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Showing results for "adverse events".
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2561. Resources for Advanced Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide-brochure.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.

2562. Urine Culturing Stewardship in the ICU Setting Facilitator Notes
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
      April 01, 2022 - cultures are reported Improve CPOE order sets to require indication “Guidance at point of care” Publicize adverse … events to increase engagement; keep personal Abbreviations: C. diff = Clostridium difficile; CPOE =

2563. Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldatasum.html
      October 01, 2018 - increased probability of receiving unnecessary diagnostic tests ( Hampers et al., 1999 ), more serious adverse … Language proficiency and adverse events in US hospitals: A pilot study.

2564. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
      March 30, 2008 - computerized provider order entry, CPOE) has been touted as a key method to reduce medication errors and adverse … drug events. … nursing staff not recognizing premedications that were indicated but not ordered based upon previous adverse

2565. Final Progress Report: Are Volume Standards Accurate Measures? (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
      January 01, 2024 - the AHRQ Patient Safety Indicators, there are significant differences in the risk-adjusted rates of adverse … events depending on whether the POA indicator is used to distinguish between pre- existing conditions … The use of the POA indicator will increase the accuracy of the AHRQ PSIs as measures of adverse outcomes

2566. Severe Hypertension Scenarios: PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
      July 01, 2023 - anesthesiologist Beth, L&D Nurse Frontline SPPC-II SCRIPT  Debriefs should occur after all clinical events … 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

2567. TeamSTEPPS 2.0 Course Management Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps/instructor/essentials/coursemgmt.html
      June 01, 2019 - materials is inspired by the John Kotter (2006) book Our Iceberg is Melting, Changing and Succeeding Under Adverse … curriculum was derived from John Kotter's book, Our Iceberg Is Melting: Changing and Succeeding Under Adverse … Assign modules to each instructor.          ___ Ensure that all instructors know the sequence of events

2568. Six Building Blocks How-To-Implement Toolkit: Design and Implement Guide (pdf file)
      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/

2569. 2014 National Healthcare Quality and Disparities Report
      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

2570. Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections (pdf file)
      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.

2571. Faclearncusp (doc file)
      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

2572. Final Progress Report: Caregiver innovations to reduce harm in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
      January 01, 2025 - to enable the frontline caregivers, including parents and parent advisors, to identify errors and adverse … events and their respective causes and to design and implement the changes needed to improve care and … Briefly, the Safer Dx e-trigger tools can be used to detect potential diagnostic events, allowing health … Such events have also been shown to have a financial impact on hospital costs and to increase hospital … us to capture 100% of our UPEs, and we feel confident that we are capturing a vast majority of the events

2573. Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids (pdf file)
      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.

2574. CUSP Toolkit, The Role of the Nurse Manager, Facilitator Notes | Agency for Healthcare Research and Quality
      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

2575. 019-Ss-Periop-Infection-Prevention-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
      April 01, 2025 - This guideline also stated that there was no increased risk of major adverse events, based upon low quality

2576. Final Progress Report: A Memory-Based Approach to Reducing Medication Errors (pdf file)
      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

2577. References | Agency for Healthcare Research and Quality
      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.

2578. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)
      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.

2579. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)
      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.

2580. Final Progress Report: Emergency Department Overcrowding and Quality of Acute Asthma Care for Children (pdf file)
      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