxygenation with intubation to reduce severe desaturation and adverse tracheal intubation-associated … events in critically ill children.

117. Create a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
     January 01, 2024 - Assessment Form  (DOCX, 330 KB) Implementation Guide  (PDF, 402 KB) Learning From Antibiotic–Associated Adverse … Events Form (DOCX, 227 KB) Gap Analysis Tool  (DOCX, 382 KB) The Four Moments of Antibiotic Decision

118. AHRQ Signals Interest in Research To Improve Healthcare for People With Disabilities | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/890.html
     November 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … antibiotics within 48 hours of presentation and in 13 percent of hospitalizations patients experienced an adverse … time to antibiotics varies markedly across simulated hospital scenarios, but new antibiotic-associated adverse … events were rare.

119. AHRQ Accelerates Efforts To Advance Health Equity | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/907.html
     April 01, 2024 - section News Newsroom Blog Newsletter AHRQ News Now Events … of team strategies and tools to improve performance and approaches to team-based error disclosure on adverse … events. … Articles featured this week include: Transfusion-related errors and associated adverse reactions and

120. FileNewTemplate
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
     March 01, 2010 - Outcome Score (WAOS), which describes the adverse event score per delivery 50% decrease in the Severity … Index, which measures the average severity of each delivery with an adverse event Mann, S., Marcus, … Reduced rate of adverse drug events Improved medication reconciliation at patient admission Haig, K. … Some of the current clinical outcomes of team training include the following-- 50% reduction in adverse … event; reduced rate of adverse drug events; and improved medication reconciliation at patient admission