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Showing results for "adverse events".
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781. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
     May 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Studies have found that communication failures are the cause of up to 80 percent of operating room adverse … events. … Use of the briefing card led to a drop in wrong-site surgeries and other adverse events. … Voicing Concerns in the Surgical Environment Is Important Say: Studies show that many times when adverse

782. References | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-refs.html
     September 01, 2013 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Safety and Adverse Events 1. Klevens RM, Edwards JR, Richards CL Jr, et al.

783. References | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/universal-icu-decolonization/universal-icu-refs.html
     September 01, 2013 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Safety and Adverse Events 1. Klevens RM, Edwards JR, Richards CL Jr, et al.

784. Discussion | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/data/apcd/backgroundrpt/discuss.html
     April 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … ordering of laboratory testing or imaging, outpatient visits for chronic disease, and ambulatory care for adverse … events following ambulatory surgery or hospitalization. 8 , 9 Pediatric care.

785. Postdischarge Followup Phone Call Script (Patient Version) | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/red/toolkit/postdischarge-phone.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 … Medicines High Alert Medicines Use the guide below to help monitor medicines with significant risk for adverse … events.

786. AHRQ New Models of Primary Care Workforce and Financing - Executive Summary (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/workforce_executive_summary_0.pdf
     October 01, 2016 - traditional “promotora,” or health promoter, roles in the community, conducting outreach at community events … Cutting-edge innovation: Practices use screening tools such as the Adverse Childhood Events Survey to

787. Facilitator-Notes (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
     March 01, 2017 - In addition, the toolkit can enable teams to address root causes of adverse events more effectively. … It investigates events or safety concerns, and determines an appropriate course of action with the employees

788. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/pichert.html
     August 01, 2017 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home James W. … Patient complaints and adverse surgical outcomes. Am J Med Qual 2016; 31(5):415–22. xxix.

789. Appendix E. Training and Educational Materials | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/universal-icu-decolonization/universal-icu-ape.html
     September 01, 2013 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Safety and Adverse Events Daily Chlorhexidine Bathing Patient Information Why the special

790. Appendix E. Training and Educational Materials | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-ape.html
     September 01, 2013 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Safety and Adverse Events Daily Chlorhexidine Bathing Patient Information Why the special

791. TeamSTEPPS 2.0 Module 3: Communication
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule3.pptx
     December 01, 2005 - * 2010 - 2012: Ineffective communication among top 13 root causes of sentinel events reported ** * ( … JC Root Causes and Percentages for Sentinel Events (All Categories) January 1995−December 2005) ** (JC … As a patient safety officer, I covered all our sentinel events, as well as any other adverse events, … which may not have been sentinel events. … We use it in our adverse event reports.

792. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/instructor/scenarios/icu.html
     March 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Discuss how an unmanaged workload may lead to adverse outcomes for a patient.

793. Nursing Home Workplace Safety Resource List (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
     January 01, 2023 - page provides tips to encourage staff members to report conditions that could lead to near-misses or adverse … events.

794. Section 3: Selecting and Targeting Populations for a Care Management Program (continued) | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3a.html
     October 01, 2014 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Patients and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … √ Review potential drivers or predictors of adverse health outcomes. … currently available data to prospectively identify specific individuals who are at high-risk of having adverse

795. The Sometimes Antibiotics” Diagnoses: Sinusitis – Facilitator Guide (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-guide.docx
     September 01, 2022 - 7 days also may be adequate for children, and are likely associated with less antibiotic-associated adverse … events.

796. Presentation: Program Overview
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
     June 01, 2021 - Antibiotic Stewardship Team meetings Use the Staff Safety Assessment and Learning From Antibiotic-Associated Adverse … Events forms to identify problems Discuss problems and identify another area to improve with an intervention

797. Strategy 2: Communicating for Improve Quality (Tool 6) (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pdf
     May 24, 2013 - Research shows patient-centered communication can improve: – Patient safety • More than 70 percent of adverse … events caused by breakdowns in communication – Patient outcomes, including emotional health, functioning

798. PowerPoint Presentation
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pptx
     April 12, 2018 - Miscommunication and omissions can lead to medical errors and adverse events.

799. Preventing Pressure Injuries in Hospitals
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
     June 16, 2017 - 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. … Memo on never events, July 7, 2008.

800. Warm Handoff Plus (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pdf
     April 12, 2018 - Miscommunication and omissions can lead to medical errors and adverse events.