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Showing results for "adverse events".
Users also searched for: patient safety indicators
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdfFebruary 02, 2018 - These physiologic aberrations may result in several adverse outcomes that include, but are not limited … events? … events • Timing o At least 1 month of treatment • Setting o Home o Assisted living residence … (KQ 5) Adverse Events Table 1. … events Timing At least 1 month of treatment in home settings None Settings Therapy (BPAP, CPAP
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdfJanuary 01, 2021 - ” • “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … 1 2 3 4 5 9 5 SECTION D: Reporting Patient Safety Events Think about your unit/work … In the past 12 months, how many patient safety events have you reported? a. … Hospital management seems interested in patient safety only after an adverse event happens .......
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/874.htmlAugust 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … available to improve the safety culture of labor and delivery units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures. … Articles featured this week include: Anticoagulation-associated adverse drug events in hospitalized
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/884.htmlOctober 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality … Risk factors for opioid-related adverse drug events among older adults after hospitalization for major
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www.cpsi.ahrq.gov/research/findings/factsheets/primary/pbrn/index.htmlOctober 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
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.htmlAugust 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 … 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.
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www.cpsi.ahrq.gov/patients-consumers/diagnosis-treatment/hospitals-clinics/10-tips/index.htmlJune 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.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Reige.pdfMarch 01, 2004 - events and medication contra-indications. … This process improves access to timely drug renewals and minimizes adverse effects. … The clinical pharmacist is given the opportunity to discuss with patients such issues as adverse drug … The pharmacists may discover upon reviewing labs and discussing adverse events with the patient that … Pharmacist on rounding teams reduce preventable adverse drug events in hospital general medicine units
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.htmlAugust 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 … management Disruptive behavior and/or code of conduct Investigation of occurrences (i.e., sentinel events … ___ Bylaws for medical staff and/or hospital Peer review process Oversight/management of adverse … or "harm" events ___ ___ Organizational safety and/or quality plan FMEAs or other
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www.cpsi.ahrq.gov/teamstepps/officebasedcare/impworkbook.htmlDecember 01, 2015 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … □ Adverse event due to a breakdown in team skills (e.g., communications, situation monitoring, mutual … Near-miss(es) due to breakdowns in team skills □ Staff members are concerned that we could have an adverse … patient satisfaction; improved performance on a relevant health care quality measure; decreased rates of adverse … events or near-misses) Who will be involved in the change?
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www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/references.htmlJune 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.
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www.cpsi.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.htmlJune 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … hospitals and nursing homes (including skilled nursing facilities) to collect data for all types of adverse … events, near misses, and unsafe conditions. … Research suggests that adverse events affect patients with limited English proficiency more frequently … If chest tubes are inserted incorrectly, patients can suffer adverse outcomes and even fatal complications
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www.cpsi.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.htmlDecember 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … Nurse shift changes require the successful transfer of information between nurses to prevent adverse … events and medical errors.
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Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdfJanuary 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital. -
Strategy 4: IDEA Discharge Planning (Tool 1) (doc file)
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docxJanuary 01, 2010 - for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital. -
www.cpsi.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.htmlAugust 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 … These projects sought to improve patient safety by measuring safety problems, characterizing adverse … events, and conducting clinical safety interventions.
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www.cpsi.ahrq.gov/topics/index.html?page=1January 01, 2012 - 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.
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www.cpsi.ahrq.gov/es/topics/index.html?page=1January 01, 2012 - 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.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdfMay 01, 2017 - Ways to reduce obstetrical adverse events include improving teamwork and communication among care teams … Root cause analyses of adverse events and near-misses (events that did not produce patient injury) … EARLY IMPACTS The most recent root cause analyses of adverse events and near-misses indicated that … poor communication is no longer a root cause; in fact, near-misses and adverse events attributed to … The weighted adverse events included in the measure are in-house maternal death, in-house neonatal
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdfMay 01, 2017 - Ways to reduce obstetrical adverse events include improving teamwork and communication among care teams … Root cause analyses of adverse events and near-misses (events that did not produce patient injury) … EARLY IMPACTS The most recent root cause analyses of adverse events and near-misses indicated that … poor communication is no longer a root cause; in fact, near-misses and adverse events attributed to … The weighted adverse events included in the measure are in-house maternal death, in-house neonatal
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