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pbrn.ahrq.gov/sites/default/files/wysiwyg/data/infographics/adverse-drug-events.pdf
July 02, 2015 - Adverse Drug Events occurring in U.S. … Hospitals
0 10 20 30 40 50 60 70 80
Adverse Drug Events
Occurring in U.S.
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pbrn.ahrq.gov/data/infographics/adverse-drug-events.html
August 01, 2018 - Information Knowledgebase
Data Sources Available from AHRQ
Adverse Drug Events Occurring … Hospitals
Adverse Drug Events Occurring in U.S. … August 2018
Page originally created August 2018
Internet Citation: Adverse Drug Events Occurring
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pbrn.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
March 01, 2021 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events.
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pbrn.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - National Academy of Medicine report that elevated awareness of longstanding risks and patient harms occurring … inaugural report consisted of 50 patient safety practices in eight categories encompassing commonly occurring
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pbrn.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a
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pbrn.ahrq.gov/tools-and-resources/pbrn-literature/controlled-trial-methods-managing-pain-primary-care-patients-or
January 07, 2022 - A controlled trial of methods for managing pain in primary care patients with or without co-occurring
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pbrn.ahrq.gov/funding/training-grants/index.html
December 01, 2022 - AHRQ’s training opportunities are designed to prepare researchers to address the vast changes occurring
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pbrn.ahrq.gov/teamstepps/readiness/abouttips.html
April 01, 2016 - Identify all the changes that are currently occurring within the organization, determine who the changes … Identify current safety and quality initiatives (e.g., Lean Six Sigma) that may be occurring within the … For example, TeamSTEPPS behaviors can be used during normally occurring handoffs to enhance information
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Slide 18
Say:
Once the CANDOR system is activated, two processes are occurring at the same … Investigation: to determine how the event occurred, and how to mitigate that event or even prevent it from occurring … organization as a whole, with feedback on the investigation and its plans to prevent the adverse harm from occurring … allowing for clarification and improvement of the CANDOR processes and preventing similar harm events from occurring … along with information as to what action the organization is taking to prevent a similar event from occurring
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pbrn.ahrq.gov/pbrn-registry/register-your-network
February 12, 2021 - Summary Slides
Register Your Network
Recognizing the tremendous growth occurring
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pbrn.ahrq.gov/ncepcr/communities/pbrn/registry/register.html
January 01, 2022 - Register Your Network
Register Your Network
Recognizing the tremendous growth occurring
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - Slide 18
Say:
Once the CANDOR system is activated, two processes are occurring at the same
time: … Investigation: to determine how the event occurred, and how to mitigate that
event or even prevent it from occurring … organization as a whole, with
feedback on the investigation and its plans to prevent the adverse harm from
occurring … for clarification and improvement of the
CANDOR processes and preventing similar harm events from occurring … along with information as to what action the organization
is taking to prevent a similar event from occurring
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
August 01, 2022 - Return to Contents
Session Preparation
The purpose of the focus group sessions is to learn what is occurring … Advise participants that the focus is on learning about what is occurring at the institution as stated
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pbrn.ahrq.gov/priority-populations/observances/hispanic-heritage/index.html
October 01, 2021 - psychiatric perspective when they are fully interviewed in their own language, with the translation occurring
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
August 01, 2022 - organization can demonstrate its commitment to making sure steps are taken to prevent a similar event from occurring … What is occurring in your legal community regarding medical litigation?
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - Response, Mitigation, Prevention
Module 1
19
Once the CANDOR system is activated, two processes are occurring … Investigation: to determine how the event occurred, and how to mitigate that event or even prevent it from occurring … organization as a whole, with feedback on the investigation and its plans to prevent the adverse harm from occurring … allowing for clarification and improvement of the CANDOR processes and preventing similar harm events from occurring … along with information as to what action the organization is taking to prevent a similar event from occurring
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pbrn.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
August 01, 2022 - Some signs suggest that progress is occurring.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
March 08, 2019 - Representatives provided a brief description of the diagnostic safety research activities occurring
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pbrn.ahrq.gov/tools-and-resources/pbrn-literature/pbrn-bibliography-by-author
January 01, 2015 - A controlled trial of methods for managing pain in primary care patients with or without co-occurring
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
March 01, 2023 - While radiation therapy has relatively low error and injury rates, studies show that most errors occurring