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Showing results for "adverse events".
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141. Comparing Quality Scores to an Independent Standard | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/talkingquality/translate/compare/choose/standard.html
     January 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … 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.”

142. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
     June 09, 2016 - ” · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … questions when something does not seem right 1 2 3 4 5 9 SECTION D: Reporting Patient Safety Events … In the past 12 months, how many patient safety events have you reported? a. … Hospital management seems interested in patient safety only after an adverse event happens 1 2 3

143. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
     May 01, 2017 - Admin. 10 Key Safety Elements: Learn From Defects Debrief and analyze near misses and adverse events … inductions outside of policy-defined indications severe maternal or neonatal morbidity and mortality events … Admin. 23 Key Safety Elements: Learn From Defects Debrief near misses and adverse events related … magnesium sulfate outside of defined indications severe maternal or neonatal morbidity and mortality events … Consider these factors: Unit data suggesting adverse events or near misses related to oxytocin, magnesium

144. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
     November 03, 2022 - of our resource – Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events … IHS • Enhanced Adverse Event Reporting Capabilities o IHS Safety Tracking and Response (I-STAR) is deployed … Current projects include working on overdue events and development of standardized reporting at the

145. AHRQ Signals Interest in Research To Improve Healthcare for People With Disabilities | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/newsletters/e-newsletter/890.html
     November 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … 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.

146. AHRQ Accelerates Efforts To Advance Health Equity | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/newsletters/e-newsletter/907.html
     April 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … 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

147. National Action Plans | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/patient-safety/reports/national-action-plans.html
     February 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … 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

148. Evidence-based Practice Center Systematic Review Protocol: Home Mechanical Ventilators (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdf
     February 02, 2018 - These physiologic aberrations may result in several adverse outcomes that include, but are not limited … events? … events • Timing o At least 1 month of treatment • Setting o Home o Assisted living residence … (KQ 5) Adverse Events Table 1. … events Timing At least 1 month of treatment in home settings None Settings Therapy (BPAP, CPAP

149. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
     January 01, 2021 - ” • “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … 1 2 3 4 5 9 5 SECTION D: Reporting Patient Safety Events Think about your unit/work … In the past 12 months, how many patient safety events have you reported? a. … Hospital management seems interested in patient safety only after an adverse event happens .......

150. Register Now: August 22 Webinar by National Action Alliance Will Address Engaging Boards and Executive Leadership in Safety | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/newsletters/e-newsletter/874.html
     August 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … available to improve the safety culture of labor and delivery units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures. … Articles featured this week include: Anticoagulation-associated adverse drug events in hospitalized

151. Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/newsletters/e-newsletter/884.html
     October 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality … Risk factors for opioid-related adverse drug events among older adults after hospitalization for major

152. Communication Assessment Guide | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.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 … 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.

153. Gap Analysis Facilitator's Guide: Appendix A | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.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 … 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

154. Safemed Facguide (doc file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
     May 01, 2017 - learning from defects for oxytocin administration include— Debriefing and analyzing near misses and adverse … Having a process in place to review severe maternal or neonatal morbidity and mortality events. … key safety elements of learning from defects are the same as for oxytocin: Debriefing near misses and adverse … events related to magnesium sulfate use. … Consider these factors: · Unit data suggesting adverse events or near misses related to oxytocin, magnesium

155. Patient Safety Tools | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
     June 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … hospitals and nursing homes (including skilled nursing facilities) to collect data for all types of adverse … events, near misses, and unsafe conditions. … Research suggests that adverse events affect patients with limited English proficiency more frequently … If chest tubes are inserted incorrectly, patients can suffer adverse outcomes and even fatal complications

156. Strategy 3: Nurse Bedside Shift Report | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.html
     December 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … Nurse shift changes require the successful transfer of information between nurses to prevent adverse … events and medical errors.

157. Strategy 4: IDEA Discharge Planning (Tool 1) (doc file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
     January 01, 2010 - for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.

158. Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
     January 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.

159. Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.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 … These projects sought to improve patient safety by measuring safety problems, characterizing adverse … events, and conducting clinical safety interventions.

160. Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/topics/index.html?page=1
     January 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … ensure safe and seamless transitions of patients from one care setting to another, reducing preventable adverse … events, drug-related errors, and other problems.