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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
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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
-
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
-
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.
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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
-
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.
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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
-
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?
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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
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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
-
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
-
www.ahrq.gov/sites/default/files/publications2/files/calibrate-dx-guide.pdf
October 01, 2022 - Abdominal pain, shortness of breath,
abnormal uterine bleeding
Unexpected trajectories Specific events … • A Fishbone diagram (Appendix C), modified for diagnostic safety
events, can be used to break down … Calibration exercises could also identify cases for existing teams that review quality and safety events … Systems thinking is an essential additional lens to analyze diagnostic events. … reasoning evolved rather than
focusing on the ultimate accuracy of the diagnosis or any potential adverse
-
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
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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.
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
September 04, 2020 - Patient record
review of the incidence, consequences, and causes of diagnostic adverse events.
-
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.
-
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.
-
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.
-
www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
January 01, 2024 - For example, 56 percent of the respondents chose statements that mentioned
the adverse event but not