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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
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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
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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
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www.ahrq.gov/research/findings/studies/index.html?page=245
January 01, 2024 - Keywords: Adverse Events, Patient Safety, Heart Disease and Health, Risk, Surgery, Cardiovascular Conditions
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www.ahrq.gov/research/findings/studies/index.html?page=325
January 01, 2024 - Keywords: Adverse Events, Cancer: Breast Cancer, Risk, Treatments
Melnick ER , Hess EP ,
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www.ahrq.gov/research/findings/studies/index.html?page=273
January 01, 2024 - Keywords: Adverse Events, Colonoscopy, Healthcare-Associated Infections (HAIs), Risk, Ambulatory Care
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www.ahrq.gov/research/findings/studies/index.html?page=293
January 01, 2024 - Keywords: Adverse Drug Events (ADE), Children/Adolescents, Healthcare Cost and Utilization Project (
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www.ahrq.gov/research/findings/studies/index.html?page=364
January 01, 2024 - Keywords: Adverse Events, Cancer: Colorectal Cancer, Mortality, Patient Safety, Surgery
Bali
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www.ahrq.gov/research/findings/studies/index.html?page=466
January 01, 2024 - Keywords: Adverse Drug Events (ADE), Injuries and Wounds, Patient Safety, Heart Disease and Health,
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www.ahrq.gov/research/findings/studies/index.html?page=431
January 01, 2024 - Keywords: Arthritis, Patient Safety, Medication, Hepatitis, Adverse Drug Events (ADE)
Olfson
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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
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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/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - staff-level performance improvement team
brainstorming various strategies, testing them (e.g., through kaizen events … the American College of
Cardiology/American Heart Association guidelines for management and increased adverse … events.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
June 15, 2003 - Every hospital used an
internal standard for tracking these events, and methods varied. … Reporting of adverse events. N Engl J Med
2003 Nov;347(20):1633–8.
12. Burke JP.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - readmissions, and deaths are inevitable—our patients are old, our patients are sick—yet at least half of these adverse … surgical events are preventable, and they take an immeasurable toll on our patients and their families … overall patient safety grade and then also ask your clinicians and staff to comment on the number of events
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - readmissions, and deaths are inevitable—our patients are old, our patients are sick—yet at least half of these adverse … surgical events are preventable, and they take an immeasurable toll on our patients and their families … overall patient safety grade and then also ask your clinicians and staff to comment on the number of events
-
www.ahrq.gov/patient-safety/reports/advances/planning.html
July 01, 2022 - 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/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
July 01, 2018 - Motivators of Organizational Change
Organizational motivators are systems, events, or environmental … Changes in reimbursement that incorporate payment penalties for events or conditions that should not … to a person or persons, not related to the natural course of the patient's illness." 102 Sentinel events … patients on an organizational level (e.g., on PFACs and decisionmaking committees). 103,104
Sentinel events … example discussed above, DFCI received both regional and national media attention after its sentinel events