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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/886.html
October 01, 2023 - Studies
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Events … section
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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
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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 adverse … events 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
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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
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www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/index.html
February 01, 2024 - Studies
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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,
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www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/communication/tools/callout.html
May 01, 2023 - Studies
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Events … Or a patient having wisdom teeth removed may have a strong adverse reaction to the sedation and require
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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 adverse … events
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
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www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
October 01, 2014 - Studies
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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.
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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 adverse … events 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
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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 adverse … events 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 adverse … events and make future UTIs more drug resistant and increasingly challenging to treat.
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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
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www.qualitymeasures.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
July 01, 2018 - Studies
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Events … How to communicate an adverse event to patients and family members.
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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
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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
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www.qualitymeasures.ahrq.gov/teamstepps-program/resources/additional/labor.html
July 01, 2023 - Studies
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Events … techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find6.html
December 01, 2012 - Studies
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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
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpra1.html
April 01, 2018 - Studies
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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
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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 adverse … events
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 adverse … events associated with antibiotic use.” … commitments and activities designed to optimize the treatment of infections while reducing the harmful events
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www.qualitymeasures.ahrq.gov/nursing-home/materials/vaccination/index.html
September 01, 2023 - Studies
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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
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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
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www.qualitymeasures.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
February 01, 2022 - Studies
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Events … facilities also significantly reduced use of fluoroquinolones , a class of antibiotics known to cause adverse