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Showing results for "adverse events".
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221. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
     December 01, 2020 - Version 2019.01 of the PSI software has 17 measures, in addition to 1 patient safety and adverse events … • Adverse events associated with surgical procedures. • Hospital-acquired infections. … drug events 2004-2007 and 2009-2017 ADE - IV Heparin Adverse drug events 2004-2007 and 2009-2017 ADE … - Low Molecular Weight Heparin Adverse drug events 2004-2007 and 2009-2017 ADE - Warfarin Adverse drug … Adverse events after total knee arthroplasty: a national Medicare study.

222. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/reports/liability/etchegaray.html
     August 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home Jason M. … Good disclosures can also involve soliciting patients’ perceptions of what caused the adverse event,

223. Patient Safety Awareness Week 2020 | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
     December 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Español FAQs Home Patient Safety Patient Safety News and Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … former Director of the Center for Quality Improvement and Patient Safety, highlights some of the planned events … https://www.ahrq.gov/patient-safety/news-events/psaw-2020/index.html  

224. Acknowledgments | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … advance the implementation of a transparent and just response to those who have been injured due to an adverse … team at every phase of CANDOR development, including during tool synthesis, training, and stakeholder events

225. Fall Prevention Toolkit (doc file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
     March 01, 2013 - . † Adverse outcomes (a) Firm mattresses; low beds; appropriate chair heights and depths for easy transfer … and falls prevention) simultaneously and found an overall positive effect on the development of any adverse … However, Oliver and colleagues also note “so little empiric evidence on adverse effects of fall prevention … Fewer adverse events as a result of the SAFE or SORRY? … events.

226. AHRQ’s Digital Healthcare Research Program: 20 Years of Innovation | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/news/blog/ahrqviews/ahrq-digital-healthcare.html
     February 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … It was an improbable endeavor to transform a field built on paper and adverse to change.

227. Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
     July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … If successful, maternal and neonatal adverse events will decrease.

228. Patient Safety Awareness Week 2019 | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
     July 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Español FAQs Home Patient Safety Patient Safety News and Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … https://www.ahrq.gov/patient-safety/news-events/psaw-2019/index.html  

229. AHRQ Announces New Challenge Competition To Highlight the Impact of its Patient Safety Tools | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/news/newsletters/e-newsletter/867.html
     June 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study .

230. PS Grantee Report | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/research/findings/final-reports/index.html
     June 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … : Older Adults Publication Date: August 2022 Management of Direct Anticoagulants to Lower Adverse … Events in Atrial Fibrillation (MODL-AF) ( application/pdf 412143 ) Principal Investigators: King

231. Guiding Principles Help Healthcare Community Address Potential Bias Resulting From Algorithms | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/news/newsletters/e-newsletter/894.html
     December 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … region, is applying a human factors engineering approach to healthcare delivery to reduce patient safety events … including a toolkit to help introduce emergency medicine clinical pharmacist programs to hospitals to avoid adverse … drug events in emergency department patients.

232. AHRQ Evidence Reviews: Catalysts for Practice Change | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/news/blog/ahrqviews/epc-program-evidence-reviews.html
     January 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … That includes adverse effects resulting from the unnecessary use of antibiotics, like Clostridium difficile

233. About the Nursing Home Antimicrobial Stewardship Guide | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/nhguide/about/index.html
     March 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … resident over the study period and, when taking into consideration the potential costs of treating adverse … health events, the cost savings was $1,098 per resident. 2 Why Is Antimicrobial Stewardship Important

234. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
     November 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … The preventable harms for these medication errors include adverse drug events (ADEs), unscheduled hospital

235. About SDOH in Healthcare | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/sdoh/about.html
     February 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Trauma (e.g., adverse childhood experiences, domestic violence, elder abuse).

236. Ingestion of Illicit Substances Among Young Children Increased Significantly During COVID-19 Pandemic | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/news/newsletters/e-newsletter/861.html
     April 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Understanding patient and clinician reported nonroutine events in ambulatory surgery. … Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex

237. Special Edition – Patient Safety Awareness Week | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/news/newsletters/e-newsletter/854.html
     March 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … non-Hispanic Black adult hospital patients who received a hypoglycemic agent experienced a related adverse … In 2019, the rate of severe maternal morbidity events was 12.3, 8.7 and 8.2 per every 1,000 delivery

238. AHRQ Views Blog: Asking the Hard Questions About Telehealth | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/news/newsletters/e-newsletter/770.html
     June 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a

239. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
     August 22, 2023 - The board’s tracking of adverse events and delineated types of errors (including near misses) - focus … ensure they have/are part of QAPI efforts where appropriate and understand how to identify and report events … complaints in cardiology and cardiac surgery • Patient mortality triple the norm and rise in adverse … events and claims (often lagging indicators) • Patient complaints • Culture of Non- transparency … • Could a department hide embarrassing events from management and the board?

240. EvidenceNOW: Managing Unhealthy Alcohol Use | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/evidencenow/projects/alcohol/index.html
     November 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … It is associated with adverse effects on physical and mental health.