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Showing results for "national quality strategy priorities patient safety".

421. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
     January 01, 2016 - for Innovations in Quality, Effectiveness and Safety Michael E. … Patient Safety Centers of Inquiry (PSCI). … Washington, DC: VA National Center for Patient Safety, US Department of Veterans Affairs; 2015. … He is a national leader in the field of patient safety and has pioneered efforts to address diagnostic … Safety Network November 1, 2015 Patient Safety.

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33821/psn-pdf
     December 01, 2016 - those risks cause harm to patients. … One of the next priorities should be to create integrated systems of safety analysis and improvement … Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years … Learning from patient safety incidents: creating participative risk regulation in healthcare. … Boston, MA: National Patient Safety Foundation; 2015.

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33842/psn-pdf
     January 01, 2018 - Quality Forum that highlighted high-priority measurement concepts related to health IT safety is a … & Safety Houston, Texas Hardeep Singh, MD, MPH Chief, Health Policy, Quality and Informatics Program … Center for Innovations in Quality, Effectiveness and Safety Michael E. … Washington, DC: National Quality Forum; February 2016. [Available at] 24. … Patient safety goals for the proposed Federal Health Information Technology Safety Center.

424. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit | PSNet
     psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
     December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care … Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care … A "no sedation" strategy is also referred to as an analgosedation strategy. … RW : Let's turn to delirium as a patient safety issue. … It seems to me it's entered the patient safety world over the last 3 or 4 years.

425. Near Miss with Bedside Medications | PSNet
     psnet.ahrq.gov/web-mm/near-miss-bedside-medications
     February 01, 2006 - The Value of Close Calls in Improving Patient Safety. … Patient Safety: Achieving a New Standard for Care. Washington, DC: National Academies Press; 2004. … Patient-assisted incident reporting: including the patient in patient safety. … June 23, 2021 Five strategies for how patients and families can improve patient safety … : World Patient Safety Day 2023.

426. Medication Administration Errors | PSNet
     psnet.ahrq.gov/primer/medication-administration-errors
     September 07, 2019 - Ensuring that certain medications are only supplied in a ‘pharmacy kit’ is one strategy for helping to … National Coordinating Council for Medication Error Reporting. “Taxonomy of Medication Errors”. … May 26, 2021 Performance of the Global Assessment of Pediatric Patient Safety ( … 31, 2022 Patient Safety Primers Nursing and Patient … Safety April 21, 2021 Patient Safety Primers

427. In Conversation With… Shantanu Agrawal, MD, MPhil | PSNet
     psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
     February 26, 2025 - Agrawal is president and CEO of the  National Quality Forum  (NQF). … We spoke with him about the National Quality Forum, including its role in quality measurement, patient … Some of the initial work we did—even helping to define the patient safety space—has been critical. … , and particularly in patient safety. … RW : Let's turn to the patient safety side.

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33799/psn-pdf
     January 01, 2015 - and patient safety. … interactions with patients. … Diminished vigilance, cognitive function, and increased safety lapses place clinicians and patients … This call for clinician engagement in improvement work aligns well with national (NPSF) and international … https://psnet.ahrq.gov/issue/wish-patient-safety-forum-2015

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867849/psn-pdf
     February 26, 2025 - implementation of HRO principles showing improvements in their patient quality and safety metrics of … Hospital leadership then set goals to build on improvements in patient quality and safety to further … In this study, this hospital’s application of HRO principles first to patient safety and quality and … Committee on Quality Health Care in America, Institute of Medicine. … National Academy Press; 2000. [Free full text] 3. Myers CG, Sutcliffe KM.

430. Safety Across The Board | PSNet
     psnet.ahrq.gov/perspective/safety-across-board
     August 31, 2020 - In addition to a focus on the safety of patients, a strong SAB culture also focuses on workforce safety … systematically spread throughout the organization and a formal organizational performance improvement strategy … The existence and engagement of a PFAC helps patients and families know that safety is a priority for … of patients. … Diagnostic Safety and Quality April 26, 2023 Interview

431. Innovations | PSNet
     psnet.ahrq.gov/innovations
     February 26, 2025 - Innovations The PSNet Innovations page highlights pioneering advances that can improve patient safety … Center for Patient Safety (NCPS) development of a technique to combine proactive risk assessments with … (1) Patient Safety Indicators (3) Human Factors Engineering … reactive risk assessments with the goal of improving patient safety on a single topic across multiple … , and families could improve patient safety.

432. Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures. | PSNet
     psnet.ahrq.gov/issue/association-inappropriate-outpatient-pediatric-antibiotic-prescriptions-adverse-drug-events
     March 05, 2008 - RIS Download Citation Related Resources From the Same Author(s) National … drug events, and quality of life in older patients: an observational study. … November 2, 2022 Improving patient safety and efficiency of medication reconciliation … May 4, 2022 Medication errors in overweight and obese pediatric patients: a systematic … February 9, 2022 Aligning patient safety and stewardship: a harm reduction strategy for

433. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-329
     February 23, 2022 - Using data from the 2017 Institute for Healthcare Improvement-National Patient Safety Foundation study … Using data from the 2017 Institute for Healthcare Improvement-National Patient Safety Foundation study … This national study explored the effect of nurse staffing on clinical quality, nurse experience, and … Rating systems face challenges to accurately represent the safety and quality of patient care. … Safety Organizations (PSOs) are organizations dedicated to improving patient safety and healthcare quality

434. Maternal Safety and Perinatal Mental Health | PSNet
     psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
     March 28, 2023 - Preventing Patient Safety Adverse Events Related to Perinatal Mental Health As highlighted by the patient … During that time, I became very interested in quality improvement and patient safety, mostly from seeing … In this role, I support the quality and safety department at ACOG broadly. … Christie Allen: All eight of our core patient safety bundles are fully developed. … Patient navigators can be one strategy to address that lack of integration.

435. Electronic Err | PSNet
     psnet.ahrq.gov/web-mm/electronic-err
     April 01, 2014 - The Institution's Response After a discussion of this case at the clinic's monthly safety and quality … Providers should keep the following priorities in mind when acquiring or using EHR systems: Select … Patient safety: achieving a new standard for care. … .: The National Academies Press; 2004.[ go to PubMed ]. Accessed December 22, 2021. 9. … Committee on Data Standards for Patient Safety.

436. Opioid Overdose as a Patient Safety Problem | PSNet
     psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
     May 01, 2017 - Opioid Overdose as a Patient Safety Problem Irene Berita Murimi, PhD, MA, and G. … Opioid Overdose as a Patient Safety Problem. PSNet [internet]. … Opioid Overdose as a Patient Safety Problem. PSNet [internet]. … Rethinking opioid prescribing to protect patient safety and public health. … Opioid Overdose as a Patient Safety Problem. PSNet [internet].

437. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? | PSNet
     psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
     September 01, 2006 - to improve patient safety. … Although it is possible, even likely, that patient safety has improved in VA since 1999 (when VA's National … Comparison of quality of care for patients in the Veterans Health Administration and patients in a national … It makes our patients safer, but it doesn't directly impinge on what we do for patient safety. … I will say though—and this might sound strange—that most of the benefit to the patients for patient safety

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33834/psn-pdf
     May 22, 2017 - Opioid Overdose as a Patient Safety Problem May 22, 2017 Murimi IB, Alexander CG. … Opioid Overdose as a Patient Safety Problem. PSNet [internet]. 2017. … https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem Perspective Opioids serve … https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem https://psnet.ahrq.gov//#ref1 … Rethinking opioid prescribing to protect patient safety and public health.

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60066/psn-pdf
     March 25, 2020 - In most cases, more than one strategy is required. … changes, and to advocate for patients’ safety.   … In July 2019, TJC began requiring EDs to screen all patients for suicide risk (National Patient Safety … Take Home Points ED crowding is a major problem that threatens patient safety.   … Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare.

440. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-385
     April 26, 2023 - Hospitalized patients are encouraged to take an active role in their safety. … Hospitalized patients are encouraged to take an active role in their safety. … Commentary Patient generated research priorities to improve diagnostic safety: … The authors note that these priorities differed more than those identified previously by diagnostic safety … This Month’s Perspectives Annual Perspective Improving Diagnostic Safety and Quality