-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/safetysnrchklst.doc
June 02, 2025 - Identified Issues
Potential/Recommended Solutions
Resources Needed
1.
2.
3.
4.
-
www.ahrq.gov/sops/databases/asc/databases/submission.html
September 01, 2024 - Each ASC site or location should be identified as a separate site when submitting to the database. … Research datasets that provide de-identified data for approved research purposes.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/webinar-012220-shaller.pdf
June 02, 2025 - Services (HCBS)
Survey
• Two major applications:
► Comparative data for assessing performance
► De-identified … the
Database average
Chartbook:
Displays
summary-level
Database results
Research Datasets:
De-Identified
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - Interpreting PSSA Results
Prioritize identified defects using the following criteria:
Likelihood of the … AHRQ Safety Program for Surgery – Onboarding
SAY:
As you start this work, you can use the criteria identified … As you can see, nearly 70 percent of respondents identified infection control as a source of risk for … about patient safety
Your quality team and other leaders must be ready to follow up on the defects identified … The team and other leaders must be ready to follow up on the defects identified, and frontline staff
-
www.ahrq.gov/sites/default/files/2025-06/nishisaki3-report.pdf
January 01, 2025 - We also identified that oxygen desaturation is closely
associated with adverse TIAEs. … Two independent research team members identified and coded the
theme, then finalized the theme by consensus … For Aim2, we identified that adverse TIAEs were reported in 336/3,580 (9.4%) of children who
received … Strong quality improvement leadership was a consistently identified theme in the
successful sites, and … insufficient education was a consistent theme identified in unsuccessful
sites.
-
www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
January 01, 2024 - These
centers were identified from a sample of hospitals that report to the Society of
Thoracic Surgeons … CVICUs reported that intensivists were part of the primary
care structure of care delivery, and 23% identified … We identified
variation in the presence or involvement of an intensivist in addition to the
multidisciplinary … During the course of these site visits, many patient safety hazards were identified in
cardiovascular
-
www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
June 01, 2020 - Individuals included in this sampling pool were identified through four primary sources: nominations … Potential interview participants were identified from this sampling pool for four of the five interview … Technical Expert Panel Structure and Selection
The study team identified specific stakeholder roles … The study team identified a set of eight to ten first-choice candidates and similar alternates for each … Methods and Tool Development Adjudication
Similarly, MTD projects were identified through a separate
-
www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
January 01, 2024 - Of the positively identified notes, we randomly selected a subsample of 200 patients
for evaluation … We identified 787 reaction
concepts in PEAR. … We identified an
additional 320 concepts from Federal Health Information Modeling and Standards and … Among
2.7 million patients, we identified 97,482 patients (3.6%) with one or more food allergies
or … Of the 103,659 identified reactions to foods, 48.1%
were potentially IgE mediated (affecting 50.8% of
-
www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
January 01, 2024 - Seminar attendees identified high-priority design
activities for patient safety: articulation of project … Specific goals of the project included the following:
• Identify how safety concerns are identified … Attendees identified the importance of assessing different design and operational solutions using
8 … Table 3 shows the top high-
priority activities identified by most of the attendees.
Table 3. … Table 4 lists tools and documentation identified by
attendees.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
April 01, 2025 - Technical challenges are usually easily identified and can be addressed by educating and implementing … Execute: Execution refers to the implementation of patient safety interventions based on identified issues … When a failure in the standard of care is identified, it’s important to examine beyond the “obvious” … Ensure documentation is accurate and easily identified. … Revise the interventions if further opportunities for improvement are identified.
-
www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
January 01, 2024 - For 11 LASA drug pairs, we identified patients who experienced a first
dispensing of one drug in the … We identified 43 true LASA errors. … Searching by the
drugname variable identified more prescriptions than searching by National Drug Code … We
identified the top five codeine-containing products and the top five hydrocodone-containing products … After review of diagnostic data, we identified 43 true errors
(0.00003% of all prescriptions of the
-
www.ahrq.gov/research/findings/final-reports/ptflow/section4.html
July 01, 2018 - Roadblocks also may be identified through a review of data from your hospital. … To address this identified problem, Good Samaritan implemented a strategy to immediately direct a subset … Based on the vote, three strategies were identified for further consideration.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/e1_pdi_monitorprogress.pdf
June 02, 2025 - • Establish procedures for acting on identified problems. … will require early action to diagnose what might be
compromising performance, and then to correct identified … Indicators
How To Improve Hospital Quality and Safety
Tool E.1 4
Establish Procedures for Acting on Identified … Regular Reporting
Develop Report Formats To Communicate Clearly
Establish Procedures for Acting on Identified
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
June 02, 2025 - • Establish procedures for acting on identified problems. … will require early action to diagnose what might be
compromising performance, and then to correct identified … Quality Indicators
How To Improve Hospital Quality and Safety
Establish Procedures for Acting on Identified … Regular Reporting
Develop Report Formats To Communicate Clearly
Establish Procedures for Acting on Identified
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-data-collection-redcap-tool.xlsx
June 02, 2025 - practice_asthma_data_collection_form_v2 - descriptive Instructions: please collect information from the chart of a patient with identified … This includes e-cigs, vaping. 1, Yes, smoke exposure identified | 2, Yes, no smoke exposure identified … tobacco_exposure practice_asthma_data_collection_form_v2 - checkbox If tobacco smoke exposure/use was identified
-
www.ahrq.gov/patient-safety/settings/hospital/match/chapter-5.html
July 01, 2022 - Ensuring that any discrepancies identified (i.e., omissions, modifications, deletions, etc.) are appropriate … Using a Medication Profile tab, identified as a "One Source of Truth" (e.g., a single list and common … Discrepancies identified that are inconsistent with documented care plans or are not explained by the … Unintended discrepancies identified during reconciliation can be categorized using the criteria below
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-5.html
July 01, 2022 - Ensuring that any discrepancies identified (i.e., omissions, modifications, deletions, etc.) are appropriate … Using a Medication Profile tab, identified as a "One Source of Truth" (e.g., a single list and common … Discrepancies identified that are inconsistent with documented care plans or are not explained by the … Unintended discrepancies identified during reconciliation can be categorized using the criteria below
-
www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
January 01, 2024 - SCOPE
Overall Long-Term Objectives of this Program
We identified variations in medication utilization … We identified both new and
chronic users of drugs at the time prescriptions are filled. … Hospitalizations were identified through a
statewide hospitalization registry. … Nephrotoxic drugs have been identified as a major
cause of ARF. … All
medication orders were identified from the hospital’s computerized order entry system.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
June 02, 2025 - For example, at a small community hospital, staff identified issues with recruiting physician champions … The senior executive should:
· Work with team members to consider patient risks identified in the Staff … By addressing patient risks identified in the Staff Safety Assessment, senior executives are partnering … As a team, the executive and other team members can investigate a staff-identified safety defect listed … · How can you use those methods to address the safety issues you identified in your organization?
-
www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
January 01, 2024 - The survey collected perceptions
about all the domains identified in psychometric testing, including … Chart Review
The chart review identified the prevalence and characteristics of errors that occurred in … Using ICD-9 codes from hospital administrative records, sites identified charts with a
principal ED … A few ambiguities were
identified and corrections made. … Charts that met one of the
criteria for an adverse event were de-identified and forwarded to the EMNet