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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-Maddox_111.pdf
June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled … systems as they work to improve pain
management, medication safety, and quality of care for all patients … ISMP Medication Safety Alert;
2003 July 24.
4. Safety issues with patient-controlled analgesia. … Anesthesia Patient Safety Foundation newsletter 2006-
2007; 21: 61-88. … Joseph’s/Candler Health System
IV Safety Systems
PCA Practice and Patient Monitoring
Patient Selection
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - Impact of date stamping on patient safety measurements in
patients undergoing CABG: experience with … AHRQ Patient Safety Indicators. … How often are potential patient safety events present
on admission? … Documentation Issues Pertaining to Each Patient Safety Indicator
Table 3. … Coding Issues Pertaining to Each Patient Safety Indicator
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www.ahrq.gov/patient-safety/resources/learning-lab/model-safety-long-desc.html
August 01, 2025 - Towards a Model of Safety and Care for Trauma Room Design
Principal Investigator: Sara Bayramzadeh … The specific aims were to: Identify physical environment factors that influence patient safety and efficient … teamwork, 6 and comprehensive literature reviews that define the links between trauma room design and patient … , efficiency, and staff performance while safeguarding patient privacy. 1 , 5 To date, this PSLL’s work … Final Report: Towards a Model of Safety and Care for Trauma Room Design. K.S.
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www.ahrq.gov/sites/default/files/publications/files/cauti-interim.pdf
September 01, 2013 - Eliminating CAUTI: A National Patient Safety Imperative
Eliminating CAUTI:
A National Patient
Safety … Measures related to safety culture are key to assessing project-related improvements in patient
safety … Two patient safety culture measures are collected, the Hospital
Survey on Patient Safety Culture (HSOPS … Culture Measures
Hospital Survey on Patient Safety Culture
The Hospital Survey on Patient Safety … User’s Guide: Hospital Survey on
Patient Safety Culture. AHRQ Publication No. 04-0041.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - Network of Patient Safety Databases Chartbook, 2019
Network of
Patient Safety
Databases
Chartbook … Patient Safety
Network of Patient Safety Databases Chartbook, 2019| 1
THE NETWORK OF PATIENT SAFETY … Safety Concern module:
Patient Safety
Network of Patient Safety Databases Chartbook, 2019| 14 … Patient Safety
Network of Patient Safety Databases Chartbook, 2019| 19
Percentage of Patient Safety … This figure displays reports of Falls resulting in residual harm to patients.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/cauti-interim.pdf
September 01, 2013 - Eliminating CAUTI: A National Patient Safety Imperative
Eliminating CAUTI:
A National Patient
Safety … Measures related to safety culture are key to assessing project-related improvements in patient
safety … Two patient safety culture measures are collected, the Hospital
Survey on Patient Safety Culture (HSOPS … Culture Measures
Hospital Survey on Patient Safety Culture
The Hospital Survey on Patient Safety … User’s Guide: Hospital Survey on
Patient Safety Culture. AHRQ Publication No. 04-0041.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - Safety
36
References
Agency for Healthcare Quality and Research’s Patient Safety Network. … Physician-Patient Alliance for Health & Safety. 5 Benefits of Adopting Patient Safety Checklists. 2013 … Patient safety checklist No. 6: documenting shoulder dystocia. … PMID: 16648399.
42
AHRQ Safety Program for Perinatal Care
L&D Unit Safety
References
ACOG Patient Safety … Patient Safety Checklist No. 10: postpartum hemorrhage from vaginal delivery.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - Finally, this presentation will explain how diverse teams foster a safety culture and protect patients … Slide 2
Patient Safety and Preventable Harm
SAY:
Healthcare has focused on safety since the Institute … the improvement of patient safety. … The characteristics of patients, providers, care team, and the environment all impact safety. … Patient safety is not about blaming.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
October 01, 2017 - the use of RRS for improving patient safety and outcomes, mainly for improving cardiac care.1,2
Most … Studies and experience with the use of RRS for maternity patients are emerging.4,5,6,7
6
AHRQ Safety … Safety)
Learn From Defects (CUSP Module)
Simulation (SPPC Pillar)
Teamwork Training (TeamSTEPPS®)
Patient … Patient and Family Engagement
Unit approach incorporates—
mechanisms for patient activation of a rapid … Provide education and training to staff on the use of the RRS and make routine education for patients
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
October 01, 2024 - safety risks that patients face in healthcare environments. … And explain how diverse teams foster a safety culture and protect patients from safety defects. … the improvement of patient safety. … “Patient safety culture is the extent to which an organization's culture supports and promotes patient … Patient safety is not about finger pointing.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
December 01, 2024 - The CNL can also help meet diverse client and
healthcare environment needs. … Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
https:/ … /www.ahrq.gov/patient-safety/reports/engage.html
Research shows that when patients are engaged in … Safety in Primary Care Settings by Engaging Patients and Families
Guide to Patient and Family Engagement … Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
11.
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www.ahrq.gov/sites/default/files/2024-01/magid-report.pdf
January 01, 2024 - safety practices, one of the 12
practices rated most highly as a research area for patient safety was … safety strategies; (5) selecting and implementing patient safety
strategies, including system changes … The project advanced
scientific knowledge in the field of patient safety. … Lawrence Patient Safety
Award, a national award amongst all Kaiser Permanente regions. … Translating Patient Safety Research
into Clinical Practice.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
January 01, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and … Leadership
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing … safety.2 Since 2000, AHRQ has
supported 62 patient safety projects to improve communication between … In addition to TeamSTEPPS, the Patient Safety Professional Course offered by
the DoD’s Patient Safety … culture, increases patient satisfaction, and promotes patient safety.
-
www.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
February 01, 2024 - Improving the Safety of Diagnosis and Therapy in the Inpatient Setting
Principal Investigators … This PSLL created multiple interventions to improve diagnostic safety among hospitalized patients. … A Patient Diagnostic Questionnaire (PDQ) that aligns with the “Patient Experience” Safer Dx process … Follow-up” and “Patient and Provider Encounter and Initial Assessment” phases. … Jt Comm J Qual Patient Saf 2023;49(2):89-97.
2022
Malik MA, et al.
-
www.ahrq.gov/patient-safety/reports/liability/pichert.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Planning and Implementing the Patient Advocacy Reporting … Patients as observers and reporters in support of systems and patient safety. … Using patient complaints to promote patient safety: The Patient Advocacy Reporting System (PARS). … Advances in Patient Safety: New Directions and Alternative Approaches. … The Patient Safety Handbook, 2nd ed.
-
www.ahrq.gov/patient-safety/settings/esrd/resource.html
January 01, 2015 - AHRQ Safety Program for End-Stage Renal Disease Facilities – Toolkit
The ESRD Toolkit was created … to help end-stage renal disease clinics prevent healthcare-associated infections in dialysis patients … dialysis center clinicians make care safer by following clinical best practices, creating a culture of safety … , using checklists and other audit tools, and engaging with patients and their families. … Creating a Culture of Safety
Clinical Care
Using Checklists and Audit Tools
Patient and Family
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
January 01, 2023 - • Optimal communication with patients can improve patient safety and lower malpractice risks. … staff perceptions of patient safety culture are
associated with patients thathave better experiences … Patients are a vital source of information about patient safety, and it is imperative that they feel … examined the relationship between provider and staff perceptions of patient safety culture
and patients … Our hypothesis was that hospitals with more positive patient
safety cultures would have patients with
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
May 01, 2017 - • Sensemaking and Learn From Defects
• Implement Teamwork and
Communication
• Engage Patients and Families … Patient safety
pioneers recognized early that communication
and culture were key to creating safer, … Staff, in
turn, are accountable for the quality of the
choices they make to ensure their patients … A Just Culture provides a
comprehensive process to investigate events
or patient safety concerns and … As you complete
the adaptive work of improving patient safety
and confront challenges that will seem
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
April 20, 2008 - culture, as pointed out by the National Health Care Safety Council of the
United States National Patient … The model is a systematic, patient-centered representation (based on safety
engineering principles) … World Health Alliance for Patient Safety. Foreword
Programme. … Building learning
practices with self-empowered teams for improving
patient safety. … Prioritizing threats
to patient safety in the micro-system of rural primary
care.
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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-Adams-Pizarro_109.pdf
January 08, 2008 - measuring the patient safety culture. … , track changes in patient
safety over time, and to evaluate the impact of patient safety interventions … and time-sensitive care to ED patients before and after clinical
diagnosis. … champion for every unit
Hospital management support for patient safety Patient safety leadership walk … Available at:
www.health.state.ny.us/professionals/patients/patient_
safety/conference/2007/docs/patient_safety_and_the_j