-
www.cpsi.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
September 01, 2016 - for health care safety and quality in a variety of fields, including patient engagement, response to adverse … events, diagnostic error reduction, rapid response, and infection prevention, among others. … Safety Monitoring System, a nationwide surveillance project aimed at identifying the rates of specific adverse … events within the Medicare population. … paper, and led the AHRQ-Brigham medication safety HIT CERT CEDAR (Calling for Earlier Detection of Adverse
-
www.cpsi.ahrq.gov/news/newsletters/e-newsletter/878.html
August 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … (Source: JAMA Network Open , Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem … include:
Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
December 11, 2015 - □ 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?
-
www.cpsi.ahrq.gov/talkingquality/explain/share-info/highlight.html
September 01, 2019 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … For example, in the next few years, we may see systems that enable patients to report on adverse events
-
www.cpsi.ahrq.gov/news/newsletters/e-newsletter/821.html
June 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Analysis of Hospital-Level Readmission Rates and Variation in Adverse Events Among Patients With Pneumonia … Assessing adverse event reports of hysteroscopic sterilization device removal using natural language
-
www.cpsi.ahrq.gov/news/newsletters/e-newsletter/803.html
March 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … This included reductions in the use of fluoroquinolones, a class of antibiotics known to cause adverse … Relative risks of adverse events among older adults receiving opioids versus NSAIDs after hospital discharge
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … be prevented
Common complications post-discharge are adverse drug events, hospital-acquired infections … have been prevented or ameliorated.1
Common post-discharge complications include adverse drug events … The incidence and severity of adverse events affecting patients after discharge from the hospital. … events and prevent readmissions.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
February 16, 2021 - Hospital management seems interested in patient safety only after an adverse event happens. … Frequency of Events Reported
(Never, Rarely, Sometimes, Most of the time, Always)
D1. … Number of Events Reported
(No event reports, 1 to 2 event reports, 3 to 5 event report, 6 to 10 event
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - also includes
questions asking for an overall rating on patient safety, questions on the number of events … Hospital management seems interested in patient safety only after an adverse event happens. … item: Hospital managers are only interested in doing something about
patient safety when there is an adverse … Number of Events Reported
(None, 1 to 2, 3 to 5, 6 to 10, 11 or more)
D3. … In the past 12 months, how many patient safety events have you reported?
-
www.cpsi.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy4/index.html
December 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 … requires the successful transfer of information from clinicians to the patient and family to reduce adverse … events and prevent readmissions.
-
www.cpsi.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsummorg.html
October 01, 2014 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Identify predictors of adverse events while on contact isolation.
Career Goals: Dr.
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/index.html
April 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 … process can detect and avert most medication discrepancies, potentially avoiding a large number of adverse … drug events and related costs for care of affected patients.
-
www.cpsi.ahrq.gov/news/newsroom/press-releases/carbon-emissions.html
September 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … AHRQ Social Media
AHRQ Stats
Impact Case Studies
Blog
Newsletter
Events … Healthcare is both a significant contributor to climate change and responsible for managing the adverse … “Extreme weather events, declining air quality, and growing food and water insecurity now threaten healthcare
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - Staff can use this decision tree when analyzing an error or
adverse event in an organization to help … events and close calls. … events have clearly expressed their preferences for full error
disclosure, most physicians remain uncomfortable … events. … drug events (ADEs).
-
www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.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 … Incidence of adverse drug events and potential adverse drug events. JAMA 1995;274(1):29–34.
-
www.cpsi.ahrq.gov/health-literacy/improve/pharmacy/tools.html
January 01, 2024 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … (MTM) is a patient-centric and comprehensive approach to improve medication use, reduce the risk of adverse … events, and improve medication adherence.
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
August 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 … The comprehensive toolkit will allow hospitals to improve the management of patient safety events by … implementing processes that facilitate full disclosure of an adverse event, apology, and fair and rapid
-
www.cpsi.ahrq.gov/sops/international/hospital/translators-version-2.html
September 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Hospital management seems interested in patient safety only after an adverse event happens. … item: Hospital managers are only interested in doing something about patient safety when there is an adverse … Number of Events Reported
(None, 1 to 2, 3 to 5, 6 to 10, 11 or more)
D3. … In the past 12 months, how many patient safety events have you reported?
-
www.cpsi.ahrq.gov/teamstepps/officebasedcare/module1/office_intro-ig.html
September 01, 2015 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … 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 … Reduced rate of adverse drug events.
-
www.cpsi.ahrq.gov/research/findings/final-reports/ptflow/references.html
October 01, 2018 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … the American College of Cardiology/American Heart Association guidelines for management and increased adverse … events.