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  1. www.monahrq.ahrq.gov/news/newsletters/e-newsletter/870.html
    June 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … Researchers found that the interventions could prevent more than 3,100 ASCVD events over 10 years and … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Associated With Financial Distress An analysis of more than 132,000 individuals’ credit reports showed adverse … Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog
  2. www.monahrq.ahrq.gov/patient-safety/reports/liability/crane.html
    August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … understanding and correcting weaknesses in the health care delivery system and to preventing actual adverse … report to make sure that the report was a near-miss (i.e., no harm came to the patient) and not an adverse … The wrong diagnosis: identifying causes of potentially adverse events in general practice using incident … Does error and adverse event reporting by physicians and nurses differ?
  3. www.monahrq.ahrq.gov/research/findings/studies/index.html?page=1
    January 01, 2024 - Drug Events (ADE) (321) Adverse Events (736) Alcohol Use (61) Ambulatory Care and Surgery … events. … events were rare. … Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse events. … Keywords: Medication: Safety, Medication, Patient Safety, COVID-19, Adverse Drug Events (ADE), Adverse
  4. www.monahrq.ahrq.gov/health-literacy/professional-training/lepguide/references.html
    September 01, 2020 - Language proficiency and adverse events in U.S. hospitals: a pilot study. … Are language barriers associated with serious medical events in hospitalized pediatric patients? … Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice … CMS improves patient safety for Medicare and Medicaid by addressing never events. … When things go wrong: responding to adverse events. A consensus statement of the Harvard hospitals.
  5. www.monahrq.ahrq.gov/teamstepps/evidence-base/labor-delivery.html
    July 01, 2015 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events … Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized … Impact of a comprehensive patient safety strategy on obstetric adverse events.
  6. www.monahrq.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumtheo.html
    October 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … the location of the subclavian vein is feasible and improves patient safety by minimizing immediate adverseevents. … Model economic costs of adverse outcomes of central venous cannulations in ED. Career Goals: Dr.
  7. www.monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
    March 01, 2010 - Outcome Score (WAOS), which describes the adverse event score per delivery 50% decrease in the Severity … Index, which measures the average severity of each delivery with an adverse event Mann, S., Marcus, … Reduced rate of adverse drug events Improved medication reconciliation at patient admission Haig, K. … Some of the current clinical outcomes of team training include the following-- 50% reduction in adverse … event; reduced rate of adverse drug events; and improved medication reconciliation at patient admission
  8. www.monahrq.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
    February 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … The Patient Safety Indicators (PSIs) identify adverse events occurring during hospitalization. … They provide information on potential in-hospital complications and adverse events following surgeries
  9. www.monahrq.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
    January 01, 2004 - Because oral anticoagulants are associated with preventable adverse events at disproportionately high … events,4, 37 such as thrombotic events (under-treatment) or bleeding (over- treatment). … events are common18 and warfarin is involved in preventable adverse drug events at rates disproportionate … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Adverse drug events in ambulatory care. NEJM 2003 348(16):1556– 64. 19.
  10. www.monahrq.ahrq.gov/patient-safety/settings/labor-delivery/index.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 … improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverseevents resulting from poor communication and system failures.
  11. www.monahrq.ahrq.gov/news/newsroom/press-releases/smoking-cessation-disparities.html
    December 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … policymakers conduct cost-benefit analyses that accurately reflect the burden of healthcare costs and adverse … “Disparities in medical spending, as well as adverse health outcomes, are continuing to increase over
  12. www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview.pptx
    May 01, 2017 - An analysis of risk factors and adverse events in ambulatory surgery. … An analysis of risk factors and adverse events in ambulatory surgery. … Visual Management • Outcomes over time • Checklist compliance • Problem log Escalation • Sentinel events
  13. www.monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
    November 15, 2019 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … to ask questions when something does not seem right (1 (2 (3 (4 (5 SECTION D: Frequency of Events … Management in this facility seems interested in patient safety only after an adverse event happens … Shift changes are problematic for patients in this facility (1 (2 (3 (4 (5 SECTION G: Number of Events
  14. www.monahrq.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    April 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Cards and Outcome Measurements Report Protocol Opioid Stewardship Report Protocol Reducing AdverseEvents Related to Anticoagulants Report Protocol Implicit Bias Training Report Protocol … Deprescribing Report Protocol Computerized Clinical Decision Support To Prevent Medication Errors and Adverse … Drug Events Report Protocol Failure To Rescue—Rapid Response Systems Report Protocol Prevention
  15. www.monahrq.ahrq.gov/research/findings/evidence-based-reports/search.html?page=1
    November 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Permanente Research Affiliates Report Status: Final Efficacy of Dental Services for Reducing AdverseEvents in Those Receiving Chemotherapy for Cancer Date: July 2023 Report Type: Rapid Evidence Product … Scientific Resource Center Report Status: Final Efficacy of Dental Services for Reducing AdverseEvents in Those Undergoing Insertion of Implantable Cardiovascular Devices Date: July 2023 Report
  16. www.monahrq.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
    January 01, 2021 - billion), adverse drug events ($4.1 billion), and falls ($1.5 billion), while diagnostic errors have … By advancing our efforts to reduce these events, we can lessen these avoidable financial burdens and, … understanding where value is gained and lost, and incorporating strategies that are proven to reduce or prevent adverse … The 21 st Century Care Initiative presents a major opportunity to reduce preventable adverse medical … events and improve medication management through new, evidence-based, individualized care management
  17. www.monahrq.ahrq.gov/news/newsletters/e-newsletter/892.html
    December 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Making Healthcare Safer IV will provide evidence on 11 additional safety topics, including reducing adverseevents related to anticoagulants, opioid stewardship and addressing fatigue and sleepiness of clinicians … Articles featured this week include: Prescription opioid dose reductions and potential adverse events
  18. www.monahrq.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
    December 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 … Readmissions High rates of readmissions are a major patient safety problem associated with adverseevents such as prescribing errors and misdiagnoses of conditions in the hospital and ambulatory care
  19. www.monahrq.ahrq.gov/news/newsletters/e-newsletter/index.html?page=2
    April 05, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Results News Newsroom Blog Newsletter AHRQ News Now Events … ascending Top Story April 5, 2022 Dental Opioid Prescriptions Associated With Adverse … Patient-Generated Health Data Into Electronic Health Records February 8, 2022 Opioid Prescribing, Adverse … Change, Environmental Justice and AHRQ October 5, 2021 Drug Label Changes Could Reduce Adverse
  20. www.monahrq.ahrq.gov/health-literacy/professional-training/lepguide/app-a.html
    September 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Emphasize potential differences between patient safety events and adverse events and distinguish between … Clarify roles and responsibilities for all clinical and nonclinical staff pertaining to reporting safety events … misunderstandings, and lack of respect for cultural beliefs and traditions, may lead to patient safety events … Provide examples of how using nonqualified interpreters can have adverse effects on patient care.

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