Results

Total Results: 545 records

Showing results for "adverse events".
Users also searched for: patient safety indicators

141. Prologue—Volume 1—Five Years Later—Are We Any Safer? (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
     January 01, 2004 - the initial IOM goal for some injury sources (for example, Brigham & Women’s Hospital in Boston for adverse … drug events [ADEs]; Intermountain Health Care’s LDS Hospital in Salt Lake City for ADEs and for postoperative … injuries, and near misses, because of difficulties in recognizing, tracking, and summarizing these events … trigger systems), to successful interventions that addressed specific, single injury sources (e.g., adverse … drug events), to organizational structures (e.g., building a culture of safety; nursing roles; teamwork

142. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/about/areas.html
     February 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Learn about Patient Safety Patient Safety and Quality Areas Patient Safety News and Events … Team Training Falls Pressure Ulcers Diagnostic Safety Blood Clot Prevention and Treatment Adverse … Drug Events AHRQ Quality Indicators (QIs) Page last reviewed February

143. AHRQ Views Blog: Long COVID Is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsletters/e-newsletter/856.html
     March 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … Articles featured this week include: Automated capture of intraoperative adverse events using artificial … Near-miss events detected using the emergency department trigger tool . … Effect of apneic oxygenation with intubation to reduce severe desaturation and adverse tracheal intubation-associated … events in critically ill children.

144. Staff Presentation Template PowerPoint- Pediatric Toolkit for Using the AHRQ Quality Indicators (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c3_pdi_staffpresentation.pdf
     July 01, 2004 - pdi_resources.aspx • The PDIs are a set of 16 indicators that reflect quality of care inside hospitals and adverse … events that children, adolescents, and, where specified, neonatal patients may experience as a result … • PDIs measure events likely to be preventable through changes at the system or provider level. … • Consider inserting here the deidentified story of a patient who suffered the adverse event captured … Comparison between our hospital and peer hospitals – Our performance over time – Volume and cost of events

145. Create a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Assessment Form  (DOCX, 330 KB) Implementation Guide  (PDF, 402 KB) Learning From Antibiotic–Associated Adverse … Events Form (DOCX, 227 KB) Gap Analysis Tool  (DOCX, 382 KB) The Four Moments of Antibiotic Decision

146. Hospital Survey on Patient Safety (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
     December 22, 2017 - • “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … 1 2 3 4 5 SECTION D: Frequency of Events Reported In your hospital work area/unit, when the … Hospital management seems interested in patient safety only after an adverse event happens ....... … 1 2 3 4 5 SECTION G: Number of Events Reported In the past 12 months, how many event reports

147. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
     April 01, 2011 - ------------------------------------------------------------------- 9 How to prevent adverse events … one study.1 Of these adverse events, three-quarters could have been prevented or ameliorated. … At this time, no consensus exists on the single best method to prevent adverse events after discharge … The incidence and severity of adverse events affecting patients after discharge from the hospital. … How to prevent adverse events after discharge How does the IDEAL Discharge Planning strategy improve

148. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
     April 01, 2011 - 9 How to prevent adverse events after discharge 11 How does the IDEAL Discharge Planning strategy improve … study.1 Of these adverse events, three-quarters could have been prevented or ameliorated. … How to prevent adverse events after discharge Many of the challenges described above can be attributed … At this time, no consensus exists on the single best method to prevent adverse events after discharge … The incidence and severity of adverse events affecting patients after discharge from the hospital.

149. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
     December 01, 2017 - mortality for pediatric surgical procedures Rates of potentially avoidable complications and adverse … for Selected Procedures) IQI 91 (Mortality for Selected Conditions) PSI 90 (Patient Safety and Adverse … Events Composite) PDI 19 (Pediatric Patient Safety for Selected Indicators) are not in ICD-10 v6.0 … Consider inserting here the deidentified story of a patient who suffered the adverse event captured by … References Slide 48 Sample Best Practices Pressure ulcers represent an important patient adverse

150. Patient Narratives Can Catalyze Staff Improvement and Bolster Survey Scores | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsletters/e-newsletter/900.html
     February 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Reducing Adverse Events Related to Anticoagulants . Implicit Bias Training . Deprescribing . … Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events .

151. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
     May 20, 2016 - multidisciplinary review is required to identify system processes that may result in failures in care, adverse … events, and mortality … department within 3 days of discharge ∗ Death associated with drug reaction ∗ Death associated with adverse … department within 3 days of discharge ∗ Death associated with drug reaction ∗ Death associated with adverse … Summary data of sentinel events reviewed by The Joint Commission.

152. Study Finds Racial and Ethnic Inequities in End-of-Life Prescription Opioid Access | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsletters/e-newsletter/875.html
     August 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis . … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality

153. Comparing Quality Scores to an Independent Standard | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/talkingquality/translate/compare/choose/standard.html
     January 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … The Standard for “Never Events” There is one kind of standard that is beginning to emerge in health … care: the standard of “never” or zero percent for certain adverse and preventable events. … These events are preventable and should never happen.”

154. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
     May 01, 2017 - Incidence of adverse drug events and potential adverse drug events. JAMA. 1995;274(1):29–34.

155. SITUATION MONITORING
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro-ig.pptx
     January 20, 2006 - Some of the current clinical outcomes of team training include the following: 50 percent reduction in adverse … percent decrease in the Severity Index, which measures the average severity of each delivery with an adverse … event (Mann, Marcus, & Sachs, 2006); Reduced rate of adverse drug events; and Improved medication reconciliation

156. Primary Care Practice-Based Research Networks | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/research/findings/factsheets/primary/pbrn/index.html
     October 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … PBRN Web Events —PBRN researchers, directors, and staff participate in ongoing discussions dedicated … pandemic influenza event. 4 Field testing of a new ambulatory care electronic Medication Errors and Adverse … Drug Events Reporting System (MEADERS). 5 For More Information For more information on AHRQ's Primary … Field test results of a new ambulatory care Medication Errors and Adverse Drug Events Reporting System

157. 10 Patient Safety Tips for Hospitals | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patients-consumers/diagnosis-treatment/hospitals-clinics/10-tips/index.html
     June 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … 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.

158. Action Planning Worksheets | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
     November 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Adverse event due to a breakdown in team skills (e.g., communications, situation monitoring, mutual support … Staff members are concerned that we could have an adverse event due to breakdowns in team skills.   … prophylactic use of beta-blockers to prevent intra-operative myocardial ischemia]; decreased rates of adverse … events or near misses)   Who will be involved in the change?

159. Project RED: The ReEngineered Discharge (Text Version) | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/events/conference/2011/jack/index.html
     October 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … More topics in this section News Newsroom Blog Newsletter Events … Fragmentation. 19% of patients have a post-discharge adverse events (AE). 20% of Medicare patients readmitted … https://www.ahrq.gov/news/events/conference/2011/jack/index.html   Back

160. References | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/references.html
     June 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … The effect of electronic prescribing on medication errors and adverse drug events: a systematic review … The incidence and severity of adverse events affecting patients after discharge from hospital.