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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
May 22, 2013 - • Nearly 20 percent of patients experience an adverse event
within a month of discharge, of which ¾ … could be prevented
• Common complications post-discharge are adverse drug
events, hospital-acquired
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0082-fullreport.pdf
March 01, 2016 - The measure will provide a mechanism to help assess the
appropriateness of deliveries and prevent adverse … The evidence behind the inappropriate use of cesarean delivery and its link to increased risk of
adverse … We set the minimum number required as 10
events. … events. … evaluated at the minimum number of quality reporting events.
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www.cahps.ahrq.gov/data/infographics/index.html
March 01, 2024 - Studies
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Events … Family Premiums for Employer-Sponsored Health Insurance
Growing Pain of Spinal Stenosis
Adverse … Drug Events Occurring in U.S.
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/906.html
March 01, 2024 - Studies
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Events … treatment options and have the strongest evidence base for improving ADHD symptoms but are associated with adverse … events, such as appetite suppression.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/igmeasure.pdf
January 01, 2004 - PSIs
are a set of measures that provide information about potential in-
hospital complications and adverse … events (outcomes) following
surgeries, procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse
events that might require further … also include
indicators for complications occurring in-hospital that may
represent patient safety events … Such events can be mitigated
with the implementation of TeamSTEPPS tools and strategies.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
October 01, 2016 - including lack of trust)
• What the patient brings (e.g., issues of trauma such as early childhood adverse … events)
Care is delivered primarily using an intensivist primary care team model, focusing on behavior … The LCSW may use
eye movement desensitization reprocessing and mindfulness to put childhood events into … Department
of Veterans Affairs] system, adverse childhood events can be a hidden driver of costs in … Early childhood experiences such as those uncovered using the Adverse
Childhood Experiences Survey may
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www.cahps.ahrq.gov/news/blog/ahrqviews/achieve-health-equity.html
August 01, 2021 - Studies
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Events … this section
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Events … Clearly, the COVID-19 pandemic has further illuminated the scale and adverse impacts of this problem,
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www.cahps.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
March 01, 2023 - Studies
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Events … Simulation is a technique that mimics real-world clinical events in a training environment so clinicians
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
December 01, 2020 - Importance of Patient Safety
Mortality
Prevalence
Cost
Findings on Patient Safety
Improving Trend: Adverse … Drug Events With Heparin and Factor Xa
Improving Trend: Inpatient Adverse Drug Events With Anticoagulants
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/888.html
November 01, 2023 - Studies
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Events … Adverse drug event prevention and detection in older emergency department patients .
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www.cahps.ahrq.gov/coronavirus/long-covid.html
March 01, 2024 - Studies
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Events … pattern and progression or worsening over time, with the possibility of severe and life-threatening events … to improve the care of people living with multiple chronic conditions who are at increased risk for adverse
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www.cahps.ahrq.gov/questions/resources/glossary.html
November 01, 2020 - Studies
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Events … Top of Page
M
Medical Error: An unintended but preventable adverse effect of care, whether or … Morbidity also refers to adverse effects caused by a treatment.
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www.cahps.ahrq.gov/research/findings/final-reports/index.html?page=2
September 01, 2018 - Studies
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Events … Patient Safety Tools Publication Date: June 2015
Enhancing the Detection and Management of Adverse … Drug Events in the Nursing Home ( application/pdf 787663 ) Principal Investigators: Handler, et
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www.cahps.ahrq.gov/funding/policies/nofoguidance/index.html
January 01, 2024 - Studies
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Events … Surveillance, measurement, detection, and reporting of patient safety events. … Determination of the clinical efficacy and effectiveness of preventive interventions, including unintended adverse
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www.cahps.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
October 01, 2020 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events
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April 01, 2016 - Studies
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Events … Objective information can originate from a variety of sources, including adverse event and near-miss
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/795.html
January 01, 2022 - Studies
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Events … Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0085-fullreport.pdf
December 31, 2015 - convention is to estimate reliability at two
points: (1) at a minimum number of quality reporting events … per physician and (2) at the average
number of quality reporting events per physician. … We set the minimum number required as 10
events. … Limiting the reliability analysis to only those physicians with a minimum number of
events reduces the … bias introduced by the inclusion of physicians without a significant number of
events.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
July 23, 2010 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … As noted above, one study found that more than 70 percent of adverse events are caused by breakdowns … infections, and air embolism, all of which are on CMS’s list of hospital-acquired complications “never events … successful transfer of information between nurses going off duty and nurses coming on duty to prevent adverse … events and medical errors.
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/880.html
September 01, 2023 - Studies
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Events … section
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Events … of implementation factors related to addressing social determinants to reduce racial disparities in adverse