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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-TitleCitation_Vol3.pdf
August 01, 2008 - Advances in Patient Safety: New Directions and Alternative Approaches
Advances in Patient Safety … Advances in patient safety: New
directions and alternative approaches. Vol. 3.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
March 20, 2008 - Strategies for Improving Patient Safety in Small Rural Hospitals
Strategies for Improving Patient Safety … to implement
patient safety interventions. … patient safety areas. … Patient safety intervention self-assessment results
Participating hospital
Patient safety interventions … Patient Safety Demonstration.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions
Improving Clinical … Communication and Patient
Safety: Clinician-Recommended Solutions
Donna M. … Methods
The Chicago Pediatric Patient Safety Consortium
The Chicago Pediatric Patient Safety Consortium … (Peds Consortium) was established to conduct
research concerning pediatric patient safety. … Systemic
patient safety risks: Lessons learned from focus
groups.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-TitleCitation_Vol4.pdf
August 01, 2008 - Advances in Patient Safety: New Directions and Alternative Approaches
Advances in Patient Safety … Technology and Medication Safety
Editors:
Kerm Henriksen, PhD
James B. … Advances in patient safety: New
directions and alternative approaches. Vol. 4. … Technology and Medication Safety. AHRQ
Publication No. 08-0034-4.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
March 12, 2008 - Patient Safety in Ambulatory Care
Beth A. … Patient safety concerns and corrective action plan (continued)
Potential safety risk Corrective action … Patient safety concerns and corrective action plan (continued)
Potential safety risk Corrective action … Patient safety concerns and corrective action plan (continued)
Potential safety risk Corrective Action … by the clinical supervisors, the National Patient Safety Goals, and
the ISMP Medication Safety Alerts
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-StJacques_105.pdf
March 29, 2008 - Improving Perioperative Patient Safety Through the Use of Information Technology
1
Improving … Perioperative Patient Safety
Through the Use of Information Technology
Paul J. … Perioperative
clinicians are increasingly focused on how to improve patient safety. … safety-related adverse events.1 The types of errors that can
occur during the surgical process—patient … Similarly, safety can be
improved by monitoring the
flow of patients and
documentation through the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
May 01, 2017 - but may also
include activation by patients, family
members, or others supporting the
patient … patient safety
and outcomes, mainly for improving cardiac
care … principles of patient safety derived from the
Comprehensive Unit-based Safety Program
(CUSP), the … Care Perinatal Safety 15
SAY:
The final safety element is patient and family
engagement. … To engage patients and family in a rapid
response system, units may consider including
patient and
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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-woods_79.pdf
May 30, 2008 - Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety … Patient Safety Learning
Donna M. … patients. Additional criteria could be
applied for other subpopulations of
patients. … Child-specific
risk factors and patient safety. J Patient Saf 2005; 1:
17-22
9. … Anatomy of a
patient safety event. A taxonomy for pediatric patient
safety.
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www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
January 01, 2024 - AHRQ Final report: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns … Human Services’ Office of the Inspector General’s
report found that 13.5% of hospitalized Medicare patients … of emergency departments and intensive care units might necessitate the
transport of critically ill patients … Patient safety issues: The critical link between patient safety and staff safety and the
inclusion … Designing for Patient Safety – Considering a Patient Safety Risk
Assessment.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
January 01, 2023 - by patients who have been impacted by safety incidents are provided. … Network of Patient Safety Databases Chartbook, 2023| 33
Figure 10a: Extent of Harm by Year – All Patients … Figure 10b: Extent of Harm by Year – Patients Under 18
Network of Patient Safety Databases Chartbook … Harm by Year – Senior Patients (Aged 65 and Older)
Network of Patient Safety Databases Chartbook … All Patients
Figure 11b: Extent of Harm by Event Type – Patients Under 18
Network of Patient Safety
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - Network of Patient Safety Databases Chartbook, 2021
Network of
Patient Safety
Databases
Chartbook … safety concerns to prevent patient harm and improve patient safety. … Patient Safety
Network of Patient Safety Databases Chartbook, 2021| 15
GENERIC PATIENT SAFETY CONCERNS … Patient Safety
Network of Patient Safety Databases Chartbook, 2021| 16
Percentage of Patient Safety … and are labeled “Percentage of Patients
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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-Shimada_65.pdf
April 04, 2008 - safety for all patients. … at risk for a given potentially preventable patient safety
event had experienced a corresponding patient … safety outcomes in addition to the patient characteristics in
our model, such as patient safety culture … A national
profile of patient safety in U.S. hospitals. … Enhancing patient
safety through organizational learning: Are patient
safety indicators a step in the
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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-Quan_52.pdf
March 10, 2008 - To identify and evaluate potential indicators of patient safety, the OECD convened a Patient
Safety … A national
profile of patient safety in U.S. hospitals. … Patient Safety Indicators: Technical specifications. … First results using
the AHRQ patient safety indicators in Germany]. … How often
are potential patient safety events present on
admission?
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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-Hougland_26.pdf
October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance … Using ICD-9-CM Codes in Hospital Claims Data
to Detect Adverse Events in Patient
Safety Surveillance … We also
thank the Utah/Missouri Patient Safety Consortium for their support and Ms. … AHRQ Quality Indicators – Guide to patient safety
indicators, Revision 1. … Utah/Missouri Patient Safety Project.
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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-Campbell_94.pdf
March 30, 2008 - • Define patient safety behaviors. … , safe practice tools
used in our organization to facilitate patient safety, National Patient Safety … Director of Patient
Safety and Accreditation and the Chief Medical Officer (Patient Safety Officer) … patients and caregivers are evaluated. … to patient safety issues.
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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-Riley_59.pdf
April 06, 2008 - important advance in patient safety. … feedback for developing safer practices associated with preventing, identifying, and mitigating
harm to patients … The PSO receives information from two sources: the client organizations and the
Network of Patient Safety … The Patient Safety and Quality Improvement Act calls for a national, voluntary patient safety
reporting … patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
February 24, 2008 - The AHRQ Hospital Survey on Patient Safety Culture consists of 12 dimensions of safety
culture. … • Management support for patient safety. … safety and shows that
patient safety is a top priority. … The nature of
adverse events in hospitalized patients. … Leadership
guide to patient safety.
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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-Faltz_56.pdf
March 27, 2008 - The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical … and Invasive Procedures
1
The New York Model: Root Cause Analysis
Driving Patient Safety Initiative … the sequence of patients
Table 2. … The Patient Safety and Quality Improvement Act of
2005. Overview, June 2006. … Advances in patient safety: From research
to implementation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - in Patient Safety
Thomas R. … Epidemiologic data on patient safety and a sampling of current efforts aimed at patient safety
improvement … An overall model of patient safety. … safety include the following:
• A quota system (antecedent strategy) for emergency patients’ admission … Patient education is one way to prevent medical errors.73 When patients
know the questions to ask and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
April 28, 2008 - Patient risk
factors for adverse drug events in hospitalized
patients. … In: Advances
in patient safety: From research to implementation. … Comparing patient safety
in rural hospitals by bed count. … Patient safety indicators
download. … Guide to patient safety
indicators download, Ver. 2.1, Rev 3.