-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/dental.pdf
March 19, 2014 - This communication failure results in an adverse event. … If
given to a pregnant woman, this medication can have adverse effects on the fetus.
-
www.qualitymeasures.ahrq.gov/patient-safety/reports/engage/interventions/index.html
June 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 … These tools will also help to identify risks for an adverse drug event, such as overdosing, underdosing
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
June 01, 2022 - And the second analysis, we linked Hospital SOPS to AHRQ Patient Safety Indicators, or PSI, adverse event … and we found that higher
patient safety culture, or Hospital SOPS scores, were associated with lower adverse … And again that's www.ahrq.gov/sops/events. … databases, answer
February 2020 https://www.ahrq.gov/sops/index.html 8
http://www.ahrq.gov/sops/events … improve our
February 2020 https://www.ahrq.gov/sops/index.html 11
offerings and plan future events
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/womenhealth/2014nhqdr-womenhealth.pptx
January 01, 2020 - Adverse drug events occur in 15% or more of older patients presenting to offices, hospitals, and extended … Although patient safety initiatives focus mainly on inpatient hospital events, adverse effects of medical … Providers treating adverse events in outpatient settings may include office-based physicians, hospital … Some adverse events, such as known side effects of appropriately prescribed medications, may be unavoidable … Reducing the risk of adverse drug events in older adults. Am Fam Physician 2013 Mar 1;87(5):331-6.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
December 15, 2016 - medication reconciliation and
medication management are well documented.2-5 One study
found that adverse … drug events result in as many as 4.5 million
ambulatory visits (office and emergency department) each … It will also help you identify patient behaviors
that may be putting them at risk for an adverse drug … with patients and families to prepare the medication list and
identify patients at risk for safety events … Adverse drug events
in U.S. adult ambulatory medical care.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-1-slides.pdf
January 30, 2020 - prevention
program used to improve
cardiovascular health and
prevent subsequent
cardiovascular events … rate of 25.8% compared
to < 17% for other races/ethnicities
• In areas of the country where cardiac events … cessation,
hypertension, diabetes, depression, mental stress
and improves quality of life after an adverse … recommendation (AHA/ACC) for MI & CABG
• CR promotes better quality, care management
and limits avoidable adverse … events
− CR has reduced emergency department,
avoidable hospitalizations and long-term care
utilization
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-dec2013.pptx
January 01, 2013 - Healthcare
& TeamSTEPPS at JHU
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS
Upcoming TeamSTEPPS Events … in pt. harm (Abstoss et al., 2011)
Rates of RRS activations that resulted in codes (Donahue, 2011)
Adverse … Use of evidence-based practice
Handoffs
Efficiency
Reduced care delays
Decision time
Safety outcomes
Adverse … events with teamwork and communication related root causes
Infection rates
Other harm related outcomes
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
January 01, 2017 - What can we do to minimize
the adverse impact of bias?
Can we improve intuition?
-
www.qualitymeasures.ahrq.gov/hai/universal-icu-decolonization/universal-icu-overvw.html
September 01, 2013 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Safety and Adverse Events
Introduction to the Protocol
The Universal ICU Decolonization
-
www.qualitymeasures.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-overvw.html
September 01, 2013 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Safety and Adverse Events
Introduction to the Protocol
The Universal ICU Decolonization
-
www.qualitymeasures.ahrq.gov/research/findings/final-reports/ptflow/references.html
October 01, 2018 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … the American College of Cardiology/American Heart Association guidelines for management and increased adverse … events.
-
www.qualitymeasures.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
April 01, 2017 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Adverse events may be reduced by maintaining an information exchange with patients and their families
-
www.qualitymeasures.ahrq.gov/teamstepps/officebasedcare/handouts/teamattitudes.html
December 01, 2015 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Adverse events may be reduced by maintaining an information exchange with patients and their families
-
www.qualitymeasures.ahrq.gov/tools/index.html?page=3
September 01, 2012 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … and quality of care for mothers and their newborns with an aim of decreasing maternal and neonatal adverse … events resulting from poor communication and system failures.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
June 01, 2021 - our facility do not meet guidelines for treatment, and we have several residents who have suffered adverse … events from antibiotics.”
· Anticipate obstacles and solutions.
· For example: “We will need support … team members, instead of demanding things from reluctant staff
· Quantify and report reductions in adverse … drug events or Clostridioides difficile rates
· Gain many other potential benefits that can lead to … This has resulted in missed lab results showing adverse effects of antibiotics, such as worsening kidney
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - events and close calls. … events, and near-misses. … events. … • Eliminating Wrong Site Surgery
and Procedure Events.
• MHS Leadership Engagement. … drug events (ADEs).
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule10.pptx
January 01, 2004 - Slide 19)
Measure Level IV - Results
Provide information on potential in-hospital complications and adverse … events
Can help identify potential adverse events that might need further study
Include indicators … The PSIs are a set of measures that provide information about potential in-hospital complications and adverse … events following surgeries, other hospital or care procedures, and childbirth. … The PSIs can be used to help hospitals identify potential adverse events that might require further study
-
www.qualitymeasures.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
September 01, 2018 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Field testing of a new ambulatory care electronic Medication Errors and Adverse Drug Events Reporting
-
www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/index.html
February 01, 2024 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … User Liaison Program (ULP)
(4)
WebM&M
(5)
Topics
Access to Care
(14)
Adverse … Drug Events (ADE)
(5)
Asthma
(2)
Behavioral Health
(16)
Blood Clots
(15)
Blood Thinners … Impact Case Study Identifier: 2023-01 AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse … Drug Events (ADE), Care Coordination, Chronic Conditions, Clinician-Patient Communication, Diabetes,
-
www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/886.html
October 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events … Falls are one of the most frequently reported patient safety events in the NPSD, second only to medication … or other substance events. … Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive