-
www.innovations.ahrq.gov/es/topics/index.html?page=1
January 01, 2012 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … ensure safe and seamless transitions of patients from one care setting to another, reducing preventable adverse … events, drug-related errors, and other problems.
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - Ways to reduce obstetrical adverse events include improving teamwork and communication
among care teams … Root cause analyses of adverse
events and near-misses (events that did not produce
patient injury) … EARLY IMPACTS
The most recent root cause analyses of adverse events
and near-misses indicated that … poor communication is
no longer a root cause; in fact, near-misses and adverse
events attributed to … The weighted
adverse events included in the measure are in-house maternal death, in-house
neonatal
-
www.innovations.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
September 01, 2016 - for health care safety and quality in a variety of fields, including patient engagement, response to adverse … events, diagnostic error reduction, rapid response, and infection prevention, among others. … Safety Monitoring System, a nationwide surveillance project aimed at identifying the rates of specific adverse … events within the Medicare population. … paper, and led the AHRQ-Brigham medication safety HIT CERT CEDAR (Calling for Earlier Detection of Adverse
-
www.innovations.ahrq.gov/news/newsletters/e-newsletter/878.html
August 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … (Source: JAMA Network Open , Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem … include:
Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
December 11, 2015 - □ Adverse event due to a breakdown in team skills (e.g., communications, situation monitoring,
mutual … Near-miss(es) due to breakdowns in team skills
□ Staff members are concerned that we could have an adverse … patient satisfaction; improved performance on a
relevant health care quality measure; decreased rates of adverse … events or near-misses)
Who will be involved in the change?
-
www.innovations.ahrq.gov/talkingquality/explain/share-info/highlight.html
September 01, 2019 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … For example, in the next few years, we may see systems that enable patients to report on adverse events
-
www.innovations.ahrq.gov/news/newsletters/e-newsletter/821.html
June 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Analysis of Hospital-Level Readmission Rates and Variation in Adverse Events Among Patients With Pneumonia … Assessing adverse event reports of hysteroscopic sterilization device removal using natural language
-
www.innovations.ahrq.gov/news/newsletters/e-newsletter/803.html
March 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … This included reductions in the use of fluoroquinolones, a class of antibiotics known to cause adverse … Relative risks of adverse events among older adults receiving opioids versus NSAIDs after hospital discharge
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … be prevented
Common complications post-discharge are adverse drug events, hospital-acquired infections … have been prevented or ameliorated.1
Common post-discharge complications include adverse drug events … The incidence and severity of adverse events affecting patients after discharge from the hospital. … events and prevent readmissions.
-
www.innovations.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy4/index.html
December 01, 2017 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Primary Care Settings
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … requires the successful transfer of information from clinicians to the patient and family to reduce adverse … events and prevent readmissions.
-
www.innovations.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsummorg.html
October 01, 2014 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Identify predictors of adverse events while on contact isolation.
Career Goals: Dr.
-
www.innovations.ahrq.gov/news/newsroom/press-releases/carbon-emissions.html
September 01, 2022 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … AHRQ Social Media
AHRQ Stats
Impact Case Studies
Blog
Newsletter
Events … Healthcare is both a significant contributor to climate change and responsible for managing the adverse … “Extreme weather events, declining air quality, and growing food and water insecurity now threaten healthcare
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - Staff can use this decision tree when analyzing an error or
adverse event in an organization to help … events and close calls. … events have clearly expressed their preferences for full error
disclosure, most physicians remain uncomfortable … events. … drug events (ADEs).
-
www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.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 … Incidence of adverse drug events and potential adverse drug events. JAMA 1995;274(1):29–34.
-
www.innovations.ahrq.gov/health-literacy/improve/pharmacy/tools.html
January 01, 2024 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … (MTM) is a patient-centric and comprehensive approach to improve medication use, reduce the risk of adverse … events, and improve medication adherence.
-
www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
August 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 comprehensive toolkit will allow hospitals to improve the management of patient safety events by … implementing processes that facilitate full disclosure of an adverse event, apology, and fair and rapid
-
www.innovations.ahrq.gov/teamstepps/officebasedcare/module1/office_intro-ig.html
September 01, 2015 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … 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.
-
www.innovations.ahrq.gov/patient-safety/settings/multiple/index.html
August 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 … PSOs can help providers develop successful approaches to improving quality and reducing adverse outcomes … Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events is a resource to … help healthcare organizations detect, analyze, and learn from diagnostic safety events.
-
www.innovations.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
May 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … this section
News
Newsroom
Blog
AHRQ Views
Newsletter
Events … While these are reportable events, we can assume the risks are more widespread; safety events in many … Trends in adverse event rates in hospitalized patients. JAMA 2022 Jul 12;328(2):173-83.
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
June 05, 2016 - difficult to determine if a change in a measure (e.g., increased length of stay,
increased reporting of adverse … events) is a sign of a performance problem, often because
multiple factors may contribute to such a … that are not expressed as rates
also can be used for monitoring, such as the occurrence of serious adverse … events (e.g., a
sentinel event) that would require immediate action, or counts of desirable (e.g.,