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www.innovations.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
June 24, 2022 - utilization;
NEST_data • The specific data elements required to assess performance and outcomes (including adverse … events and their timing) in the course of the disease or treatment;
NEST_data • The appropriate settings … expectations or preferences will providers and patients be expected to have regarding benefits and adverse … NAM2019 Likelihood that beneficial or adverse effects would be reported or observed? … expectations or preferences will providers and patients be expected to have regarding benefits and adverse
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www.innovations.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.html
October 01, 2014 - should be prioritized based on the risk to patients and on the prevalence and severity of targeted adverse … events. … Quality Improvement – Supports Activators and Responders by reviewing RRS events and evaluating data … During a team huddle, response team members could:
Discuss critical issues and emerging events. … and prescribe a course of action for future events.
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www.innovations.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/references.html
July 01, 2021 - Studies
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Events … Antipsychotic use in children and adolescents: minimizing adverse effects to maximize outcomes.
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
January 01, 2008 - should be prioritized based on the risk to patients and on the prevalence and severity of targeted adverse … events. … Quality Improvement – Supports Activators and Responders by reviewing RRS events and evaluating data … During a team huddle, response team members could:
Discuss critical issues and emerging events. … and prescribe a course of action for future events.
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-5.8.pdf
January 01, 2014 - survey evaluating instances of
communication with the pediatrician,
referred to as communication “events … Independent raters also coded the
communication events from videotapes. … outcomes, self-reported health,
adherence to treatment, preventive care,
health care resource use, adverse … events,
and technical quality of care. … information were obtained
from the Can Rapid Risk Stratification of
Unstable Angina Patients Suppress
Adverse
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www.innovations.ahrq.gov/cpi/about/35th-anniversary/index.html
April 01, 2024 - Studies
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Events … Hospital-Acquired Conditions show that national efforts to reduce hospital-acquired conditions, such as adverse … drug events and injuries from falls, helped prevent an estimated 8,000 deaths and save $2.9 billion
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
August 07, 2018 - Additional
adverse fetal effects that result in dysfunction of a formed organ or tissue include postnatal … maternal events. … We suggest availability of care is essential for women who
are at risk of adverse pregnancy outcomes … The ability to minimize
and/or prevent adverse fetal effects due to potentially teratogenic medication … Exposure to teratogens during pregnancy is
associated with significant adverse outcomes and occurs with
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www.innovations.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.html
March 01, 2023 - Studies
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Events … Primary Care Settings
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-fullreport.pdf
November 01, 2017 - grams per
deciliter for red cell transfusion can decrease transfusion requirements without increasing
adverse … events, ICU and
hospital LOS, mortality, and daily Pediatric Logistic Organ Dysfunction (PELOD) assessment … infection, gut ischemia, transfusion reactions, stimulation of the
inflammatory response, and other events … grams per deciliter for red cell
transfusion can decrease transfusion requirements without increasing adverse … is to safely decrease the number of transfusions in PICUs and thereby
decrease transfusion-related events
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www.innovations.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html
April 01, 2017 - Studies
Blog
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AHRQ News Now
Events … safety, leadership, interpersonal interactions, attitudes toward stress, and knowledge of how to report adverse … events ( Sexton, et al., 2006 ). … The 50-item T-TPQ was tested and refined during three critical events: cognitive interviews, small group
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-tech-specs.pdf
December 14, 2011 - 7 g per deciliter for red-cell transfusion can decrease
transfusion requirements without increasing adverse
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - physician to observe overt and
many times more subtle clues, such as changes in vital signs, sensorium, or events … physician by presenting
a case and receiving feedback.42 The study reported a significant reduction in adverse … events and near-
misses,42 suggesting that distributed cognition played a role by having the physician … Effect of systematic physician cross-checking on reducing adverse events in the emergency
department
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
August 01, 2005 - Objective information
can originate from a variety of sources, including adverse event and near-miss
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
April 01, 2018 - Painful events are the most common cause of ED visits and
hospitalizations for children. … Further, unfamiliarity with the
effective use of analgesics and fear of adverse effects, such as respiratory … a result, patients with SCD may be undertreated for pain out of concerns about
addiction or other adverse … Vaso‐occlusive painful events in sickle cell
disease: Impact on child well‐being. … Management of vaso‐occlusive pain events in sickle cell disease.
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-203-fullreport.pdf
April 10, 2017 - Research and Quality (AHRQ)
pediatric-specific Patient Safety Indicators (PSI) were used to identify adverse … events in 431,524
discharges from 38 freestanding, academic, not-for-profit pediatric hospitals affiliated … Stage III and IV ulcers are serious,
reportable events. … this eMeasure electronically, providing electronic
output for 106 unique patients representing 109 events … Charges and lengths of stay attributable to adverse
patient-care events using pediatric-specific quality
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-245-fullreport.pdf
December 01, 2019 - events during antidepressant treatment, and reassessment of
diagnosis and treatment if no improvement … treatment goals and outcomes, including assessing depressive symptoms and function,
monitoring for adverse … events during antidepressant treatment, and reassessing diagnosis and
treatment if no improvement is … in Primary Care (GLAD-PC) recommends
systematic assessment of symptoms and function, monitoring for adverse … events during
antidepressant treatment, and reassessing diagnosis and treatment if no improvement is
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - Discuss the associated tasks and thought
processes taking place during those events.
4
Domain 3: … SBAR),27-30 to structure communication with physicians and other diagnostic team
members and reduce adverse … events. … in their day-to-day operations.
7
e
Any safety events or “good catches” identified from these … Measure Dx: A Resource To Identify, Analyze, and Learn
From Diagnostic Safety Events. July 2022.
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
March 01, 2019 - inhalation technique leads to
poor asthma control, followed by an increased risk of exacerbations and adverse … followed, this teaching process leads to improved control and decreased
risk of exacerbations and adverse … Eligible
cases are identified based on dispensing events through pharmacy claims. … This specification will
miss dispensing events that occur in the inpatient setting or in the outpatient … This leads to poor asthma control and an increased risk of
exacerbations and adverse effects.
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www.innovations.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
September 01, 2017 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … We understand that even small failures in safety protocols can lead to catastrophic or adverse events
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamperceptionsmanual.pdf
June 01, 2010 - safety, leadership, interpersonal interactions, attitudes toward stress, and
knowledge of how to report adverse … events (Sexton, et al., 2006). … The 50-item T-TPQ was tested and refined during three critical events: cognitive interviews,
small group