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Showing results for "adverse events".
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221. Implementation Quick Start Guide: Medication Management (Half-Page) (pdf file)
     pcmh.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.

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

223. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
     pcmh.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

224. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     pcmh.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).

225. Acknowledgments | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
     August 01, 2022 - Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … 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

226. Meeting Minutes, April 2019 | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
     July 01, 2019 - More topics in this section News Newsroom Blog Newsletter Events … reducing the use of acute and institutional care, eliminating duplication of services, and reducing adverse … events resulting from conflicting management. … investing in research to improve diagnosis in each of the “Big Three” conditions: cancer, vascular events … https://www.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html  

227. Improving Medication Safety for Older Adults | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-chui.html
     March 01, 2022 - As a result, adverse drug events (ADEs) are frequent, costly, and potentially life-threatening,” according

228. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
     August 01, 2022 - Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … improvement metrics, which allows for improvement of CANDOR processes, and prevention of similar harm events … adverse patient events by promoting transparency and a fair and just culture. … Celebrating staff for reporting CANDOR (and other) events, such as near misses and unsafe conditions. … Encourage your Team Leads to discuss actual CANDOR events to drive home important lessons.

229. TeamSTEPPS in Long-Term Care (LTC): Financial and Safety Benefits of Implementing TeamSTEPPS in Nursing Homes and LTC Facilities
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
     January 01, 2013 - TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS TeamSTEPPS in Long-Term Care Analysis of sentinel events … failure cited as a primary contributing factor in nearly 80 % of over 6,000 root cause analyses of adverse … events and close calls. 17 (Cost) Benefits of TeamSTEPPS Decreased malpractice claims Decreased … insurance premiums Decreased litigation Reduced rate of adverse drug events (from 30 to 18 per 1,000 … TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS TeamSTEPPS in Long-Term Care Upcoming TeamSTEPPS Events

230. 2021 National Healthcare Quality and Disparities Report: Executive Summary (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
     January 01, 2021 - The three measures that improved most reflect fewer adverse events in nursing homes (two measures) and … fewer adverse drug events involving the blood thinner heparin in hospital settings. … 2018, the incident rates of end stage renal disease due to diabetes decreased 48% from 526 to 273.1 events … Alaska Native, Black, and White populations, with respective incident rates of 273.1, 372.2, and 152.2 events … Hispanic communities were still more than double the rates in non-Hispanic White communities (142.8 events

231. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
     May 01, 2017 - Defects (CUSP Element) Key Perinatal Safety Elements Examples Debrief and analyze near misses and adverse … events related to shoulder dystocia … · A unit can decide its approach to debriefing events based on seriousness of event, expertise available … case reviews Have a process in place to review severe maternal or neonatal morbidity and mortality events … Sample scenario: · Shoulder dystocia · Shoulder dystocia training can be effective at reducing adverse

232. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
     April 01, 2018 - Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … Reconciliation Learn about the processes that help detect and prevent medication discrepancies and adverse … drug events.

233. 2014-Women-Chartbook (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
     January 01, 2014 - Adverse drug events occur in 15% or more of older patients presenting to offices, hospitals, and extended … Although patient safety initiatives focus mainly on inpatient hospital events, adverse effects of medical … Providers treating adverse events in outpatient settings may include office-based physicians, hospital … Events treated in Adult ambulatory medical care visits due to adverse effects of medical care per 1,000 … Reducing the risk of adverse drug events in older adults.

234. Ingestion of Illicit Substances Among Young Children Increased Significantly During COVID-19 Pandemic | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/861.html
     April 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … Understanding patient and clinician reported nonroutine events in ambulatory surgery. … Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex

235. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/patients-families/index.html
     June 01, 2023 - Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … Reconciliation Learn about the processes that help detect and prevent medication discrepancies and adverse … drug events.

236. Antibiotic Stewardship Slides, Part 2
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
     March 01, 2017 - about 40% of all prescriptions Antibiotics can cause harm to residents High risk of side effects and adverse … events Major risk factor for Clostridium difficile infection Driver of antibiotic resistance Prescribers … of commitments and activities designed to “optimize the treatment of infections while reducing the adverse … events associated with antibiotic use.” … commitments and activities designed to optimize the treatment of infections while reducing the harmful events

237. Implementing Screening and Treatment of Unhealthy Alcohol Use During COVID-19 | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/blog/ahrqviews/unhealthy-alcohol-use-during-covid19.html
     April 01, 2021 - this section News Newsroom Blog AHRQ Views Newsletter Events … spectrum of alcohol misuse from risky or hazardous drinking to alcohol use disorder, is associated with adverse

238. Grantee Final Reports: Patient Safety | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/research/findings/final-reports/index.html
     June 01, 2023 - : Older Adults Publication Date: August 2022 Management of Direct Anticoagulants to Lower Adverse … Events in Atrial Fibrillation (MODL-AF) ( application/pdf 412143 ) Principal Investigators: King

239. Developing Innovative Simulation-Based Training to Improve Patient Safety in Radiation Oncology | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
     March 01, 2023 - Simulation is a technique that mimics real-world clinical events in a training environment so clinicians

240. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
     May 01, 2017 - unit-established parameters for provider notification of EFM findings ensures that signs of potential adverse … Defects (CUSP Module) Key Perinatal Safety Elements Examples Debrief and analyze near misses and adverse … events and the contribution of EFM use, EFM interpretation, and communication of EFM findings · Unit … can decide its approach to debriefing events based on seriousness of event, expertise available, and … case reviews Have a process in place to review severe maternal or neonatal morbidity and mortality events