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www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - During each phase of the project, the team began with a current state assessment and deep dive into the … One of the most impactful initiatives was a debrief process, referred to as a “SWARM,” that took place … During the project phases, the team reported process and outcome metrics every other week to PI Priority … Information captured by the SWARM process was tracked on a dashboard that could be filtered by unit. … staff on missing elements in the moment.
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psnet.ahrq.gov/issue/body-mass-index-category-and-adverse-events-hospitalized-children
August 03, 2022 - After analyzing data for pediatric patients discharged from a single children’s hospital, researchers … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative … to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter … a classification schema based on retrospective review. … June 30, 2021
Impact of pharmacist interventions on medication errors in hospitalized
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary15/blood-pressure-in-adults-hypertension-screening-2007
October 15, 2007 - Two reviewers extracted data from studies on the harms of early treatment, including adverse effects … Data Extraction
No studies were included for data abstraction on the benefits or harms of screening … Role of the Funding Source
The work of the USPSTF is supported by the Agency for Healthcare Research … In 1 study that gathered data on adverse effects, White and colleagues studied the effect of bedtime … A comparison of selected antihypertensives and the use of conventional vs ambulatory blood pressure in
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psnet.ahrq.gov/issue/inpatient-quality-indicators
December 22, 2014 - Agency for Healthcare Research and Quality; AHRQ; University of California, San Francisco-Stanford Evidence-based … The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) represent quality measures … that make use of a hospital's available administrative data. … of procedures for which evidence suggests that a higher volume is associated with lower mortality. … Agency for Healthcare Research and Quality; AHRQ; University of California, San Francisco-Stanford Evidence-based
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psnet.ahrq.gov/issue/impact-80-hour-work-week-appropriate-resident-case-coverage
June 18, 2008 - The Impact of the 80-Hour Work Week on Appropriate Resident Case Coverage. … Journal of Surgical Research . 2009; 162 (1) . … The Impact of the 80-Hour Work Week on Appropriate Resident Case Coverage. … September 16, 2009
Effect of a real-time pediatric ICU safety bundle dashboard on quality … safety data display: lessons learned from the field.
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psnet.ahrq.gov/issue/obstetrician-gynecologist-views-pregnancy-related-medication-safety
July 29, 2020 - Same Author(s)
The tradeoffs between safety and alert fatigue: data from a national evaluation … care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). … September 9, 2020
Use of patient complaints to identify diagnosis-related safety concerns … June 28, 2023
Investigating the impact of structural racism on Black birthing people … December 21, 2022
Maternal Health Research Centers of Excellence (U54 Clinical Trial
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psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - Research for the Department of Emergency Medicine at the
University of Massachusetts Chan Medical School … Different emergency departments can decide which tool
they want to use based on a host of factors, like … many of the health systems use, has branching logic. … It is not just positive
or negative, it is not just a binary outcome. … When you call the patient, you reinforce the use of the safety plan so that it's not just a piece of
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-online-care-model-follow-management-atopic-dermatitis/annual-activity/2010
January 01, 2010 - In addition to the research project goals, Dr. … dermatologic care on clinical outcomes in patients with atopic dermatitis. ( Ongoing )
Evaluate the … effect of this asynchronous, online model for delivering direct, followup dermatologic care on quality … Preliminary Impact and Findings: The RCT is ongoing, thus the project is still in the data collection … coordination of care across transitions in care settings, and the use of electronic exchange of health
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psnet.ahrq.gov/issue/impact-automated-alerts-discharge-opioid-overprescribing-after-general-surgery
September 29, 2017 - Study
Impact of automated alerts on discharge opioid overprescribing after general … Impact of automated alerts on discharge opioid overprescribing after general surgery. … Impact of automated alerts on discharge opioid overprescribing after general surgery. … care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). … Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesSelker2010.pdf
January 01, 2010 - Quick treatment
significantly increases the chance of saving a patient experiencing
a heart attack. … Not all
hospitals are equipped to provide this treatment, and for patients
who must be sent on to a … As a result of this
project, there was a dramatic improvement in the quality of care
provided: the … OF PATIENTS
WHO RECEIVED TREATMENT WITHIN THE
AHA-RECOMMENDED TIMEFRAME
Data from: Daudelin DH, … Improving use of
prehospital 12-lead ECG for early identification and treatment of acute
coronary syndrome
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors … Past Research on Patient Perceptions of Safety and Diagnostic Mishaps
Directions for Future Research … events on the health and well-being of patients. 26
Understanding the impact of diagnostic problems … on the subsequent attitudes and behaviors of patients and families. 23 , 2 7
Failing to assess patient … The variety of terms might seem like a source of imprecision, especially when contrasted with approaches
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pso.ahrq.gov/sites/default/files/wysiwyg/pso-brochure.pdf
March 01, 2020 - The Agency for Healthcare Research and Quality
(AHRQ), part of the U.S. … Among hospitals that work
with a PSO, 80 percent said they find the PSO’s
feedback and analysis on … of your data. … By contributing data to a PSO that
submits data to the NPSD, providers can accelerate
the pace at which … ■ Because the NPSD contains a large volume of
standardized, non-identifiable patient safety data
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/pso-brochure.pdf
March 01, 2020 - The Agency for Healthcare Research and Quality
(AHRQ), part of the U.S. … Among hospitals that work
with a PSO, 80 percent said they find the PSO’s
feedback and analysis on … of your data. … By contributing data to a PSO that
submits data to the NPSD, providers can accelerate
the pace at which … ■ Because the NPSD contains a large volume of
standardized, non-identifiable patient safety data
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cdsic.ahrq.gov/cdsic/AI-topic-highlight
June 18, 2025 - It includes insights to support the trustworthy design, implementation, and use of PC CDS. … to the use of AI-supported PC CDS as well as use cases of how AI is currently being used in PC CDS. … responsible and patient-centered use of AI in healthcare. … on the Use of Artificial Intelligence To Scale PC CDS Quartz App to Support Medication Adherence: … Needle on Advancing Patient-Centered Clinical Decision Support through the CDSiC’s Four Workgroups
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psnet.ahrq.gov/node/50610/psn-pdf
October 30, 2019 - on
value for the newborn and the family (Figure 1). … of placental blood rather than
infants' blood on admission.(5)
This approach uses a daily count of … After the family
speaks, each member of the team presents data and recommendations for care. … of understanding on care team rounds. … Ridout, unpublished data, 2019) Caregivers enjoy a culture of recognition and
respect, a culture in
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digital.ahrq.gov/sites/default/files/docs/citation/teahm_study_action_final061511comp.pdf
June 01, 2011 - Use of Existing Senior Center Infrastructure
Because the goal of TEAhM was to translate research findings … Although research activities such as assisting with
recruitment of seniors did represent additional … research activities,
availability of reliable Internet connectivity, etc. … Training of WSU staff on study protocol, data collection forms, use of the study database
and delivery … Training of intervention participants on use of the telehealth equipment.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
July 01, 2023 - preferences that may limit the use of blood and blood products in the event of a hemorrhage. … The routine use of a unitwide approach for the active management of the third stage of labor can reduce … A sample process and forms for a committee review are available at the Council on Patient Safety in Women … Use a predetermined "stop the line" phrase. … Use of a novel visual aid to improve estimation of obstetric blood loss.
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psnet.ahrq.gov/issue/patient-safety-issues-information-overload-electronic-medical-records
May 04, 2022 - Same Author(s)
Engaging patients in the use of real-time electronic clinical data to improve … (CancelRx) on medication safety: a pilot study. … Insights from the Professionalism Opinions of Medical Students' research. … October 19, 2022
The impact of electronic health record interoperability on safety and … October 5, 2022
The secondary use of data to support medication safety in the hospital
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psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
June 27, 2011 - the intensive care units of a single institution. … the culture of safety on their unit in order to target patient safety efforts. … As found in prior research , nurses had a more negative impression of the safety culture than did physicians … data, and emerging research. … April 6, 2011
Use of a safety climate questionnaire in UK health care: factor structure
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psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
March 28, 2012 - The authors conclude that pathologist reluctance to change or challenge a peer's reading is a contributing … Same Author(s)
Frequency and outcome of cervical cancer prevention failures in the United … in primary care: insights from malpractice claims data. … on patient care. … February 24, 2011
Identification errors involving clinical laboratories: a College of