-
www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.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 … If successful, maternal and neonatal adverse events will decrease.
-
www.cpsi.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
July 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
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 … https://www.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
April 12, 2018 - .
■ Answer your questions.
1 in 9
emergency
department admissions
are related to an
adverse drug
-
www.cpsi.ahrq.gov/news/newsletters/e-newsletter/867.html
June 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study .
-
www.cpsi.ahrq.gov/research/findings/final-reports/index.html
June 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … : Older Adults Publication Date: August 2022
Management of Direct Anticoagulants to Lower Adverse … Events in Atrial Fibrillation (MODL-AF) ( application/pdf 412143 ) Principal Investigators: King
-
www.cpsi.ahrq.gov/news/newsletters/e-newsletter/894.html
December 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … region, is applying a human factors engineering approach to healthcare delivery to reduce patient safety events … including a toolkit to help introduce emergency medicine clinical pharmacist programs to hospitals to avoid adverse … drug events in emergency department patients.
-
www.cpsi.ahrq.gov/news/blog/ahrqviews/epc-program-evidence-reviews.html
January 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … this section
News
Newsroom
Blog
AHRQ Views
Newsletter
Events … That includes adverse effects resulting from the unnecessary use of antibiotics, like Clostridium difficile
-
www.cpsi.ahrq.gov/nhguide/about/index.html
March 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … resident over the study period and, when taking into consideration the potential costs of treating adverse … health events, the cost savings was $1,098 per resident. 2
Why Is Antimicrobial Stewardship Important
-
www.cpsi.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
November 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … The preventable harms for these medication errors include adverse drug events (ADEs), unscheduled hospital
-
www.cpsi.ahrq.gov/sdoh/about.html
February 01, 2020 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Trauma (e.g., adverse childhood experiences, domestic violence, elder abuse).
-
www.cpsi.ahrq.gov/news/newsletters/e-newsletter/861.html
April 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Understanding patient and clinician reported nonroutine events in ambulatory surgery. … Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex
-
www.cpsi.ahrq.gov/news/newsletters/e-newsletter/854.html
March 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … non-Hispanic Black adult hospital patients who received a hypoglycemic agent experienced a related adverse … In 2019, the rate of severe maternal morbidity events was 12.3, 8.7 and 8.2 per every 1,000 delivery
-
www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
December 01, 2017 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … Adverse consequences of falls for residents are listed in Figure 1 .
Figure 1. … Adverse consequences of falls for residents
Reduced quality of life. … Adverse consequences of falls for nursing facilities
Increased paperwork for staff.
-
www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mchcare-measures.html
June 01, 2018 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Good medical practice includes asking patients about all their medications, 27 which can prevent adverse … events.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - for Ambulatory Surgery
6
Studies show that communication failures are the cause of 80 percent of adverse … for the entire team
Cards were placed in every operating room
Reduced wrong-site surgeries and other adverse … events
Increased staff morale
Reduced nursing turnover
4Shepard S. … Ensures all team members are on the same page
Confirms critical information
Provides a place to discuss adverse … or potentially adverse events that occurred
Facilitates discussion of how to stop problems from reoccurring
-
www.cpsi.ahrq.gov/news/newsletters/e-newsletter/770.html
June 01, 2021 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
April 10, 2018 - • Adverse drug events
• Unsafe medicine issues
• Medicine adherence
• Satisfaction
• Reported use … We will use several measures to evaluate effectiveness:
How many adverse drug events occur pre- and
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - The board’s tracking of adverse events and delineated types of errors (including near misses) -
focus … ensure they have/are part of QAPI efforts where
appropriate and understand how to identify and report events … complaints in
cardiology and cardiac
surgery
• Patient mortality triple
the norm and rise in
adverse … events and
claims (often lagging
indicators)
• Patient complaints
• Culture of Non-
transparency … • Could a department hide
embarrassing events from
management and the board?
-
www.cpsi.ahrq.gov/evidencenow/projects/alcohol/index.html
November 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … It is associated with adverse effects on physical and mental health.
-
www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure4.html
June 01, 2018 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Patients need to understand their medication (indications, administration, adverse effects) to safely … and some providers do not know about all of a patient's medications, patients are at greater risk for adverse … events related to drug interactions, overdosing, or underdosing.