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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
April 18, 2004 - Advances in Patient Safety: Vol. 1
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Introduction
Patients face a significant risk of adverse events … Advances in Patient Safety: Vol. 1
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Descriptive statistics
Data for patients in each of the three … and pneumonia patients:
Advances in Patient Safety: Vol. 1
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DRG 109 (CABG) VA = $6,424 UCH … Florida Patient Safety Center,
Inc. (AMS, RRC). … Advances in Patient Safety: Vol. 1
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48.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf
January 01, 2003 - Advances in Patient Safety: Vol. 1
6
hospitalized in the United States reported hospital system … Advances in Patient Safety: Vol. 1
8
Results
Reported communication between health care providers … RN priorities included responding and intervening when clients
experience clinical changes, facilitating … There was
Advances in Patient Safety: Vol. 1
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Table 3. … Advances in Patient Safety: Vol. 1
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19. Fuss MA, Bryan YE, Hitchings KS, et al.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cotayo.pdf
April 22, 2004 - support that ICM enhanced
patient safety, preserved patient satisfaction, and reduced cost. … Advances in Patient Safety: Vol. 1
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These measures are appropriate because by definition, patients … safety: hospitalization itself can present
significant safety risks for patients. … Advances in Patient Safety: Vol. 1
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Figure 1. … Patient satisfaction
Patient satisfaction was defined as the percent of patients who indicated their
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
January 01, 2025 - Envisioning Patient Safety in the Year 2025: Eight Perspectives
Envisioning Patient Safety in the Year … In 2025, the definition of patient-centered care, within the patient safety
domain, will have evolved … regarding patient safety to all stakeholders in health care … o Identification of the effects and contributions to patient safety of a patient reporting
system of … Bates); Consumers Advancing Patient Safety (Ms.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
May 01, 2017 - of Safety
Health Care Defects
In the U.S. health care system—
7 percent of patients suffer a medication … year as the result of medical errors2
More recent estimates suggest that between 210,000 and 440,000 patients … each year suffer some type of preventable harm that contributes to their death3
Over half a million patients … J Patient Saf 2013;9:122-128. PMID: 23860193.
Scott, RD. … Jt Comm J Qual Patient Saf. 2007;33(1):34–47.
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www.ahrq.gov/patient-safety/settings/hospital/index.html
February 01, 2025 - AHRQ's Quality & Patient Safety Programs by Setting: Hospital
Communication and Optimal Resolution … Based on expert input and lessons learned from the Agency's $23 million Patient Safety and Medical Liability … with patients and families to improve quality and safety. … Network of Patient Safety Databases Chartbook provides an overview of data captured by Patient Safety … Organizations on the nature of patient safety events in hospital settings.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
July 01, 2023 - Understand the Science of Safety for Perinatal Safety
AHRQ Safety Program for Perinatal Care … Slide 1: AHRQ Safety Program for Perinatal Care
Understand the Science of Safety for Perinatal Safety … As a result, a patient slips on the floor. … patient safety. … safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
January 01, 2006 - What are clinical or operational problems that have or could have jeopardized patient safety? … Sensemaking of patient safety risks and hazards. Hlth Svcs Res 2006;41(Aug 4 Pt 2.):1555-1575. … Patient safety analysis training. … Patient safety analysis training. … Patient safety analysis training.
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www.ahrq.gov/teamstepps-program/evidence-base/improvement.html
June 01, 2023 - Measuring patient safety climate: A review of surveys. … Hospital Survey on Patient Safety Culture. Agency for Healthcare Research and Quality. … The context of care and the patient care team: The safety attitudes questionnaire. In P. P. … Joint Commission Journal on Quality and Patient Safety 36(6) 252-60. … Promoting a culture of safety as a patient safety strategy: A systematic review.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
August 01, 2025 - system
that can affect patient safety. … safety using the
Medicare Patient Safety Monitoring System (MPSMS). … ,
and patient safety. … contributions to patient safety by tracking
harm to patients as reflected in the medical chart. … outcomes, and patient
safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/injectionsafety.pdf
January 03, 2014 - Injection Safety/Safe Medication Handling
Injection Safety/Safe Medication Handling
The Centers … • Do not administer medications from a syringe to multiple patients, even if the needle or cannula … • Do not administer medications from single-dose vials or ampules to multiple patients or combine … • Do not keep multiple-dose vials in the immediate patient treatment area and store in accordance … • Do not use bags or bottles of intravenous solution as a common source of supply for multiple patients
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/066-staff-safety-assessment.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Staff Safety Assessment
Surgical Services
For … safety. … Please describe how you think the next patient in your clinical area will be harmed. … How will the next patient develop a surgical site infection (SSI)?
4. … No. 25-0029
April 2025
Thank you for helping to improve patient safety in your workplace!
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www.ahrq.gov/patient-safety/reports/engage/appc.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Appendix … Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction … Limitations of the Environmental Scan
Model of Patient Safety in Primary Care
Methods
Gaps Identified … "[tw] OR "disclosure"[MeSH Terms] OR ("Safety"[MeSH] OR "Safety Management"[MeSH]) OR "Systems Theory … safety"[All Fields] OR "safety culture"[All Fields] OR "systems approach"[All Fields] OR "medical error
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www.ahrq.gov/patient-safety/reports/engage/limitations.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Limitations … Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction … Limitations of the Environmental Scan
Model of Patient Safety in Primary Care
Methods
Gaps Identified … strategies on improving patient safety in primary care settings. … safety, primary care, and patient engagement.
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www.ahrq.gov/patient-safety/reports/engage/findings.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Discussion … patient and family engagement to improved patient safety in primary care. … improvements in patient safety in primary care. … Create a culture of safety for staff and patients. … patient safety in primary care.
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www.ahrq.gov/patient-safety/reports/engage/implications.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Implications … Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction … Continues To Evolve
The fields of patient safety and patient and family engagement in primary care … It is anticipated that the fields of patient safety and patient engagement in primary care will continue … safety by engaging patients and families.
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www.ahrq.gov/patient-safety/reports/engage/gaps.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Gaps … Engagement To Improve Patient Safety in Primary Care
The evidence base for improving patient safety … safety by engaging patients and families is thin. … that may be linked to patient safety improvements. … Few of the patient-focused tools catered to patients and families with lower or limited health literacy
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www.ahrq.gov/patient-safety/reports/liability/preface.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Preface
Previous Page Next Page
Table … risks and hazards, and quality gaps associated with health care and their harmful impact on patients … To address the need to improve patient safety and the medical liability system, the AHRQ Patient Safety … injuries, (2) fostering better communication between doctors and patients, (3) ensuring fair and timely … Topics include the role of the patient and family in supporting improved care and patient safety; shared
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www.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - patient safety and address patient expectations regarding disclosure of medical errors, both factors … patient safety. … Being open: communicating patient safety incidents with patients, their families and carers . … How surgeons disclose medical errors to patients: a study using standardized patients. … Patient safety in the ambulatory setting. J Gen Intern Med 2004;19:719-25.
15.
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www.ahrq.gov/patient-safety/reports/liability/prologue.html
August 01, 2017 - or her condition that can contribute to better care and improved patient safety. … in dialogue around harm, safety, or even fallibility will create increased legal activity from patients … in creating a culture of safety and in engaging with patients to improve quality of care. … a complete picture of patient safety by better understanding how patients feel physically and emotionally … See for example the Survey on Patient Safety Culture Database.