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Showing results for "adverse events".
Users also searched for: patient safety indicators

321. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
     July 01, 2018 - provide an overall grade on patient safety for their work area/unit and to indicate the number of events …  “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Hospital management seems interested in patient safety only after an adverse event happens ......... … Hospital management seems interested in patient safety only after an adverse event happens. … Frequency of Events Reported (Never, Rarely, Sometimes, Most of the time, Always) D1.

322. Planning Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
     July 01, 2019 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Further, M+COs may not recognize the serious adverse health impact that lower levels of cultural competence

323. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4h_pdi10-sepsis-bestpractices.pdf
     May 17, 2016 - Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

324. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
     May 17, 2016 - Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

325. Behavior Therapy as First-Line Treatment for Preschool-Aged Children With ADHD (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-089-fullreport.pdf
     January 30, 2017 - Such adverse effects have been described in the literature as pain, headaches, and sleep disturbance … For the nonstimulant atomoxetine, the adverse effects include initial somnolence and gastrointestinal … For the nonstimulant alpha-2–adrenergic agonists extended-release guanfacine and clonidine, adverse … An uncommon additional significant adverse effect of stimulants is the occurrence of hallucinations … For the nonstimulant alpha-2–adrenergic agonists extended-release guanfacine and clonidine, adverse

326. PQMP Measure Implementation and Quality Improvement Toolkits | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/pqmp/implementation-qi/toolkits.html
     August 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events

327. Metabolic Monitoring for Children and Adolescents on Antipsychotics (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
     February 14, 2018 - of psychiatric disorders in children, these medications are associated with a number of potentially adverse … Fiscal Burden Although there is little research available on the fiscal burden associated with adverse … aspect of proper medication management in this population, as these medications are associated with adverse … Antipsychotics are associated with potentially adverse metabolic impacts that include weight gain, diabetes … Health-care costs of pediatric clients developing adverse events during treatment with antipsychotics

328. Specific Tools To Support Change (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
     January 01, 2011 - • Sentinel events: transfusion reaction, wrong blood type, wrong-site surgery, foreign body left … in during procedure, medical equipment- related adverse events, medication errors … • Other care-related adverse events: patient falls, in-hospital hip fracture or fall http://www.oecd.org … Hospital of Philadelphia annually reviews all findings from root cause analyses of serious safety events … This electronic toolbox provides States with tools they can use or modify as they develop or improve adverse

329. Appendix 3: Data Abstraction (xls file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
     June 24, 2022 - utilization; NEST_data • The specific data elements required to assess performance and outcomes (including adverse … events and their timing) in the course of the disease or treatment; NEST_data • The appropriate settings … expectations or preferences will providers and patients be expected to have regarding benefits and adverse … NAM2019 Likelihood that beneficial or adverse effects would be reported or observed? … expectations or preferences will providers and patients be expected to have regarding benefits and adverse

330. References | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/references.html
     July 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Antipsychotic use in children and adolescents: minimizing adverse effects to maximize outcomes.

331. TeamSTEPPS Rapid Response Systems Module | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.html
     October 01, 2014 - should be prioritized based on the risk to patients and on the prevalence and severity of targeted adverse … events. … Quality Improvement – Supports Activators and Responders by reviewing RRS events and evaluating data … During a team huddle, response team members could: Discuss critical issues and emerging events. … and prescribe a course of action for future events.

332. CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-5.8.pdf
     January 01, 2014 - survey evaluating instances of communication with the pediatrician, referred to as communication “events … Independent raters also coded the communication events from videotapes. … outcomes, self-reported health, adherence to treatment, preventive care, health care resource use, adverse … events, and technical quality of care. … information were obtained from the Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse

333. SITUATION MONITORING (ppt file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
     January 01, 2008 - should be prioritized based on the risk to patients and on the prevalence and severity of targeted adverse … events. … Quality Improvement – Supports Activators and Responders by reviewing RRS events and evaluating data … During a team huddle, response team members could: Discuss critical issues and emerging events. … and prescribe a course of action for future events.

334. AHRQ's 35th Anniversary | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/cpi/about/35th-anniversary/index.html
     April 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Hospital-Acquired Conditions show that national efforts to reduce hospital-acquired conditions, such as adverse … drug events and injuries from falls, helped prevent an estimated 8,000 deaths and save $2.9 billion

335. Assessing the Availability of the Preconception Component of High-Risk Obstetrical Services by Estimating the Use of Teratogenic Medications Before and During Pregnancy (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
     August 07, 2018 - Additional adverse fetal effects that result in dysfunction of a formed organ or tissue include postnatal … maternal events. … We suggest availability of care is essential for women who are at risk of adverse pregnancy outcomes … The ability to minimize and/or prevent adverse fetal effects due to potentially teratogenic medication … Exposure to teratogens during pregnancy is associated with significant adverse outcomes and occurs with

336. Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-fullreport.pdf
     November 01, 2017 - grams per deciliter for red cell transfusion can decrease transfusion requirements without increasing adverse … events, ICU and hospital LOS, mortality, and daily Pediatric Logistic Organ Dysfunction (PELOD) assessment … infection, gut ischemia, transfusion reactions, stimulation of the inflammatory response, and other events … grams per deciliter for red cell transfusion can decrease transfusion requirements without increasing adverse … is to safely decrease the number of transfusions in PICUs and thereby decrease transfusion-related events

337. Guide to Patient and Family Engagement in Hospital Quality and Safety | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.html
     March 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Primary Care Settings About AHRQ's Quality & Patient Safety Work Patient Safety News and Events

338. TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ) Manual | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.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 ). … The 50-item T-TPQ was tested and refined during three critical events: cognitive interviews, small group

339. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
     August 01, 2022 - physician to observe overt and many times more subtle clues, such as changes in vital signs, sensorium, or events … physician by presenting a case and receiving feedback.42 The study reported a significant reduction in adverse … events and near- misses,42 suggesting that distributed cognition played a role by having the physician … Effect of systematic physician cross-checking on reducing adverse events in the emergency department

340. Technical Specifications and Chart Abstraction Tool (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-tech-specs.pdf
     December 14, 2011 - 7 g per deciliter for red-cell transfusion can decrease transfusion requirements without increasing adverse