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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
February 18, 2021 - pain is important for several reasons:
• Any patient using LtOT, regardless of dose, has a risk of adverse … events, including overdose;
• Identifying patients using LtOT provides an opportunity to identify those … dangerous opioid dosages or combinations—such as with sedatives—are putting patients at risk for
adverse … events. … dvce=1
https://cmeregistration.hms.harvard.edu/events/identification-counseling-and-treatment-of-oud/
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2017qdrslides110718.pptx
January 01, 2018 - Adult patients receiving hip joint replacement due to degenerative conditions who had adverse events, … Adult patients receiving knee replacement who had adverse events, which improved from 3.3% in 2009 to … and person-centered care:
In 2015, the percentage of hospital patients with an anticoagulant-related adverse … The latest tool developed by AHRQ to address adverse drug events is the Patient and Family Engagement
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
November 01, 2019 - Simple febrile seizures are generally felt to be benign events with little to no increased risk of
subsequent … 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
January 01, 2009 - It provides a comprehensive process to investigate harmful events or patient safety concerns and determine
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-facilitator-guide.pdf
November 01, 2019 - However, trim/sulfa was associated with adverse
events in approximately 10 percent of patients.
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www.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
January 01, 2024 - asthma
exacerbation in the 12 months prior to the survey.1 Asthma exacerbations are acute episodic events … The mean duration between these historical events indicating
uncontrolled asthma and the index analgesic … Given most of these asthma -related events happened on average 5 to 6 months before the index
analgesic … Outpatient Opioid Prescriptions for Children and Opioid-
Related Adverse Events. Pediatrics.
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www.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
December 01, 2012 - Quality/Safety
Say:
Nurse managers should obtain data on quality outcomes and adverse events monthly
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www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
January 01, 2024 - PM failure is likely to have adverse patient safety implications because of heightened risk of
medication
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship-references.html
August 01, 2024 - Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dxsafety-facilitators-guide.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. … These events are excellent learning
opportunities for team members. … Consequences may include lawsuits, business losses, and adverse media coverage.
d. … These events are excellent learning
opportunities for team members.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.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. … These events are excellent learning
opportunities for team members. … Consequences may include lawsuits, business losses, and adverse media coverage.
d. … These events are excellent learning
opportunities for team members.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-247-fullreport.pdf
December 01, 2019 - 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
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www.ahrq.gov/sites/default/files/2024-10/sills-report.pdf
January 01, 2024 - Objectives 2.4 – 2.5
Given that studies in adults hospitals have found increases in sentinel events … finding that more than 20% of hospital midnights were
above 85% occupancy raises serious concerns about adverse
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www.ahrq.gov/patient-safety/resources/advances/vol4/planning.html
October 01, 2014 - What recent or future events might help or hinder end user interest in your finding or product? … What recent/future events might help or hinder their willingness to work with you?
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
July 01, 2021 - effective strategies to reduce medical errors and harms, such as healthcare-associated infections, adverse … drug events, and preventable hospital readmissions ( Agency for Healthcare Research and Quality, 2018 … the provision of a treatment as appropriate), as well as both intermediate (e.g., disease control, adverse … patient safety events, patient experience) and definitive outcomes of care (e.g., quality of life, mortality
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
April 23, 2004 - adhere, allergy
info, meds from other physicians
2 Monitoring includes adherence, effectiveness, adverse … events, proper medication use. … drug interactions and
allergies, or follow up on patients reporting that they have had a previous adverse … Reporting Program; Food
and Drug Administration MedWatch; or the Centers for Disease Control Vaccine
Adverse … Areas not routinely addressed by office-based counseling included cautions, risks,
possible adverse
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load-references.html
May 01, 2024 - Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event
-
www.ahrq.gov/pqmp/measures/all-pqmp-measures.html
April 01, 2020 - Tool
Management of Acute Conditions: Pediatric Patient Safety
3136
GAPPS: Rate of Preventable Adverse … Events Per 1,000 Patient-Days Among Pediatric Inpatients
CEPQM
Pediatric 30-day All-Condition Readmission
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www.ahrq.gov/research/findings/studies/index.html?page=160
January 01, 2024 - Keywords: Newborns/Infants, Racial and Ethnic Minorities, Adverse Events
Gandhi TK , Singh
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www.ahrq.gov/research/findings/studies/index.html?page=196
January 01, 2024 - Keywords: Orthopedics, Surgery, Hospital Readmissions, Adverse Events, Quality Improvement, Quality