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Showing results for "patient safety".

461. The Impact of Standardized Order Sets on Quality and Financial Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ballard_12.pdf
     February 02, 2008 - Safety Committee. … Changes are reviewed by the BHCS Pharmacy and Therapeutics and Patient Safety Committees. … APR DRG Risk of Mortality was used in the models for safety and effectiveness indicators, while APR … hospitals that used vs. did not use the order set: March 1, 2006 - September 30, 2007 Order set Safety … hospitals: March 1, 2006-September 30, 2007 Outcome Covariate adjusteda Propensity score adjustedb Safety

462. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
     February 26, 2008 - These patients and—in fact—all patients, require environmental safety interventions designed to prevent … Patient education about these risks and safety precautions to reduce risk are essential for these patients … Joint Commission. 2008 National patient safety goals: Hospital program. … National Center on Patient Safety toolkit: Falls policy. … Making health care safer: A critical analysis of patient safety practices.

463. Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
     January 01, 2007 - Quality improvement implementation and hospital performance on patient safety indicators. … Patient safety proves elusive. … safety, but progress is another matter. … The business case for patient safety. Clin Orthop Relat Res 2007; 457: 21-34. 14. … What do we know about financial returns on investments in patient safety? A literature review.

464. Minding the Gaps: Creating Resilience in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
     April 27, 2008 - Authentic improvements to clinical performance and to patient safety must rely on understanding the … Critical access hospital and hospital national patient safety goals: 2E. … Gaps in the continuity of care and progress on patient safety. … Going solid: A model of system dynamics and consequences for patient safety. … Aldershot, UK: Ashgate; 2003. 16. 2008 National patient safety goals.

465. Using Data Mining to Predict Errors in Chronic Disease Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
     March 28, 2008 - represents a major advance in patient safety research. … Patient model. … Simulated patients. … Advances in patient safety: From research to implementation. Vol 1: Research findings. … Advances in patient safety: From research to implementation.

466. Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Loux_36.pdf
     March 15, 2008 - Because MMC is Maine’s largest tertiary system, these and other hospitals refer many of their patients … FMH refers its patients to MMC in Portland and to Central Maine Medical Center in Lewiston. … Most systems provide patient registration, appointment scheduling, patient tracking, results entry, … MaineHealth created a master patient index which conducts a behind-the- scenes matching of the same patient … Shared PACS requires either a master patient identifier or a manual process of matching exams to patients

467. Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
     April 06, 2008 - Over 250 physician-owners deliver care to 225,000 patients in 14 ambulatory locations. … Downtime procedures should include processes for patient registration, patient charting, and handwritten … Retail Pharmacies At the time of implementation, retail pharmacies that served clinic patients were … safety. … of patient care.

468. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
     February 21, 2008 - A full description of this process was published in the AHRQ publication, Advances in Patient Safety … Patient safety at time of discharge: An example of a multifaceted process evaluation. … AHRQ Advances in Patient Safety Vol 2. … safety and continuity of care. … Patient safety concerns arising from test results that return after hospital discharge.

469. Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
     March 07, 2008 - The features of such a clinic would also improve the culture of safety within the community, reduce … Creation of a health care culture of safety; and Item 18. … Summary data from warfarin patient Gage R&R study Average INR Patient Lab A Lab B INR difference … concern is that some patients have more variability in their INR results compared to other patients … Safety grant project Award No: 5 U18 HS015830-02. 10 Author Affiliations Rockwell Collins,

470. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
     January 22, 2008 - safety and successful patient care.6 Incomplete information transfer and incomplete and/or unclear … safety. … Transitions in care: Studying safety in emergency department signovers. … Patient safety practices related to patient safety goal 2E. … British Medical Association, National Patient Safety Agency, NHS Modernisation Agency, Safe Handover

471. Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
     May 01, 2007 - information is focused on the treatment of thrombosis rather than prevention.7 Despite the fact that the safety … On review of data obtained from the CHB Safety Events Reporting System, adverse event rates in FY 2005 … • One patient population monitored closely is the pediatric patient transitioning to adolescence. … Limitations This descriptive paper cannot provide definitive evidence for improved safety; that will … safety.

472. Hospital Language Services: Quality Improvement and Performance Measures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
     May 08, 2008 - of patient safety, studies have shown that this bridge is critical, particularly in hospital settings … First, we used the Institute of Medicine’s (IOM’s) six dimensions of quality (i.e., safety, timeliness … Applying IOM’s six domains of quality to language services • Safety: Avoiding injuries to patients … benefited from an enormously supportive cadre of forward-thinking chief executives who well understood the safety … safety for millions of people.

473. Measuring IT Sophistication in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Alexander_10.pdf
     January 20, 2008 - IT development has the potential to improve the safety, quality, and efficiency of health care in the … United States.9 Increasing attention to errors in health care and concern for patient safety have prompted … clinical decisionmaking, enhance adherence to clinical guidelines, and provide increased focus on patients … sophisticated IT lies in its ability to transform and achieve certain foundational aims, including safety … Improving safety with information technology. N Engl J Med 2003; 348: 2526-2534. 28.

474. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
     March 21, 2008 - A study coordinator abstracted additional information from patients’ charts. … Among a sample of elderly patients, Gurwitz, et al.,6 found that many adverse drug events were due to … When post-visit interviews with patients who received prescriptions are combined with chart review data … , errors have been found to occur in as many as one of every four patients.2 No studies were found … No attempt was made to classify outcomes or harm to patients.

475. Developing a Community-Wide Electronic Shared Medication List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
     June 15, 2005 - Patient Satisfaction Survey Using a patient satisfaction telephone survey, 486 patients receiving care … care setting are critical to improving patient safety. … Safety culture assessment: A tool for improving patient safety in healthcare organizations. … Psychometric analysis of the Hospital Survey on Patient Safety. … Austin, TX: The University of Texas Center of Excellence for Patient Safety Research and Practice;

476. Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdf
     March 05, 2008 - We used chart reviews and patient interviews to identify potential drug-HDS interactions, and we used … Most dietary supplements are unlicensed, and manufacturers are not required to demonstrate efficacy, safety … The model was adjusted for patient and practice attributes (i.e., age, sex, primary language other than … Phillips); Center for Patient Safety, Dana-Farber Cancer Institute, Boston, MA (Dr. … Weingart, MD, PhD, Center for Patient Safety, Dana-Farber Cancer Institute, 44 Binney St., Boston, MA

477. Using Home Visits to Understand Medication Errors in Children (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
     May 28, 2008 - Richelman, et al, 200737 Patient survey Outpatient oncology clinic 27% of patients had a drug interaction … medication use commonly occur and may affect patient safety. … Principles of patient safety in pediatrics. … National Patient Safety Goals, 2008. … Advances in patient safety: From research to implementation. Vol. 1, Research Findings.

478. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-ref.html
     September 01, 2023 - Patient Safety 101: Primers: Culture of Safety. https://psnet.ahrq.gov/primer/culture-safety . … Perspectives on diagnostic failure and patient safety. Healthc Q  2012;15 Spec No:50-6. … Using patient experience surveys to assess diagnostic safety in urgent care. … Patient Safety Organization (PSO) Program. PSOs. Last reviewed October 2020. … Patient Safety Organizations: Hospital Participation, Value, and Challenges.

479. NOTICE Process Checklist (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/NOTICEProcessChecklist.pdf
     June 02, 2025 - Prior to touching a patient 2. Prior to aseptic procedure 3. After touching a patient 4. … After touching patient surroundings *Attempt to observe care on multiple days and during all shifts

480. Banner Health: Classic 3 bucket model implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/bannerhealthslides.pdf
     June 02, 2025 - requires dual prophylaxis Contraindications captured if pharmacologic prophylaxis not ordered for a patient