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www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
July 01, 2023 - Studies
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Patient Safety News and Events … If successful, maternal and neonatal adverse events will decrease.
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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.
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www.qualitymeasures.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
July 01, 2022 - Studies
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FAQs
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Patient Safety
Patient Safety News and Events … Patients and Families
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Patient Safety News and Events … https://www.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
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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
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
April 12, 2018 - .
■ Answer your questions.
1 in 9
emergency
department admissions
are related to an
adverse drug
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/867.html
June 01, 2023 - Studies
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Events … The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study .
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
May 01, 2011 - to adverse events. … health care and
whose members, employees, or affiliate entities may be the subjects of reports about adverse … to adverse events. … health care and whose members, employees, or
affiliate entities may be the subjects of reports about adverse … events
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Teamwork_in_QI_2012_02_01_Transcript.pdf
January 01, 2012 - Health Policy,
Saint Vincent College
Presentation Available
https://www.cahps.ahrq.gov/News-and-Events … access to those results or lower quality
of care with potential safety issues, such as we see with adverse … https://www.cahps.ahrq.gov/News-and-Events/Podcasts.aspx
Teamwork in Quality Improvement
February
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/index.html
June 01, 2023 - Studies
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Events … : Older Adults Publication Date: August 2022
Management of Direct Anticoagulants to Lower Adverse … Events in Atrial Fibrillation (MODL-AF) ( application/pdf 412143 ) Principal Investigators: King
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/894.html
December 01, 2023 - Studies
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Events … region, is applying a human factors engineering approach to healthcare delivery to reduce patient safety events … including a toolkit to help introduce emergency medicine clinical pharmacist programs to hospitals to avoid adverse … drug events in emergency department patients.
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www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/epc-program-evidence-reviews.html
January 01, 2022 - Studies
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Events … That includes adverse effects resulting from the unnecessary use of antibiotics, like Clostridium difficile
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www.qualitymeasures.ahrq.gov/nhguide/about/index.html
March 01, 2023 - Studies
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Events … resident over the study period and, when taking into consideration the potential costs of treating adverse … health events, the cost savings was $1,098 per resident. 2
Why Is Antimicrobial Stewardship Important
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www.qualitymeasures.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
November 01, 2022 - Studies
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Events … The preventable harms for these medication errors include adverse drug events (ADEs), unscheduled hospital
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www.qualitymeasures.ahrq.gov/sdoh/about.html
February 01, 2020 - Studies
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Events … Trauma (e.g., adverse childhood experiences, domestic violence, elder abuse).
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/861.html
April 01, 2023 - Studies
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Events … Understanding patient and clinician reported nonroutine events in ambulatory surgery. … Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/854.html
March 01, 2023 - Studies
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Events … non-Hispanic Black adult hospital patients who received a hypoglycemic agent experienced a related adverse … In 2019, the rate of severe maternal morbidity events was 12.3, 8.7 and 8.2 per every 1,000 delivery
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
December 01, 2017 - Studies
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About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … Adverse consequences of falls for residents are listed in Figure 1 .
Figure 1. … Adverse consequences of falls for residents
Reduced quality of life. … Adverse consequences of falls for nursing facilities
Increased paperwork for staff.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - for Ambulatory Surgery
6
Studies show that communication failures are the cause of 80 percent of adverse … for the entire team
Cards were placed in every operating room
Reduced wrong-site surgeries and other adverse … events
Increased staff morale
Reduced nursing turnover
4Shepard S. … Ensures all team members are on the same page
Confirms critical information
Provides a place to discuss adverse … or potentially adverse events that occurred
Facilitates discussion of how to stop problems from reoccurring
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/770.html
June 01, 2021 - Studies
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Events … Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - The board’s tracking of adverse events and delineated types of errors (including near misses) -
focus … ensure they have/are part of QAPI efforts where
appropriate and understand how to identify and report events … complaints in
cardiology and cardiac
surgery
• Patient mortality triple
the norm and rise in
adverse … events and
claims (often lagging
indicators)
• Patient complaints
• Culture of Non-
transparency … • Could a department hide
embarrassing events from
management and the board?