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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - Standard forms for the data collection and model procedures for the uniform
registration of the events … , 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/pcor/library-of-resources/index.html
April 01, 2021 - Studies
Blog
AHRQ Views
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AHRQ News Now
Events … database , which contains information on study participants and a summary of study outcomes, including adverse … events.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - communicators who participate in conversations
with patients, families, and caregivers following an adverse … demonstrate all of the skills and competencies should be involved in delivering communication about adverse … events to patients, families, and caregivers. … Future events are simply described. … Conventional Responses can include…
■ Describe Mary’s current condition and the events that led up to
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www.qualitymeasures.ahrq.gov/teamstepps/instructor/reference/teamattitudesmanual.html
April 01, 2017 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … safety, leadership, interpersonal interactions, attitudes toward stress, and knowledge of how to report adverse … events ( Sexton, et al., 2006 ). … Adverse events may be reduced by maintaining an information exchange with patients and their families
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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-facnotes.docx
May 01, 2017 - Studies have found that communication failures are the cause of up to 80 percent of operating room adverse … events. … Furthermore, lack of communication has resulted in serious patient safety events such as teams performing … Use of the briefing card led to a drop in wrong-site surgeries and other adverse events. … Slide 43
SAY:
Studies show that many times when adverse events occur in the surgical environment,
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - Care 1
INTRODUCTION
High rates of readmissions are a major patient safety problem associated with adverse … events
such as prescribing errors and misdiagnoses of conditions in the hospital and ambulatory care … As the evidence base for reducing adverse events and readmission from the primary care setting
grows … role of the primary care team
in improving quality and safety for patients and reducing postdischarge adverse … events and
potentially preventable readmissions.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
May 08, 2008 - one study, language barriers are associated with
1
2
an increased risk for serious medical events … during pediatric hospitalizations.12 For patients with
LEP, adverse events occurring during hospitalization … Are language
barriers associated with serious medical events in
hospitalized pediatric patients? … Language
proficiency and adverse events in U.S. hospitals: A
pilot study.
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www.qualitymeasures.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
April 01, 2023 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Guidance
Supplemental Items
Using CAHPS Surveys
CAHPS Databases
Webcasts & Recent Events … possibility of delays in care, which generates greater anxiety and contributes to a greater risk of adverse
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamattitudesmanual.pdf
October 01, 2008 - safety, leadership, interpersonal interactions, attitudes toward stress, and
knowledge of how to report adverse … events (Sexton, et al., 2006). … Adverse events may be reduced by maintaining an information exchange with patients and their families
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Maternity-Care-Measures.pdf
February 23, 2012 - events during childbirth. … The Work Group also aimed to develop an
outcome measure assessing adverse events during birth. … problems with this measure, such as risk adjustment, attribution, and the very low
incidences of these events … events at this time. … Adverse effects of prenatal alcohol exposure can range from
subtle developmental problems, or fetal
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
April 01, 2016 - Measure Exceptions
Adverse effect, allergy, or intolerance to Aspirin and Plavix (Clopidogrel). … Ischemic Vascular Disease
Secondary prevention is where the evidence is the best
Reduces risk of vascular events
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-COPD.pdf
June 02, 2021 - sputum purulence plus either
worsened shortness of breath or increased sputum production.1-3
• Known adverse … events associated with antibiotics should be carefully weighed against the potentially
marginal benefits
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
March 01, 2013 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … Pay special attention to medicines for which the adverse consequences of taking them incorrectly are … Interventions for patients reporting feeling worse since discharge due to primary discharge diagnosis, adverse
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
September 01, 2022 - While antibiotics do not help with cough, they can put patients at risk for adverse events that may necessitate
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-mc4-fullreport.pdf
July 01, 2016 - Maternal obesity is associated with adverse pregnancy outcomes, including increased risk for
gestational … per physician and two, at the
average number of quality reporting events per physician. … We set the minimum number required
as 10 events. … bias introduced by the inclusion of physicians without a significant
numbers of events. … The CPP states this important measure of addressing obesity can help
to reduce adverse maternal and
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www.qualitymeasures.ahrq.gov/hai/universal-icu-decolonization/universal-icu-ape4.html
September 01, 2013 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Safety and Adverse Events
Protocol Training, Part 1: Mupirocin
Background
2% Topical
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www.qualitymeasures.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-ape4.html
September 01, 2013 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Safety and Adverse Events
Protocol Training, Part 1: Mupirocin
Background
2% Topical
-
www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/index.html?page=7
January 01, 2016 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … User Liaison Program (ULP)
(4)
WebM&M
(5)
Topics
Access to Care
(14)
Adverse … Drug Events (ADE)
(5)
Asthma
(2)
Behavioral Health
(16)
Blood Clots
(15)
Blood Thinners
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report.pdf
January 01, 2022 - safety events
they reported in the past 12 months. … Hospit al management seems int erest ed in patient safety only after
an adverse event happens. … patient sa fety events have you reported? … Strongly Disagree/Disagree
Hospital management seems interested in patient
safety only after an adverse … Strongly Disagree/Disagree
Hospital management seems interested in patient safety only
after an adverse
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/health-share-of-oregon-case-study.pdf
September 01, 2016 - specifically, how disparities affect health),
disabilities due to mental health, trauma-
informed care and adverse … Learn more about the Webcast at
http://www.ahrq.gov/cahps/news-and-
events/events/webinar-041316.html … http://www.ahrq.gov/
mailto:cahps1@westat.com
http://www.ahrq.gov/cahps/news-and-events/events/webinar