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Showing results for "adverse events".
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  1. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamattitudesmanual.pdf
    October 01, 2008 - safety, leadership, interpersonal interactions, attitudes toward stress, and knowledge of how to report adverseevents (Sexton, et al., 2006). … Adverse events may be reduced by maintaining an information exchange with patients and their families
  2. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
    April 01, 2016 - Measure Exceptions Adverse effect, allergy, or intolerance to Aspirin and Plavix (Clopidogrel). … Ischemic Vascular Disease Secondary prevention is where the evidence is the best Reduces risk of vascular events
  3. www.cpsi.ahrq.gov/news/newsroom/case-studies/index.html?page=7
    January 01, 2016 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … User Liaison Program (ULP) (4) WebM&M (5) Topics Access to Care (14) Adverse … Drug Events (ADE) (5) Asthma (2) Behavioral Health (16) Blood Clots (15) Blood Thinners
  4. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
    May 20, 2016 - abdominal surgeries, and is associated with significant risk of mortality between 14% and 50%.1 Other adverseevents include prolonged length of stay, subsequent surgeries and incisional herniation.2,3 • Proper
  5. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
    January 01, 2004 - Healthcare Organizations (JCAHO) sentinel event policy that requires investigation of the causes of adverse … Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical … The nature of adverse events in hospitalized patients: results of the Harvard Medical Practice Study … Incidence and types of adverse events and negligent care in Utah and Colorado. … Auerbach AD: Beta-blockers and reduction of perioperative cardiac events.
  6. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
    November 01, 2012 - foreign objects avoidable.1 • Retained foreign objects represent a serious and significant patient adverse … Chasing zero events of harm: an urgent call to expand safety culture work and customer engagement.
  7. www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/chapter-1.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 … Specifically, the first model demonstrates a cost-benefit analysis of reducing preventable adverse drug … events (ADEs); the second model demonstrates a cost-benefit analysis of the use of pharmacists or other
  8. www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/chapter-2.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 … point could be the facility's readmission rates (the Finance department usually creates these data), adverse … drug events (ADEs) for the facility (the Pharmacy department usually collects these data), or data specific
  9. www.cpsi.ahrq.gov/priority-populations/about/index.html
    June 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events
  10. www.cpsi.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
    September 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 … understanding that even small failures in safety protocols or processes can lead to catastrophic or adverseevents if action is not taken to solve the problem.
  11. www.cpsi.ahrq.gov/sdoh/data-analytics.html
    July 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … security, transportation, financial strain, general well-being, social connectedness, physical safety, and adverse
  12. www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
    May 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Studies have found that communication failures are the cause of up to 80 percent of operating room adverseevents. … Use of the briefing card led to a drop in wrong-site surgeries and other adverse events. … Voicing Concerns in the Surgical Environment Is Important Say: Studies show that many times when adverse
  13. www.cpsi.ahrq.gov/data/apcd/backgroundrpt/discuss.html
    April 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … ordering of laboratory testing or imaging, outpatient visits for chronic disease, and ambulatory care for adverseevents following ambulatory surgery or hospitalization. 8 , 9 Pediatric care.
  14. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
    January 01, 2023 - page provides tips to encourage staff members to report conditions that could lead to near-misses or adverseevents.
  15. www.cpsi.ahrq.gov/research/findings/final-reports/ptflow/appendix-d.html
    April 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events
  16. www.cpsi.ahrq.gov/teamstepps/primarycare/igpcobt.html
    December 01, 2012 - of the current clinical outcomes of team training include the following: 50 percent reduction in adverse … percent decrease in the Severity index which measures the average severity of each delivery with an adverse … Reduced rate of adverse drug events. … Debriefs can include any of the following: Accurate recounting and documentation of key events. … What events led up to _________?
  17. www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3a.html
    October 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … √ Review potential drivers or predictors of adverse health outcomes. … currently available data to prospectively identify specific individuals who are at high-risk of having adverse
  18. www.cpsi.ahrq.gov/patient-safety/reports/liability/pichert.html
    August 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now 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 James W. … Patient complaints and adverse surgical outcomes. Am J Med Qual 2016; 31(5):415–22. xxix.
  19. www.cpsi.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/hais/index.html
    June 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … education opportunities to improve health and patient safety by reducing risks of infection and other adverse
  20. www.cpsi.ahrq.gov/ncepcr/care/coordination/mgmt.html
    August 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … between different locations (e.g., from hospital to primary care) are associated with increased risks of adverse … medication events, hospital readmissions, and higher health care costs. 25 Determining which transitions … such as medication reconciliation, assessment of adherence to treatment plans, and identification of adverseevents can facilitate intensified treatment and/or mobilize clinic supports.

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