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preventiveservices.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
February 01, 2022 - Studies
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Events … facilities also significantly reduced use of fluoroquinolones , a class of antibiotics known to cause adverse
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January 01, 2023 - Studies
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Events … Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving
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preventiveservices.ahrq.gov/funding/grantee-profiles/grtprofile-chopra.html
January 01, 2022 - Studies
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Events … “The impetus for my work was the variation in and inappropriate use of PICCs combined with adverse events
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/898.html
January 01, 2024 - Studies
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Events … Hospital and associate professor of medicine at Harvard Medical School in Boston, is helping to reduce adverse … events during care transitions with digital health interventions that improve patient safety and outcomes … organizations and other groups can use these findings to improve how medication-related patient safety events
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preventiveservices.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
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
July 01, 2023 - First, as an after-action review of a patient case, especially one involving an adverse event like severe … Debriefing each case, whether the case went smoothly or there were adverse events associated with the … these types of debriefs will be held in the Reporting and Systems Learning stage in response to an adverse … How can they prepare to
handle future similar events? … The events that transpired during Ms.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
July 01, 2023 - First, as an after‐action review of a patient case, especially one involving
an adverse event like severe … Debriefing each case,
whether the case went smoothly or there were adverse events associated with the … these types of debriefs will be held in the Reporting and Systems Learning stage in
response to an adverse … Remember, it’s OK
to share feelings about the events. … The events that
transpired during Ms.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
July 22, 2021 - IHS • Enhanced Adverse Event Reporting Capabilities: IHS Safety
Tracking and Response (I-STAR) system
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preventiveservices.ahrq.gov/patient-safety/patients-families/index.html
June 01, 2023 - Studies
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Events … 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.
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preventiveservices.ahrq.gov/hai/cusp/toolkit/observing-rounds.html
December 01, 2012 - Studies
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Events … Poor communication among staff is a root cause of many patient adverse and sentinel events.
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preventiveservices.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
April 01, 2018 - Studies
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Events … 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.
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preventiveservices.ahrq.gov/programs/index.html?page=3
Studies
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Events … improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures.
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preventiveservices.ahrq.gov/es/programs/index.html?page=3
Studies
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Events … improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures.
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/896.html
January 01, 2024 - Studies
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Events … section
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Events … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
August 01, 2022 - Studies
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Events … Over time, the organization must continue to encourage frontline staff to report CANDOR events and other … 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.
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/index.html?page=1
April 18, 2023 - Studies
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Events … Results
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Events … and Non-Hispanic Patients
July 12, 2022
Major Study Shows Significant Drop in In-Hospital Adverse
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/901.html
February 01, 2024 - Studies
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Events … section
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Events … comment): Documentation Burden
AHRQ in the Professional Literature
Decision-making during high-risk events … Guideline concordance and antibiotic-associated adverse events between Veterans Administration and non-Veterans
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/873.html
July 01, 2023 - Studies
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Events … the Society of Thoracic Surgeons’ (STS) postoperative cardiac surgery guidelines is associated with adverse … events, according to an AHRQ-funded study in the Journal of Thoracic and Cardiovascular Surgery .
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/877.html
August 01, 2023 - Studies
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Events … Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
July 01, 2023 - First, as an after-action review of a patient case, especially one involving an adverse event like severe … Debriefing each case, whether the case went smoothly or there were adverse events associated with the … these types of debriefs will be held in the Reporting and Systems Learning stage in response to an adverse … How can they prepare to
handle future similar events? … Remember, it’s okay to share feelings about the events.