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talkingquality.ahrq.gov/news/newsroom/press-releases/smoking-cessation-disparities.html
December 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … AHRQ Social Media
AHRQ Stats
Impact Case Studies
Blog
Newsletter
Events … policymakers conduct cost-benefit analyses that accurately reflect the burden of healthcare costs and adverse … “Disparities in medical spending, as well as adverse health outcomes, are continuing to increase over
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - events and close calls. … These organizations consistently minimize adverse events despite carrying out
intrinsically complex … Patient Safety Primer: Medication Errors and Adverse Drug Events
https://psnet.ahrq.gov/primers/primer … /23
A growing evidence base supports specific strategies to prevent adverse drug events (ADEs). … Patient Safety Primer: Medication Errors and Adverse Drug Events
9.
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
November 15, 2019 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … to ask questions when something does not seem right
(1
(2
(3
(4
(5
SECTION D: Frequency of Events … Management in this facility seems interested in patient safety only after an adverse event happens … Shift changes are problematic for patients in this facility
(1
(2
(3
(4
(5
SECTION G: Number of Events
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talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/index.html
July 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and 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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talkingquality.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
April 01, 2024 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … Cards and Outcome Measurements
Report
Protocol
Opioid Stewardship
Report
Protocol
Reducing Adverse … Events Related to Anticoagulants
Report
Protocol
Implicit Bias Training
Report
Protocol … Deprescribing
Report
Protocol
Computerized Clinical Decision Support To Prevent Medication Errors and Adverse … Drug Events
Report
Protocol
Failure To Rescue—Rapid Response Systems
Report
Protocol
Prevention
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talkingquality.ahrq.gov/research/findings/evidence-based-reports/search.html?page=1
November 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Permanente Research Affiliates Report Status: Final
Efficacy of Dental Services for Reducing Adverse … Events in Those Receiving Chemotherapy for Cancer Date: July 2023
Report Type: Rapid Evidence Product … Scientific Resource Center Report Status: Final
Efficacy of Dental Services for Reducing Adverse … Events in Those Undergoing Insertion of Implantable Cardiovascular Devices Date: July 2023
Report
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talkingquality.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
January 01, 2021 - billion), adverse drug events ($4.1 billion), and falls ($1.5 billion), while diagnostic errors have … By advancing our efforts to reduce these events, we can lessen these avoidable financial burdens and, … understanding where value is gained and lost, and incorporating strategies that are proven to reduce or prevent adverse … The 21 st Century Care Initiative presents a major opportunity to reduce preventable adverse medical … events and improve medication management through new, evidence-based, individualized care management
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/892.html
December 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … 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
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/index.html?page=2
April 05, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Results
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … ascending
Top Story
April 5, 2022
Dental Opioid Prescriptions Associated With Adverse … Patient-Generated Health Data Into Electronic Health Records
February 8, 2022
Opioid Prescribing, Adverse … Change, Environmental Justice and AHRQ
October 5, 2021
Drug Label Changes Could Reduce Adverse
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
September 01, 2016 - in the past 12 months, and
about respondent perceptions of the frequency of events
reported. … Watson
Senior Vice President
Michigan Health & Hospital
Association
3
of adverse events and discussion … offers
a way for PSO members to share accounts of patient
safety events. … The alerts
describe the reported events and provide information on
how to prevent similar events. … Exploring relationships between hospital patient safety culture
and adverse events.
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talkingquality.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
December 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … Readmissions
High rates of readmissions are a major patient safety problem associated with adverse … events such as prescribing errors and misdiagnoses of conditions in the hospital and ambulatory care
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talkingquality.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
January 01, 2024 - Usability events were grouped into thematic categories: navigation/UI events, health literacy
events … Adverse drug events and medication errors in Australia. … Incidence and Preventability of Adverse Drug Events Among Older
Persons in the Ambulatory Setting. … Incidence and preventability of adverse drug events among older
persons in the ambulatory setting. … Evaluation of Adverse Drug Events and Medication Discrepancies in
Transitions of Care Between Hospital
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talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … Slide 28: Communicating Adverse Events
Say:
Communication following an adverse event can been especially … Slide 30: How To Communicate About An Adverse Event
Say:
It is important to remember that residents … and family members can experience a number of emotions when an adverse event occurs, so communication … about an adverse event should be compassionate and sensitive.
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talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/nurses.html
August 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Patients and Families
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 … This video demonstrates an example of emotional support provided for the nurse caregiver after an adverse
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talkingquality.ahrq.gov/news/newsroom/case-studies/201509.html
January 01, 2018 - AHRQ Social Media
AHRQ Stats
Impact Case Studies
Blog
Newsletter
Events … the technicians' work, the E.D. pharmacist can interpret the patient's medication history to look for adverse … events, one of the many reasons patients come to the E.D. … Study Identifier:
2015-09
AHRQ Product(s):
Research
Topic(s):
Adverse … Drug Events (ADE),
Outcomes,
Patient Safety,
Provider: Pharmacist
Geographic
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
January 01, 2022 - Lower readmission rates2
Better financial performance/operating margin if they had an EHR 2
Lower adverse
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
May 01, 2017 - This
principle calls for L&D unit teams to evaluate
their processes and learn from adverse
events, … Rapid
Response toolcall
• In addition, clinical teams can debrief
and analyze near misses and adverse … events, regardless of whether a rapid
response was activated. … Consider these
factors:
o Unit data suggesting adverse events or
near misses that may have been … • Regularly debrief after rapid response
events, and solicit ongoing feedback
from staff and patients
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talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
July 01, 2023 - This principle calls for L&D unit teams to evaluate their processes and learn from adverse events, errors … to the Rapid Response toolcall
In addition, clinical teams can debrief and analyze near misses and adverse … events, regardless of whether a rapid response was activated. … debriefings, a regular forum with a multidisciplinary team for reviewing serious maternal or neonatal adverse … Consider these factors:
Unit data suggesting adverse events or near misses that may have been minimized
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talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/how-to-use.html
July 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … team members how to apply the Comprehensive Unit-based Safety Program (CUSP) to prevent obstetrical adverse … events.
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
August 07, 2012 - After receiving an update on the patients, proceed to Question II, unless there was an adverse event. … If an adverse event occurred, you should also use the Learn From Defects Form.
II.