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Showing results for "adverse events".
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81. Slide 1
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro.pptx
    January 01, 2010 - critical role in providing quality health care Clinical outcomes include: 50% reduction in the Weighted Adverse … Outcome Score, which describes the adverse event score per delivery 50% decrease in the Severity Index … , which measures the average severity of each delivery with an adverse event (Mann, et al., 2006) Reduced … rate of adverse drug events Improved medication reconciliation at patient admission (Haig, et al., 2006

82. Silence A Commentary | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/reports/liability/silence.html
    August 01, 2017 - 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 Carole Hemmelgarn Three … Some of the key elements of CRPs are reporting and responding to adverse events, continuous communication … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals.

83. Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/programs/index.html?page=2
    April 28, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … To reduce HACs and other adverse events in hospitals, frontline clinicians and others use many of the … uses electronic medical records to develop weekly reports that identify residents at risk of common adverse … events in nursing homes to help clinical staff intervene early.

84. Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
    July 01, 2023 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures. … Simulations—that an L&D unit can use to teach team members how to apply CUSP to prevent obstetrical adverse … events.

85. Health Systems Research | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/opioids/health-systems-research.html
    July 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Older adults have a high prevalence of chronic pain and are especially vulnerable to adverse events from … Characterizing Opioid-Related Adverse Events in Older Adults After Hospital Discharge.  … Prescribing of opioids at hospital discharge and associated adverse patient outcomes.

86. Table 7.B (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-6b-table-b1.pdf
    February 02, 2018 - Table 7.B Table VI.B.1 Identifying a record with one or more adverse … events Specificity Sensitivity Internal primary reviewers vs External expert primary reviewers 0.91

87. Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/848.html
    January 01, 2023 - section News Newsroom Blog Newsletter AHRQ News Now Events … published in the journal Cancer found that 10 percent of children with leukemia or lymphoma experienced adverse … drug events due to outpatient medication errors. … systematic review, from AHRQ’s Effective Health Care Program, also found PBI had significantly fewer acute adverse … events than WBI, though there was no apparent difference in late adverse events.

88. Acknowledgments | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/reports/liability/acknowledgements.html
    August 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 … 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 Advances in Patient Safety

89. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/research/findings/evidence-based-reports/search.html
    April 01, 2024 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Affiliation: RTI International—University of North Carolina at Chapel Hill Report Status: Final Adverse … Status: Final Computerized Clinical Decision Support To Prevent Medication Errors and Adverse … International—University of North Carolina at Chapel Hill Report Status: Final Reducing Adverse … Drug Events Related to Anticoagulant Use in Adults Date: January 2024 Report Type: Rapid Evidence

90. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/pqmp/measures/global-assessment.html
    August 01, 2021 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Pediatric Patient Safety PQMP COE:  CEPQM Associated NQF # and Name:  3136, GAPPS: Rate of Preventable Adverse … Events Per 1,000 Patient-Days Among Pediatric Inpatients Products: Full Report  (PDF, 289.7 KB)

91. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
    August 01, 2022 - ensure that these tiers of support are provided to caregivers after they have in been involved in an adverse … responsible for item or Action Plan Reporting Culture Are policies in place to support reporting adverse … clinical events? … Does your facility review patient safety events openly and share lessons learned? … YES  NO       Adverse Event Investigation Process Is an adverse event policy in place?

92. Infographic - New AHRQ Report Compares Early Stage Breast Cancer Radiotherapy Approaches (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/data/infographics/breast-cancer-radiotherapy.pdf
    February 21, 2023 - Cancer-Free Survival Outcomes Similar at 5 and 10 Years Whole Breast Irradiation (WBI) Acute Adverse … Events Were Significantly Fewer With PBI Compared With WBI Partial Breast Irradiation (PBI)

93. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
    May 17, 2016 - regarding the definition of true postoperative respiratory failure, it still remains an important patient adverse … at increased risk for postoperative respiratory failure to better prepare clinicians to anticipate adverse … events postoperatively, as well as improve allocation of resources after surgery.5 • Some risk factors … Decreased central nervous system input (head injury, ingestion of central nervous system depressant, adverse … Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality

94. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
    October 01, 2017 - events? … events Through a noninvasive interface after HMV, BPAP, or CPAP Patients with chronic respiratory … (KQ 5) Adverse Events using the “CBK” approval code and home BPAP machines using the “MNT” and “ … These physiologic aberrations may result in several adverse outcomes that include, but are not limited … events Timing • At least 1 month of treatment Setting • Home • Assisted living residence

95. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - events. … To emphasize the importance of eliminating the occurrence of adverse events and ADEs, several health … The incidence and severity of adverse events affecting patients after discharge from the hospital. … Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from … National burden of preventable adverse drug events associated with inpatient injectable medications:

96. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - Do they believe the organization is aware of all the patient harm events? … Have they heard of events that should have been reported but were not reported? … Other methods of reporting CANDOR events may include in-person reporting. … The sole objective of the Event Investigation and Analysis of an adverse event or near miss is to prevent … future adverse events.

97. TeamSTEPPS for Office-Based Care: Introduction | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/teamstepps/officebasedcare/module1/office_intro.html
    February 01, 2016 - Studies Blog AHRQ Views Newsletter AHRQ News Now Events … Clinical outcomes include: 50% reduction in the Weighted Adverse Outcome Score, which describes the … adverse event score per delivery. 50% decrease in the Severity Index, which measures the average severity … of each deliverty with an adverse event. ( Mann, et al., 2006 ). … Reduced rate of adverse drug events.

98. Board and Senior Leadership PowerPoint Presentations on the AHRQ Quality Indicators (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
    October 01, 2015 - • AHRQ QIs are indicators of hospital quality and adverse events that patients may experience as … • Pediatric Quality Indicators (PDIs) reflect quality of care inside hospitals and adverse events … • The PSIs are a set of 18 hospital-level indicators of safety-related adverse events following operations … and Safety • The PDIs are a set of 16 indicators that reflect quality of care inside hospitals and adverse … • PDIs measure events likely preventable through changes at the system or provider level.

99. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
    May 01, 2017 - This can help prevent safety events and/or medical errors. … Report to appropriate parties – Providers will use their facility’s policies to report adverse events … Communication about adverse events is a delicate process that requires collaboration with and guidance … Organizations should be prepared to respond and communicate proactively when adverse events occur. … , to Responding to Adverse Events).

100. Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/research/findings/studies/index.html?page=484
     January 01, 2024 - Drug Events (ADE) (321) Adverse Events (737) Alcohol Use (61) Ambulatory Care and Surgery … Keywords: Adverse Events, Falls, Hospitals, Patient Safety, Prevention Braithwaite S , Friedman … events. … events. … Keywords: Adverse Events, Hospitals, Medical Errors, Patient Safety, Quality Indicators (QIs)