-
www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
March 01, 2020 - processes used for the provision of care that are intended to reduce the likelihood and/or severity … of harm due to systems, processes, or environments of care.” 3 A PSP may have varying degrees of evidence … , such as surveillance for diseases or immunizations, or receiving regular care to maintain stability … to care and longer retention in or adherence to treatment. … unit; neonatal intensive care unit; or telemetry, step-down, transplant cardiology, surgical, or surgical
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
March 01, 2022 - No difference in MRSA/VRE
clinical cultures or bloodstream
infection in overall non-ICU
population … Routine contact
precautions continued to occur for known MRSA carriers by history or clinical cultures … Chlorhexidine – pharmacology and clinical application. Anaesth
Intensive Care. 2008;36(4):502-12. … in a non-critical-care unit location (or having been in
a non-critical-care location two days prior … history documented on transfer
o MRSA-positive screening test (if performed) or clinical culture positive
-
www.ahrq.gov/sites/default/files/2024-11/wakefield2-report.pdf
January 01, 2024 - essential for more timely clinical decision making and generation of patient care orders. … Clinical Nurse Specialist
8. Nurse Practitioner
9. Pharmacist
10. … Clinical Nurse Specialist
5. Nurse Practitioner
6. Pharmacist
7. … phrase for Admission
or Transfer to a Different Level of Care. … Arise most often because the nurse contacts
the physician about a patient’s specific condition
or needs
-
www.ahrq.gov/sites/default/files/2024-01/burden-report.pdf
January 01, 2024 - Clinical care occurred as it typically would
whether a study was in place or not. … care. … Physicians in our study broke protocol to care for sick patients or because of the geographic
location … Publications/projects in development
We have begun the processes for secondary analyses of the data and will plan … since
training) or a reduction in clinical effort on patient and institutional outcomes.
-
www.ahrq.gov/sites/default/files/2025-06/xu-report.pdf
January 01, 2025 - By assessing hysterectomy- and myomectomy-related care, we addressed an
important women’s health issue … data system.24 It contains claims-level
data on healthcare encounters in the settings of inpatient care … care (e.g., International Classification of Diseases [ICD] diagnosis and procedure codes,
current procedural … These efforts will help inform strategies for enhancing quality and safety of care.
6. … Journal of Clinical Oncology. 2019;37(35):
3412-3424. PMID: 31518176.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-user-guide.pdf
July 01, 2018 - in part, as the basis for development of clinical practice
guidelines and other quality enhancement … A pharmacy chain or health care system
may have multiple pharmacies or multiple stores in different … If you plan to administer a Web-only or mixed-mode survey, but have no experience and do not
plan to … Your team may
consist of one or more individuals from your own pharmacy staff, chain or health care … If you plan to administer the survey in multiple community pharmacies in your chain or health
care system
-
www.ahrq.gov/news/events/nac/2020-03-nac/nacmtg032620-minutes.html
August 01, 2020 - of Care and Patient Outcomes During Care Transitions.” … The Agency is developing a strategic plan to guide investments in digital healthcare technologies. … for ambulatory care. … Alexander stressed the impact on the long-term-care community. … , whole-person care, safe care, and primary care.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - the use of a wrong plan to achieve
an aim; including problems in practice, products, procedures, and … immediately corrected
clinical documentation that had no reasonably foreseeable potential to cause … handoffs
Missing or wrong information or misinterpretation or information
provided inappropriately … Delayed return to day care.” … reporting the error was also directly
Advances in Patient Safety: Vol. 1
366
responsible for the clinical
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/guidance-cg-cahps.pdf
April 01, 2021 - Health plans or purchasers of
care may have administrative or billing data to identify individual patients … The sampled individual or child did not receive care from the
participating medical group or practice … A health care
provider can care for
patients in person, by
phone, or by video. … Using the CAHPS® Clinician & Group Survey
Common Problems Some Guidance
The sampled person has a
condition … This person becomes a nonrespondent by virtue of their
condition.
-
www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
January 01, 2024 - Brigham Young University
Richard_butler@byu.edu
Kristi Nelson, MBA, RN
Data Manager: Women & Newborns Clinical … Kristi.nelson@imail.org
Cempaka Martial, MStat
Senior Statistical Data Analyst
Women & Newborns Clinical … Because adverse events are
linked to staffing levels, they are often referred to as ‘nurse sensitive’– a condition … One PSI is
Newborn Intensive Care Unit (NICU) admission or neonatal transfer in low-risk primiparous … Medical Care
Review, 37(7), 653-698
Kane, R.
-
www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
January 01, 2024 - The NASA task load index (NASA-TLX) performed
well in the primary care clinical setting, taking about … A wide range
of values of the composite TLX emerged in usual clinical care, extending from 5.0 to 95.3 … plan)
● patient not demanding
Higher than Expected Workload
● unexpected problems and needs
● … “difficult” or “simple” patient
visits. … Missing clinical information during primary care visits.
-
www.ahrq.gov/downloads/pub/prevent/pdfser/famviolser.pdf
March 01, 2004 - None were
developed or tested in traditional clinical settings. … The "battering syndrome": prevalence
and clinical characteristics of domestic violence in primary care … /
23 interviews/ or interview$.mp.
24 exp clinical trials/ or clinical trial$.mp.
25 19 … trials/ or clinical trial$.mp.
19 13 or 14 or 15 or 16 or 17 or 18
20 12 and 19
21 limit … interviews.mp.
23 exp clinical trials/ or clinical trial$.mp.
24 17 or 18 or 19 or 20 or 21
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - Part I: Health Literacy
Objectives:
Define Health Literacy and Its Implications for Patient Care … Why is it important that I follow this plan? … Engage Patients and Families 1 (continued)
Help the patient and family understand the diagnosis, condition … because they are afraid of soiling linens or incontinence or fall risk:
“Men can use an external catheter … Bethesda, MD: Institute for Family-Centered Care, June 2006.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
January 01, 2016 - Secondary diagnosis codes (condition not present at
admission) are used to identify patients with the … The
principal diagnosis (condition present at admission), as well as
secondary diagnoses, are used … of Diseases, Ninth
Revision, Clinical Modification (ICD-9-CM) codes for Selected Infections Due to … to expect that outpatient or physician offices were the setting
for care. … readmission group is 2,611 outpatient or
other ambulatory-care-setting occurrences.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - Furthermore, the standardization imposed
by the clinical trial paradigm may stifle the adaptive
responses … Unlike reviews of most clinical interventions, evaluating potential harms is not a
routine part of Patient … general clinical topics, such as preventing pressure ulcers;
and PSPs designed to improve the overall … = not difficult, moderate, or difficult.
11
Discussion
Since the 2001 report, “Making Health Care … Encouraged patient safety practices
• Multicomponent interventions to reduce falls
• Use of clinical
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
April 22, 2004 - These zones can be in time, space, process, or hierarchy. … Where do they come from:
other units or temporary agencies? … If this “horizon scan” is not
completed, the entire system redesign plan could be rendered ineffective … Considerations for sociotechnical design: experiences
with an electronic patient record in a clinical … Patient care information systems and health
care work: a sociotechnical approach.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
March 01, 2004 - processes or the
delivery of nursing care. … Advances in Patient Safety: Vol. 4
380
degree, patient-to-nurse ratios, and/or hours of nursing care … :18–20
• Unfinished or incomplete care … care setting or
administrative versus patient care nurse staffing. … and practice on positive patient
outcomes.25
• Focus on the patient care unit or episode of care
-
www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
January 01, 2024 - ,
and clinical measures. … Clinical outcomes might be unit/work-type specific. … outcomes), teamwork
climate (predicts operational outcomes), burnout (predicts clinical and
operational … Also complicating the issue is that burnout often looks like bad
teamwork, delays in care, or disruptive … How do we get clinical unsafe versus
error unsafe?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
January 01, 2004 - serious injury, but when presented with actual
clinical scenarios, respondents were much less likely … Rather they
smacked of a carefully conceived plan intended to make it impossible for Mr. … of care or skill
ordinarily exercised by physicians on similar cases. … A report of
the Committee on Quality of Health Care in America,
Institute of Medicine. … Health plan
members’ views about disclosure of medical errors.
-
www.ahrq.gov/sites/default/files/2024-02/schnipper2-report.pdf
January 01, 2024 - Each site chose which non-intensive care hospital units would be evaluated
(typically all or most medical … Beds, 177 Complex Care Beds
**65 Sub-Acute Beds, 32 Long-Term Care Beds, 15 Hospice and Palliative … Care Beds
10 | P a g e
11 | P a g e
Table 2. … of medications, or otherwise not high or
low. … Qual Saf Health Care 2003;12(6):458-64
19. Gardella JE, Cardwell TB, Nnadi M.