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pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - PATIENT
SAFETY
e
This page intentionally left blank. … advocates, answering patient questions, providing support, and educating patients about their conditions … Improving diagnosis in health care - the next imperative for patient safety. … Resilient health care: turning patient safety on its head. … A meta-synthesis of qualitative studies of patient safety
in primary care.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar02/spc_slides.pptx
June 04, 2013 - Statistical Process Control--
Possible Uses to Monitor and Evaluate Patient-Centered Medical Home Models … Safety and Quality, Johns Hopkins Medicine
With Thanks to Mimi Huizinga, MD, Melissa Sherry, MPH … Identify differences across groups
Aid self-management interventions
Monitor changes in individual patients … that analyzes data from electronic medical records to continuously monitor for abnormal patterns in patients … Application of this approach can be at the patient, provider and population levels.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Labor and Delivery Unit Safety … for L&D unit safety are organized into six overarching principles of patient safety derived from CUSP … products in the event of a hemorrhage.
· Risk assessment can then determine the unit’s process for patients … Slide 32
SAY:
The final consideration is patient and family engagement. … The key safety elements are as follows:
Communicating and educating patients and families around the
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/traininggd-update.pdf
February 01, 2011 - “The relation between teamwork and
patient safety.” … Handbook of Human Factors and Ergonomics in Health Care and Patient
Safety. … Journal on Quality and Patient Safety. March 2006.
32(1).
Jha, A.K., Duncan. … Making Health Care
Safer: A Critical Analysis of Patient Safety Practices. … Department of Veterans Affairs National Center for Patient Safety
Lisa M.
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pcmh.ahrq.gov/coronavirus/data-analytics.html
August 01, 2023 - Initial Period of the COVID-19 Pandemic (April−December 2020), 29 States , Statistical Brief #298
Patient … Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (PDF, 2.6 … 2020 , HCUP Statistical Brief #274 (PDF, 552 KB)
COVID-19-Related Hospitalizations in 13 States, by Patient … 2020 , HCUP Statistical Brief #275 (PDF, 355 KB)
COVID-19-Related Hospitalizations in 13 States, by Patient
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
March 01, 2010 - As a nurse with years of experience in patient safety and quality, inpatient, ambulatory and office-based … The acronym stands for Team Strategies and Tools to Enhance Performance and Patient Safety. … In effective teams, mistakes are caught, addressed, and resolved before they compromise patient safety … safety. … The Joint Commission Journal on Quality and Patient Safety 36(3): 133-142, March 2010.
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pcmh.ahrq.gov/teamstepps/instructor/reference/acknowl.html
March 01, 2014 - ® Rapid Response Systems Guide
Training Guide: Using Simulation in TeamSTEPPS® Training
Patients … First, we would like to recognize the project sponsors, AHRQ and the Department of Defense (DoD) Patient … Safety Program. … Susan Sheridan, M.B.A., M.I.M., Deputy Director of Patient Engagement at the Patient-Centered Outcomes
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pcmh.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief7-ma-plans.pdf
March 01, 2019 - uncompensated care
burden
65 505 13%
High uncompensated care
burden
9 118 8%
Without a high DSH patient … percentage hospital
36 430 8%
With a high DSH patient
percentage hospital
38 193 20%
Children’ … Notes: Three systems are missing results for the safety net and teaching system variables; one system … Safety net systems: Systems are categorized as serving the safety
net using two measures: (1) systems … -
Federal general acute care hospitals and (2) systems with at least one
hospital with a high DSH patient
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pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
June 01, 2020 - safety measures that look at all aspects of patient safety, including overuse or misuse of medical care … Further, although patient-reported measures (patient-reported outcome measures and patient-reported experience … safety or other health service topics for agencies like AHRQ. … The IOM definition of quality —with its six dimensions of safety, effectiveness, patient-centeredness … Involvement of patients and families was seen as extremely important, as voiced by the patient/consumer
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pcmh.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
April 07, 2008 - Strategies and Tools to
Enhance Performance and Patient Safety
Heidi B. … • Evaluating specific patient safety interventions. … and security of actual patients. … Medical
teamwork and patient safety: The evidence-based
relation. … Patient safety culture surveys.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
January 01, 2023 - D-5
Patient Safety Quality Measures by Setting of Care ............................................. … Note: Patient safety measures include measures related to nursing home resident safety. … • From 2002 to 2021, 57% of patient safety measures improved and 4% of patient safety
measure worsened … • From 2002 to 2021, 100% of patient safety measures in the ambulatory setting, 25% of
patient safety … of patient safety measures in the nursing home setting improved
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pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - For example, the dynamic, fast-paced environ-
ment with high-acuity patients being taken care of by multiple … safety. … Singh is supported by the
VA HSR&D Service (IIR17-127), the VA National Center for Patient
Safety, … J Patient Saf 2010;6(2):121.
23. Falkland EC, Wiggins MW, Douglas H, et al. … Progressive care nurses improving patient safety by limiting interruptions
during medication administration
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pcmh.ahrq.gov/teamstepps/lep/handouts/lepbriefingex.html
December 01, 2012 - ® Rapid Response Systems Guide
Training Guide: Using Simulation in TeamSTEPPS® Training
Patients … Base
TeamSTEPPS® Webinars
Briefing Exercise
TeamSTEPPS® Enhancing Safety … for Patients With Limited English Proficiency Module
We're going to practice briefing, including creating … psychological safety, by having you read through a scenario where a patient is being discharged from … [Interpreter and nurse walk into patient room]
Nurse: Hi, [patient name]. I'm [ nurse name ].
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
August 01, 2005 - Defining Need
Has your institution clearly defined the need to initiate a teamwork-based patient safety … Safety
Culture Survey, surveys of patient or staff satisfaction, and unit- or site-specific process … Teamwork has been found to be
one of the key initiatives within patient safety. … Patient safety experts agree that
communication and other teamwork skills are essential for providing … Examples include the
AHRQ Patient Safety Culture Survey, surveys of patient and staff satisfaction,
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
August 01, 2005 - Defining Need
Has your institution clearly defined the need to initiate a teamwork-based patient safety … Safety
Culture Survey, surveys of patient or staff satisfaction, and unit- or site-specific process … Teamwork has been found to be
one of the key initiatives within patient safety. … Patient safety experts agree that
communication and other teamwork skills are essential for providing … Examples include the
AHRQ Patient Safety Culture Survey, surveys of patient and staff satisfaction,
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pcmh.ahrq.gov/sites/default/files/attachments/pcmhqi1_0.pdf
April 01, 2013 - evidence-based medicine and clinical decision-support
tools to guide shared decision making with patients … The
accreditation process helps hospitals organize and strengthen their QI and patient safety efforts … QI
activities are not reimbursed, and the benefits accrue primarily to others, to patients in the form … Every practice has patients covered by many payers. … AHRQ Patient Safety Project reduces bloodstream
infections by 40 percent.
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pcmh.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.html
February 01, 2023 - Healthcare-Associated Infections Program
Combating Antibiotic-Resistant Bacteria
Comprehensive Unit-based Safety … Surgical Care and Recovery
Improving Your Laboratory Testing Process
Mechanically Ventilated Patients … Toolkit
MRSA Prevention
Non-ICU Patients With Devices
Reduce CAUTI in LTC Facilities … At this point, the patient is ready to go. … ancillary personnel such as transporters and other members of the interprofessional team who care for patients
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pcmh.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/gap_analysis_tool.docx
November 01, 2019 - Gap Analysis for Antibiotic Stewardship Programs
AHRQ Safety Program for Improving Antibiotic Use … safety
☐ Patient representative
☐ Other:
☐ N/A
What are the activities of the ASP Committee? … :
☐ N/A
ASP Area
Answers
Comments
Do you have software or another mechanism that identifies patients … ☐ No procalcitonin testing
☐ Procalcitonin results not acted upon by ASP
☐ Yes: all patients
☐ Yes: … select patients
➕List interventions being conducted by the ASP to improve antibiotic use outside
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pcmh.ahrq.gov/page/coordinating-care-medical-neighborhood-critical-components-and-available-mechanisms
June 01, 2011 - safety; patient experience; and possibly lower costs through reduced duplication of services, increased … outcomes and safety as well as patient experience, a number of significant barriers stand in the way … outcome measures, such as preventable hospitalization and readmission rates, are important potential indicators … The usefulness of process measures, such as indicators of how often specialists provide information on … At the same time, outcome measures can provide useful “bottom-line” indicators, but outcomes often are
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 12, 2018 - The AHRQ Patient Safety Network (PSNET) is a national Web-based resource for staying current on tested … strategies and best practices for patient safety. … Slide 10
SAY: To make the skin assessment most useful to the patient and staff treating the patient … The scales are especially helpful in identifying patients at mild to moderate risk. … Identify some aspects of the care plan that patients and families can help implement.