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Showing results for "adverse events".
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181. Monitoring Progress for Sustainable Improvement (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
     June 05, 2016 - difficult to determine if a change in a measure (e.g., increased length of stay, increased reporting of adverse … events) is a sign of a performance problem, often because multiple factors may contribute to such a … that are not expressed as rates also can be used for monitoring, such as the occurrence of serious adverse … events (e.g., a sentinel event) that would require immediate action, or counts of desirable (e.g.,

182. Multiple Settings | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/patient-safety/settings/multiple/index.html
     August 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 … 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.

183. Additional Videos for TeamSTEPPS 3.0 | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/teamstepps-program/resources/additional/index.html
     September 01, 2023 - Studies Blog AHRQ Views Newsletter 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.

184. Antibiotic Stewardship | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
     February 01, 2019 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Antibiotics can cause harm to residents High risk of side effects and adverse events. … of commitments and activities designed to "optimize the treatment of infections while reducing the adverse … events associated with antibiotic use."

185. Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/research/publications/search.html
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now 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.

186. Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/research/publications/search.html?page=0
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now 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.

187. AHRQ News Now | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/newsletters/e-newsletter/index.html
     April 23, 2024 - Studies Blog AHRQ Views Newsletter 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

188. AHRQ News Now | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
     April 23, 2024 - Studies Blog AHRQ Views Newsletter 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

189. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
     May 01, 2023 - Studies Blog AHRQ Views Newsletter 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.

190. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
     talkingquality.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?

191. Medication Management Strategy: Intervention | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
     June 01, 2023 - Studies Blog AHRQ Views Newsletter 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

192. Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/research/findings/studies/index.html?page=4
     January 01, 2024 - 1279) 2015 (1430) 2014 (662) 2013 (195) Topics Access to Care (417) Adverse … Drug Events (ADE) (321) Adverse Events (737) Alcohol Use (61) Ambulatory Care and Surgery … Results of the Pediatric Care BefOre Deterioration Events (CODE) survey. … Results of the Pediatric Care BefOre Deterioration Events (CODE) survey. … Keywords: Provider: Pharmacist, Medication, Adverse Drug Events (ADE), Adverse Events, Medical Errors

193. AHRQ Safety Program for Perinatal Care: Safe Medication Administration (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
     May 01, 2017 - L&D unit staff are able to focus on patient care and have confidence that untoward events (change … learning from defects for oxytocin administration include— • Debriefing and analyzing near misses and adverse … 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

194. Ohio Veterans’ Facility Relied on AHRQ Resource to Develop Diabetes Initiative | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/newsroom/case-studies/202301.html
     March 01, 2023 - Studies Blog AHRQ Views Newsletter 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

195. At the American Society of Health Economists Conference, AHRQ to Highlight Its Deep Dive into COVID-19 | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/blog/ahrqviews/deep-dive-into-covid19.html
     June 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … healthcare is understanding and quantifying the impacts of the COVID-19 pandemic and how we can mitigate the adverse … effects of these kinds of catastrophic events in the future. 

196. TeamSTEPPS Teamwork Attitudes Questionnaire (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
     May 31, 2023 - Adverse events may be reduced by maintaining an information exchange with patients and their families

197. Obsrounds (doc file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
     August 07, 2012 - Poor communication among staff is a root cause of many patient adverse and sentinel events.

198. Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/research/findings/studies/index.html?page=480
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … 1279) 2015 (1430) 2014 (662) 2013 (195) Topics Access to Care (417) Adverse … Drug Events (ADE) (321) Adverse Events (736) Alcohol Use (61) Ambulatory Care and Surgery … Keywords: Opioids, Medication, Substance Abuse, Screening, Adverse Drug Events (ADE), Adverse Events

199. Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/research/findings/studies/index.html?page=481
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … 1279) 2015 (1430) 2014 (662) 2013 (195) Topics Access to Care (417) Adverse … Drug Events (ADE) (321) Adverse Events (737) Alcohol Use (61) Ambulatory Care and Surgery … Keywords: Opioids, Medication, Substance Abuse, Screening, Adverse Drug Events (ADE), Adverse Events

200. Implementation Quick Start Guide: Medication Management (Half-Page) (pdf file)
     talkingquality.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.