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Showing results for "adverse events".
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101. An Overview of the SOPS® Surveys for New Users - Closing (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/6-sops101-webcast-2023-closing.pdf
     January 01, 2023 - Exploring relationships between hospital patient safety culture and adverse events.

102. New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/newsletters/e-newsletter/870.html
     June 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … Researchers found that the interventions could prevent more than 3,100 ASCVD events over 10 years and … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Associated With Financial Distress An analysis of more than 132,000 individuals’ credit reports showed adverse … Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog

103. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/reports/liability/crane.html
     August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … understanding and correcting weaknesses in the health care delivery system and to preventing actual adverse … report to make sure that the report was a near-miss (i.e., no harm came to the patient) and not an adverse … The wrong diagnosis: identifying causes of potentially adverse events in general practice using incident … Does error and adverse event reporting by physicians and nurses differ?

104. Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/studies/index.html?page=1
     January 01, 2024 - Drug Events (ADE) (321) Adverse Events (736) Alcohol Use (61) Ambulatory Care and Surgery … events. … events were rare. … Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse events. … Keywords: Medication: Safety, Medication, Patient Safety, COVID-19, Adverse Drug Events (ADE), Adverse

105. References | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/health-literacy/professional-training/lepguide/references.html
     September 01, 2020 - Language proficiency and adverse events in U.S. hospitals: a pilot study. … Are language barriers associated with serious medical events in hospitalized pediatric patients? … Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice … CMS improves patient safety for Medicare and Medicaid by addressing never events. … When things go wrong: responding to adverse events. A consensus statement of the Harvard hospitals.

106. Theodoro, Daniel | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumtheo.html
     October 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … the location of the subclavian vein is feasible and improves patient safety by minimizing immediate adverse … events. … Model economic costs of adverse outcomes of central venous cannulations in ED. Career Goals: Dr.

107. FileNewTemplate
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
     March 01, 2010 - Outcome Score (WAOS), which describes the adverse event score per delivery 50% decrease in the Severity … Index, which measures the average severity of each delivery with an adverse event Mann, S., Marcus, … Reduced rate of adverse drug events Improved medication reconciliation at patient admission Haig, K. … Some of the current clinical outcomes of team training include the following-- 50% reduction in adverse … event; reduced rate of adverse drug events; and improved medication reconciliation at patient admission

108. Major Hospital Quality Measurement Sets | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
     February 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … The Patient Safety Indicators (PSIs) identify adverse events occurring during hospitalization. … They provide information on potential in-hospital complications and adverse events following surgeries

109. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
     www.innovations.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
     January 01, 2004 - Because oral anticoagulants are associated with preventable adverse events at disproportionately high … events,4, 37 such as thrombotic events (under-treatment) or bleeding (over- treatment). … events are common18 and warfarin is involved in preventable adverse drug events at rates disproportionate … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Adverse drug events in ambulatory care. NEJM 2003 348(16):1556– 64. 19.

110. AHRQ's Quality & Patient Safety Programs by Setting: Hospital Labor and Delivery Units | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/index.html
     July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures.

111. First-of-its-Kind Study Examines Disparities in Healthcare Costs and Outcomes of Cigarette Smoking in the United States | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/newsroom/press-releases/smoking-cessation-disparities.html
     December 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … policymakers conduct cost-benefit analyses that accurately reflect the burden of healthcare costs and adverse … “Disparities in medical spending, as well as adverse health outcomes, are continuing to increase over

112. Module 1: PowerPoint Presentation
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview.pptx
     May 01, 2017 - An analysis of risk factors and adverse events in ambulatory surgery. … An analysis of risk factors and adverse events in ambulatory surgery. … Visual Management • Outcomes over time • Checklist compliance • Problem log Escalation • Sentinel events

113. Survey on Patient Safety (facility version) (doc file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
     November 15, 2019 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … to ask questions when something does not seem right (1 (2 (3 (4 (5 SECTION D: Frequency of Events … Management in this facility seems interested in patient safety only after an adverse event happens … Shift changes are problematic for patients in this facility (1 (2 (3 (4 (5 SECTION G: Number of Events

114. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
     April 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Cards and Outcome Measurements Report Protocol Opioid Stewardship Report Protocol Reducing Adverse … Events Related to Anticoagulants Report Protocol Implicit Bias Training Report Protocol … Deprescribing Report Protocol Computerized Clinical Decision Support To Prevent Medication Errors and Adverse … Drug Events Report Protocol Failure To Rescue—Rapid Response Systems Report Protocol Prevention

115. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/evidence-based-reports/search.html?page=1
     November 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Permanente Research Affiliates Report Status: Final Efficacy of Dental Services for Reducing Adverse … Events in Those Receiving Chemotherapy for Cancer Date: July 2023 Report Type: Rapid Evidence Product … Scientific Resource Center Report Status: Final Efficacy of Dental Services for Reducing Adverse … Events in Those Undergoing Insertion of Implantable Cardiovascular Devices Date: July 2023 Report

116. Defining the New AHRQ: A Race for 21st Century Care | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
     January 01, 2021 - billion), adverse drug events ($4.1 billion), and falls ($1.5 billion), while diagnostic errors have … By advancing our efforts to reduce these events, we can lessen these avoidable financial burdens and, … understanding where value is gained and lost, and incorporating strategies that are proven to reduce or prevent adverse … The 21 st Century Care Initiative presents a major opportunity to reduce preventable adverse medical … events and improve medication management through new, evidence-based, individualized care management

117. AHRQ Views: Biden Administration Tackles Financial Strains on Healthcare Consumers | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/newsletters/e-newsletter/892.html
     December 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Making Healthcare Safer IV will provide evidence on 11 additional safety topics, including reducing adverse … events related to anticoagulants, opioid stewardship and addressing fatigue and sleepiness of clinicians … Articles featured this week include: Prescription opioid dose reductions and potential adverse events

118. Primary Care-Based Efforts To Reduce Potentially Preventable Readmissions | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
     December 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … Readmissions High rates of readmissions are a major patient safety problem associated with adverse … events such as prescribing errors and misdiagnoses of conditions in the hospital and ambulatory care

119. AHRQ News Now | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/newsletters/e-newsletter/index.html?page=2
     April 05, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Results News Newsroom Blog Newsletter AHRQ News Now Events … ascending Top Story April 5, 2022 Dental Opioid Prescriptions Associated With Adverse … Patient-Generated Health Data Into Electronic Health Records February 8, 2022 Opioid Prescribing, Adverse … Change, Environmental Justice and AHRQ October 5, 2021 Drug Label Changes Could Reduce Adverse

120. Appendix A: Recommendations for Staff Training | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/health-literacy/professional-training/lepguide/app-a.html
     September 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Emphasize potential differences between patient safety events and adverse events and distinguish between … Clarify roles and responsibilities for all clinical and nonclinical staff pertaining to reporting safety events … misunderstandings, and lack of respect for cultural beliefs and traditions, may lead to patient safety events … Provide examples of how using nonqualified interpreters can have adverse effects on patient care.