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Showing results for "adverse events".
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2461. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=305
      January 01, 2024 - This review evaluated the comparative effectiveness and adverse events of cognitive behavioral therapy

2462. Cms-Quality-Strategy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/cms-quality-strategy.pdf
      January 01, 2020 - million healthcare- associated infections occur each year, and these conditions lead to 99,000 deaths; adverse … medication events cause more than 770,000 injuries and deaths each year. … The cost of treating patients who are harmed by these events is estimated to be as high as $5 billion … eliminated Reduce inappropriate and unnecessary care • Healthcare organizations continually assess adverse … events in accordance with evidence-based practices • Healthcare cost reductions are attributable

2463. 1. Are you ready for this change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/ready-change.html
      January 01, 2013 - Have there been any adverse events that were fall related?

2464. 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.

2465. Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction (pdf file)
      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.

2466. The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
      September 01, 2022 - moxifloxacin—are not recommended as first-line therapy due to concerns about fluoroquinolones causing adverse … events like Clostridioides difficile, tendonitis and tendon rupture, low blood sugar, changes in mental

2467. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI (July 9, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-transcript.html
      December 01, 2017 - they released just this past February, we know that, for example, in 2010, there were 802 sentinel events … reported to the Joint Commission, and 82 percent of those events listed communication issues as one … of the key root causes contributing to those events.  … Similarly, they were involved in 61 percent of events in 2011 and 59 percent of events in 2012.  … It increases their risk of poor outcomes and adverse events.

2468. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
      July 09, 2013 - they released just this past February, we know that, for example, in 2010, there were 802 sentinel events … reported to the Joint Commission, and 82 percent of those events listed communication issues as one … of the key root causes contributing to those events. … Similarly, they were involved in 61 percent of events in 2011 and 59 percent of events in 2012. … It increases their risk of poor outcomes and adverse events.

2469. 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.

2470. 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

2471. Nursingnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursingnotes.docx
      August 28, 2012 - Slide 22 SAY: Nurse managers should obtain data on quality outcomes and adverse events monthly

2472. Cognitive Task Analysis: Methods to Improve Patient-Centered Medical Home Models by Understanding and Leveraging its Knowledge Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/cognitive-task.pdf
      March 01, 2013 - macrocognitive processes include how individuals, teams, and organizations make decisions, make sense of events … CTA methods do exist should the reader wish to investigate the macrocognition of uncommon, critical events … information more comprehensive, organized, and readable, and including decision aids and warnings of adverse … , what they pay attention to, what options and possibilities they consider, how they make sense of events

2473. 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.

2474. 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.

2475. Treatment Strategies for Patients with Lower Extremity Chronic Venous Disease (LECVD): Disposition of Comments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/comments/lecvd-comments.pdf
      April 01, 2017 - We have removed the word “typically” from the description of the adverse events Source: http://www.ahrq.gov … events 61. … are listed, potential adverse effects of non-treatment are not included. … among “thrombophlebitis”, “venous thrombosis”, and “venous thromboembolic events” are not clear. … events such as pain or ulcer infection.

2476. AHRQ Surveys on Patient Safety CultureTM (SOPS®) Hospital Survey Version 2.0 with HIT, V&E, and Workplace Safety Supplemental Items for the SOPS Hospital Survey Survey Data File Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops_20_hit-wp-ve_data_spec.pdf
      October 25, 2021 - 5 = Always 9 = Does Not Apply or Don’t Know blank = MISSING SECTION D: Reporting Patient Safety Events … In the past 12 months, how many patient safety events have you reported? … Hospital management seems interested in patient safety only after an adverse event happens F3 Column … Supervisor, Manager, or Clinical Leader SECTION C: Communication SECTION D: Reporting Patient Safety Events

2477. Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients (pdf file)
      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

2478. PPRNet: Primary (Care) Practice Research Network (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/PPRNet.pdf
      May 01, 2015 - practices with practice staff, clinicians, and patients to understand their perspectives on reducing adverse … drug events.”

2479. 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.

2480. 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.