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talkingquality.ahrq.gov/news/newsletters/e-newsletter/888.html
November 01, 2023 - Studies
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Events … Adverse drug event prevention and detection in older emergency department patients .
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talkingquality.ahrq.gov/coronavirus/long-covid.html
March 01, 2024 - Studies
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Events … pattern and progression or worsening over time, with the possibility of severe and life-threatening events … to improve the care of people living with multiple chronic conditions who are at increased risk for adverse
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/816.html
May 01, 2022 - Studies
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Events … of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
July 12, 2018 - diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissions
are related to an
adverse
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - Staff can use this decision tree when analyzing
an error or adverse event in an organization to help … events and close calls. … events, and near-misses. … These organizations consistently minimize adverse events despite carrying out
intrinsically complex and … drug events (ADEs).
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/igmeasure.pdf
January 01, 2004 - PSIs
are a set of measures that provide information about potential in-
hospital complications and adverse … events (outcomes) following
surgeries, procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse
events that might require further … also include
indicators for complications occurring in-hospital that may
represent patient safety events … Such events can be mitigated
with the implementation of TeamSTEPPS tools and strategies.
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/795.html
January 01, 2022 - Studies
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Events … Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process
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talkingquality.ahrq.gov/research/findings/final-reports/index.html?page=2
September 01, 2018 - Studies
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Events … Patient Safety Tools Publication Date: June 2015
Enhancing the Detection and Management of Adverse … Drug Events in the Nursing Home ( application/pdf 787663 ) Principal Investigators: Handler, et
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talkingquality.ahrq.gov/funding/policies/nofoguidance/index.html
January 01, 2024 - Studies
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Events … Surveillance, measurement, detection, and reporting of patient safety events. … Determination of the clinical efficacy and effectiveness of preventive interventions, including unintended adverse
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talkingquality.ahrq.gov/teamstepps/readiness/informationitems.html
April 01, 2016 - Studies
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Events … Objective information can originate from a variety of sources, including adverse event and near-miss
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talkingquality.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
June 01, 2020 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general
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talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
October 01, 2020 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - These organizations consistently minimize adverse events despite carrying out
intrinsically complex and … events and close calls. … events, and near-misses. … • Eliminating Wrong Site Surgery and Procedure Events.
• MHS Leadership Engagement. … drug events (ADEs).
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - Defects (CUSP Module)
Key Perinatal Safety Elements
Examples
Debrief and analyze near misses and adverse … events related to cord prolapse … · 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
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/880.html
September 01, 2023 - Studies
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Events … section
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Events … of implementation factors related to addressing social determinants to reduce racial disparities in adverse
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/825.html
August 01, 2022 - Studies
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Events … section
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Events … Articles featured this week include:
Trends in adverse event rates in hospitalized patients, 2010-2019
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talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Studies
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Events … Elements
Slide 31: Key Safety Elements: Learn From Defects
Debrief and analyze near misses and adverse … events. … Have a process in place to review severe maternal or neonatal morbidity and mortality events. … Factors to consider:
Unit and malpractice claims data suggesting adverse events or near misses related
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talkingquality.ahrq.gov/patient-safety/resources/learning-lab/index.html
February 01, 2024 - drug events. … Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general … drug events. … patient safety events. … events, and improve efficiency for ED healthcare providers.
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talkingquality.ahrq.gov/teamstepps/readiness/index.html
August 01, 2015 - Studies
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Events … Objective information can originate from a variety of sources, including adverse event and near-miss
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talkingquality.ahrq.gov/teamstepps-program/curriculum/intro/overview.html
July 01, 2023 - Studies
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Events