-
talkingquality.ahrq.gov/tools/index.html?page=3
September 01, 2012 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … and quality of care for mothers and their newborns with an aim of decreasing maternal and neonatal adverse … events resulting from poor communication and system failures.
-
talkingquality.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
April 01, 2017 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Adverse events may be reduced by maintaining an information exchange with patients and their families
-
talkingquality.ahrq.gov/research/publications/search.html?page=17
March 01, 2010 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … patient safety research and implementation projects, offers these 10 evidence-based tips to prevent adverse … events from occurring in your hospital.
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - events and close calls. … events, and near-misses. … events. … • Eliminating Wrong Site Surgery
and Procedure Events.
• MHS Leadership Engagement. … drug events (ADEs).
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule10.pptx
January 01, 2004 - Slide 19)
Measure Level IV - Results
Provide information on potential in-hospital complications and adverse … events
Can help identify potential adverse events that might need further study
Include indicators … The PSIs are a set of measures that provide information about potential in-hospital complications and adverse … events following surgeries, other hospital or care procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse events that might require further study
-
talkingquality.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
September 01, 2018 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Field testing of a new ambulatory care electronic Medication Errors and Adverse Drug Events Reporting
-
talkingquality.ahrq.gov/news/newsroom/case-studies/index.html
February 01, 2024 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … User Liaison Program (ULP)
(4)
WebM&M
(5)
Topics
Access to Care
(14)
Adverse … Drug Events (ADE)
(5)
Asthma
(2)
Behavioral Health
(16)
Blood Clots
(15)
Blood Thinners … Impact Case Study Identifier: 2023-01 AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse … Drug Events (ADE), Care Coordination, Chronic Conditions, Clinician-Patient Communication, Diabetes,
-
talkingquality.ahrq.gov/news/newsletters/e-newsletter/886.html
October 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Falls are one of the most frequently reported patient safety events in the NPSD, second only to medication … or other substance events. … Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
January 01, 2021 - The three measures that improved most reflect fewer adverse events
in nursing homes (two measures) and … fewer adverse drug events involving the blood thinner
heparin in hospital settings. … 2018, the incident rates of end stage renal disease due to diabetes
decreased 48% from 526 to 273.1 events … Alaska Native, Black, and White
populations, with respective incident rates of 273.1, 372.2, and 152.2 events … Hispanic communities
were still more than double the rates in non-Hispanic White communities (142.8
events
-
talkingquality.ahrq.gov/teamstepps-program/curriculum/communication/tools/callout.html
May 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Or a patient having wisdom teeth removed may have a strong adverse reaction to the sedation and require
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
January 01, 2014 - Adverse drug events occur in 15% or more of older
patients presenting to offices, hospitals, and extended … Although patient safety initiatives focus mainly on
inpatient hospital events, adverse effects of medical … Providers treating adverse events in outpatient settings may include office-based physicians,
hospital … Events treated in
Adult ambulatory medical care visits due to adverse effects of medical care
per 1,000 … Reducing the risk of adverse drug events in older adults.
-
talkingquality.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
July 01, 2018 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … How to communicate an adverse event to patients and family members.
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - Defects (CUSP Element)
Key Perinatal Safety Elements
Examples
Debrief and analyze near misses and adverse … events related to shoulder dystocia … · A unit can decide its approach to debriefing events based on seriousness of event, expertise available … case reviews
Have a process in place to review severe maternal or neonatal morbidity and mortality events … Sample scenario:
· Shoulder dystocia
· Shoulder dystocia training can be effective at reducing adverse
-
talkingquality.ahrq.gov/teamstepps-program/resources/additional/labor.html
July 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
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
March 01, 2017 - about 40% of all prescriptions
Antibiotics can cause harm to residents
High risk of side effects and adverse … events
Major risk factor for Clostridium difficile infection
Driver of antibiotic resistance
Prescribers … of commitments and activities designed to “optimize the treatment of infections while reducing the adverse … events associated with antibiotic use.” … commitments and activities designed to optimize the treatment of infections while reducing the harmful events
-
talkingquality.ahrq.gov/nursing-home/materials/vaccination/index.html
September 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse … the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse
-
talkingquality.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
February 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … AHRQ Social Media
AHRQ Stats
Impact Case Studies
Blog
Newsletter
Events … facilities also significantly reduced use of fluoroquinolones , a class of antibiotics known to cause adverse
-
talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-chui.html
March 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … As a result, adverse drug events (ADEs) are frequent, costly, and potentially life-threatening,” according
-
talkingquality.ahrq.gov/news/newsletters/e-newsletter/829.html
August 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Articles featured this week include:
Accuracy of pressure ulcer events in US nursing home ratings . … Emergency department adverse events detected using the emergency department trigger tool .
-
talkingquality.ahrq.gov/news/newsletters/e-newsletter/847.html
January 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving