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Showing results for "adverse events".
Users also searched for: patient safety indicators

261. The Ten Steps of Action Planning  | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/teamstepps/instructor/essentials/implguide1.html
     November 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … You may start by doing simple counts of your target events or clinical outcomes and displaying these … Prophylactic Antibiotic Administration Number of patients admitted to labor & delivery who incurred an adverse … event or near miss / Total number of patients admitted to labor & delivery = Rate of Labor & Delivery Adverse … & Near-Miss Events Number of live-born full-term neonates with birth trauma (injury) / Total number

262. Glossary | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/questions/resources/glossary.html
     November 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Top of Page M   Medical Error: An unintended but preventable adverse effect of care, whether or … Morbidity also refers to adverse effects caused by a treatment.

263. AHRQ Research Priorities and Compliance Guidance | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/funding/policies/nofoguidance/index.html
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Surveillance, measurement, detection, and reporting of patient safety events. … Determination of the clinical efficacy and effectiveness of preventive interventions, including unintended adverse

264. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
     October 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events

265. Information Items | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/teamstepps/readiness/informationitems.html
     April 01, 2016 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Objective information can originate from a variety of sources, including adverse event and near-miss

266. Chapter 1. Environmental Scan | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program1.html
     April 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … The avoidance, prevention, and amelioration of adverse outcomes or injuries stemming from the processes … These events include "errors," "deviations," and "accidents.” … meta-definition to establish the final definition below: Patient safety is the prevention and amelioration of adverse

267. Behavioral Health Risk Assessment (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0085-fullreport.pdf
     December 31, 2015 - convention is to estimate reliability at two points: (1) at a minimum number of quality reporting events … per physician and (2) at the average number of quality reporting events per physician. … We set the minimum number required as 10 events. … Limiting the reliability analysis to only those physicians with a minimum number of events reduces the … bias introduced by the inclusion of physicians without a significant number of events.

268. Module 1: Overview - Facilitator Notes | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-fac-notes.html
     June 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … ASCs have an excellent safety record, but events do happen. … checklists and other examples of safety standard work can help you avoid both near misses and serious safety events … An analysis of risk factors and adverse events in ambulatory surgery .

269. Board and Senior Leadership PowerPoint Presentations on the Pediatric Quality Indicators (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pdf
     October 01, 2015 - . • Medicaid is no longer reimbursing hospitals for some hospital-acquired conditions and safety events … and Safety • The PDIs are a set of 16 indicators that reflect quality of care inside hospitals and adverse … events that children, adolescents, and, where specified, neonatal patients may experience as a result … • PDIs measure events likely to be preventable through changes at the system or provider level.

270. Just Culture Webcast November 2016 (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
     June 01, 2017 - She leads the analytics of all serious adverse events, and her current project schedule includes improving … alarm safety, TeamSTEPPS, peer support learning following adverse events, and participation in the … There are also two outcome items, Patient Safety Grade and Number of Events Reported in the Past 12 Months … that we might search for policies related to, like corrective action, our sentinel event policy, our adverse … It helps us to improve our offerings and plan future events that meet your needs.

271. Applying the AHRQ Quality Indicators to Hospital Data (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
     March 01, 2016 - Expected rate = Expected events/Eligible population Risk-adjusted rate = (Observed events/Expected … = for each QI indicator, the total sum of events that occurred in the eligible population for that … specific indicator Expected events = for each QI indicator, the total sum of events expected to occur … The expected probabilities for the set of discharges are summed to obtain the number of expected events … (Note that a lower rate for a PSI signifies better performance because fewer adverse events have occurred

272. AHRQ Views Blog Post: With TeamSTEPPS 3.0, AHRQ Refreshes a Landmark Patient Safety Training Curriculum | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/newsletters/e-newsletter/880.html
     September 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … of implementation factors related to addressing social determinants to reduce racial disparities in adverse

273. Episiotomy (Overuse): Report (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
     March 01, 2016 - is aimed at preventing inappropriate and unnecessary episiotomies during birth, which can lead to adverse … The evidence behind the inappropriate use of episiotomy and its link to an increased risk of adverse … We set the minimum number required as 10 events. … events. … events were 0.77 and 0.34, respectively.

274. TeamSTEPPS 2.0 Readiness Assessment | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/teamstepps/readiness/index.html
     August 01, 2015 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Objective information can originate from a variety of sources, including adverse event and near-miss

275. AHRQ Data Underscore Uneven Impact of COVID-19 | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/blog/ahrqviews/uneven-impact-covid19.html
     December 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events

276. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/resources/learning-lab/index.html
     February 01, 2024 - drug events. … Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general … drug events. … patient safety events. … events, and improve efficiency for ED healthcare providers.

277. Addressing Historical Racism and Inequality in American Healthcare | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/blog/ahrqviews/addressing-historical-racism.html
     April 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events

278. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
     July 25, 2018 - HAIs are a particularly important topic for us, as are all patient safety events and event types. … First, by preventing errors and adverse events. … And third, tracking and providing feedback about adverse events. … There's many ways we think about that prevention of errors piece, which was in the first bullet in adverse … events using IT.

279. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
     March 01, 2024 - able to use Measure Dx to guide their efforts to detect, analyze, and learn from diagnostic safety events … IHS • Existing Activities Regarding Diagnostic Safety o Voluntary adverse event report via I-STAR. … optimize this effort, as they are focused on root cause analysis standardization to help in identifying events

280. 2022 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
     December 01, 2022 - Standard forms for the data collection and model procedures for the uniform registration of events are … , such as medication prescriptions and laboratory test results that are relevant to patient safety events … Measures and modules included in calculation of adverse event rates Measure Module One or more adverse … outcomes Birth - Maternal Adverse event associated with hypoglycemic agent Medication Adverse event … events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related to procedure