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Showing results for "adverse events".
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121. Transitions of Care | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/topics/transitions-care.html
     Studies Blog AHRQ Views Newsletter AHRQ News Now Events … ensure safe and seamless transitions of patients from one care setting to another, reducing preventable adverse … events, drug-related errors, and other problems. 

122. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/research/findings/evidence-based-reports/search.html?page=1
     November 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Permanente Research Affiliates Report Status: Final Efficacy of Dental Services for Reducing Adverse … Events in Those Receiving Chemotherapy for Cancer Date: July 2023 Report Type: Rapid Evidence Product … Scientific Resource Center Report Status: Final Efficacy of Dental Services for Reducing Adverse … Events in Those Undergoing Insertion of Implantable Cardiovascular Devices Date: July 2023 Report

123. Defining the New AHRQ: A Race for 21st Century Care | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
     January 01, 2021 - billion), adverse drug events ($4.1 billion), and falls ($1.5 billion), while diagnostic errors have … By advancing our efforts to reduce these events, we can lessen these avoidable financial burdens and, … understanding where value is gained and lost, and incorporating strategies that are proven to reduce or prevent adverse … The 21 st Century Care Initiative presents a major opportunity to reduce preventable adverse medical … events and improve medication management through new, evidence-based, individualized care management

124. Survey on Patient Safety (facility version) (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
     November 18, 2019 - • “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … when something does not seem right .... 1 2 3 4 5 SECTION D: Frequency of Events … Management in this facility seems interested in patient safety only after an adverse event happens … facility ........................... 1 2 3 4 5 SECTION G: Number of Events … Safety Grade SECTION F: Your Facility SECTION F: Your Facility (continued) SECTION G: Number of Events

125. TeamSTEPPS Research/Evidence Base: Labor and Delivery | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps-program/evidence-base/labor.html
     May 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events … Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized … Impact of a comprehensive patient safety strategy on obstetric adverse events. 

126. AHRQ Views: Biden Administration Tackles Financial Strains on Healthcare Consumers | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsletters/e-newsletter/892.html
     December 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Making Healthcare Safer IV will provide evidence on 11 additional safety topics, including reducing adverse … events related to anticoagulants, opioid stewardship and addressing fatigue and sleepiness of clinicians … Articles featured this week include: Prescription opioid dose reductions and potential adverse events

127. Primary Care-Based Efforts To Reduce Potentially Preventable Readmissions | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
     December 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 … Readmissions High rates of readmissions are a major patient safety problem associated with adverse … events such as prescribing errors and misdiagnoses of conditions in the hospital and ambulatory care

128. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
     January 01, 2024 - Usability events were grouped into thematic categories: navigation/UI events, health literacy events … Adverse drug events and medication errors in Australia. … Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Setting. … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Evaluation of Adverse Drug Events and Medication Discrepancies in Transitions of Care Between Hospital

129. AHRQ News Now | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsletters/e-newsletter/index.html?page=2
     April 05, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Results News Newsroom Blog Newsletter AHRQ News Now Events … ascending Top Story April 5, 2022 Dental Opioid Prescriptions Associated With Adverse … Patient-Generated Health Data Into Electronic Health Records February 8, 2022 Opioid Prescribing, Adverse … Change, Environmental Justice and AHRQ October 5, 2021 Drug Label Changes Could Reduce Adverse

130. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Slide 28: Communicating Adverse Events Say: Communication following an adverse event can been especially … Slide 30: How To Communicate About An Adverse Event Say: It is important to remember that residents … and family members can experience a number of emotions when an adverse event occurs, so communication … about an adverse event should be compassionate and sensitive.

131. Appendix E | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
     April 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Drug Events 96 420  ---- Administration Errors 14 419  ---- Dispensing Errors 11 448 … --- Ordering/Prescribing Errors 6 418  ---- Transcription Errors 5 415  -- Side Effects/Adverse … 621  ---- Governmental Reporting 1 622  ---- Institutional Reporting 2 690  ---- Never Events … Robotic-Assisted Surgery 0 665  ---- Computer-Assisted Radiotherapy 0 661  -- Computerized Adverse

132. AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsroom/case-studies/201509.html
     January 01, 2018 - AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … the technicians' work, the E.D. pharmacist can interpret the patient's medication history to look for adverse … events, one of the many reasons patients come to the E.D. … Study Identifier: 2015-09 AHRQ Product(s): Research Topic(s): Adverse … Drug Events (ADE), Outcomes, Patient Safety, Provider: Pharmacist Geographic

133. How To Use the Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/how-to-use.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 … team members how to apply the Comprehensive Unit-based Safety Program (CUSP) to prevent obstetrical adverse … events.

134. Patient Safety Organizations Program | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/cpi/about/otherwebsites/pso.ahrq.gov/index.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … the creation of PSOs and the development of Common Formats for uniform reporting of patient safety events … external experts who can assist providers in the collection, analysis, and aggregation of patient safety events … access to Common Formats (uniform definitions and reporting formats for collecting information about adverse … events).

135. Practice Improvement | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/practiceimprovement/index.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Prevention Tools to assist nursing homes that have electronic medical record systems to prevent adverse … events. … Communication and Optimal Resolution (CANDOR) Toolkit Process for practitioners to use when unexpected events

136. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
     November 01, 2021 - ............................................................................... 2 Descriptions of Events … • Patient safety concerns such as falls, pressure injuries, and adverse medication events were reported … Among the blood and blood product concerns (n = 10; 3.3%), there were three incidents involving an adverse … In two instances, adverse reactions to medications used to treat COVID-19 were identified. … intervention in place o Secondary patient morbidity • Surgery or anesthesia o Characteristics of surgical adverse

137. Hospital Survey on Patient Safety (doc file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
     June 09, 2016 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … to ask questions when something does not seem right (1 (2 (3 (4 (5 SECTION D: Frequency of Events … Hospital management seems interested in patient safety only after an adverse event happens (1 (2 … Shift changes are problematic for patients in this hospital (1 (2 (3 (4 (5 SECTION G: Number of Events

138. 10 Patient Safety Tips for Hospitals (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
     December 01, 2009 - patient safety research and implementation projects, offers these 10 evidence-based tips to prevent adverse … events from occurring in your hospital. … used incorrectly, blood thinners can cause uncontrollable bleeding and are among the top causes of adverse … drug events.

139. TeamSTEPPS Additional Video: SBAR in Inpatient Medical Teams | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps-program/resources/additional/sbar.html
     July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … how this technique, one tool in the TeamSTEPPS training program, can improve communication, reduce adverse … events, and improve care quality.

140. Register Now: July 25 Webinar by National Action Alliance Will Address Involving Patients and Families in Safety | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsletters/e-newsletter/872.html
     July 01, 2023 - process can enrich clinicians’ understanding of patient and family experience and reduce harms following adverse … diagnostic events. … It describes the most effective ways of eliciting fulsome accounts about diagnosis-related events and … emergency departments to provide nonemergency care to residents, potentially placing residents at risk of adverse … events and generating wasteful Medicare spending.