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Events … reducing the use of acute and institutional care, eliminating duplication of services, and reducing adverse … events resulting from conflicting management. … https://www.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
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Events … Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-5-table-4.pdf
January 01, 2012 - Finally, no adverse effect on growth was
observed during the treatment period. … Impact of hydroxyurea
on clinical events in the
BABY HUG trial. … thalassemia and frequent pain episodes,
history of acute chest syndrome, other severe
vaso‐occlusive events … The drug should be considered for young patients with
young patients with few acute clinical events … ) The authors
identify two strong potential indications for
hydroxyurea therapy: frequent painful events
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
July 22, 2021 - IHS • Enhanced Adverse Event Reporting Capabilities: IHS Safety
Tracking and Response (I-STAR) system
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August 01, 2017 - Studies
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Events … System in the Sanford Health System
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Transitional Care Medication Safety: Stakeholders' Perspectives
Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home
Douglas M. … Our iceberg is melting: Changing and succeeding under adverse conditions. New York, NY: St.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
May 01, 2016 - Balancing measures monitor for potential unintended adverse consequences of interventions. … Rather, multiple sampling events are recommended to ensure accurate conclusions. … having significant drops in hemoglobin while on anticoagulation can spur chart review to determine if an adverse … reviewed for a list of "triggers" for further review. 21 Triggers potentially related to anticoagulant adverse … Run charts can be annotated along the x axis where new interventions or events occur.
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January 01, 2024 - Studies
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Events … Hospital and associate professor of medicine at Harvard Medical School in Boston, is helping to reduce adverse … events during care transitions with digital health interventions that improve patient safety and outcomes … organizations and other groups can use these findings to improve how medication-related patient safety events
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
January 01, 2022 - lags far behind other types of patient safety events. … Unlike the types of safety
events defined by existing Common Formats, diagnostic safety
events tend … events) and to email
written feedback within approximately 4 weeks. … The reliability of AHRQ
Common Format Harm Scales in rating patient safety events. … A human factors and survey
methodology-based design of a web-based adverse event reporting system
for
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 01, 2020 - patient-level characteristics such as age, sex, type of AF, comorbidities, risk for stroke or
bleeding events … utilization
• Reduced medication use (e.g., need for
anticoagulants, antiarrhythmic drugs)
Harms or adverse … )
• In-hospital and 30-day stroke (any, by type),
TIA
• In-hospital and 30-day embolic events … vascular
injury, infection leading to prolonged
hospitalization or sepsis, pulmonary edema])
• Adverse … studies may be considered in the evaluation
of harms if specifically designed to evaluate
harms and/or adverse
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Events … Primary Care Settings
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … Reconciliation
Learn about the processes that help detect and prevent medication discrepancies and adverse … drug events.
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April 29, 2024 - Studies
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April 01, 2018 - Studies
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Patient Safety News and Events … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … Reconciliation
Learn about the processes that help detect and prevent medication discrepancies and adverse … drug events.
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www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/unhealthy-alcohol-use-during-covid19.html
April 01, 2021 - Studies
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Events … spectrum of alcohol misuse from risky or hazardous drinking to alcohol use disorder, is associated with adverse
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Events … and Non-Hispanic Patients
July 12, 2022
Major Study Shows Significant Drop in In-Hospital Adverse
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March 01, 2006 - Available organizational data, (e.g.,
adverse event and near miss reports, AHRQ Patient Safety Culture … that facilities may also use the Guide to develop TeamSTEPPS Action Plans
in response to sentinel events … You may start by doing simple counts of your target events or clinical outcomes and
displaying … event or near miss
= Rate of Labor
& Delivery
Adverse &
Near-Miss
Events Total number of patients … events or near misses)
Who will be involved in the change?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/implguide_0.pdf
March 01, 2006 - Available organizational data, (e.g.,
adverse event and near miss reports, AHRQ Patient Safety Culture … that facilities may also use the Guide to develop TeamSTEPPS Action Plans
in response to sentinel events … You may start by doing simple counts of your target events or clinical outcomes and
displaying … event or near miss
= Rate of Labor
& Delivery
Adverse &
Near-Miss
Events Total number of patients … events or near misses)
Who will be involved in the change?
-
www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/896.html
January 01, 2024 - Studies
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Events … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .
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August 01, 2022 - Studies
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Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … , and surgeon, along with a lack of familiarity with the new equipment as an important cause of the adverse
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February 01, 2024 - Studies
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Events … comment): Documentation Burden
AHRQ in the Professional Literature
Decision-making during high-risk events … Guideline concordance and antibiotic-associated adverse events between Veterans Administration and non-Veterans
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Events … Partnership, are to reduce preventable hospital admissions and readmissions, reduce the incidence of adverse … https://www.ahrq.gov/workingforquality/events/webinar-introduction-to-the-stakeholder-toolkit.html