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2421. Final Progress Report: National Trends in Outpatient Quality Indicators (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/stafford-fortmann-report.pdf
      January 01, 2024 - Among barriers to guideline adherence are upper gastrointestinal events, drug marketing campaigns that … We examined trends in COX-2 inhibitor use based on risk for adverse events from NSAIDs. … Among patients with the lowest risk for adverse events from NSAIDs, the proportion receiving a COX-2

2422. Exhibit 11. Importance measures on events in rank order of criticality | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraexh11.html
      April 01, 2018 - Importance measures on events in rank order of criticality Previous Page Next Page Table

2423. Appendix B: Trends in Access, Quality and Disparities for Measures in 2016 Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/nhqdr16/appendixb5_qualitytrends.html
      June 01, 2017 - per 1,000 surgical hospital discharges, age 18 and over -0.328 -0.602 2005-2014 Mechanical adverse … events in adult patients receiving central venous catheter placement -0.041 -0.484 2009-2014 … admissions -0.033 -0.054 2001-2014 Hospital patients who received a hypoglycemic agent who had an adverse

2424. Overview of the Training Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/health-literacy/improve/pharmacy/guide/train2.html
      September 01, 2020 - Anecdotal evidence of making mistakes with their medications and experiencing more adverse drug events

2425. Preventing Falls in Hospitals
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
      June 16, 2017 - understanding that even small failures in safety protocols or processes can lead to catastrophic or adverse … events if action is not taken to solve the problem.

2426. Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-slides.pptx
      November 01, 2019 - cure in evaluable population: 95% for TMP/SMX and 86% for placebo (p < 0.001) TMP/SMX associated with adverse … events in ~10% of patients 16 AHRQ Safety Program for Improving Antibiotic Use – Acute Care Cellulitis

2427. QDR 2014: Chartbook for Hispanic Health Care, Part 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt1.pdf
      October 01, 2015 - same time, several racial and ethnic disparities in rates of childhood immunization and rates of adverse … events associated with procedures were eliminated, showing that elimination is possible

2428. 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

2429. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
      September 02, 2022 - Discuss the associated tasks and thought processes taking place during those events. 4 Domain 3: … SBAR),27-30 to structure communication with physicians and other diagnostic team members and reduce adverse … events. … in their day-to-day operations. 7 e Any safety events or “good catches” identified from these … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events. July 2022.

2430. 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

2431. Performance Appendix, FY 2012 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2012/2012opa.pdf
      January 01, 2012 - Hospitals are increasingly utilizing electronic systems to report patient safety events. … into an occurrence rate of patient safety events in healthcare. … increasing the appropriate use of drugs, biological products, and devices and by preventing their adverse … Reduction in antibiotic use by children is expected to reduce adverse reactions associated with medications … Adverse drug-drug interactions, including those which may increase the risk of bleeding from warfarin

2432. Appendix A. Review of the Literature | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/resdesign-tool/tkappa.html
      August 01, 2016 - Reporting of adverse events. New England Journal of Medicine 2002;347(20):1633-8. … Measuring errors and adverse events in health care.

2433. 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?

2434. 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

2435. 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.

2436. AHRQ Patient Safety Tools and Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/pstools/patient-safety-tools-flyer.pdf
      March 01, 2019 - The Common Formats can be used to collect data on all types of adverse events, near misses, and unsafe … of care inside hospitals to focus on potentially avoidable complications and healthcare-associated events

2437. TeamSTEPPS® Teamwork Perceptions Questionnaire Manual (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamperceptionsmanual.pdf
      June 01, 2010 - safety, leadership, interpersonal interactions, attitudes toward stress, and knowledge of how to report adverse … events (Sexton, et al., 2006). … The 50-item T-TPQ was tested and refined during three critical events: cognitive interviews, small group

2438. 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

2439. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/urine-culture-practices-icu.pptx
      March 01, 2015 - Slide 1 Urine Culture Practices in the ICU; Antibiotic Stewardship; Practical ICU Tools; Using Results from the Safety Culture Surveys 1 Mohamad Fakih, MD, MPH Medical Director, Infection Prevention and Control St John Hospital and Medical Center Professor of Medicine, Wayne State University School of Medicine Detro…

2440. Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
      December 01, 2017 - On average, every patient who's admitted to an intensive care unit has or suffers an adverse event. … organization and that way that those systems are put together really either hinders or helps the occurrence of adverse … events and poor patient outcomes. … very good at recovering when things go wrong, but we're not always that good at learning about why events