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Showing results for "adverse events".
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2481. 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

2482. 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

2483. 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.

2484. 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.

2485. 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.”

2486. 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.

2487. 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.

2488. Final Progress Report: Improving quality of postoperative pain care through innovative use of electronic health records (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
      January 01, 2024 - postoperative pain is common and too often poorly managed, which may cause severe functional impairment, adverse … events, impaired care of the underlying diseases, transition to chronic pain, and decreased quality … and multivariate modeling were used to estimate associations between inpatient gabapentin use and adverse

2489. Final Progress Report: What Is Patient Safety in the Medical Home? (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
      January 01, 2024 - diagnoses; • Delay in proper treatment or preventive services; • Medication errors and preventable adverse … drug events; 3 R01HS024859 What is Patient Safety in the Medical Home? … Primary care workers anticipated safety events by thinking about the information they may be missing … that primary care workers used omissions as a cognitive representation to anticipate unwanted safety events … Agency for Healthcare Research and Quality, Rockville, MD http://archive.ahrq.gov/news/events/other

2490. 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

2491. CHIPRA 119 Section 5, Literature Review and Discussion (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-5-lit-review.pdf
      March 19, 2012 - These risk factors put infants at risk for hypothermia and are associated with adverse outcomes. … This chain of events contributes to peripheral vasoconstriction, pulmonary vasoconstriction deterioration … The study concluded that hypothermia is associated with adverse outcomes. … newborns with cold injury or hypothermia, or during hypoxia could lead to malnourishment, and fatal events … Resuscitative efforts also improved chance of hypothermic events.

2492. 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

2493. TeamSTEPPS 2.0 Module 1: Introduction
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule1.pptx
      January 01, 2011 - Washington state, improved the time from decision to the performance of a Caesarean section, with no adverse … Video Discussion Think about the breakdowns you observed in the stories: Can you think of similar events … Of course, you would want to scrub them so that you're only sharing the sequence of events.

2494. 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_2-0_HIT_WP_VE%20%20Data_Specs-2021.pdf
      January 01, 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

2495. 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-2-0-Survey-HIT-WP-VE-Data-File-Spec.pdf
      March 24, 2022 - 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

2496. Mutual Support: Severe Hypertension (pdf file)
      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

2497. Mutual Support: Severe Hypertension - PowerPoint Presentation
      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

2498. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=206
      January 01, 2024 - This article considers how health literacy plays a part in events that lead up to children's hospitalizations … Keywords: Adverse Events, Catheter-Associated Urinary Tract Infection (CAUTI), Community-Acquired Infections

2499. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=219
      January 01, 2024 - Keywords: Adverse Events, Education: Continuing Medical Education, Medical Errors, Patient Safety, Provider … Laboratory test results were delayed an average of 62% during downtime events.

2500. Urine Culture Practices in the ICU; Antibiotic Stewardship; Practical ICU Tools; Using Results from the Safety Culture Surveys | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/urine-culture-practices-icu-slides.html
      December 01, 2017 - Urine Culture Practices in the ICU; Antibiotic Stewardship; Practical ICU Tools; Using Results from the Safety Culture Surveys Slide 1 Urine Culture Practices in the ICU; Antibiotic Stewardship; Practical ICU Tools; Using Results from the Safety Culture Surveys Mohamad Fakih, MD, MPH Medical Director, Infect…