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Showing results for "risks".

3461. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
      March 01, 2002 - Reporting of adverse drug events into the hospital’s online Risk Management Event/Incident Entry System … that caused no harm or were intercepted before they reached the patient) captured by BJH’s online Risk … because they are intercepted.40 Reporting Hospital Adverse Drug Events 147 Data sources Risk … During nursing orientation, risk management education introduces staff to the theory of the RMEES and … Incident reporting has played a beneficial role in other high-risk industries such as aviation,51 and

3462. Tobacco Use and Help With Quitting Among Adolescents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-0090-fullreport.pdf
      July 25, 2016 - Health Disparities According to the 2011 Youth Risk Behavior Survey, tobacco use is more common among … Expert Consensus/Evidence Informed Key Finding Bright Futures (2008) - Risk Reduction - Tobacco … Risk Reduction - Tobacco Provide information and/or role-play on how to resist peer pressure to smoke … use when treating children with chronic diseases or health risks such as preterm birth, low birth … Significant Multiple Risk Behaviors Among U.S. High School Students.

3463. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-slides.pptx
      January 01, 2017 - Respiratory deterioration in previously stable patients is a risk factor for increased morbidity and … with chlorhexidine10 Prevents nosocomial pneumonia in cardiac surgery patients May not decrease VAP risk

3464. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
      July 01, 2023 - processes, further aids in the development of high-quality patient care by allowing providers to mitigate risks … speaking up if they do not agree with task assignments and protocols or when they see patient safety risks … ratios exceed best practice based on the unit's acuity and rate of volume change, there is an increased risk … How will you reduce the risk of recurrence? How will you know it worked?

3465. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
      December 01, 2023 - Risk adjusted rates for all applicable QIs are provided Population Targeted The population targeted … Risk adjusted rates for all applicable QIs are provided. … Questions cover behavioral risk factors (e.g., alcohol and tobacco use), preventive health measures, … Behavioral Risk Factor Surveillance System user’s guide. Atlanta, GA: U.S. … Estimates are not risk adjusted.

3466. Final Progress Report: (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
      January 01, 2024 - formal assessments of technology use and communication strategies to manage adults receiving high-risk … prioritizing and responding to messages differently than the sender intended, creating an obvious risk … consortium practices and human subjects challenges precluded detailed chart abstraction and, thus, risk … technologies on patient safety actions in ambulatory oncology practices—care settings that deliver high-risk … with high-quality communication skills across clinicians, are promising strategies to administer high-risk

3467. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Assemble the Team and Engage Leadership
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
      May 01, 2017 - Senior Executive Collaborates To Develop and Implement a Plan Addressing Safety Issues Considers patient risks … identified in the staff safety assessment with team members Involves frontline providers to help reduce risks … Psychological safety is the degree to which team members feel that their environment supports the interpersonal risk … Meet with hospital departments (risk management, quality improvement) to ensure that L&D CUSP efforts … Managing the Risk of Learning: Psychological Safety in Work Teams. In West M, ed. 

3468. Final Progress Report: Do Safety Warnings Change Prescribing Among the US Dialysis Population? (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdf
      January 01, 2024 - Public Health Advisory Recently completed studies found an increased risk of death, blood clots, strokes … risks.” … ESA therapy has serious side effects and might be associated with decreased survival and increased risk … oncology patients was also released on March 2007 and included a mandate that providers engage in a risk … The relative contribution of measured variables to death risk among hemodialysis patients, Chapter 13

3469. Understand-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
      May 01, 2017 - processes, further aids in the development of high-quality patient care by allowing providers to mitigate risks … speaking up if they do not agree with task assignments and protocols or when they see patient safety risks … ratios exceed best practice based on the unit’s acuity and rate of volume change, there is an increased risk … How will you reduce the risk of recurrence? How will you know it worked?

3470. Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
      January 01, 2024 - Additionally, risks of acute liver injury were low among fluconazole, ketoconazole, and itraconazole … Pre- existing chronic liver disease increased risks of aminotransferases >200 U/L (hazard ratio, 4.68 … In our study evaluating the comparative hepatic safety of azole antifungals,83 the absolute risks and … Risks of acute liver injury were similarly low among users of fluconazole, ketoconazole, and itraconazole … Managing the risks of from medical product use: creating a risk management framework. http://www.fda.gov

3471. A Boost for Health Services Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
      June 01, 2022 - We risk witnessing patient and health professional safety events because of workforce depletion. … affordable, environmentally responsible, and protects patients and health professionals from safety risks

3472. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
      May 01, 2023 - study 2 in the New England Journal of Medicine that estimated 1 in 4 people hospitalized are at risk … While these are reportable events, we can assume the risks are more widespread; safety events in many

3473. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
      June 03, 2021 - B. 2015 CRICO Strategies National CBS Report: Malpractice Risks in Communication Failures. https://www.rmf.harvard … . edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures. … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures

3474. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
      June 03, 2021 - B. 2015 CRICO Strategies National CBS Report: Malpractice Risks in Communication Failures. https://www.rmf.harvard … . edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures. … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures

3475. Tool: STEP | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
      June 01, 2023 - changes are of particular importance and whom to contact if a change occurs is key to ensuring that risks

3476. Step 1: Define the Goals, Scope, and Institutional Home of Your Stakeholder Engagement Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step1.html
      March 01, 2019 - What are the political risks of embarking on a stakeholder engagement process? … Conversely, are there any political risks associated with not having a stakeholder engagement process

3477. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
      January 01, 2013 - four areas of beliefs and behaviors that interact to produce an organization that is informed about risks … The foundation of every culture of safety is Reporting -- the people in direct contact with risks and

3478. Appendix B. Example Data Collection Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/cost-guide/collection-tools.html
      February 01, 2017 - Risks or discomforts: No risks or discomforts are anticipated.

3479. Appendix B. Example Data Collection Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-b.html
      October 01, 2015 - Risks or discomforts: No risks or discomforts are anticipated.

3480. Ldusafety Facguide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
      May 01, 2017 - Checklists help to facilitate safety in high-complexity, high-risk, and high-reliability professions … sections Slide 9 SAY: The preoperative briefing reviews the plan ahead for patient care and the risks … .18-21 · Individual risk factors predict some occurrences of obstetric hemorrhage. · Risk assessments … These include— Having situational awareness about maternal and fetal risks and status. … during transitions of care helps to assure a shared mental model of the plan of care and perceived risks