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2121. Strategy 4: IDEA Discharge Planning (Tool 4)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
      April 01, 2011 - This partnership is important, because health care quality and safety have a direct effect on patients … and goals for effort] Research shows patient-centered approaches can improve: Patient safety Patient … improvements in quality and safety: Improved patient safety. … safety. … .1 In addition, studies show that patients who are informed and engaged can help improve safety through

2122. Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
      August 03, 2020 - Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis PATIENT … SAFETY e Issue Brief Telediagnosis for Acute Care: Implications for the Quality and Safety of … Despite its importance to diagnostic safety, little attention has been paid to the impact of patient … engagement and patient participation in telediagnosis,17,18 beyond patient satisfaction. … Diagnostic Safety • Safety may be enhanced by improved access, a better sense of the patient’s home environment

2123. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/confidreportguide_0.pdf
      March 01, 2016 - their quality of care and patient safety. … Capacity to access patient-level data also enables physicians to identify specific patients whose care … AHRQ Publication No. 09(10)-0073. http://www.ahrq.gov/professionals/quality-patient-safety/quality- … http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/perfmeasguide/index.html … http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/perfmeasguide/index.html

2124. No More CAUTI – preventing catheter associated urinary tact infections
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti.pptx
      June 02, 2025 - urinary flow obstructions 4 Appropriate Catheter indication Monitoring fluids in critically ill patients … prevent falls 15 Inappropriate catheter indications Monitoring of fluids in non-critically ill patients … 17 Inappropriate catheter indications Patient or family request Educate patient and family on … safety! … Healthcare Research and Quality through the contract, “National Implementation of Comprehensive Unit-based Safety

2125. Team Structure and Assembly (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
      July 01, 2023 - Department of Defense (DoD) Patient Safety Program Team Up DoD Patient Activation Reference Guide The … /Patient-Safety/Patient-Safety-Products-And-Services/TEAM-UP https://www.health.mil/Military-Health-Topics … /Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Patient-Safety/Patient-Safety-Products-And-Services … /patients-families/engagingfamilies/guide.html https://www.ahrq.gov/patient-safety/patients-families/ … safety culture is local • Composed of engaged frontline providers who take ownership of patient safety

2126. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
      January 01, 2004 - Advances in Patient Safety: Vol. 2 360 F ig u re 1 . … Human factors in healthcare: benefiting worker/patient safety and quality. … Making health care safer: a critical analysis of patient safety practices. … Technology and patient safety: a two-edged sword. … Reducing workload and increasing patient safety through work and workspace design.

2127. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraref.html
      April 01, 2018 - Assessing patient safety risk before the injury occurs: An introduction to sociotechnical probabilistic … Red blood cell transfusion safety: Probabilistic risk assessment and cost/benefits of risk reduction

2128. Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
      January 01, 2025 - and presents risks to patient safety. … effects on patient care and safety. … ’ reported emotions and implications for patient safety. … and implications for patient safety. … ’ reported emotions and implications for patient safety.

2129. Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
      January 01, 2024 - Patient acuity was measured by the Optilink Healthcare Management© patient acuity system (The Advisory … The principal investigator (PI) verified that the patient acuity recorded by the RNs on the daily patient … Patient acuity is recognized as an important quality and safety indicator because, as patient acuity … Other heterogeneities of the patients on the two units, including variables such as CVC type, patient … Using patient acuity data to manage patient care outcomes and patient care costs.

2130. Team Structure and Assembly - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure.pptx
      July 01, 2023 - engagement, including AHRQ, the DoD Patient Safety Program, the Joint Commission, the National Patient … and Family Engagement in Hospital Quality and Safety (https://www.ahrq.gov/patient-safety/patients-families … /Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Patient-Safety/Patient-Safety-Products-And-Services … /Quality-And-Safety-of-Healthcare/Patient-Safety/Patient-Safety-Products-And-Services/Toolkits/Patient-Activation-Reference-Guide … Care Team, market perception, operational efficiency, and patient safety.

2131. Distribution of Temperatures for Low Birth Weight Neonates (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-118-fullreport.pdf
      October 01, 2016 - , and society (unrelated to cost) • Fiscal burden of measure focus (e.g., clinical condition) on patients … safety, we have proposed two measures that adopt a slightly different approach. … We consider this a safety measure, as missed hypothermia may lead to shock and death. … Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care: No. l. … safety, and public health)

2132. Thermal Condition of Low Birth Weight Neonates Admitted to Level 2 or Higher Nurseries in the First 24 Hours of Life (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-fullreport.pdf
      May 01, 2018 - , and society (unrelated to cost) • Fiscal burden of measure focus (e.g., clinical condition) on patients … safety, we have proposed two measures that adopt a slightly different approach. … We consider this a safety measure, as missed hypothermia may lead to shock and death. … Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care: No. l. … safety, and public health)

2133. CUSP Toolkit: The Role of the Nurse Manager | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/nursing/sl-nursing.html
      December 01, 2012 - Nurse managers benefit patient safety and quality through their leadership. … Lead staff training to ensure the safest care for patients. … Interviews with patients and their families. Social media. … Typical safety indicators. Tools. Return to Contents   Slide 24. … Keeping Patients Safe: Transforming the Work Environment of Nurses.

2134. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
      April 09, 2004 - Advances in Patient Safety: Vol. 3 140 Table 2. … The School of Public Health is studying AHRQ’s Patient Safety Indicators and comparing them Advances … Patient Safety Conference The NYSDOH will hold a statewide Patient Safety Conference to disseminate … safety and move quality and patient safety to the next level. … Patient Safety Reporting System.

2135. 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.

2136. The “Sometimes Antibiotics” Diagnoses: Acute Otitis Media in Children  – Slides
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-slides.pptx
      September 01, 2022 - Does my patient understand what to expect and the followup plan? … Does my patient understand what to expect and the followup plan? … Discussion Guide to help your practice develop a standardized approach to the diagnosis and management of patients … Patient Handout: The patient handout explains the symptoms and symptomatic treatment of acute otitis … Cranial indicators identified for peak incidence of otitis media.

2137. Guide To Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
      March 01, 2017 - Guide to Administering the AHRQ Nursing Home Survey on Patient Safety Culture and Reviewing Results … /professionals/quality-patient-safety/cusp/index.html http://www.ahrq.gov/professionals/quality-patient-safety … CAUTI rates are one of the most important indicators of how changes in practices and processes are impacting … systems to reduce catheter-associated urinary tract infections and urinary catheter use in hospitalized patients … The Ann Arbor criteria for appropriate urinary catheter use in hospitalized medical patients: results

2138. Efficiency Gains with Computerized Provider Order Entry (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Steele_100.pdf
      March 18, 2008 - It also supports the effort to improve quality of patient care and patient safety. … In order to improve both quality of care and patient safety, health care systems are implementing CPOE … Efficiencies of the system support better patient safety and quality of care. … Eisenberg patient safety awards. … The Leapfrog Group for Patient Safety: rewarding higher standards, J Comm J Qual Saf 2003; 29: 634-

2139. Final Progress Report: Using an Electronic Health Record to Examine Nurse Continuity and Pressure Ulcers (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/stifter-report.pdf
      January 01, 2024 - Patient safety network patient safety primers: Never events. … Models of care: The influence of nurse communication on patient safety. … Nurse staffing effects on patient outcomes: Safety-net and non-safety-net hospitals. … Effects of Critical Care Nurses’ Work Hours on Vigilance and Patients’ Safety. … Pressure ulcers: A patient safety issue.

2140. Urine Culturing Stewardship in the ICU Setting Facilitator Notes
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
      April 01, 2022 - Indication for urine based on patient evaluation? … Is the patient granulocytopenic? … Nosocomial urinary tract infection: a prospective evaluation of 108 catheterized patients. … Intensive Care Unit Infographic Poster. http://www.ahrq.gov/professionals/quality-patient-safety/hais … Patient Safety Component Manual: Chapters 2 and 7. https://www.cdc.gov/nhsn/pdfs/pscmanual/pcsmanual_current.pdf