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

201. Monitoring Progress for Sustainable Improvement (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
     June 05, 2016 - difficult to determine if a change in a measure (e.g., increased length of stay, increased reporting of adverse … events) is a sign of a performance problem, often because multiple factors may contribute to such a … that are not expressed as rates also can be used for monitoring, such as the occurrence of serious adverse … events (e.g., a sentinel event) that would require immediate action, or counts of desirable (e.g.,

202. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
     May 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … While these are reportable events, we can assume the risks are more widespread; safety events in many … Trends in adverse event rates in hospitalized patients. JAMA  2022 Jul 12;328(2):173-83.

203. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
     August 01, 2019 - Reporting Patient Safety Events (Never, Rarely, Sometimes, Most of the time, Always, Does Not Apply … Hospital management seems interested in patient safety only after an adverse event happens. … Reliability of this composite measure—Cronbach’s alpha (3 items) = .72 Number of Events Reported … In the past 12 months, how many patient safety events have you reported?

204. Multiple Settings | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/multiple/index.html
     August 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 … PSOs can help providers develop successful approaches to improving quality and reducing adverse outcomes … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events is a resource to … help healthcare organizations detect, analyze, and learn from diagnostic safety events.

205. Medication Management Strategy: Intervention | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
     June 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 … These tools will also help to identify patient behaviors that may be putting patients at risk for an adverse

206. References | Agency for Healthcare Research and Quality
     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.

207. Experiences From the Frontline: Case Studies (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
     May 01, 2015 - Root cause analyses of adverse events and near-misses (events that did not produce patient injury) revealed … However, because poor communication remained the top cause of near-misses and adverse events, the leaders … 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

208. Additional Videos for TeamSTEPPS 3.0 | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps-program/resources/additional/index.html
     September 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse … this technique, one tool in the TeamSTEPPS 3.0 training program, can improve communication, reduce adverse … events, and improve care quality.

209. Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/research/publications/search.html
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … considers how to most effectively elicit representative, in-depth narrative accounts of diagnosis-related events … enrich clinicians’ understanding of patient and family experience and reduce the harms that follow adverse … diagnostic events.

210. At the American Society of Health Economists Conference, AHRQ to Highlight Its Deep Dive into COVID-19 | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/blog/ahrqviews/deep-dive-into-covid19.html
     June 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … healthcare is understanding and quantifying the impacts of the COVID-19 pandemic and how we can mitigate the adverse … effects of these kinds of catastrophic events in the future. 

211. Ohio Veterans’ Facility Relied on AHRQ Resource to Develop Diabetes Initiative | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsroom/case-studies/202301.html
     March 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse … Drug Events (ADE), Care Coordination, Chronic Conditions, Clinician-Patient Communication

212. TeamSTEPPS® for Office-Based Care - TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/teamattitude.pdf
     December 09, 2015 - Adverse events may be reduced by maintaining an information exchange with patients and their families

213. TeamSTEPPS Teamwork Attitude Questionnaire (T-Taq) (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_teamwork_attitudes_ques.pdf
     April 24, 2017 - Adverse events may be reduced by maintaining an information exchange with residents and their families

214. Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/research/findings/studies/index.html?page=480
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … 1279) 2015 (1430) 2014 (662) 2013 (195) Topics Access to Care (417) Adverse … Drug Events (ADE) (321) Adverse Events (736) Alcohol Use (61) Ambulatory Care and Surgery … Keywords: Opioids, Medication, Substance Abuse, Screening, Adverse Drug Events (ADE), Adverse Events

215. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - events and close calls. … events, and near-misses. … events. … • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement. … drug events (ADEs).

216. Practice-Based Research Networks (PBRNs) | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
     September 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Field testing of a new ambulatory care electronic Medication Errors and Adverse Drug Events Reporting

217. Teamwork Attitudes Questionnaire (T-TAQ) | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/officebasedcare/handouts/teamattitudes.html
     December 01, 2015 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Adverse events may be reduced by maintaining an information exchange with patients and their families

218. Teamwork Attitudes Questionnaire (T-TAQ) | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
     April 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Adverse events may be reduced by maintaining an information exchange with patients and their families

219. Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/tools/index.html?page=3
     September 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … and quality of care for mothers and their newborns with an aim of decreasing maternal and neonatal adverse … events resulting from poor communication and system failures.

220. New Data Resource Provides Insights on Factors Related to Falls | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsletters/e-newsletter/886.html
     October 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Falls are one of the most frequently reported patient safety events in the NPSD, second only to medication … or other substance events. … Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive