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Showing results for "adverse events".
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161. Agency for Healthcare Research and Quality
     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.

162. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     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

163. Biosketches | Agency for Healthcare Research and Quality
     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

164. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
     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

165. TeamSTEPPS for Office-Based Care Implementation Workbook (pdf file)
     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?

166. Highlight Consumer Rights, Protections, and Ways To Complain | Agency for Healthcare Research and Quality
     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

167. Study Finds Patients Who Self-Test Negative for COVID-19 Not Properly Quarantining | Agency for Healthcare Research and Quality
     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

168. Antibiotic Use Significantly Reduced in Long-Term Care Facilities Participating in AHRQ-Funded Project | Agency for Healthcare Research and Quality
     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

169. Strategy 4: IDEA Discharge Planning (Tool 4)
     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.

170. Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge Planning | Agency for Healthcare Research and Quality
     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.

171. Morgan, Daniel | Agency for Healthcare Research and Quality
     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.

172. AHRQ Releases Primer for Reducing Healthcare Carbon Emissions | Agency for Healthcare Research and Quality
     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

173. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
     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).

174. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality
     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.

175. AHRQ Health Literacy Tools for Use in Pharmacies | Agency for Healthcare Research and Quality
     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.

176. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
     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

177. TeamSTEPPS for Office-Based Care: Introduction | Agency for Healthcare Research and Quality
     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.

178. Multiple Settings | Agency for Healthcare Research and Quality
     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.

179. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality
     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.

180. Monitoring Progress for Sustainable Improvement (pdf file)
     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.,