-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - Of the 320 records analyzed, 19 (5.9%) explicitly identified patients as having a
negative COVID-19 … With respect to the
timeliness of reporting, the analysis identified that the average time between a … No other patient
safety event was identified in the record (e.g., fall, pressure injury, medication … Reporters identified staff workload as a factor that prevented assisting patient
mobility. … In two instances, adverse reactions to medications used to treat COVID-19 were identified.
-
psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record
April 13, 2022 - In this study, patients identified as at-risk for diagnostic errors were asked to review their most recent … In 467 patients, 51 identified a concern, typically related to communication issues, accuracy of the … Physician chart reviewers identified diagnostic concerns in 31 cases, of which only 11 were also identified
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1f.docx
January 28, 2013 - Hospital-specific reasons for change have been identified. … Supporters who have a sense of urgency have been identified. … Senior leader champion or sponsor has been identified. … A leader has been identified for the fall prevention effort.
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - families, and caregivers impacted by harm and to address many of the quality and safety priorities identified … Typically, CANDOR events can be identified via verbal communication to risk management/patient safety … Do:
Activity: List de-identified events that have occurred in your organization. … The first part begins 72 hours after a CANDOR event has been identified. … The second part should occur within 30-45 business days after a CANDOR event has been identified.
-
psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
March 18, 2016 - Study
Patient and carer identified factors which contribute to safety incidents in … Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative … The investigators identified several unique themes related to safety, including difficulties in accessing … Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative
-
www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
January 01, 2024 - Ninety percent identified themselves as White, 3.2% as Black,
2.5% as Hispanic, and 1.6% as Asian. … Relevant reports were de-identified. … The teams considered the identified failure modes and, using weighted voting
techniques, identified … They identified risks associated with temozolomide that
were not identified by the capecitabine FMEA … Participants identified a number of improvement opportunities.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/zimring-report.pdf
December 01, 2006 - Identified major research areas linking the hospital environment to patient and
staff outcomes. … Identified research priorities and opportunities within the major research areas.
i. … Identified mechanisms for disseminating knowledge. … Mechanisms for disseminating knowledge identified during the Summit include:
i. … Partnerships and other mechanisms identified during the Summit include:
i.
-
psnet.ahrq.gov/node/844993/psn-pdf
February 22, 2023 - Prevalence of undiagnosed diabetes identified by a novel
electronic medical record diabetes screening … Prevalence of undiagnosed diabetes identified by a novel
electronic medical record diabetes screening … https://psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record … https://psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening … https://psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening
-
psnet.ahrq.gov/node/860732/psn-pdf
April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes
Identified from a Review of NHS Serious Incident … https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs … https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident … https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
-
www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
January 01, 2024 - Adverse drug events and hospital-
acquired infections identified by chart review and not identified by … The nurses used a revised CADET
tool to document the identified AEs. … not identified by manual chart review. … Of those, 13 were also identified by chart review, and 100 patients were
identified to have ADEs that … were not identified by computer surveillance.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cannabis-2023-update-surv-rep-3.pdf
January 01, 2023 - Figure 1
shows the literature review process that identified the studies. … The list of all studies identified
since the 2023 systematic review are in Table 1, with studies identified … Literature flow diagram
Note: Numbers in parentheses indicate all records identified up to the 2023 … Numbers in brackets indicate the number of records identified since the systematic review was completed … New studies identified since the 2023 systematic review
Search Period Citation Risk of
Bias
N
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/cannabis-2023-update-surv-rep-3.pdf
January 01, 2023 - Figure 1
shows the literature review process that identified the studies. … The list of all studies identified
since the 2023 systematic review are in Table 1, with studies identified … Literature flow diagram
Note: Numbers in parentheses indicate all records identified up to the 2023 … Numbers in brackets indicate the number of records identified since the systematic review was completed … New studies identified since the 2023 systematic review
Search Period Citation Risk of
Bias
N
-
www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
January 01, 2024 - Results:
The HFMEA process identified 40 high-risk failure modes and 75 associated high-risk
causes. … decision with rest of care staff
C) Caregiver identified and notified
2. … Figure 2
Caregiver identified and notified about potential discharge
FMEA Step 4 Hazard Analysis … We identified risks related to lack of communication
between care providers in the hospital, between … Additional identified risks included potential lack of knowledge and skills among
community-based care
-
www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/get-ready.html
September 01, 2017 - Has your hospital identified hospital-specific reasons to change how it manages the prevention of falls … Has your hospital identified supporters who have a sense of urgency for addressing fall prevention? … Has your hospital identified a leader for the AHRQ fall prevention effort?
… If yes, have you identified a goal for improvement?
… If yes, have you identified a goal for improvement?
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
October 01, 2017 - Has your hospital identified hospital-specific reasons to change how it manages the prevention of pressure … Has your hospital identified a senior leader who can serve as a champion for the pressure injury prevention … Has your hospital identified a leader for the AHRQ pressure injury prevention effort?
… If yes, have you identified a goal for improvement?
… If yes, have you identified a goal for improvement?
-
digital.ahrq.gov/ahrq-funded-projects/improving-quality-healthcare-central-oregon
January 01, 2023 - As a result, CONet CEOs and Quality Management professionals identified communication among physicians … The current technology assessment identified that four of the seven facilities have a significant portion … The incremental methodologies identified were to first standardize the paper process and data sharing
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17123-Weingart-draft-1.pdf
January 01, 2022 - Ninety percent identified themselves as White, 3.2% as Black,
2.5% as Hispanic, and 1.6% as Asian. … Relevant reports were de-identified. … The teams considered the identified failure modes and, using weighted voting
techniques, identified … They identified risks associated with temozolomide that
were not identified by the capecitabine FMEA … Participants identified a number of improvement opportunities.
-
www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/organization-readiness.html
January 01, 2013 - Hospital-specific reasons for change have been identified.
… Supporters who have a sense of urgency have been identified.
… Senior leader champion or sponsor has been identified.
… A leader has been identified for the fall prevention effort.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cannabis-2023-surv-rep-4.pdf
January 01, 2023 - Figure 1 shows the literature review
process that identified all included studies. … The
list of all studies identified since the 2023 systematic review is in Table 1, with the study
identified … Literature flow diagram
Note: Numbers in parentheses indicate all records identified up to the 2023 … Numbers in brackets indicate the number of records identified since the systematic review was completed … New studies identified since the 2023 systematic review
Search Period Citation Risk of
Bias
N
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/cannabis-2023-surv-rep-4.pdf
January 01, 2023 - Figure 1 shows the literature review
process that identified all included studies. … The
list of all studies identified since the 2023 systematic review is in Table 1, with the study
identified … Literature flow diagram
Note: Numbers in parentheses indicate all records identified up to the 2023 … Numbers in brackets indicate the number of records identified since the systematic review was completed … New studies identified since the 2023 systematic review
Search Period Citation Risk of
Bias
N