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1561. Measure 1, Section 2, Attachment 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-1.pdf
      February 01, 2012 - organ/limb, already received/performed, other) - contraindicated (patient allergic history, potential adverse … Additional information showed that children often manifest a new more frequent, or severe form of adverse … events described in adults.14 IOM Domains of Health Care Quality Addressed • Effective •

1562. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/016-ss-hand-hygiene-periop.pptx
      April 01, 2025 - Nurses' perceptions of the benefits and adverse effects of hand disinfection: alcohol-based hand rubs

1563. 2. Evidence of Disparities among Ethnicity Groups | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2.html
      May 01, 2018 - e.g., in access, in the rate at which a treatment is provided when indicated, or in the incidence of adverse … events in care) can be the cause of disparities in health (e.g., in the incidence or severity of a disease

1564. Case Example #4: Foresight Family Physicians | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-4.html
      July 01, 2019 - It is also reviewing reports on high utilizers, for example, using the Adverse Childhood Events Survey

1565. Final Progress Report: Impact of state policies on nursing home patient safety culture (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
      January 01, 2024 - the key insights of the “To Err is Human” report by the Institute of Medicine (IOM) was that most adverse … safety events and medical errors can be traced to system-level, rather than individual staff-related

1566. Final Progress Report: RCT to Reduce Prescribing Errors in Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/soumerai-report.pdf
      January 01, 2024 - Suboptimal prescribing of antihypertensive medications is one type of medication error that contributes to adverse … Major cardiovascular events in hypertensive patients randomized to doxazosin vs chlorthalidone: the

1567. New Models of Primary Care Workforce and Financing - Case Example #4: Foresight Family Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_4.pdf
      October 01, 2016 - It is also reviewing reports on high utilizers, for example, using the Adverse Childhood Events Survey

1568. Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
      April 20, 2008 - order forms, PCA pumps) to patient satisfaction with pain control, rates of pain-medication-related adverse … events, and length of stay.

1569. The Impact of Health Information Technology on Work Process and Patient Care in Labor and Delivery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Campbell_47.pdf
      March 11, 2008 - Impact of emerging technologies on medication errors and adverse drug events.

1570. Final Progress Report: Impacts of Alcohol and Fatigue on Paramedic ALS Skills (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
      January 01, 2024 - sensitive to SD: (1) appreciating a complex situation while avoiding distractions; (2) keeping track of events … during the full duration of dosing and testing and ready to intervene in the unlikely event of an adverse

1571. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
      January 28, 2011 - can lead to longer-term benefits including:1 Better health outcomes for patients Reduced errors and adverse … events Increased patient loyalty Reduced risk of malpractice Increased employee satisfaction Improved … The object is to promote learning from these types of events with the goal of identifying opportunities … When patients and families serve as advisors, there may be events or circumstances that prevent them … Many hospitals use a process called root-cause analysis to illuminate the events and decisions that led

1572. Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
      March 11, 2022 - Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of … Serious misdiagnosis-related harms in malpractice claims: The “Big Three” – vascular events, infections … Internal medicine residents’ exposure to and confidence in managing hospital acute clinical events.

1573. Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
      June 10, 2008 - It is only after a serious breakdown in the system occurs, (e.g., an adverse event), that an investigation

1574. Ncinqtobaccousehelpform (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelpForm.pdf
      August 01, 2012 - tobacco by children and adolescents, regardless of amount or frequency, is illegal and associated with adverse … mothers who smoke and breastfeed are more likely to be weaned at a younger age and to experience other adverse … Closely monitor such individuals for changes in their symptom and adverse-effect profile during early … Tobacco use has both short- and long-term adverse health consequences and has been shown to be associated

1575. Attachment A: CHIPRA Pediatric Quality Measures Proram (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusForm.pdf
      February 06, 2012 - Information Risky sexual behavior among adolescents is an important issue that can lead to a host of adverse … Importance Adolescents experience adverse sexual and reproductive health outcomes, such as sexually … Unidentified chlamydia infection can result in serious and far-reaching adverse health outcomes. … Untreated chlamydia can lead to severe and long-term adverse health outcomes, such as pelvic inflammatory

1576. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/primary-care-research/results.html
      January 01, 2024 - decreased functional status, poor health outcomes, and mortality. 86 Unnecessary hospitalizations, adverse … drug events, and conflicting medical advice add to the burden of MCC to patients and their families. … medication safety, including avoidance of potentially inappropriate therapy and monitoring of potential adverse … events, improved significantly. … Hire physician floats to cover predictable life events.

1577. Final Progress Report:: The National Quality Forum – Annual Meeting 2003 (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/kizer-report.pdf
      January 01, 2024 - Kizer then presented a number of Project updates, including: • Serious Reportable Adverse Events in

1578. Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
      November 01, 2015 - individuals in the facility, many of whom are very susceptible to getting C. difficile infections and adverse

1579. Rafael Borja (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
      September 09, 2014 - individuals in the facility, many of whom are very susceptible to getting C. difficile infections and adverse

1580. Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
      December 17, 2019 - Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … Sedation and general anesthesia in children undergoing MRI and CT: Adverse events and outcomes.