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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
April 01, 2018 - diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissions
are related to an
adverse
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preventiveservices.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy4/index.html
December 01, 2017 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … Primary Care Settings
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … requires the successful transfer of information from clinicians to the patient and family to reduce adverse … events and prevent readmissions.
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preventiveservices.ahrq.gov/news/newsroom/case-studies/201507.html
April 01, 2015 - Studies
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AHRQ Views
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AHRQ News Now
Events … AHRQ Social Media
AHRQ Stats
Impact Case Studies
Blog
Newsletter
Events … Patients who participate in anticoagulation clinics tend to experience fewer adverse events, as well
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - Staff can use this decision tree when analyzing an error or
adverse event in an organization to help … events and close calls. … events have clearly expressed their preferences for full error
disclosure, most physicians remain uncomfortable … events. … drug events (ADEs).
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preventiveservices.ahrq.gov/diagnostic-safety/research/index.html
March 01, 2024 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … Learning more about the link between diagnostic errors and outcomes, including adverse events.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8_program-evaluation.pptx
July 01, 2023 - Severe Maternal Morbidity (SMM)
Calls by professional organizations to review SMM
to better understand adverse … maternal events
to implement clinical audits and improve quality of care
to increase awareness/knowledge … in SMM has been driven by:
Calls by professional organizations to review SMM
to better understand adverse … becoming better established and improving over time
Collectively, these will lead lead to reductions in adverse … events – as shown in the impact column.
17
Evaluation Data Collection
Baseline assessment survey at
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preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
July 01, 2023 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … Incidence of adverse drug events and potential adverse drug events. JAMA 1995;274(1):29–34.
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preventiveservices.ahrq.gov/health-literacy/improve/pharmacy/tools.html
January 01, 2024 - Studies
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AHRQ Views
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AHRQ News Now
Events … (MTM) is a patient-centric and comprehensive approach to improve medication use, reduce the risk of adverse … events, and improve medication adherence.
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preventiveservices.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … PSOs can help providers develop successful approaches to improving quality and reducing adverse outcomes … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events is a resource to … help healthcare organizations detect, analyze, and learn from diagnostic safety events.
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preventiveservices.ahrq.gov/teamstepps-program/resources/additional/index.html
September 01, 2023 - Studies
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AHRQ News Now
Events … techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse … this technique, one tool in the TeamSTEPPS 3.0 training program, can improve communication, reduce adverse … events, and improve care quality.
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preventiveservices.ahrq.gov/research/publications/search.html
January 01, 2024 - Studies
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Events … considers how to most effectively elicit representative, in-depth narrative accounts of diagnosis-related events … enrich clinicians’ understanding of patient and family experience and reduce the harms that follow adverse … diagnostic events.
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/index.html
April 30, 2024 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … Results
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure Patients’ Risk of Adverse … Events Higher in Poor-Performing Hospitals
January 30, 2024
New Tool Helps Manage Opioid
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preventiveservices.ahrq.gov/topics/childrenadolescents.html
January 01, 2011 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Incidence, Costs of Sports-Related Injuries
Recent Research Studies
Adverse … tracheal intubation events in critically ill underweight and obese children: retrospective study of
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preventiveservices.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?
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preventiveservices.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
May 01, 2023 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … this section
News
Newsroom
Blog
AHRQ Views
Newsletter
Events … While these are reportable events, we can assume the risks are more widespread; safety events in many … Trends in adverse event rates in hospitalized patients. JAMA 2022 Jul 12;328(2):173-83.
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preventiveservices.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … Primary Care Settings
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … These tools will also help to identify patient behaviors that may be putting patients at risk for an adverse
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
January 01, 2004 - drug events.2 Effective
communication regarding medications can help avoid medication-related errors3 … Since medication-related adverse events are common1 and warfarin is
involved in preventable adverse … drug events. … Adverse drug
events in ambulatory care. N Engl J Med
2003;348(16):1556–64.
2. … Incidence
and preventability of adverse drug events among older
persons in the ambulatory setting.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartfull.pdf
December 15, 2016 - to 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.
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preventiveservices.ahrq.gov/news/newsroom/case-studies/202301.html
March 01, 2023 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … AHRQ Social Media
AHRQ Stats
Impact Case Studies
Blog
Newsletter
Events … AHRQ Product(s):
SHARE Approach
Topic(s):
Access to Care,
Adverse … Drug Events (ADE),
Care Coordination,
Chronic Conditions,
Clinician-Patient Communication
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
September 01, 2022 - Slide 3
Antibiotic-Associated Adverse Events
SAY:
Every time an antibiotic is being considered, it … Examples of adverse events include allergic reactions, acute kidney injury, hepatotoxicity, seizures,