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www.cahps.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
September 01, 2016 - for health care safety and quality in a variety of fields, including patient engagement, response to adverse … events, diagnostic error reduction, rapid response, and infection prevention, among others. … Safety Monitoring System, a nationwide surveillance project aimed at identifying the rates of specific adverse … events within the Medicare population. … paper, and led the AHRQ-Brigham medication safety HIT CERT CEDAR (Calling for Earlier Detection of Adverse
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/878.html
August 01, 2023 - Studies
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Events … section
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Events … (Source: JAMA Network Open , Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem … include:
Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse
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www.cahps.ahrq.gov/talkingquality/explain/share-info/highlight.html
September 01, 2019 - Studies
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Events … For example, in the next few years, we may see systems that enable patients to report on adverse events
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June 01, 2022 - Studies
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Events … Analysis of Hospital-Level Readmission Rates and Variation in Adverse Events Among Patients With Pneumonia … Assessing adverse event reports of hysteroscopic sterilization device removal using natural language
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/803.html
March 01, 2022 - Studies
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Events … section
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Events … This included reductions in the use of fluoroquinolones, a class of antibiotics known to cause adverse … Relative risks of adverse events among older adults receiving opioids versus NSAIDs after hospital discharge
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … be prevented
Common complications post-discharge are adverse drug events, hospital-acquired infections … have been prevented or ameliorated.1
Common post-discharge complications include adverse drug events … The incidence and severity of adverse events affecting patients after discharge from the hospital. … events and prevent readmissions.
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www.cahps.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy4/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 … requires the successful transfer of information from clinicians to the patient and family to reduce adverse … events and prevent readmissions.
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www.cahps.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsummorg.html
October 01, 2014 - Studies
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Events … Identify predictors of adverse events while on contact isolation.
Career Goals: Dr.
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www.cahps.ahrq.gov/news/newsroom/press-releases/carbon-emissions.html
September 01, 2022 - Studies
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Events … AHRQ Social Media
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Events … Healthcare is both a significant contributor to climate change and responsible for managing the adverse … “Extreme weather events, declining air quality, and growing food and water insecurity now threaten healthcare
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www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
July 01, 2023 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … Incidence of adverse drug events and potential adverse drug events. JAMA 1995;274(1):29–34.
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www.cahps.ahrq.gov/health-literacy/improve/pharmacy/tools.html
January 01, 2024 - Studies
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Events … (MTM) is a patient-centric and comprehensive approach to improve medication use, reduce the risk of adverse … events, and improve medication adherence.
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www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.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 … The comprehensive toolkit will allow hospitals to improve the management of patient safety events by … implementing processes that facilitate full disclosure of an adverse event, apology, and fair and rapid
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www.cahps.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … PSOs can help providers develop successful approaches to improving quality and reducing adverse outcomes … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events is a resource to … help healthcare organizations detect, analyze, and learn from diagnostic safety events.
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www.cahps.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
May 01, 2023 - Studies
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Events … this section
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Events … While these are reportable events, we can assume the risks are more widespread; safety events in many … Trends in adverse event rates in hospitalized patients. JAMA 2022 Jul 12;328(2):173-83.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
June 05, 2016 - difficult to determine if a change in a measure (e.g., increased length of stay,
increased reporting of adverse … events) is a sign of a performance problem, often because
multiple factors may contribute to such a … that are not expressed as rates
also can be used for monitoring, such as the occurrence of serious adverse … events (e.g., a
sentinel event) that would require immediate action, or counts of desirable (e.g.,
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www.cahps.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - Studies
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Events … Primary Care Settings
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … These tools will also help to identify patient behaviors that may be putting patients at risk for an adverse
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www.cahps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
February 01, 2019 - Studies
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Events … Antibiotics can cause harm to residents
High risk of side effects and adverse events. … of commitments and activities designed to "optimize the treatment of infections while reducing the adverse … events associated with antibiotic use."
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www.cahps.ahrq.gov/research/publications/search.html
January 01, 2024 - Studies
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Events … considers how to most effectively elicit representative, in-depth narrative accounts of diagnosis-related events … enrich clinicians’ understanding of patient and family experience and reduce the harms that follow adverse … diagnostic events.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - Root cause analyses of adverse
events and near-misses (events that did not produce patient injury) revealed … However,
because poor communication remained the top cause of near-misses and adverse events, the
leaders … 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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April 23, 2024 - Studies
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Events … Results
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Events … Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure Patients’ Risk of Adverse … Events Higher in Poor-Performing Hospitals
January 30, 2024
New Tool Helps Manage Opioid