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Showing results for "adverse events".
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2421. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
      August 01, 2005 - Objective information can originate from a variety of sources, including adverse event and near-miss

2422. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
      August 01, 2005 - Objective information can originate from a variety of sources, including adverse event and near-miss

2423. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
      August 01, 2022 - physician to observe overt and many times more subtle clues, such as changes in vital signs, sensorium, or events … physician by presenting a case and receiving feedback.42 The study reported a significant reduction in adverse … events and near- misses,42 suggesting that distributed cognition played a role by having the physician … Effect of systematic physician cross-checking on reducing adverse events in the emergency department

2424. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
      August 01, 2022 - physician to observe overt and many times more subtle clues, such as changes in vital signs, sensorium, or events … physician by presenting a case and receiving feedback.42 The study reported a significant reduction in adverse … events and near- misses,42 suggesting that distributed cognition played a role by having the physician … Effect of systematic physician cross-checking on reducing adverse events in the emergency department

2425. Screening for Family and Intimate Partner Violence: Systematic Evidence Review (pdf file)
      www.ahrq.gov/downloads/pub/prevent/pdfser/famviolser.pdf
      March 01, 2004 - Arrow 3: What are the adverse effects of screening? … larger battery of measures, families completed the 10-item KFI including questions about stressful events … and neglect such as medical care utilization, parent-child interactions, punishment, stressful life events … ' perceptions of child abuse and neglect, punishment, and child rearing, medical visits, and life events … Arrow 3: What are the adverse effects of screening?

2426. Development and Implementation of a Consensus Algorithm to Optimize Preoperative Antimicrobial Prophylaxis and Decrease Gram-Positive Surgical Site Infections for Cardiac and Orthopedic Procedures | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article3.html
      June 01, 2014 - Jason Hickok, Eli Perencevich, Ed Septimus Abstract Surgical site infections (SSIs) are serious adverse … events for patients. … Introduction Surgical site infections (SSIs) are serious adverse events for patients; SSI rates after … surgical-site infections following orthopedic surgery at a community hospital and a university hospital: adverse

2427. Development and Implementation of a Consensus Algorithm to Optimize Preoperative Antimicrobial Prophylaxis and Decrease Gram-Positive Surgical Site Infections for Cardiac and Orthopedic Procedures | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article3.html
      June 01, 2014 - Jason Hickok, Eli Perencevich, Ed Septimus Abstract Surgical site infections (SSIs) are serious adverse … events for patients. … Introduction Surgical site infections (SSIs) are serious adverse events for patients; SSI rates after … surgical-site infections following orthopedic surgery at a community hospital and a university hospital: adverse

2428. Final Progress Report: The National Quality Forum Annual Meeting 2005 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
      January 01, 2025 - voluntary consensus measure sets: hospital care (initial performance measure set), serious reportable events … Serious Reportable Adverse Events in Healthcare The “Never Events” Maintenance Committee was appointed … A call for comments on the original list of events (changes or deletions) and/or proposed new events … As noted in the previous report, recent interest in the implementation of the list of 27 events is increasing … The Department of Defense requires all TRICARE contractors to collect the events, as specified.

2429. Final Progress Report: Engineering Highly Reliable Communication and Coordination Systems for High-Risk Patients, Referrals, and Tests (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/singer-benneyan-phillips-report.pdf
      January 01, 2025 - supported preoperative care process that frontloads the work to improve patient experience and reduce adverse … events, lengths or stay, and hospital readmissions. … Adverse drug events in ambulatory care. N Engl J Med. 2003 Apr 17;348(16):1556–1564. … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … A classification of medical errors and preventable adverse events in primary care: A synthesis of the

2430. National Strategy for Quality Improvement in Health Care: Agency-Specific Quality Strategic Plans (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/nqsplans.pdf
      January 01, 2020 - Adverse drug events are the leading cause of death and injury in the United States. … chronic disease, the lack of coordination across health care providers increases these patients’ risk of adverse … drug events such as polypharmacy, duplication of therapy, or incorrect drugs or dosages. 4. … Increase care coordination for people with chronic disease to reduce adverse drug events. … Adverse events from drug use are estimated to result in more than 4 million visits to emergency departments

2431. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2015qdr-chartbookblacks.pptx
      February 09, 2016 - from adverse drug reactions. … Although patient safety initiatives focus mainly on inpatient hospital events, adverse effects of medical … Providers treating adverse events in outpatient settings may include office-based physicians, hospital … Some adverse events, such as known side effects of appropriately prescribed medications, may be unavoidable … sense of the burden these events place on the population.

2432. Chartbook on Black Health Care: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/qdr-blackhealth-slides.html
      November 01, 2020 - as well as from adverse drug reactions. … Although patient safety initiatives focus mainly on inpatient hospital events, adverse effects of medical … Providers treating adverse events in outpatient settings may include office-based physicians, hospital … Some adverse events, such as known side effects of appropriately prescribed medications, may be unavoidable … sense of the burden these events place on the population.

2433. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dxsafety-particpant-workbook.pdf
      February 04, 2022 - Team members have a systematic process in place to capture and learn from near-misses and no-harm adverse … events that occur because of communication gaps. … Huddles • • • • Discuss critical issues and emerging events. … Consequences may include lawsuits, business losses, and adverse media coverage. d. … These events are excellent learning opportunities for team members.

2434. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
      February 04, 2022 - Team members have a systematic process in place to capture and learn from near-misses and no-harm adverse … events that occur because of communication gaps. … Huddles • • • • Discuss critical issues and emerging events. … Consequences may include lawsuits, business losses, and adverse media coverage. d. … These events are excellent learning opportunities for team members.

2435. Adolescent Depression Monitoring (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-248-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

2436. 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

2437. Surgical Complication Prevention Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
      December 01, 2017 - Some studies have found 3 percent to 27 percent of surgical patients suffer from a surgical adverse … The incidence and nature of surgical adverse events in Colorado and Utah in 1992.

2438. Appendix F. Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/appf.html
      March 01, 2017 - Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool … 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.

2439. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/vtguide/guide4.html
      May 01, 2016 - positive potential to reduce VTE must be balanced with the discomfort, bleeding, expense, and other adverse … Median length of stay was just 4 days; although most VTE events were diagnosed postdischarge, the surveillance … 0.42, while patients with a score ≥3 had a VTE event rate of 1.29. 59 The vast majority of the VTE events

2440. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
      October 01, 2022 - positive potential to reduce VTE must be balanced with the discomfort, bleeding, expense, and other adverse … Median length of stay was just 4 days; although most VTE events were diagnosed postdischarge, the surveillance … 0.42, while patients with a score ≥3 had a VTE event rate of 1.29. 59 The vast majority of the VTE events