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Showing results for "adverse events".
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281. Strategy 4: IDEA Discharge Planning (Tool 4) (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
     May 22, 2013 - • Nearly 20 percent of patients experience an adverse event within a month of discharge, of which ¾ … could be prevented • Common complications post-discharge are adverse drug events, hospital-acquired

282. PS Grantee Report | Agency for Healthcare Research and Quality
     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

283. Improving Communication and Teamwork in the Surgical Environment
     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

284. TeamSTEPPS 2.0: Module 10. Measurement | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/instructor/fundamentals/module10/igmeasure.html
     March 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … PSIs are a set of measures that provide information about potential in- hospital complications and adverse … events (outcomes) following surgeries, procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse events that might require further study … Such events can be mitigated with the implementation of TeamSTEPPS tools and strategies.

285. New Models of Primary Care Workforce and Financing - Case Example #1: Stanford Coordinated Care (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
     October 01, 2016 - including lack of trust) • What the patient brings (e.g., issues of trauma such as early childhood adverse … events) Care is delivered primarily using an intensivist primary care team model, focusing on behavior … The LCSW may use eye movement desensitization reprocessing and mindfulness to put childhood events into … Department of Veterans Affairs] system, adverse childhood events can be a hidden driver of costs in … Early childhood experiences such as those uncovered using the Adverse Childhood Experiences Survey may

286. A Call for Action to Achieve Health Equity | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/blog/ahrqviews/achieve-health-equity.html
     August 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … Clearly, the COVID-19 pandemic has further illuminated the scale and adverse impacts of this problem,

287. Meeting Minutes, November 2017 | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
     February 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Careers Contact Us Español FAQs Home News Events … More topics in this section News Newsroom Blog Newsletter Events … However, some medication-based treatments are likely to cause short-term adverse effects. … https://www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html  

288. 2019 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
     December 01, 2020 - Importance of Patient Safety Mortality Prevalence Cost Findings on Patient Safety Improving Trend: Adverse … Drug Events With Heparin and Factor Xa Improving Trend: Inpatient Adverse Drug Events With Anticoagulants

289. AHRQ Signals Plan To Establish Healthcare Extension Service | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsletters/e-newsletter/888.html
     November 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Adverse drug event prevention and detection in older emergency department patients .

290. AHRQ Efforts To Address Long COVID | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/coronavirus/long-covid.html
     March 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … pattern and progression or worsening over time, with the possibility of severe and life-threatening events … to improve the care of people living with multiple chronic conditions who are at increased risk for adverse

291. TeamSTEPPS Implementation Guide | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/instructor/essentials/implguide.html
     November 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … supporting the need for a TeamSTEPPS Intervention could originate from a variety of sources, including adverse … Available organizational data, (e.g., adverse event and near miss reports, AHRQ Patient Safety Culture … so that facilities may also use the Guide to develop TeamSTEPPS Action Plans in response to sentinel events

292. TeamSTEPPS Module 10: Measurement (Instructor Guide) (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/igmeasure.pdf
     January 01, 2004 - PSIs are a set of measures that provide information about potential in- hospital complications and adverse … events (outcomes) following surgeries, procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse events that might require further … also include indicators for complications occurring in-hospital that may represent patient safety events … Such events can be mitigated with the implementation of TeamSTEPPS tools and strategies.

293. The Ten Steps of Action Planning  | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/instructor/essentials/implguide1.html
     November 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … You may start by doing simple counts of your target events or clinical outcomes and displaying these … Prophylactic Antibiotic Administration Number of patients admitted to labor & delivery who incurred an adverse … event or near miss / Total number of patients admitted to labor & delivery = Rate of Labor & Delivery Adverse … & Near-Miss Events Number of live-born full-term neonates with birth trauma (injury) / Total number

294. AHRQ Views Blog Post: 2021—An AHRQ Year in Review | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsletters/e-newsletter/795.html
     January 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process

295. Chapter 1. Environmental Scan | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program1.html
     April 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … The avoidance, prevention, and amelioration of adverse outcomes or injuries stemming from the processes … These events include "errors," "deviations," and "accidents.” … meta-definition to establish the final definition below: Patient safety is the prevention and amelioration of adverse

296. Glossary | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/questions/resources/glossary.html
     November 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Top of Page M   Medical Error: An unintended but preventable adverse effect of care, whether or … Morbidity also refers to adverse effects caused by a treatment.

297. AHRQ Research Priorities and Compliance Guidance | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/funding/policies/nofoguidance/index.html
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Surveillance, measurement, detection, and reporting of patient safety events. … Determination of the clinical efficacy and effectiveness of preventive interventions, including unintended adverse

298. Information Items | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/readiness/informationitems.html
     April 01, 2016 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Objective information can originate from a variety of sources, including adverse event and near-miss

299. Chapter 6. Assessment and Process Evaluation | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/chapter-6.html
     July 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 third measure identifies adverse drug events (ADEs) from unreconciled medication on admission.

300. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
     October 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events