-
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 adverse … events (Sexton, et al., 2006). … Adverse events may be reduced by maintaining an information exchange with patients and their families
-
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
-
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
-
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 adverse … events
include prolonged length of stay, subsequent surgeries and incisional herniation.2,3
• Proper
-
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.
-
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.
-
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
-
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
-
www.cpsi.ahrq.gov/priority-populations/about/index.html
June 01, 2021 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events
-
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 adverse … events if action is not taken to solve the problem.
-
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
-
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 adverse … events. … 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
-
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 adverse … events following ambulatory surgery or hospitalization. 8 , 9
Pediatric care.
-
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 adverse … events.
-
www.cpsi.ahrq.gov/research/findings/final-reports/ptflow/appendix-d.html
April 01, 2020 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events
-
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 _________?
-
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
-
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.
-
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
-
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 adverse … events can facilitate intensified treatment and/or mobilize clinic supports.