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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.,
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www.cpsi.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
May 01, 2023 - Studies
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Events … this section
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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.
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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?
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www.cpsi.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - Studies
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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.
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www.cpsi.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - Studies
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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
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www.cpsi.ahrq.gov/research/findings/final-reports/ptflow/references.html
October 01, 2018 - Studies
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Events … the American College of Cardiology/American Heart Association guidelines for management and increased adverse … events.
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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
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www.cpsi.ahrq.gov/teamstepps-program/resources/additional/index.html
September 01, 2023 - Studies
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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.
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www.cpsi.ahrq.gov/research/publications/search.html
January 01, 2024 - Studies
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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.
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www.cpsi.ahrq.gov/news/blog/ahrqviews/deep-dive-into-covid19.html
June 01, 2023 - Studies
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Events … this section
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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.
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www.cpsi.ahrq.gov/news/newsroom/case-studies/202301.html
March 01, 2023 - Studies
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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
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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
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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
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www.cpsi.ahrq.gov/research/findings/studies/index.html?page=480
January 01, 2024 - Studies
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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
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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).
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www.cpsi.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
September 01, 2018 - Studies
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Events … Field testing of a new ambulatory care electronic Medication Errors and Adverse Drug Events Reporting
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www.cpsi.ahrq.gov/teamstepps/officebasedcare/handouts/teamattitudes.html
December 01, 2015 - Studies
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Events … Adverse events may be reduced by maintaining an information exchange with patients and their families
-
www.cpsi.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
April 01, 2017 - Studies
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Events … Adverse events may be reduced by maintaining an information exchange with patients and their families
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www.cpsi.ahrq.gov/tools/index.html?page=3
September 01, 2012 - Studies
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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.
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/886.html
October 01, 2023 - Studies
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Events … section
News
Newsroom
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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