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www.cahps.ahrq.gov/research/findings/final-reports/index.html?page=1
June 01, 2020 - Studies
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Events … Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent Adverse … Drug Events in the Nursing Home ( application/pdf 471675 ) Principal Investigators: Kane-Gill, … 023464 Topic(s): Medication Safety, Nursing Homes Publication Date: September 2018
Reducing Adverse … Drug Events from Anticoagulants, Diabetes Agents and Opioids in Primary Care ( application/pdf 470629
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/890.html
November 01, 2023 - Studies
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Events … section
News
Newsroom
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Events … antibiotics within 48 hours of presentation and in 13 percent of hospitalizations patients experienced an adverse … time to antibiotics varies markedly across simulated hospital scenarios, but new antibiotic-associated adverse … events were rare.
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/907.html
April 01, 2024 - Studies
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Events … section
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Events … of team strategies and tools to improve performance and approaches to team-based error disclosure on adverse … events. … Articles featured this week include:
Transfusion-related errors and associated adverse reactions and
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www.cahps.ahrq.gov/patient-safety/reports/national-action-plans.html
February 01, 2018 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … National Action Plan for Adverse Drug Events identifies the Federal Government’s highest priority strategies
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/884.html
October 01, 2023 - Studies
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Events … section
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Events … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality … Risk factors for opioid-related adverse drug events among older adults after hospitalization for major
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdf
February 02, 2018 - These physiologic aberrations may result in
several adverse outcomes that include, but are not limited … events? … events
• Timing
o At least 1 month of treatment
• Setting
o Home
o Assisted living residence … (KQ 5)
Adverse
Events
Table 1. … events
Timing At least 1 month of treatment in
home settings
None
Settings Therapy (BPAP, CPAP
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - ”
• “Patient safety” is defined as the avoidance and prevention of patient injuries
or adverse events … 1 2 3 4 5 9
5
SECTION D: Reporting Patient Safety Events
Think about your unit/work … In the past 12 months, how many patient safety events have you reported?
a. … Hospital management seems interested in
patient safety only after an adverse event
happens .......
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/874.html
August 01, 2023 - Studies
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Events … section
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Events … available to improve the safety culture of labor and delivery units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures. … Articles featured this week include:
Anticoagulation-associated adverse drug events in hospitalized
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www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
August 01, 2022 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … communicators who participate in conversations with patients, families, and caregivers following an adverse … demonstrate all of the skills and competencies should be involved in delivering communication about adverse … events to patients, families, and caregivers.
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www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
August 01, 2022 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … management
Disruptive behavior and/or code of conduct
Investigation of occurrences (i.e., sentinel events … ___
Bylaws for medical staff and/or hospital
Peer review process
Oversight/management of adverse … or "harm" events
___
___
Organizational safety and/or quality plan
FMEAs or other
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Reige.pdf
March 01, 2004 - events and
medication contra-indications. … This process improves access to timely drug
renewals and minimizes adverse effects. … The clinical pharmacist is given the
opportunity to discuss with patients such issues as adverse drug … The pharmacists may discover upon reviewing labs and discussing adverse
events with the patient that … Pharmacist on rounding teams reduce preventable
adverse drug events in hospital general medicine units
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www.cahps.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - Studies
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Events … hospitals and nursing homes (including skilled nursing facilities) to collect data for all types of adverse … events, near misses, and unsafe conditions. … Research suggests that adverse events affect patients with limited English proficiency more frequently … If chest tubes are inserted incorrectly, patients can suffer adverse outcomes and even fatal complications
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www.cahps.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.html
December 01, 2017 - Studies
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Events … Primary Care Settings
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … Nurse shift changes require the successful transfer of information between nurses to prevent adverse … events and medical errors.
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www.cahps.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … These projects sought to improve patient safety by measuring safety problems, characterizing adverse … events, and conducting clinical safety interventions.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
January 01, 2010 - engaging patients
and families in discharge planning
Nearly 20 percent of patients experience an adverse … of these could have been prevented
or ameliorated.1 Common post-discharge complications
include adverse … drug events, hospital-acquired infections,
and procedural complications.1 Many of these
complications … The
incidence and severity of adverse events affecting
patients after discharge from the hospital.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
January 01, 2010 - for engaging patients and families in discharge planning
Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented
or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.
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www.cahps.ahrq.gov/topics/index.html?page=1
January 01, 2012 - Studies
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Events … ensure safe and seamless transitions of patients from one care setting to another, reducing preventable adverse … events, drug-related errors, and other problems.
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www.cahps.ahrq.gov/es/topics/index.html?page=1
January 01, 2012 - Studies
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Events … ensure safe and seamless transitions of patients from one care setting to another, reducing preventable adverse … events, drug-related errors, and other problems.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - Ways to reduce obstetrical adverse events include improving teamwork and communication
among care teams … Root cause analyses of adverse
events and near-misses (events that did not produce
patient injury) … EARLY IMPACTS
The most recent root cause analyses of adverse events
and near-misses indicated that … poor communication is
no longer a root cause; in fact, near-misses and adverse
events attributed to … The weighted
adverse events included in the measure are in-house maternal death, in-house
neonatal
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - Ways to reduce obstetrical adverse events include improving teamwork and communication
among care teams … Root cause analyses of adverse
events and near-misses (events that did not produce
patient injury) … EARLY IMPACTS
The most recent root cause analyses of adverse events
and near-misses indicated that … poor communication is
no longer a root cause; in fact, near-misses and adverse
events attributed to … The weighted
adverse events included in the measure are in-house maternal death, in-house
neonatal