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April 18, 2023 - Studies
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Events … Results
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Events … and Non-Hispanic Patients
July 12, 2022
Major Study Shows Significant Drop in In-Hospital Adverse
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January 01, 2024 - Studies
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Events … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .
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August 01, 2022 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … , and surgeon, along with a lack of familiarity with the new equipment as an important cause of the adverse
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February 01, 2024 - Studies
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Events … comment): Documentation Burden
AHRQ in the Professional Literature
Decision-making during high-risk events … Guideline concordance and antibiotic-associated adverse events between Veterans Administration and non-Veterans
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July 01, 2023 - Studies
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Events … the Society of Thoracic Surgeons’ (STS) postoperative cardiac surgery guidelines is associated with adverse … events, according to an AHRQ-funded study in the Journal of Thoracic and Cardiovascular Surgery .
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August 01, 2023 - Studies
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Events … Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-acknowledgments.pdf
September 14, 2017 - advance the implementation of a transparent and just response to those who have been
injured due to an adverse … team at every phase of CANDOR development, including during tool synthesis, training,
and stakeholder events
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
April 10, 2018 - Adverse drug events
Unsafe medicine issues
Medicine adherence
Satisfaction
Reported use
Bring in medicines … We will use several measures to evaluate effectiveness:
How many adverse drug events occur pre- and
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www.cpsi.ahrq.gov/research/findings/studies/index.html?page=485
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
(737)
Alcohol Use
(61)
Ambulatory Care and Surgery
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www.cpsi.ahrq.gov/hai/hai-carb-funding.html
November 01, 2021 - Studies
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Events … determine the clinical efficacy and effectiveness of preventive interventions including unintended adverse
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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-slides.html
June 01, 2017 - Studies
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Events … An analysis of risk factors and adverse events in ambulatory surgery .
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - 70% ---- ----
New
2.0 item
Hospital management seems interested in
patient safety only after an adverse … (F3R)
Hospital management seems interested in
patient safety only after an adverse event
happens. … safety events have you reported? … (F3R)
Hospital management seems
interested in patient safety only
after an adverse event happens … safety events have you
reported?
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - Version 2019.01 of
the PSI software has 17 measures, in addition to 1 patient safety and adverse events … • Adverse events associated with surgical procedures.
• Hospital-acquired infections. … drug events 2004-2007 and 2009-2017
ADE - IV Heparin Adverse drug events 2004-2007 and 2009-2017
ADE … - Low Molecular Weight Heparin Adverse drug events 2004-2007 and 2009-2017
ADE - Warfarin Adverse drug … Adverse events after total knee arthroplasty: a
national Medicare study.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-quickstart-final508.pdf
April 04, 2018 - implementors and use them
as peer coaches.
6 Evaluate your progress
Evaluate effectiveness
� How many adverse … drug events occur pre-
and post-implementation?
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www.cpsi.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - Studies
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Events … System in the Sanford Health System
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Transitional Care Medication Safety: Stakeholders' Perspectives
Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home
Jason M. … Good disclosures can also involve soliciting patients’ perceptions of what caused the adverse event,
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www.cpsi.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
December 01, 2023 - Studies
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Events … Español
FAQs
Home
Patient Safety
Patient Safety News and Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … former Director of the Center for Quality Improvement and Patient Safety, highlights some of the planned events … https://www.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
August 01, 2022 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … advance the implementation of a transparent and just response to those who have been injured due to an adverse … team at every phase of CANDOR development, including during tool synthesis, training, and stakeholder events
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
September 01, 2023 - in the NPSD,
second only to Medication or Other
Substance events, making up approximately
10% … nationally, and cannot be used to calculate the actual prevalence of patient safety events. … among all events until it cannot find more common patterns that satisfy the specified frequency … harm is defined as harm to the patient after discovery of the incident and any attempts to
minimize adverse … Does error and adverse event reporting by physicians and nurses differ?
Jt. Comm. J. Qual.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
March 01, 2013 - . † Adverse outcomes (a) Firm mattresses; low beds; appropriate chair heights and depths for easy transfer … and falls prevention) simultaneously and found an overall positive effect on the development of any adverse … However, Oliver and colleagues also note “so little empiric evidence on adverse effects of fall prevention … Fewer adverse events as a result of the SAFE or SORRY? … events.
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www.cpsi.ahrq.gov/news/blog/ahrqviews/ahrq-digital-healthcare.html
February 01, 2024 - Studies
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Events … this section
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Events … It was an improbable endeavor to transform a field built on paper and adverse to change.