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  1. 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
  2. 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
  3. 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.
  4. 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.
  5. 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 SAFETYSafety 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.
  6. 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.
  7. 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 SafetyPatient Safety Checklist No. 10: postpartum hemorrhage from vaginal delivery.
  8. 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.
  9. 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 SafetySafety) Learn From Defects (CUSP Module) Simulation (SPPC Pillar) Teamwork Training (TeamSTEPPS®) PatientPatient 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
  10. 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 patientPatient safety is not about finger pointing.
  11. 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.
  12. 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.
  13. 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.
  14. 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.
  15. 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.
  16. 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
  17. 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
  18. 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
  19. 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.
  20. 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

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