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2141. Compendium of U.S. Health Systems, 2020, Home Health Care Organization Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-hhco-linkage-techdoc.pdf
      January 01, 2020 - practices in delivering care.i AHRQ’s goal is to understand the factors that affect health systems’ use of patient-centered … documentation: [A] home health organization (COT 90) provides home-based health care services to patients … detail on CMS’s definition of home health agencies can be found at https://www.cms.gov/medicare/health- safety-standards … https://www.cms.gov/medicare/health-safety-standards/guidance-for-laws-regulations/home-health-agencies … /home-health-providers https://www.cms.gov/medicare/health-safety-standards/guidance-for-laws-regulations

2142. Compendium of U.S. Health Systems, 2021, Home Health Care Organization Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-hhco-linkage-techdoc.pdf
      January 01, 2021 - practices in delivering care.i AHRQ’s goal is to understand the factors that affect health systems’ use of patient-centered … documentation: [A] home health organization (COT 90) provides home-based health care services to patients … detail on CMS’s definition of home health agencies can be found at https://www.cms.gov/medicare/health- safety-standards … https://www.cms.gov/medicare/health-safety-standards/guidance-for-laws-regulations/home-health-agencies … /home-health-providers https://www.cms.gov/medicare/health-safety-standards/guidance-for-laws-regulations

2143. Final Progress Report: Clinical importance of the drug interaction between statins and CYP3A inhibitors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/strom-report.pdf
      January 01, 2024 - We excluded patients with an organ transplant prior to statin initiation and patients with relevant … Despite this, practice patterns, patient populations, prescribing patterns, and patient surveillance … We compared the baseline patient characteristics in this study with those in other recent statin safety … the baseline patient characteristics from other US, Canadian, and European statin safety cohorts (data … Safety profile of rosuvastatin: Results of a prescription-event monitoring study of 11680 patients.

2144. Introduction to the SPPC‐II Teamwork Toolkit for Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
      July 01, 2023 - The AIM patient safety bundles that your organization is implementing satisfy the technical side. … . 4 SPPC‐II Teamwork Toolkit Purpose • Connects to AIM Patient Safety Bundle concepts via the … A similar toolkit is available for AIM’s Severe Hypertension Patient Safety Bundle. … Each patient safety bundle consists of four domains, known as the 4 Rs. … Specifics of each domain is tailored to each patient safety bundle.

2145. Final Progress Report: What Is Patient Safety in the Medical Home? (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
      January 01, 2024 - Patients Purpose: Our primary research aim was to elucidate the conceptual meanings of patient safety … Frontline personnel and patients conceptualized patient safety in largely consistent ways, with some … Strategies included expanding the focused search for patient information by visiting patients’ homes … Strategies included expanding the focused search for patient information by visiting patients’ homes … Patient safety in primary care: Conceptual meanings to the health care team and patients.

2146. Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
      October 18, 2012 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Eliminating … CLABSI, A National Patient Safety Imperative A Companion Guide to the National On the CUSP: Stop … Safety and Quality Michigan Health & Hospital Association Keystone Center for Patient Safety & Quality … The Hospital Survey on Patient Safety Culture (HSOPS) is a reliable and valid survey13 designed to … Safety Frequency of event reporting Patient Safety Grade (Excellent or Very Good) Hospital Management

2147. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
      January 01, 2024 - Patient counseling was estimated to occur with 30% of patients. … High-alert medications and patient safety. … Advances in Patient Safety: From Research to Implementation; vol. 2. … Accessed February 7, 2009. 73 Pennsylvania Patient Safety Authority. … Medication safety: patients’ experiences, beliefs, and behaviors. J Am Pharm Assoc.

2148. Measure: Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-3-ef.pdf
      May 01, 2016 - Measure: Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric … Intensive Care Unit (PICU) Admission Measure: Initial Baseline Screen of Nutritional Status for Every Patient … Standardized nutrition screening tool: Screening tool should be applied in a standardized manner to each patient … Quality Measures Program (PQMP) 2 An initial baseline screen of nutritional status for every PICU patient … was performed at three children’s hospitals in the Chicago area in the Chicago Pediatric Quality and Safety

2149. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
      March 27, 2008 - The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical … and Invasive Procedures 1 The New York Model: Root Cause Analysis Driving Patient Safety Initiative … the sequence of patients Table 2. … The Patient Safety and Quality Improvement Act of 2005. Overview, June 2006. … Advances in patient safety: From research to implementation.

2150. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
      March 01, 2017 - The more satisfied the long-term care workforce, the higher quality of care that is delivered to the patients … When a patient is being transferred from the hospital to a nursing home or during a change of shift report … Improving Patient Safety Through Teamwork And Team Training. … Safety: This is a Safety issue! … Improving Patient Safety Through Teamwork And Team Training.

2151. Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
      January 01, 2024 - medical safety problems during the diagnosis and treatment, patient safety in relation to the healthcare … and both patient safety events and clinical operations. … Threats to the patients that were determined from the FMEAs ranged from patient discomfort to the possibility … Safety (ICPS) for their incorporation of facility information in their classification of patient safety … Patient Safety Events only have a relationship to Health Threats.

2152. 6. How do we sustain the redesigned prevention practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
      October 01, 2014 - In some places it may be the Patient Safety Committee, in others the Quality Council. … Journal on Quality and Patient Safety 2006:32(9): 488-496. … Because of these changes, you can now demonstrate how your patients have better outcomes with fewer pressure

2153. 6. How do we sustain the redesigned prevention practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
      October 01, 2014 - In some places it may be the Patient Safety Committee, in others the Quality Council. … Journal on Quality and Patient Safety 2006:32(9): 488-496. … Because of these changes, you can now demonstrate how your patients have better outcomes with fewer pressure

2154. PowerPoint Presentation: Learn From Defects for Sustainability
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
      December 01, 2017 - Patient safety and quality historically have often suffered from poor metrics. … SAY: Often in patient safety and quality, we focus on the practitioners and forget to ask the patients … Leverage everything at your disposal to improve patient safety. … to two patients a year. … Share publicly or with your patients.

2155. Final Progress Report: Auditory Perception of Drug Names: Neighborhood Effects (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/lambert3-report.pdf
      January 01, 2024 - Key Words: drug name confusion, nomenclature, patient safety, auditory perception, medication errors … Thirty-two lay people were recruited from among the employees, patients, and patient companions in the … Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia. Lambert, B.L. … Annual Congress of the National Patient Safety Foundation. Washington, DC; 2007. … Doing what counts for patient safety: Federal actions to reduce medical errors and their impact.

2156. Presentation: Engaging Senior Executives
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
      December 01, 2017 - : Sometimes getting executives involved in a patient safety project is one of the most challenging aspects … Program for Surgery – Onboarding SAY: Sometimes getting executives involved in a patient safety project … These complications can take a toll on patients' health and safety and can extend postoperative hospital … Survey on Patient Safety Culture assessment composite scores Share your Safety Culture Survey (HSOPS … not patient safety issues observed during safety rounds.

2157. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.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.

2158. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.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.

2159. Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
      January 01, 2024 - of ADEs was identified as a critical patient safety metric in the Institute of Medicine’s 2004 report … on patient safety(12) and in their National Healthcare Quality Report. … Patient safety: Achieving a new standard for care. … Profiles in patient safety: medication errors in the emergency department. … Patient safety events during pediatric hospitalizations. Pediatrics 2003; 111(6 Pt 1):1358-1366.

2160. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-refs.html
      July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety … Triad To Improve Diagnostic Safety Introduction The Patient-Clinician Dyad The Patient-Artificial … Time and the patient-physician relationship. … Evaluation of risk stratification schemes for ischaemic stroke and bleeding in 182 678 patients with … Why physicians should trust in patients.