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Showing results for "adverse events".
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301. Module 1: Preventing Falls in Hospitals—Slide Presentation | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
     September 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … 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.

302. 20 Tips To Help Prevent Medical Errors: Patient Fact Sheet | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/questions/resources/20-tips.html
     November 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Make sure your doctor knows about any allergies and adverse reactions you have had to medicines.

303. SDOH Data and Analytics | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/sdoh/data-analytics.html
     July 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … security, transportation, financial strain, general well-being, social connectedness, physical safety, and adverse

304. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
     May 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Studies have found that communication failures are the cause of up to 80 percent of operating room adverse … events. … Use of the briefing card led to a drop in wrong-site surgeries and other adverse events. … Voicing Concerns in the Surgical Environment Is Important Say: Studies show that many times when adverse

305. Discussion | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/data/apcd/backgroundrpt/discuss.html
     April 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … ordering of laboratory testing or imaging, outpatient visits for chronic disease, and ambulatory care for adverse … events following ambulatory surgery or hospitalization. 8 , 9 Pediatric care.

306. Nursing Home Workplace Safety Resource List (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
     January 01, 2023 - page provides tips to encourage staff members to report conditions that could lead to near-misses or adverse … events.

307. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/reports/liability/pichert.html
     August 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home James W. … Patient complaints and adverse surgical outcomes. Am J Med Qual 2016; 31(5):415–22. xxix.

308. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
     July 01, 2019 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Further, M+COs may not recognize the serious adverse health impact that inadequate linguistic services

309. Appendix E: Resources and Tools To Address Language and Cultural Barriers and Improve Patient Safety | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/health-literacy/professional-training/lepguide/app-e.html
     September 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Update presents 34 practices that have been demonstrated to be effective in reducing the occurrence of adverse … healthcare events.

310. Preventing Pressure Injuries in Hospitals
     www.innovations.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.

311. AHRQ Stats | Agency for Healthcare Research and Quality
     www.innovations.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 .)

312. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
     www.innovations.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.

313. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now 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

314. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
     December 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now 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

315. Planning Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
     July 01, 2019 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Further, M+COs may not recognize the serious adverse health impact that lower levels of cultural competence

316. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.innovations.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

317. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.innovations.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

318. PQMP Measure Implementation and Quality Improvement Toolkits | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/pqmp/implementation-qi/toolkits.html
     August 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

319. Metabolic Monitoring for Children and Adolescents on Antipsychotics (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
     February 14, 2018 - of psychiatric disorders in children, these medications are associated with a number of potentially adverse … Fiscal Burden Although there is little research available on the fiscal burden associated with adverse … aspect of proper medication management in this population, as these medications are associated with adverse … Antipsychotics are associated with potentially adverse metabolic impacts that include weight gain, diabetes … Health-care costs of pediatric clients developing adverse events during treatment with antipsychotics

320. Specific Tools To Support Change (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
     January 01, 2011 - • Sentinel events: transfusion reaction, wrong blood type, wrong-site surgery, foreign body left … in during procedure, medical equipment- related adverse events, medication errors … • Other care-related adverse events: patient falls, in-hospital hip fracture or fall http://www.oecd.org … Hospital of Philadelphia annually reviews all findings from root cause analyses of serious safety events … This electronic toolbox provides States with tools they can use or modify as they develop or improve adverse