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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
March 01, 2016 - is aimed at preventing inappropriate and unnecessary episiotomies during birth,
which can lead to adverse … The evidence behind the inappropriate use of episiotomy and its link to an increased risk of
adverse … We set the minimum number required
as 10 events. … events. … events were 0.77 and 0.34, respectively.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-slides.pptx
June 01, 2021 - from the Monthly Data Collection Form
Use the Staff Safety Assessment and Learning From Antibiotic Adverse … Events forms to identify problems
Discuss problems and identify interventions
Designate an individual
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www.qualitymeasures.ahrq.gov/teamstepps/readiness/index.html
August 01, 2015 - Studies
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Events … Objective information can originate from a variety of sources, including adverse event and near-miss
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
March 01, 2020 - One particular challenge identified by Armor was the high rate of adverse drug events and
lack of systematic … In addition, patients experienced: medication
problems and adverse events, issues with follow-up appointments … Addressing post-discharge adverse events: a neglected
area. … Evaluation of adverse drug events and medication
discrepancies in transitions of care between hospital … The incidence and severity of adverse events
affecting patients after discharge from the hospital.
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www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/uneven-impact-covid19.html
December 01, 2021 - Studies
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Events … this section
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Events
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www.qualitymeasures.ahrq.gov/patient-safety/resources/learning-lab/index.html
February 01, 2024 - drug events. … Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general … drug events. … patient safety events. … events, and improve efficiency for ED healthcare providers.
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www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/addressing-historical-racism.html
April 01, 2021 - Studies
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Events … this section
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www.qualitymeasures.ahrq.gov/workingforquality/events/webinar-using-measurement-for-quality-improvement.html
November 01, 2016 - Studies
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Events … getting some feedback on today's session and we would like to use that feedback to help plan more Webinar events … care with the measurements of mortality with the measurements of readmissions with the measurements of adverse … events and the measurements of evidence-based care well enough. … https://www.ahrq.gov/workingforquality/events/webinar-using-measurement-for-quality-improvement.html
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
January 01, 2013 - Studies
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Events … Number-between g-type statistical quality control charts for monitoring adverse events. … In particular, try to determine whether the falls are irregular events (e.g., a patient's first-ever … Root cause analysis is a systematic process during which all factors contributing to an adverse event … Surveys may be helpful in certain circumstances but rely on staff members' recall of specific events,
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
July 25, 2018 - HAIs are a particularly important topic for us, as are all patient safety events and event types. … First, by preventing errors and adverse events. … And third, tracking and providing feedback about
adverse events. … There's many ways we think about that prevention of errors piece, which was in the first bullet in adverse … events
using IT.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
March 01, 2024 - able to use Measure Dx to guide their efforts to detect, analyze, and
learn from diagnostic safety events … IHS • Existing Activities Regarding Diagnostic Safety
o Voluntary adverse event report via I-STAR. … optimize this effort, as they are focused on root cause analysis
standardization to help in identifying events
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www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module6/ebmutualsupport.html
March 01, 2014 - Studies
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Events … reduce hospital costs by 19 percent, 15 increase staff understanding of goals, 16 reduce patient adverse … events, 15,17 reduce mortality, 18 and reduce malpractice suits by 50 percent. 15
Research has demonstrated
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
December 01, 2022 - Standard forms for the data collection and model procedures for the uniform
registration of events are … , such as
medication prescriptions and laboratory test results that are relevant to patient safety events … Measures and modules included in calculation of adverse event rates
Measure Module
One or more adverse … outcomes Birth - Maternal
Adverse event associated with hypoglycemic agent Medication
Adverse event … events Pressure Ulcer
Venous thromboembolism/pulmonary embolism (VTE/PE)
not related to procedure
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.html
July 01, 2017 - Studies
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Events … with antimicrobial therapy. 3 Overuse of antibiotics can lead to antimicrobial resistance, medication adverse … events, and potential Clostridium difficile ( C. diff ) infection.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
February 28, 2022 - Measurement
Level IV Results From PSIs:
Provide information on potential in-hospital complications and adverse … events. … Can help identify potential adverse events that might need further study. … Include indicators for in-hospital complications that may represent patient safety events.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/ebmutualsupp.pdf
January 01, 2013 - 14 reduce hospital costs by 19 percent,15
increase staff understanding of goals,16 reduce patient adverse … events,15 ,17 reduce
mortality,18 and reduce malpractice suits by 50 percent.15
Research has demonstrated
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_support_evbase.pdf
January 01, 2013 - 14 reduce hospital costs by 19 percent,15
increase staff understanding of goals,16 reduce patient adverse … events,15 ,17 reduce
mortality,18 and reduce malpractice suits by 50 percent.15
Research has demonstrated
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www.qualitymeasures.ahrq.gov/sops/bibliography/index.html?page=8
January 01, 2024 - Studies
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Events … Exploring relationships between hospital patient safety culture and adverse events.
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www.qualitymeasures.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/overview.html
July 01, 2021 - Studies
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www.qualitymeasures.ahrq.gov/funding/grantee-profiles/grtprofile-trautner.html
October 01, 2023 - Studies
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Events … Taking prescription antibiotics without a prescription increases the risk of antibiotic resistance, adverse