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  1. 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
  2. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
    April 01, 2022 - checklists, and create independent checks for key processes, we improve our ability to reduce the risks of adverseevents resulting in harm. … One of these is adverse event reporting systems which are common in hospitals.  … Another is sentinel events, as defined by The Joint Commission, or any claims data from your legal department
  3. Guide (doc file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/guide.docx
    March 01, 2017 - Communication and Engaging the Family Addressing Challenges and Barriers · Slides 27–28 Communicating Adverse … All staff, including administrators and frontline staff; residents and families Topic: Communicating Adverse
  4. 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,
  5. www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/communication/tools/callout.html
    May 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Or a patient having wisdom teeth removed may have a strong adverse reaction to the sedation and require
  6. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-slides.pptx
    September 01, 2022 - how that informs empiric therapy Identify empiric antibiotic regimens for cellulitis that minimize adverseevents Discuss reasonable durations of antibiotic therapy for cellulitis Discuss the expected time course … trimethoprim/sulfamethoxazole and 86% for placebo (p < 0.001) Antibiotic use can be associated with adverse … events13 16 Weigh the benefit of a modestly higher cure rate with risk of antibiotic adverse events
  7. www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
    October 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … These events were part of a QIO Learning Network established through an AHRQ Knowledge Transfer project … As a result of the intervention, Eddy Heritage staff have identified and resolved potential adverse drug … events.
  8. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
    January 01, 2013 - TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS TeamSTEPPS in Long-Term Care Analysis of sentinel events … failure cited as a primary contributing factor in nearly 80 % of over 6,000 root cause analyses of adverseevents and close calls. 17 (Cost) Benefits of TeamSTEPPS Decreased malpractice claims Decreased … insurance premiums Decreased litigation Reduced rate of adverse drug events (from 30 to 18 per 1,000 … TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS TeamSTEPPS in Long-Term Care Upcoming TeamSTEPPS Events
  9. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
    September 01, 2022 - antibiotic options for UTIs that are effective while also minimizing the potential for antibiotic-associated adverseevents and · Discuss recommended durations of antibiotic therapy for UTIs Slide 2 The Four Moments … In addition to antibiotic-associated adverse events, antibiotic treatment of ASB has been shown to increase … fact, antibiotic administration to patients with ASB can increase the risk of antibiotic-associated adverseevents and make future UTIs more drug resistant and increasingly challenging to treat.
  10. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
    January 01, 2021 - The three measures that improved most reflect fewer adverse events in nursing homes (two measures) and … fewer adverse drug events involving the blood thinner heparin in hospital settings. … 2018, the incident rates of end stage renal disease due to diabetes decreased 48% from 526 to 273.1 events … Alaska Native, Black, and White populations, with respective incident rates of 273.1, 372.2, and 152.2 events … Hispanic communities were still more than double the rates in non-Hispanic White communities (142.8 events
  11. www.qualitymeasures.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
    July 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … How to communicate an adverse event to patients and family members.
  12. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-asymptomatic-bacteriuria.pdf
    June 01, 2021 - • Treatment of ASB is associated with adverse events related to antibiotic use and can increase the
  13. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/innovations-improve-cr-event-summary.pdf
    May 20, 2021 - Matt’s program is that all patients who do CR virtually must have a caregiver present in case of an adverse
  14. www.qualitymeasures.ahrq.gov/teamstepps-program/resources/additional/labor.html
    July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse
  15. www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find6.html
    December 01, 2012 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … While the overall HCBS indicators exhibit a general pattern of higher rates of adverse outcomes for African … impossible to distinguish with these descriptive results whether greater access to services reduces rates of adverse … States that are more supportive of HCBS extend services to healthier individuals, resulting in fewer adverse
  16. www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpra1.html
    April 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … The risk for such adverse events increases when surgery is performed in an environment that is less regulated … Also important is the tool's utility in examining single-point failures, as well as combinations of events
  17. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
    March 01, 2017 - about 40% of all prescriptions Antibiotics can cause harm to residents High risk of side effects and adverseevents Major risk factor for Clostridium difficile infection Driver of antibiotic resistance Prescribers … of commitments and activities designed to “optimize the treatment of infections while reducing the adverseevents associated with antibiotic use.” … commitments and activities designed to optimize the treatment of infections while reducing the harmful events
  18. www.qualitymeasures.ahrq.gov/nursing-home/materials/vaccination/index.html
    September 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse … the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse
  19. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
    June 01, 2020 - Famolaro, Slide 46 In this analysis, we linked Hospital SOPS scores to patient safety indicator adverse … scatterplot, we are showing the relationship with the average Hospital SOPS composite score and average adverse … We found that higher patient safety culture scores were associated with lower adverse event rates. … moment to provide us with your feedback, it really helps us to improve our offerings and plan future events
  20. www.qualitymeasures.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
    February 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events … facilities also significantly reduced use of fluoroquinolones , a class of antibiotics known to cause adverse

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