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Showing results for "adverse events".
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61. Declines in Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/data/infographics/hac-rates_2019.html
    July 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … (PDF, 11.1 MB) Text Description: National efforts to reduce hospital-acquired conditions such as adverse … drug events and injuries from falls helped prevent 20,700 deaths and saved $7.7 billion between 2014 … Specific rates are: Adverse drug events: 28% decrease. CAUTI: 5% decrease. CLABSI: 6% decrease. … Obstetric events: 3% decrease. Pressure ulcers: 6% increase. Surgical site infections: 8% increase.

62. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/patient-safety/reports/liability/sands.html
    August 01, 2017 - adverse events and errors. … Its goals are to (1) proactively identify adverse events, (2) differentiate between injuries caused by … The DA&O approach to adverse events initially did not gain momentum as a risk management practice and … events. … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals. 

63. Table 7B.1 (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7b.pdf
    February 02, 2018 - Table VII.B.1 – Distribution of numbers of Chronic Condition Indicators per patient and adverse … events across sites based on GAPPS study analytic sample (n= 3,442) Chronic Condition Indicators … <0.001 3 or more body systems 125 (3.6%) 0.27 <0.001 Table VII.B.2 – Analysis of differences in adverse

64. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - events and associated systemic and contextual factors. … Table of Contents Adverse Drug Events (ADEs): General Medication Topics ADEs: Harms Due to Anticoagulants … ADEs: Harms Due to Diabetic Agents ADEs: Reducing Adverse Drug Events in Older Adults ADEs: Harms … ) MHS III (2020) Computer Adverse Drug Event Detection and Alerts Summary of Evidence (Not reviewed … Adverse Drug Events Related to Anticoagulants Summary of Evidence Update (Not reviewed) The

65. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/sops/about/patient-safety-culture.html
    March 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … 2 Hospitals with more positive SOPS scores had: Lower rates of in-hospital complications or adverse … events as measured by AHRQ’s patient safety indicators (PSIs). 3 Patients who reported more positive … Exploring relationships between hospital patient safety culture and adverse events. … The relationship between culture of safety and rate of adverse events in long-term care facilities.

66. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
    March 01, 2021 - events. … If left unaddressed, behavioral health and social needs are key risk factors for postdischarge adverse … events. … events increases after hospitalization. … events.

67. AHRQ Quality Indicator Tools for Data Analytics | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/data/qualityindicators/index.html
    November 01, 2020 - hospital level, the QIs are used to support internal quality improvement, monitoring, and assessment of adverse … events related to patient safety. … Patient Safety Indicators (PSIs) help hospitals assess the incidence of adverse events and in-hospital … More specifically, they focus on potential in-hospital complications and adverse events following surgeries … PDIs focus on potentially preventable complications and iatrogenic events for pediatric patients treated

68. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/patient-safety/reports/liability/waever.html
    August 01, 2017 - Studies of claims have shown that the perceived cause, context, outcome, and response to a given adverse … Paid malpractice claims for adverse events in inpatient and outpatient settings. … Exploring relationships between hospital patient safety culture and adverse events. … Health care professionals as second victims after adverse events: a systematic review. … The natural history of recovery for the healthcare provider “second victim” after adverse patient events

69. Strategy 4: IDEA Discharge Planning (Tool 3) (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
    January 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.

70. Mod5-Disclosure-Checklist (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
    April 01, 2016 - ■ Within 60 minutes after the CANDOR event is identified, advise the patient and/or family that an adverse … ■ Identify the adverse event early in the disclosure. … ■ Explain what is known about why the adverse event occurred; do not speculate. … ■ Tell the patient whether the adverse event was preventable, if known. … Apologize ■ Say you are sorry for the adverse event in a sincere manner early in the conversation.

71. Improving Patient Safety Systems for Patients With Limited English Proficiency | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/health-literacy/professional-training/lepguide/index.html
    September 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … PowerPoint Presentation: Executive Summary A Guide for Hospitals Research suggests that adverse … Common Causes of Adverse Events for LEP and Culturally Diverse Patients     Systems and Strategies To … Safety     Why Hospitals Should Focus on Patient Safety for LEP Populations     Common Causes of Adverse … Research suggests that adverse events affect LEP patients more frequently, are often caused by communication

72. AHRQ National Scorecard on Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/hai/pfp/index.html
    July 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Condition Rate ( PDF , 237 KB) To improve how the Nation tracks its progress on reducing HACs and other adverse … events, AHRQ is developing the AHRQ Quality and Safety Review System . … This patient safety surveillance system will capture information about HACs and other adverse events

73. Develop a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/antibiotic-use/acute-care/safety/index.html
    June 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Use Commitment Poster (DOCX) Antibiotic Time Out Tool (DOCX) Identifying Antibiotic–Associated Adverse … Events Form (DOCX) Learning From Antibiotic–Associated Adverse Events Form (DOCX)

74. Chapter 2: Five Key Recommendations To Improve Patient Safety for LEP Patients | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/health-literacy/professional-training/lepguide/chapter2.html
    September 01, 2020 - events that occur commonly among LEP patients. … A field for whether a hospital interpreter was present at the time of the adverse event or was used at … events among LEP and culturally diverse patients. … events, and analyze their root causes. … events among LEP patients.

75. Strategy 4: IDEA Discharge Planning (Tool 3) (doc file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
    January 01, 2010 - for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.

76. Staff COVID-19 Vaccine Administration Record (doc file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/staff-covid-vaccine-administration-record.docx
    May 01, 2022 - Contraindication: __________________________________________________________________________ Adverse … _____________________________ Refer to the CDC’s website for information on contraindications and adverse … events. 5. 6.

77. Resident COVID-19 Vaccine Administration Record (doc file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/resident-covid-vaccine-administration-record.docx
    May 01, 2022 - Contraindication:__________________________________________________________________________ Adverse … ______________________________ Refer to the CDC’s website for information on contraindications and adverse … events. 5. 4. 6.

78. Improving Patient Safety in Healthcare | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
    December 01, 2023 - care, where the complexity of the system and the fragility of the patients creates a greater risk for adverse … events. … a 2-year AHRQ grant in 2005 to evaluate an emergency medicine clinical pharmacist program to avoid adverse … drug events in emergency department (ED) patients. … Fairbanks evaluated over 10,000 ED cases for adverse events, and interviewed ED physicians and nurses

79. Slide 1
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro.pptx
    January 01, 2010 - critical role in providing quality health care Clinical outcomes include: 50% reduction in the Weighted Adverse … Outcome Score, 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, et al., 2006) Reduced … rate of adverse drug events Improved medication reconciliation at patient admission (Haig, et al., 2006

80. Silence A Commentary | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/patient-safety/reports/liability/silence.html
    August 01, 2017 - 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 Carole Hemmelgarn Three … Some of the key elements of CRPs are reporting and responding to adverse events, continuous communication … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals.