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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/discussion-guide.docx
March 01, 2017 - Moreover, these survey results are useful for measuring organizational conditions that can lead to adverse … events and resident harm in the nursing home.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - abdominal surgeries, and is
associated with significant risk of mortality between 14% and 50%.1 Other adverse … events
include prolonged length of stay, subsequent surgeries and incisional herniation.2,3
• Proper
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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/pharmhealthlit/pharmlit/kripalani.ppt
January 01, 2010 - 29% correct
Medication adherence
Adverse drug events (?) … Anecdotal evidence of making mistakes with their medications and experiencing more adverse drug events … Using Plain Language:
What could we say instead of…
Adverse reaction
Hypoglycemia
PRN
Suppository
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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
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www.qualitymeasures.ahrq.gov/sops/bibliography/index.html?page=3
January 01, 2024 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Impact of patient safety culture on missed nursing care and adverse patient events.
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www.qualitymeasures.ahrq.gov/workingforquality/events/webinar-2014-qdr-working-together-to-improve-health-care.html
November 01, 2016 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … years, I think it is now, and in so doing they've been able to demonstrate great results in decreasing adverse … medication events. … https://www.ahrq.gov/workingforquality/events/webinar-2014-qdr-working-together-to-improve-health-care.html
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
April 01, 2022 - Perhaps the most obvious harms are allergies and adverse effects (like renal failure) from antibiotics … However, to improve retention, tell stories about adverse events so they feel real and personal to ICU
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - foreign objects avoidable.1
• Retained foreign objects represent a serious and significant patient adverse … Chasing zero events of harm: an urgent call to expand safety culture work and
customer engagement.
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/discussion.html
October 01, 2019 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Moreover, these survey results are useful for measuring organizational conditions that can lead to adverse … events and resident harm in the nursing home.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_ig_intro.pdf
January 01, 2007 - drug events;
– Prevent central line infections;
– Prevent surgical site infections; and … events.
2016
• CMS released new long-term care regulations, which included the
mandate for all nursing … clinical decisionmaking by using the electronic medical record to track patients at risk for costly adverse … events … events
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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
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-slides.pdf
February 24, 2022 - Reviewing the evidence
No large safety trials
comparing hybrid to
onsite
In general, major
adverse … events are rare
in facility-based CR. … 3)
Among patients with
stable heart failure, CR
is NOT associated with
an increased risk of
events … share their experiences
23
Benefits to Programs: Coping with Additional Demand
24
CR qualifying events … increase referrals to CR
• Disruptions in patient care system may cause additional
CR qualifying events
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/chapter-2.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 … point could be the facility's readmission rates (the Finance department usually creates these data), adverse … drug events (ADEs) for the facility (the Pharmacy department usually collects these data), or data specific
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternity.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
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternitycare.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
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084maternity.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
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082maternity.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
-
www.qualitymeasures.ahrq.gov/health-literacy/improve/pharmacy/guide/app-3.html
November 01, 2019 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Common severe side or adverse effects, interactions and contraindications that can happen, including
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
September 01, 2017 - Studies
Blog
AHRQ Views
Newsletter
AHRQ News Now
Events … Patients and Families
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … understanding that even small failures in safety protocols or processes can lead to catastrophic or adverse … events if action is not taken to solve the problem.