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Showing results for "adverse events".
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141. Major Hospital Quality Measurement Sets | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

142. Module 1 Implementation Guide: Welcome to the TAKEheart Initiative and an Overview of the Benefits of Increasing Cardiac Rehabilitation Participation (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-1-implementation-guide.pdf
     January 01, 2018 - o CR reduces mortality over 1-3 years after a cardiac event o CR reduces re- hospitalization and adverse … events, such as subsequent MI o CR can help patients with medication adherence, and management of multiple … chronic conditions, diabetes, depression, mental stress and improves quality of life after an adverse … events - CR reduces morbidity and mortality and improves quality of life -CR reduces avoidable … events – which are metrics tracked and incentivized by payers o Review the information presented

143. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/sops/bibliography/index.html?page=6
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patient safety culture and nurse-reported adverse events in outpatient hemodialysis units. … Are measurements of patient safety culture and adverse events valid and reliable? … The relationship between patient safety culture and adverse events: A questionnaire survey.

144. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - East Alabama Health (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-rice.pdf
     February 09, 2023 - Office of Patient Safety PATIENT SAFETY Adverse Events Root Cause Analysis PROJECT MANAGEMENT … Management Plans Environment of Care Committee PERFORMANCE IMPROVEMENT Data Analysis PI Teams & EPIC Events

145. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
     www.qualitymeasures.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.

146. First-of-its-Kind Study Examines Disparities in Healthcare Costs and Outcomes of Cigarette Smoking in the United States | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

147. Module 1: PowerPoint Presentation
     www.qualitymeasures.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

148. AHRQ's Quality & Patient Safety Programs by Setting: Hospital Labor and Delivery Units | Agency for Healthcare Research and Quality
     www.qualitymeasures.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 adverse … events resulting from poor communication and system failures.

149. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - events and close calls. … These organizations consistently minimize adverse events despite carrying out intrinsically complex … Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primers/primer … /23 A growing evidence base supports specific strategies to prevent adverse drug events (ADEs). … Patient Safety Primer: Medication Errors and Adverse Drug Events 9.

150. Acute Care Behavior Change Theory for Antibiotic Stewardship Leaders
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-slides.pptx
     November 01, 2019 - are different Desire for autonomy Difficulty perceiving the association between antibiotic use and adverse … events Not paying attention or not interested System challenges: inadequate communication, difficulty … are different2 Desire for autonomy Difficulty perceiving the association between antibiotic use and adverse … events Not paying attention or not interested System challenges: inadequate communication, difficulty … 90% 88% Adverse events More adverse events with longer therapy!

151. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Slides
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-slides.pptx
     September 01, 2022 - sending urine cultures Discuss empiric antibiotic options for UTIs that are effective and minimize adverse … events Discuss recommended durations of antibiotic therapy for UTIs 2 ASB and UTI AHRQ Safety Program … events 9,10 An increased risk of subsequent UTIs that may be increasingly difficult to treat due to … events Review local susceptibility data, patient’s previous urine culture results and associated susceptibility … data, as well as antibiotic adverse event profile when selecting therapy 18 ASB and UTI AHRQ Safety

152. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
     www.qualitymeasures.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 Adverse … Events 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

153. Executive Briefing
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/leadership-brief/ts-leadershipbrief.pptx
     January 01, 2013 - 10 years and identified communication failure as the leading root cause of sentinel events. … Outcome Score, which describes the adverse event score per delivery A 50% decrease in the Severity Index … , which measures the average severity of each delivery with an adverse event Intensive Care Units2 After … years and identified communication failure as the leading root cause of sentinel events. … events and close calls. 19 What Does it Cost?

154. Transitions of Care | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/topics/transitions-care.html
     Studies Blog AHRQ Views Newsletter AHRQ News Now Events … ensure safe and seamless transitions of patients from one care setting to another, reducing preventable adverse … events, drug-related errors, and other problems. 

155. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
     www.qualitymeasures.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 Adverse … Events 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 Adverse … Events in Those Undergoing Insertion of Implantable Cardiovascular Devices Date: July 2023 Report

156. Defining the New AHRQ: A Race for 21st Century Care | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

157. AHRQ Views: Biden Administration Tackles Financial Strains on Healthcare Consumers | Agency for Healthcare Research and Quality
     www.qualitymeasures.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 adverse … events 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

158. AHRQ News Now | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

159. Intramuscular Injections – Best Practices for Safe Vaccine Administration in Nursing Homes (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/intramuscular-injections.pdf
     June 01, 2021 - assess pulse • Oxygen • Pulse oximeter • Access to a phone to call 911 If a resident has an adverse … reaction after vaccination, nursing home staff should review the Vaccine Adverse Event Reporting System … Name and title of person who administered the vaccine • Vaccine route and site • Dosage in mL • Any adverse … events igure 3 – Example edical sharps container.

160. Primary Care-Based Efforts To Reduce Potentially Preventable Readmissions | Agency for Healthcare Research and Quality
     www.qualitymeasures.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 adverse … events such as prescribing errors and misdiagnoses of conditions in the hospital and ambulatory care