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Showing results for "adverse events".
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221. Appendix E. Training and Educational Materials (continued) | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/universal-icu-decolonization/universal-icu-ape2.html
     September 01, 2013 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Safety and Adverse Events Universal ICU Decolonization   Do: Use chlorhexidine

222. Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/topics/index.html?page=1
     January 01, 2012 - 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.

223. Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/es/topics/index.html?page=1
     January 01, 2012 - 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.

224. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
     May 01, 2017 - Ways to reduce obstetrical adverse events include improving teamwork and communication among care teams … Root cause analyses of adverse events and near-misses (events that did not produce patient injury) … EARLY IMPACTS The most recent root cause analyses of adverse events and near-misses indicated that … poor communication is no longer a root cause; in fact, near-misses and adverse events attributed to … The weighted adverse events included in the measure are in-house maternal death, in-house neonatal

225. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
     May 01, 2017 - Ways to reduce obstetrical adverse events include improving teamwork and communication among care teams … Root cause analyses of adverse events and near-misses (events that did not produce patient injury) … EARLY IMPACTS The most recent root cause analyses of adverse events and near-misses indicated that … poor communication is no longer a root cause; in fact, near-misses and adverse events attributed to … The weighted adverse events included in the measure are in-house maternal death, in-house neonatal

226. Biosketches | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
     September 01, 2016 - for health care safety and quality in a variety of fields, including patient engagement, response to adverse … events, diagnostic error reduction, rapid response, and infection prevention, among others. … Safety Monitoring System, a nationwide surveillance project aimed at identifying the rates of specific adverse … events within the Medicare population. … paper, and led the AHRQ-Brigham medication safety HIT CERT CEDAR (Calling for Earlier Detection of Adverse

227. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/878.html
     August 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … (Source: JAMA Network Open , Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem … include: Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse

228. TeamSTEPPS for Office-Based Care Implementation Workbook (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
     December 11, 2015 - □ Adverse event due to a breakdown in team skills (e.g., communications, situation monitoring, mutual … Near-miss(es) due to breakdowns in team skills □ Staff members are concerned that we could have an adverse … patient satisfaction; improved performance on a relevant health care quality measure; decreased rates of adverse … events or near-misses) Who will be involved in the change?

229. Highlight Consumer Rights, Protections, and Ways To Complain | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/talkingquality/explain/share-info/highlight.html
     September 01, 2019 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … For example, in the next few years, we may see systems that enable patients to report on adverse events

230. Study Finds Patients Who Self-Test Negative for COVID-19 Not Properly Quarantining | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/821.html
     June 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … Analysis of Hospital-Level Readmission Rates and Variation in Adverse Events Among Patients With Pneumonia … Assessing adverse event reports of hysteroscopic sterilization device removal using natural language

231. Antibiotic Use Significantly Reduced in Long-Term Care Facilities Participating in AHRQ-Funded Project | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/803.html
     March 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … This included reductions in the use of fluoroquinolones, a class of antibiotics known to cause adverse … Relative risks of adverse events among older adults receiving opioids versus NSAIDs after hospital discharge

232. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/sops/bibliography/index.html
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … The association between patient safety culture and adverse events - A scoping review. … The relationship between patient safety culture and patient safety competency with adverse events: A

233. Introduction and Welcome | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/universal-icu-decolonization/universal-icu-intro.html
     September 01, 2013 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Safety and Adverse Events This enhanced protocol is based on materials successfully used

234. Appendix E. Training and Educational Materials (continued) | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-ape3.html
     September 01, 2013 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Safety and Adverse Events Universal ICU Decolonization Protocol for CHG Bathing  

235. Appendix E. Training and Educational Materials (continued) | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/universal-icu-decolonization/universal-icu-ape3.html
     September 01, 2013 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Safety and Adverse Events Universal ICU Decolonization Protocol for CHG Bathing  

236. Introduction and Welcome | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-intro.html
     September 01, 2013 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Safety and Adverse Events This enhanced protocol is based on materials successfully used

237. Improving Clinical Performance and Safety Culture Through TeamSTEPPS Implementation
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
     January 01, 2016 - 05.2 Page ‹#› TeamSTEPPS® Clinical Performance & Safety Culture Slide ‹#› Upcoming TeamSTEPPS Events … 05.2 Page ‹#› TeamSTEPPS® Clinical Performance & Safety Culture Slide ‹#› Upcoming TeamSTEPPS Events … Register at: https://tslms.org  Learn more and register for all events at www.TeamSTEPPSportal.org … healthcare Optimizing patient outcomes by improving communication and other teamwork skills Reducing adverse … patient events related to communication breakdowns and/or poor teamwork TEAMSTEPPS 05.2 Mod 1 05.2

238. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
     February 16, 2021 - Hospital management seems interested in patient safety only after an adverse event happens. … Frequency of Events Reported (Never, Rarely, Sometimes, Most of the time, Always) D1. … Number of Events Reported (No event reports, 1 to 2 event reports, 3 to 5 event report, 6 to 10 event

239. Hospital Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
     September 01, 2009 - Hospital management seems interested in patient safety only after an adverse event happens. … usually show interest in patient safety—they show interest in patient safety only when there is an adverse … Frequency of Events Reported (More about this item: Refers to reports made to someone in authority or … Number of Events Reported (No event reports, 1 to 2 event reports, 3 to 5 event reports, 6 to 10 … Frequency of Events Reported 9. Teamwork Across Units 10. Staffing 11.

240. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
     March 01, 2012 - The risk for such adverse events increases when surgery is performed in an environment that is less … It utilizes both quantitative and qualitative data to “map” the risks associated with adverse outcomes … interact with one another and either individually or collectively combine to contribute to the overall adverse … modeling of complex interactions and dependencies among the multiple risk points that may lead to the adverse … this approach is determining the probabilities associated with human breakdowns that contribute to adverse