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Showing results for "adverse events".
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261. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/resources/learning-lab/index.html
     February 01, 2024 - drug events. … Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general … drug events. … patient safety events. … events, and improve efficiency for ED healthcare providers.

262. TeamSTEPPS 2.0 Readiness Assessment | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/teamstepps/readiness/index.html
     August 01, 2015 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Objective information can originate from a variety of sources, including adverse event and near-miss

263. Strategy 3: Bedside Shift Report (Tool 3)
     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.

264. AHRQ Data Underscore Uneven Impact of COVID-19 | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/news/blog/ahrqviews/uneven-impact-covid19.html
     December 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events

265. Addressing Historical Racism and Inequality in American Healthcare | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/news/blog/ahrqviews/addressing-historical-racism.html
     April 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events

266. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
     March 01, 2024 - able to use Measure Dx to guide their efforts to detect, analyze, and learn from diagnostic safety events … IHS • Existing Activities Regarding Diagnostic Safety o Voluntary adverse event report via I-STAR. … optimize this effort, as they are focused on root cause analysis standardization to help in identifying events

267. 2022 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
     December 01, 2022 - Standard forms for the data collection and model procedures for the uniform registration of events are … , such as medication prescriptions and laboratory test results that are relevant to patient safety events … Measures and modules included in calculation of adverse event rates Measure Module One or more adverse … outcomes Birth - Maternal Adverse event associated with hypoglycemic agent Medication Adverse event … events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related to procedure

268. Overview | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/overview.html
     July 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

269. Library of PCOR Resources | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/pcor/library-of-resources/index.html
     April 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … database , which contains information on study participants and a summary of study outcomes, including adverse … events.

270. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
     December 01, 2023 - Standard forms for the data collection and model procedures for the uniform registration of the events … , such as medication prescriptions and laboratory test results that are relevant to patient safety events … Measures and modules included in calculation of adverse event rates Measure Module One or more adverse … outcomes Birth - Maternal Adverse event associated with hypoglycemic agent Medication Adverse event … events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related to procedure

271. Module 6 Evidence Base (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_support_evbase.pdf
     January 01, 2013 - 14 reduce hospital costs by 19 percent,15 increase staff understanding of goals,16 reduce patient adverse … events,15 ,17 reduce mortality,18 and reduce malpractice suits by 50 percent.15 Research has demonstrated

272. Mod5-Comm-Assessment (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
     April 01, 2016 - 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. … Future events are simply described. … Conventional Responses can include… ■ Describe Mary’s current condition and the events that led up to

273. Hospital Language Services: Quality Improvement and Performance Measures (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
     May 08, 2008 - one study, language barriers are associated with 1 2 an increased risk for serious medical events … during pediatric hospitalizations.12 For patients with LEP, adverse events occurring during hospitalization … Are language barriers associated with serious medical events in hospitalized pediatric patients? … Language proficiency and adverse events in U.S. hospitals: A pilot study.

274. Maternity Care Performance Measurement Set (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Maternity-Care-Measures.pdf
     February 23, 2012 - events during childbirth. … The Work Group also aimed to develop an outcome measure assessing adverse events during birth. … problems with this measure, such as risk adjustment, attribution, and the very low incidences of these events … events at this time. … Adverse effects of prenatal alcohol exposure can range from subtle developmental problems, or fetal

275. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/news/newsroom/case-studies/index.html?page=7
     January 01, 2016 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … User Liaison Program (ULP) (4) WebM&M (5) Topics Access to Care (14) Adverse … Drug Events (ADE) (5) Asthma (2) Behavioral Health (16) Blood Clots (15) Blood Thinners

276. BMI Assessment and Recommended Weight Gain (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-mc4-fullreport.pdf
     July 01, 2016 - Maternal obesity is associated with adverse pregnancy outcomes, including increased risk for gestational … per physician and two, at the average number of quality reporting events per physician. … We set the minimum number required as 10 events. … bias introduced by the inclusion of physicians without a significant numbers of events. … The CPP states this important measure of addressing obesity can help to reduce adverse maternal and

277. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
     May 20, 2016 - abdominal surgeries, and is associated with significant risk of mortality between 14% and 50%.1 Other adverse … events include prolonged length of stay, subsequent surgeries and incisional herniation.2,3 • Proper

278. Combining Performance Feedback and Evidence-based Educational Resources (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
     January 01, 2004 - Healthcare Organizations (JCAHO) sentinel event policy that requires investigation of the causes of adverse … Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical … The nature of adverse events in hospitalized patients: results of the Harvard Medical Practice Study … Incidence and types of adverse events and negligent care in Utah and Colorado. … Auerbach AD: Beta-blockers and reduction of perioperative cardiac events.

279. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
     November 01, 2012 - foreign objects avoidable.1 • Retained foreign objects represent a serious and significant patient adverse … Chasing zero events of harm: an urgent call to expand safety culture work and customer engagement.

280. Introduction Instructor Guide – PDF (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_ig_intro.pdf
     January 01, 2007 - drug events; – Prevent central line infections; – Prevent surgical site infections; and … events. 2016 • CMS released new long-term care regulations, which included the mandate for all nursing … clinical decisionmaking by using the electronic medical record to track patients at risk for costly adverse … events … events