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Showing results for "adverse events".
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301. Module 1: Overview - Facilitator Notes | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-fac-notes.html
     June 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … ASCs have an excellent safety record, but events do happen. … checklists and other examples of safety standard work can help you avoid both near misses and serious safety events … An analysis of risk factors and adverse events in ambulatory surgery .

302. 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.

303. Board and Senior Leadership PowerPoint Presentations on the Pediatric Quality Indicators (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pdf
     October 01, 2015 - . • Medicaid is no longer reimbursing hospitals for some hospital-acquired conditions and safety events … and Safety • The PDIs are a set of 16 indicators that reflect quality of care inside hospitals and adverse … events that children, adolescents, and, where specified, neonatal patients may experience as a result … • PDIs measure events likely to be preventable through changes at the system or provider level.

304. Applying the AHRQ Quality Indicators to Hospital Data (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
     March 01, 2016 - Expected rate = Expected events/Eligible population Risk-adjusted rate = (Observed events/Expected … = for each QI indicator, the total sum of events that occurred in the eligible population for that … specific indicator Expected events = for each QI indicator, the total sum of events expected to occur … The expected probabilities for the set of discharges are summed to obtain the number of expected events … (Note that a lower rate for a PSI signifies better performance because fewer adverse events have occurred

305. Strategy 3: Bedside Shift Report (Tool 3)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
     July 23, 2010 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … As noted above, one study found that more than 70 percent of adverse events are caused by breakdowns … infections, and air embolism, all of which are on CMS’s list of hospital-acquired complications “never events … successful transfer of information between nurses going off duty and nurses coming on duty to prevent adverse … events and medical errors.

306. AHRQ Views Blog Post: With TeamSTEPPS 3.0, AHRQ Refreshes a Landmark Patient Safety Training Curriculum | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsletters/e-newsletter/880.html
     September 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … of implementation factors related to addressing social determinants to reduce racial disparities in adverse

307. Chartbook on Care Coordination: Slide Presentation | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
     June 01, 2018 - Transitions increase the risk of adverse events due to the potential for miscommunication as responsibility … events. … drug events (ADEs) ( Ammenwerth, et al., 2008 ). … The effect of electronic prescribing on medication errors and adverse drug events: a systematic review … The incidence and severity of adverse events affecting patients after discharge from hospital.

308. TeamSTEPPS 2.0 Readiness Assessment | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/readiness/index.html
     August 01, 2015 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Objective information can originate from a variety of sources, including adverse event and near-miss

309. AHRQ Data Underscore Uneven Impact of COVID-19 | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/blog/ahrqviews/uneven-impact-covid19.html
     December 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events

310. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/resources/learning-lab/index.html
     February 01, 2024 - drug events. … Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general … drug events. … patient safety events. … events, and improve efficiency for ED healthcare providers.

311. Addressing Historical Racism and Inequality in American Healthcare | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/blog/ahrqviews/addressing-historical-racism.html
     April 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events

312. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
     March 01, 2024 - able to use Measure Dx to guide their efforts to detect, analyze, and learn from diagnostic safety events … IHS • Existing Activities Regarding Diagnostic Safety o Voluntary adverse event report via I-STAR. … optimize this effort, as they are focused on root cause analysis standardization to help in identifying events

313. 2022 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
     December 01, 2022 - Standard forms for the data collection and model procedures for the uniform registration of events are … , such as medication prescriptions and laboratory test results that are relevant to patient safety events … Measures and modules included in calculation of adverse event rates Measure Module One or more adverse … outcomes Birth - Maternal Adverse event associated with hypoglycemic agent Medication Adverse event … events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related to procedure

314. Module 6 Evidence Base (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_support_evbase.pdf
     January 01, 2013 - 14 reduce hospital costs by 19 percent,15 increase staff understanding of goals,16 reduce patient adverse … events,15 ,17 reduce mortality,18 and reduce malpractice suits by 50 percent.15 Research has demonstrated

315. Health Literacy Assessment Quiz | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/health-literacy/improve/precautions/tool3d.html
     March 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Bad OR Adverse b. Hypertension OR High Blood Pressure c.

316. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
     December 01, 2023 - Standard forms for the data collection and model procedures for the uniform registration of the events … , such as medication prescriptions and laboratory test results that are relevant to patient safety events … Measures and modules included in calculation of adverse event rates Measure Module One or more adverse … outcomes Birth - Maternal Adverse event associated with hypoglycemic agent Medication Adverse event … events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related to procedure

317. Library of PCOR Resources | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/pcor/library-of-resources/index.html
     April 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … database , which contains information on study participants and a summary of study outcomes, including adverse … events.

318. Mod5-Comm-Assessment (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
     April 01, 2016 - communicators who participate in conversations with patients, families, and caregivers following an adverse … demonstrate all of the skills and competencies should be involved in delivering communication about adverse … events to patients, families, and caregivers. … Future events are simply described. … Conventional Responses can include… ■ Describe Mary’s current condition and the events that led up to

319. TeamSTEPPS® Teamwork Attitudes Questionnaire Manual | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/instructor/reference/teamattitudesmanual.html
     April 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … safety, leadership, interpersonal interactions, attitudes toward stress, and knowledge of how to report adverse … events ( Sexton, et al., 2006 ). … Adverse events may be reduced by maintaining an information exchange with patients and their families

320. Improving-Facnotes (doc file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
     May 01, 2017 - Studies have found that communication failures are the cause of up to 80 percent of operating room adverse … events. … Furthermore, lack of communication has resulted in serious patient safety events such as teams performing … Use of the briefing card led to a drop in wrong-site surgeries and other adverse events. … Slide 43 SAY: Studies show that many times when adverse events occur in the surgical environment,