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www.cpsi.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
July 01, 2019 - Studies
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Events … Further, M+COs may not recognize the serious adverse health impact that inadequate linguistic services
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pptx
April 12, 2018 - Miscommunication and omissions can lead to medical errors and adverse events.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pdf
April 12, 2018 - Miscommunication and omissions can lead to medical errors and adverse events.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/workforce-executive-summary.pdf
October 01, 2016 - traditional “promotora,” or health promoter, roles
in the community, conducting outreach at community events … Cutting-edge innovation: Practices use screening tools such as the Adverse Childhood Events
Survey to
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/nicu/coaching.html
December 01, 2013 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … and how to administer them, a description of what the medications are for, and signs and symptoms of adverse
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - 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. … Memo on never events, July 7, 2008.
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www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mch-ref.html
April 01, 2018 - Studies
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Events … New frontiers in patient-reported outcomes: adverse event reporting, comparative effectiveness, and quality
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6a.html
June 01, 2014 - Studies
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Events … would be particularly important post-discharge, when patients might be at increased risk for subsequent adverse … events (urgent ambulatory visits, missed appointments, or medication changes).
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www.cpsi.ahrq.gov/news/newsroom/ahrq-stats.html
November 01, 2023 - (Source: Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem Inflammatory … Measures showing the most improvement included reduced adverse events among hospital patients receiving … (Source: Healthcare Cost and Utilization Project Statistical Brief #237: Patient Safety and Adverse … Events, 2011 and 2014 .) … Events, 2011 and 2014 .)
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
July 23, 2010 - families
Research shows patient-centered communication can improve:
Patient safety
More than 70 percent of adverse … events caused by breakdowns in communication
Patient outcomes, including emotional health, functioning … For example, one study found that more than 70 percent of adverse events are caused by breakdowns in
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www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/supportive.html
June 01, 2018 - Studies
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Events … Weight loss is associated with adverse, costly clinical outcomes, including increased hospitalization
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - provide an overall
grade on patient safety for their work area/unit and to indicate the number of events … “Patient safety” is defined as the avoidance and prevention of patient injuries
or adverse events … Hospital management seems interested in patient safety only after an
adverse event happens ......... … Hospital management seems interested in patient safety only after an adverse event
happens. … Frequency of Events Reported
(Never, Rarely, Sometimes, Most of the time, Always)
D1.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Leape.pdf
April 27, 2005 - first wave of new funding for patient safety was to
expand the understanding of the role of error- and adverse
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www.cpsi.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - Studies
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Events … In addition, the toolkit can enable teams to address root causes of adverse events more effectively. … It investigates events or safety concerns, and determines an appropriate course of action with the employees
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www.cpsi.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - Studies
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Events … Percent know correct action for hypoglycemic symptoms
38
53.9
72.6
Slide 8
All Sentinel Events … limited health literacy:
Poor compliance with medical management
Increased risk of:
Poor outcomes/adverse … events
Infections/prolonged hospital stays
Patient/family anxiety
Slide 33
Summary: Health
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … Root cause analysis is a systematic process during which all factors contributing to an adverse event … Surveys are also labor intensive and rely on staff members' recall of specific events.
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www.cpsi.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - Studies
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Events … Further, M+COs may not recognize the serious adverse health impact that lower levels of cultural competence
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4h_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - Charges and lengths of stay attributable to adverse
patient-care events using pediatric-specific quality
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - Charges and lengths of stay attributable to adverse
patient-care events using pediatric-specific quality
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www.cpsi.ahrq.gov/hai/tools/mvp/modules/technical/nurse-early-mobility-protocols-fac-guide.html
January 01, 2017 - Studies
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Events … ventilator length of stay, ICU and hospital length of stay, incidents and duration of delirium, and adverse … events.