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Showing results for "adverse events".
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401. AHRQ Efforts To Address Long COVID | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/coronavirus/long-covid.html
     March 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … pattern and progression or worsening over time, with the possibility of severe and life-threatening events … to improve the care of people living with multiple chronic conditions who are at increased risk for adverse

402. TeamSTEPPS Implementation Guide | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/instructor/essentials/implguide.html
     November 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … supporting the need for a TeamSTEPPS Intervention could originate from a variety of sources, including adverse … Available organizational data, (e.g., adverse event and near miss reports, AHRQ Patient Safety Culture … so that facilities may also use the Guide to develop TeamSTEPPS Action Plans in response to sentinel events

403. The Ten Steps of Action Planning  | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/instructor/essentials/implguide1.html
     November 01, 2018 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … You may start by doing simple counts of your target events or clinical outcomes and displaying these … Prophylactic Antibiotic Administration Number of patients admitted to labor & delivery who incurred an adverse … event or near miss / Total number of patients admitted to labor & delivery = Rate of Labor & Delivery Adverse … & Near-Miss Events Number of live-born full-term neonates with birth trauma (injury) / Total number

404. Glossary | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/questions/resources/glossary.html
     November 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Top of Page M   Medical Error: An unintended but preventable adverse effect of care, whether or … Morbidity also refers to adverse effects caused by a treatment.

405. Making Effective Behavior Changes Around Antibiotic Prescribing (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-facilitator-guide.pdf
     November 01, 2019 - prescribed for suboptimal reasons: Prescribers may fear “failing” to cover certain organisms may lead to adverse … are always safe because of a difficulty in perceiving the association between antibiotic use and adverse … events, which may occur after they are no longer caring for the patient. … in both groups, but patients who received the longer course were twice as likely to experience an adverse

406. AHRQ Research Priorities and Compliance Guidance | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/funding/policies/nofoguidance/index.html
     January 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Surveillance, measurement, detection, and reporting of patient safety events. … Determination of the clinical efficacy and effectiveness of preventive interventions, including unintended adverse

407. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
     October 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events

408. Information Items | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/readiness/informationitems.html
     April 01, 2016 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Objective information can originate from a variety of sources, including adverse event and near-miss

409. Manage-Resident-Uti-Facilitator-Guide (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
     June 01, 2021 - We have learned that unnecessary antibiotics needlessly put individual residents at risk for adverse … This is a good choice with a relatively low adverse event profile. … Health-care practitioners should use the Learning From Antibiotic Adverse Events form and be encouraged

410. Behavioral Health Risk Assessment (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0085-fullreport.pdf
     December 31, 2015 - convention is to estimate reliability at two points: (1) at a minimum number of quality reporting events … per physician and (2) at the average number of quality reporting events per physician. … We set the minimum number required as 10 events. … Limiting the reliability analysis to only those physicians with a minimum number of events reduces the … bias introduced by the inclusion of physicians without a significant number of events.

411. Module 1: Overview - Facilitator Notes | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-fac-notes.html
     June 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … ASCs have an excellent safety record, but events do happen. … checklists and other examples of safety standard work can help you avoid both near misses and serious safety events … An analysis of risk factors and adverse events in ambulatory surgery .

412. Presenting Facts and Addressing Misinformation to Increase Nursing Home Staff Confidence in the COVID-19 Vaccine (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-curriculum-learning-guide-staff.pdf
     March 01, 2021 - o The Vaccine Adverse Event Reporting System (VAERS – pronounced “vairs”), managed by the CDC and the … Events Reported after COVID-19 Vaccination | CDC https://www.youtube.com/watch? … • The Vaccine Adverse Event Reporting System (VAERS (pronounced “vairs”)), managed by the CDC and … Vaccines and Allergic Reactions • CDC - V-Safe After Vaccination Health Checker App 2 Selected Adverse … Events Reported after COVID-19 Vaccination | CDC https://www.cdc.gov/vaccines/covid-19/toolkits/long-term-care

413. Chapter 6. Assessment and Process Evaluation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/chapter-6.html
     July 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 … The third measure identifies adverse drug events (ADEs) from unreconciled medication on admission.

414. Appendix II: Relevant ACPE Standards | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/health-literacy/professional-training/pharmacy/app-2.html
     September 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Identifying and reporting medication errors and adverse reactions.

415. Resource List - AHRQ Nursing Home Survey (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - These organizations consistently minimize adverse events despite carrying out intrinsically complex and … events and close calls. … events, and near-misses. … • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement. … drug events (ADEs).

416. Just Culture Webcast November 2016 (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
     June 01, 2017 - She leads the analytics of all serious adverse events, and her current project schedule includes improving … alarm safety, TeamSTEPPS, peer support learning following adverse events, and participation in the … There are also two outcome items, Patient Safety Grade and Number of Events Reported in the Past 12 Months … that we might search for policies related to, like corrective action, our sentinel event policy, our adverse … It helps us to improve our offerings and plan future events that meet your needs.

417. Applying the AHRQ Quality Indicators to Hospital Data (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
     March 01, 2016 - Expected rate = Expected events/Eligible population Risk-adjusted rate = (Observed events/Expected … = for each QI indicator, the total sum of events that occurred in the eligible population for that … specific indicator Expected events = for each QI indicator, the total sum of events expected to occur … The expected probabilities for the set of discharges are summed to obtain the number of expected events … (Note that a lower rate for a PSI signifies better performance because fewer adverse events have occurred

418. Strategies to Improve Communication Between Pharmacists and Patients | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/health-literacy/improve/pharmacy/guide/strategies.html
     September 01, 2020 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Anecdotal reports of greater adverse drug events because of medication mistakes. … Instead of adverse reaction, say side effect. Instead of hypoglycemia, say low sugar.

419. Strategy 3: Bedside Shift Report (Tool 3)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
     July 23, 2010 - For example, one study found that more than 70 percent of adverse events are caused by breakdowns in … As noted above, one study found that more than 70 percent of adverse events are caused by breakdowns … infections, and air embolism, all of which are on CMS’s list of hospital-acquired complications “never events … successful transfer of information between nurses going off duty and nurses coming on duty to prevent adverse … events and medical errors.

420. AHRQ Views Blog Post: With TeamSTEPPS 3.0, AHRQ Refreshes a Landmark Patient Safety Training Curriculum | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/880.html
     September 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … section News Newsroom Blog Newsletter AHRQ News Now Events … of implementation factors related to addressing social determinants to reduce racial disparities in adverse