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Showing results for "adverse events".
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321. SITUATION MONITORING (ppt file)
     www.monahrq.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.

322. AHRQ's 35th Anniversary | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/cpi/about/35th-anniversary/index.html
     April 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now 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

323. Assessing the Availability of the Preconception Component of High-Risk Obstetrical Services by Estimating the Use of Teratogenic Medications Before and During Pregnancy (pdf file)
     www.monahrq.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

324. Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (pdf file)
     www.monahrq.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

325. Guide to Patient and Family Engagement in Hospital Quality and Safety | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.html
     March 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events

326. TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ) Manual | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html
     April 01, 2017 - Studies Blog AHRQ Views Newsletter 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

327. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
     www.monahrq.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

328. Technical Specifications and Chart Abstraction Tool (pdf file)
     www.monahrq.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

329. SOPS Frequently Asked Questions | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/sops/about/faq/index.html
     June 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Safety culture surveys are useful for measuring organizational conditions that can lead to adverse events … 3 items) HSOPS 2.0 also includes: One survey item that asks respondents how many patient safety events … Frequency of Events Reported. Hospital Handoffs & Transitions. … One item measuring the number of events the respondent has reported over the past 12 months.

330. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
     www.monahrq.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

331. Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
     www.monahrq.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.

332. Initial Risk Assessment for Immobility-Related Pressuer Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
     www.monahrq.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

333. Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults: Report (pdf file)
     www.monahrq.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

334. Education in Proper Use of New Asthma Medication Delivery Device for Children With Asthma (pdf file)
     www.monahrq.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.

335. Module 1: Preventing Falls in Hospitals—Training Guide | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.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 … We understand that even small failures in safety protocols can lead to catastrophic or adverse events

336. TeamSTEPPS® Teamwork Perceptions Questionnaire Manual (pdf file)
     www.monahrq.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

337. Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Report (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-206-fullreport.pdf
     November 01, 2019 - In States where the denominator is large (at least 2,000 events), the reliability is very good; observed … However, in Utah, where the denominator is 672 13 CT imaging events, reliability was lower … This suggests that this measure should be used in health plans with over 2,000 CT imaging events in … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … Sedation and general anesthesia in children undergoing MRI and CT: Adverse events and outcomes.

338. CUSP Toolkit, The Role of the Nurse Manager, Facilitator Notes | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
     December 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Quality/Safety Say: Nurse managers should obtain data on quality outcomes and adverse events monthly

339. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
     December 01, 2009 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Health care-associated infections are regarded as "never events," that is, adverse events that should

340. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
     January 01, 2012 - • Pressure ulcers represent an important patient adverse event that is associated with significant