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Showing results for "adverse events".
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www.cahps.ahrq.gov/pqmp/implementation-qi/toolkits.htmlAugust 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdfFebruary 14, 2018 - of psychiatric disorders in children, these medications are associated with a number of potentially adverse … Fiscal Burden Although there is little research available on the fiscal burden associated with adverse … aspect of proper medication management in this population, as these medications are associated with adverse … Antipsychotics are associated with potentially adverse metabolic impacts that include weight gain, diabetes … Health-care costs of pediatric clients developing adverse events during treatment with antipsychotics
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docxAugust 01, 2010 - Nurse shift changes require the successful transfer of information between nurses to prevent adverse … events and medical errors. … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … are on the Centers for Medicare and Medicaid Services’ list of hospital-acquired complications “never events … communication during nurse transitions, for example: Reduce the incidence of never events by 5 percent
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Specific Tools To Support Change (pdf file)
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdfJanuary 01, 2011 - • Sentinel events: transfusion reaction, wrong blood type, wrong-site surgery, foreign body left … in during procedure, medical equipment- related adverse events, medication errors … • Other care-related adverse events: patient falls, in-hospital hip fracture or fall http://www.oecd.org … Hospital of Philadelphia annually reviews all findings from root cause analyses of serious safety events … This electronic toolbox provides States with tools they can use or modify as they develop or improve adverse -
Appendix 3: Data Abstraction (xls file)
www.cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsxJune 24, 2022 - utilization; NEST_data • The specific data elements required to assess performance and outcomes (including adverse … events and their timing) in the course of the disease or treatment; NEST_data • The appropriate settings … expectations or preferences will providers and patients be expected to have regarding benefits and adverse … NAM2019 Likelihood that beneficial or adverse effects would be reported or observed? … expectations or preferences will providers and patients be expected to have regarding benefits and adverse -
www.cahps.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdfApril 27, 2022 - The remaining 2 studies (Giardina et al29,30) analyzed existing data sets of patient reports of adverse … events and patient complaints, respectively. … Secondary analysis of patient reports of adverse Timeliness, accuracy, communication events ( … The determination of error depends on the temporal or sequential context of events. … Tracking Progress in improving diagnosis: a framework for defining undesirable diagnostic events.
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www.cahps.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.htmlOctober 01, 2014 - should be prioritized based on the risk to patients and on the prevalence and severity of targeted adverse … events. … Quality Improvement – Supports Activators and Responders by reviewing RRS events and evaluating data … During a team huddle, response team members could: Discuss critical issues and emerging events. … and prescribe a course of action for future events.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdfJanuary 01, 2004 - our study of the impact of working conditions of nurses on medication administration accuracy and adverse … The Safety Climate Scale focuses on organizational commitment to safety, knowledge of how to report adverse … events, and beliefs about systems problems as a cause of error.
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www.cahps.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/references.htmlJuly 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Antipsychotic use in children and adolescents: minimizing adverse effects to maximize outcomes.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdfAugust 01, 2010 - Nurse shift changes require the successful transfer of information between nurses to prevent adverse … events and medical errors. … One study found that more than 70 percent of adverse events are caused by breakdowns in communication … on the Centers for Medicare and Medicaid Services’ list of hospital-acquired complications “never events … communication during nurse transitions, for example: • Reduce the incidence of never events by 5 percent
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www.cahps.ahrq.gov/patient-safety/reports/advances/vol3.htmlJuly 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
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CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-5.8.pdfJanuary 01, 2014 - survey evaluating instances of communication with the pediatrician, referred to as communication “events … Independent raters also coded the communication events from videotapes. … outcomes, self-reported health, adherence to treatment, preventive care, health care resource use, adverse … events, and technical quality of care. … information were obtained from the Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse -
www.cahps.ahrq.gov/cpi/about/35th-anniversary/index.htmlApril 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Hospital-Acquired Conditions show that national efforts to reduce hospital-acquired conditions, such as adverse … drug events and injuries from falls, helped prevent an estimated 8,000 deaths and save $2.9 billion
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdfAugust 07, 2018 - Additional adverse fetal effects that result in dysfunction of a formed organ or tissue include postnatal … maternal events. … We suggest availability of care is essential for women who are at risk of adverse pregnancy outcomes … The ability to minimize and/or prevent adverse fetal effects due to potentially teratogenic medication … Exposure to teratogens during pregnancy is associated with significant adverse outcomes and occurs with
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www.cahps.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.htmlMarch 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-fullreport.pdfNovember 01, 2017 - grams per deciliter for red cell transfusion can decrease transfusion requirements without increasing adverse … events, ICU and hospital LOS, mortality, and daily Pediatric Logistic Organ Dysfunction (PELOD) assessment … infection, gut ischemia, transfusion reactions, stimulation of the inflammatory response, and other events … grams per deciliter for red cell transfusion can decrease transfusion requirements without increasing adverse … is to safely decrease the number of transfusions in PICUs and thereby decrease transfusion-related events
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Spreadnotes (doc file)
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docxAugust 28, 2012 - ASK: · How did the pilot CUSP team make a case for their project targeting adverse drug events? -
www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-tech-specs.pdfDecember 14, 2011 - 7 g per deciliter for red-cell transfusion can decrease transfusion requirements without increasing adverse
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Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
www.cahps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdfAugust 01, 2022 - physician to observe overt and many times more subtle clues, such as changes in vital signs, sensorium, or events … physician by presenting a case and receiving feedback.42 The study reported a significant reduction in adverse … events and near- misses,42 suggesting that distributed cognition played a role by having the physician … Effect of systematic physician cross-checking on reducing adverse events in the emergency department -
www.cahps.ahrq.gov/patient-safety/reports/advances/planning.htmlJuly 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 … What recent or future events might help or hinder end user interest in your finding or product? … What recent/future events might help or hinder their willingness to work with you?
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