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Showing results for "adverse events".
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341. TeamSTEPPS Implementation Guide (pdf file)
     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?

342. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now 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

343. Webinar Transcript - Advancing the National Quality Strategy: An Introduction to the Stakeholder Toolkit | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/workingforquality/events/webinar-introduction-to-the-stakeholder-toolkit.html
     November 01, 2016 - Studies Blog AHRQ Views Newsletter AHRQ News Now 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

344. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
     December 01, 2020 - Version 2019.01 of the PSI software has 17 measures, in addition to 1 patient safety and adverse events … • Adverse events associated with surgical procedures. • Hospital-acquired infections. … drug events 2004-2007 and 2009-2017 ADE - IV Heparin Adverse drug events 2004-2007 and 2009-2017 ADE … - Low Molecular Weight Heparin Adverse drug events 2004-2007 and 2009-2017 ADE - Warfarin Adverse drug … Adverse events after total knee arthroplasty: a national Medicare study.

345. Funding HAI and Antibiotic Resistance Research | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/hai-carb-funding.html
     November 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … determine the clinical efficacy and effectiveness of preventive interventions including unintended adverse

346. PowerPoint Presentation
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
     April 10, 2018 - Adverse drug events Unsafe medicine issues Medicine adherence Satisfaction Reported use Bring in medicines … We will use several measures to evaluate effectiveness: How many adverse drug events occur pre- and

347. Engage the Team and Applying CUSP in the ICU Setting Facilitator Guide
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-slides.pptx
     April 01, 2022 - Safety Program for ICUs: Preventing CLABSI and CAUTI Applying CUSP ׀ 10 10 Where To Find Defects8,9 Adverse … event reporting systems Sentinel events Claims data Infection rates Process audits Staff safety assessments

348. Introduction to the Fundamentals of TeamSTEPPS Concepts and Tools (Part 1 of 3)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-071217.pptx
     January 01, 2017 - TEAMSTEPPS 05.2 Slide ‹#› 2 Upcoming TeamSTEPPS Events Master Training Courses Registration for … TEAMSTEPPS 05.2 Slide ‹#› A table shows the Most Frequently Identified Root Causes of Sentinel Events … Communication, and Leadership are in the top three positions for 2013, 2014, and 2015, totaling 79% of adverse … events. 13 TEAMSTEPPS 05.2 Slide ‹#› A team of experts becomes an Expert Team. 14 TeamSTEPPS … Situation: She’s having a lot of ABD events that are now requiring stimulation.

349. Table 5. Evidence Supporting Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-section-5-table-5.pdf
     April 01, 2014 - following for children with SCD experiencing pain: Recognition and appropriate management of painful events … Management of vaso‐ occlusive pain events in sickle cell disease. … management requires frequent assessment to maintain pain control, make adjustments due to tolerance or adverse

350. CANDOR Acknowledgments (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-acknowledgments.pdf
     September 14, 2017 - advance the implementation of a transparent and just response to those who have been injured due to an adverse … team at every phase of CANDOR development, including during tool synthesis, training, and stakeholder events

351. References | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ref.html
     September 01, 2015 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … https://www.afsp.org/news-events/in-the-news/suicide-prevention-investment-needed-to-reverse-trend-of-increasing-suicide … Reducing the risk of adverse drug events in older adults.

352. Acknowledgments | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
     August 01, 2022 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … advance the implementation of a transparent and just response to those who have been injured due to an adverse … team at every phase of CANDOR development, including during tool synthesis, training, and stakeholder events

353. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/etchegaray.html
     August 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now 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 Jason M. … Good disclosures can also involve soliciting patients’ perceptions of what caused the adverse event,

354. AHRQ’s Digital Healthcare Research Program: 20 Years of Innovation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/ahrq-digital-healthcare.html
     February 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … this section News Newsroom Blog AHRQ Views Newsletter Events … It was an improbable endeavor to transform a field built on paper and adverse to change.

355. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
     September 01, 2019 - 70% ---- ---- New 2.0 item Hospital management seems interested in patient safety only after an adverse … (F3R) Hospital management seems interested in patient safety only after an adverse event happens. … safety events have you reported? … (F3R) Hospital management seems interested in patient safety only after an adverse event happens … safety events have you reported?

356. Chapter 4. Conclusions and Next Steps | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
     April 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … important tool for assessing the risks associated with the occurrence of many different patient safety events … both individual contributors of risk, as well as unique combinations of risks that contribute to the adverse … toolkit of core fault trees for important safety problems such as medication errors, serious and sentinel events … that enable health care provider organizations better ways to examine other high-risk, low-base-rate events

357. Implementation Quick Start Guide: Create a Safe Medicine List Together (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-quickstart-final508.pdf
     April 04, 2018 - implementors and use them as peer coaches. 6 Evaluate your progress Evaluate effectiveness � How many adverse … drug events occur pre- and post-implementation?

358. Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
     July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … If successful, maternal and neonatal adverse events will decrease.

359. Guide to Sustainability Planning: Long-Term Care Facilities (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
     June 01, 2021 - with the Antibiotic Stewardship Team and become “self-stewards” by recognizing antibiotic-related adverse … events, understanding how to analyze the causes of these events, and finding multidisciplinary solutions … and Safety Network Antibiotic Use and Resistance program exists), data on C. difficile laboratory events … difficile infection (CDI), adverse events associated with antibiotic use, infection recurrence, hospital

360. Fall Prevention Toolkit (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
     March 01, 2013 - . † Adverse outcomes (a) Firm mattresses; low beds; appropriate chair heights and depths for easy transfer … and falls prevention) simultaneously and found an overall positive effect on the development of any adverse … However, Oliver and colleagues also note “so little empiric evidence on adverse effects of fall prevention … Fewer adverse events as a result of the SAFE or SORRY? … events.