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1421. Education in Proper Use of New Asthma Medication Delivery Device for Children With Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
      March 01, 2019 - inhalation technique leads to poor asthma control, followed by an increased risk of exacerbations and adverse … followed, this teaching process leads to improved control and decreased risk of exacerbations and adverse … Eligible cases are identified based on dispensing events through pharmacy claims. … This specification will miss dispensing events that occur in the inpatient setting or in the outpatient … This leads to poor asthma control and an increased risk of exacerbations and adverse effects.

1422. Appendix F. Interventions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
      January 01, 2015 - Consider for Inclusion Evidence Level Rationale Diagramming patients' views of root causes of adverse … drug events in ambulatory care: an online tool for planning education and research (Brown, Patient … Reducing the risk of adverse drug events in older adults (Pretorius, Am Fam Physician, 2013, PMID 23547549 … potentially inappropriate prescriptions and screening tool to alert doctors to the right treatment reduced adverse … events in elderly patients.

1423. SOPS Frequently Asked Questions | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/about/faq/index.html
      June 01, 2022 - Safety culture surveys are useful for measuring organizational conditions that can lead to adverse events … Safety (3 items) Organizational Learning—Continuous Improvement (3 items) Reporting Patient Safety Events … (3 items) HSOPS 2.0 also includes several single item measures that assess: How many patient safety events … Frequency of Events Reported. Hospital Handoffs & Transitions. … One item measuring the number of events the respondent has reported over the past 12 months.

1424. Strategy 2: Communicating to Improve Quality (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docx
      April 30, 2013 - opportunities where they can interact with the health care team This handout gives information on routine events … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … Communicating to Improve Quality strategy may also help to meet other goals related to patient safety and never events

1425. Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
      January 01, 2005 - Advances in Patient Safety: Vol. 3 278 approved by the Food and Drug Administration (FDA).3, 4 Similar adverse … was already tolerating it—may play a part,22 as may, for example, misperceptions about drug-related adverse … events of antihypertensive agents, as previously noted for beta-blockers.23 Of course, other clinical

1426. Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-245-fullreport.pdf
      December 01, 2019 - events during antidepressant treatment, and reassessment of diagnosis and treatment if no improvement … treatment goals and outcomes, including assessing depressive symptoms and function, monitoring for adverse … events during antidepressant treatment, and reassessing diagnosis and treatment if no improvement is … in Primary Care (GLAD-PC) recommends systematic assessment of symptoms and function, monitoring for adverse … events during antidepressant treatment, and reassessing diagnosis and treatment if no improvement is

1427. Appendix G. References for Fault Tree Model Probability Estimates | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapg.html
      October 01, 2018 - during opern 0.001667 From Tony, Draping-related failure=0.01, split equally among its children events … not sterilize 0.001667 From Tony, Draping-related failure=0.01, split equally among its children events … pulls bug to SS 0.001667 From Tony, Draping-related failure=0.01, split equally among its children events … drape has holes 0.001667 From Tony, Draping-related failure=0.01, split equally among its children events … disinf bfr drape 0.001667 From Tony, Draping-related failure=0.01, split equally among its children events

1428. Strategy 2: Communicating to Improve Quality (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
      April 30, 2013 - where they can interact with the health care team • This handout gives information on routine events … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … to Improve Quality strategy may also help to meet other goals related to patient safety and never events

1429. 012-Blood-Culture-Practices-Webinar (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
      October 01, 2024 - False positives caused by contamination result in further adverse consequences, including unnecessary

1430. Antibiotic Stewardship Program Development: Part 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-facilitator-guide.pdf
      November 01, 2019 - assisting teams by prompting on rounds regarding the type and day of antibiotic therapy; detecting adverse … events such as rash; obtaining microbiology specimens in optimal ways; and assisting with correct

1431. CUSP Toolkit Spread Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/spread/notes.html
      December 01, 2012 - Ask: How did the pilot CUSP team make a case for their project targeting adverse drug events?

1432. Mutual Support: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
      July 01, 2023 - I would like to discuss some of the events surrounding Ms. Smith’s delivery yesterday. … I would like to discuss some of the events surrounding Ms. Smith’s delivery yesterday. … lead to stroke or seizures she needs to know what treatment options are available to prevent such adverse

1433. Mutual Support: Severe Hypertension - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
      July 01, 2023 - I would like to discuss some of the events surrounding Ms. Smith’s delivery yesterday. … I would like to discuss some of the events surrounding Ms. Smith’s delivery yesterday. … can lead to stroke or seizures she needs to know what treatment options are available to prevent such adverse

1434. Hybrid Cardiac Rehabilitationi (HYCR) Tools and Resources Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
      June 02, 2025 - ......................................................................................... 84 4a: Adverse … Events and Emergency Protocol ...................................................................... … The contributor for each resource is included. 4a: Adverse Events and Emergency Protocol Contributor … • Implement record of critical and non-critical events and complications on site vs HYCR • Although

1435. Resources for Advanced Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advancedpractice-guide_final508.pdf
      March 26, 2018 - , families, and healthcare teams have clear roles and are fully engaged as partners in their care, adverse … events are reduced and health outcomes are better.

1436. Resources for Advanced Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide.pdf
      March 01, 2016 - families, and health care teams have clear roles and are fully engaged as partners in their care, adverse … events are reduced and health outcomes are better.

1437. Person-Centered Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-person-centered.html
      May 01, 2024 - disabilities or increased social risks with the goal of increasing functioning and decreasing pain and adverse … events.

1438. Nutritional Research Series - Volume 4: Effects of Eicosapentanoic Acid and Docosahexanoic Acid on Mortality Across Diverse Settings: Systematic Review and Meta-Analysis of Randomized Trials and Prospective Cohorts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp4.pdf
      February 01, 2012 - For RCTs we extracted number of events in the intervention and control groups. … We back-calculated the ―effective counts‖ of events in each category of EPA and DHA intake based on … different considerations compared with other nutrients whose reference intakes are set to prevent adverse … Effects of eicosapentaenoic acid on major coronary events in hypercholesterolaemic patients (JELIS) … Omega-3 dietary supplements and the risk of cardiovascular events: a systematic review.

1439. Session 2 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
      October 01, 2014 - Everyone—residents and staff—benefits from an environment that supports discussion and learning from near misses and adverse … events.

1440. Fiscal Year 2011 Research on Child and Adolescent Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
      October 01, 2014 - high-acuity event, there is an elevated risk of error, failure in medical decisionmaking, and other adverse … events.