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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
April 01, 2025 - Improving Healthcare Safety by Enhancing Healthcare Facility Design
AHRQ-Funded Patient Safety
Project … Safety: Developing
Methods To Integrate
Patient Safety Concerns
Into the Facility Design
Process … Safety, and a seminar focused on design for
patient safety. … safety risk assessment (PSRA) toolkit to help eradicate
patient harm. … /settings/hospital/resource/safety-assess.html
https://www.ahrq.gov/patient-safety/settings/hospital/
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
June 01, 2015 - and support a broader patient mix than its traditional safety-net base. … s operating losses are offset by revenue generated by a health plan that primarily
serves Medicaid clients … Related functions such as patient safety, patient concerns, and risk
management also exist in separate … , and accountability for quality and patient safety. … 10 patient safety and care transition metrics.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - A strong liaison with management shows frontline providers that patient safety efforts are valued. … 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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
January 01, 2002 - Teamwork, a
powerful patient safety tool, can achieve this goal. Lessons learned within the
U.S. … Advances in Patient Safety: Vol. 3
428
Figure 2. … or population of patients. … Air Force Patient Safety Program, Bolling Air Force Base (BK). … DoD Patient Safety Award Application, 2003–
04.
8. Kotter JP, Cohen DS.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
January 01, 2020 - Ginsberg has broad-based experience in patient experience, patient safety and public health. … within an organization as it relates to patient safety. … over time, evaluating the impact
of patient safety initiatives. … could and should be
made to improve quality in patient safety. … We all want to
improve patient safety and patient care and stop errors from happening, and focused on
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www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
April 01, 2018 - infection that might suggest opportunities for process improvement/reengineering to enhance quality and safety … sampled in ways that induce differential misclassification between diagnoses of SSI and our measured indicators … an algorithm entirely in the VA and applying it to other hospitals include the fact that the veteran patient … postoperative days 4 and 30 because pre- or perioperative data might indicate risks for SSI or that the patient … than 3mg/dL
Or postoperative antibiotics given
Or the presence of a postoperative culture, or the patient
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-089-fullreport.pdf
January 30, 2017 - with multiple psychiatric conditions
referred to other provider, or patient determined to
be at risk … Measure Topic – patient safety: Yes.
k. Measure Topic – family experience with care: No.
l. … Safety concerns for patients 4-5 years of age who are diagnosed with ADHD include:
It can take several … , or patient level information. … • What language does the patient speak at home?
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HIT/HIT_CAHPS_Meeting_Summary.pdf
December 01, 2006 - organizations—has made a
significant investment in investigating how HIT can improve the quality and safety … Impact on safety
Impact on convenience—Patients can report on the extent to which HIT makes care … Rein asked whether there might be an opportunity to focus on health (safety net) clinics,
since studies … Safety, Agency for Healthcare Research and Quality
Charles Darby, M.A., Social Science Administrator … , Center for Quality Improvement and
Patient Safety, Agency for Healthcare Research and Quality
Catherine
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www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
January 01, 2024 - Key Words: handoffs, patient safety
Word count: 199
3. … Scope
The patient handoff, or the temporary transition of care of patients between healthcare
providers … at the conclusion of their shift, is a time that is recognized as a threat to patient safety
due to … In 2006, The Joint Commission made handoffs a
“National Patient Safety Goal” and highlighted that “a … Finally, the Handoff CEX may be a useful tool to assist hospitals in
improving patient safety.
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
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. … Patient safety is a property of the system, not just individuals.
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www.ahrq.gov/sites/default/files/2024-07/mitchell-report.pdf
January 01, 2024 - in the adaptation of SDM tools to health information technology and
implementation of such tools in safety … several secondary analyses related to factors influencing SDM behaviors
and hospital service use among safety … net service users, including health literacy and patient
activation. … These instructions were rarely individualized for the specific patient. … alleviate
clinician time restraints, and they have high patient acceptability.
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www.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-lit-review.html
January 01, 2017 - Spontaneous Awakening Trials and Spontaneous Breathing Trials Literature Review
AHRQ Safety … Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated … SAT safety screens were performed on only 20 percent of pre-quality improvement (QI) patient-days versus … 97 percent of during-QI patient-days (p<0.001) and 100% of post-QI patient-days (p=0.25). … The rates of passing the SAT safety screen in pre-QI and during-QI periods were 63 percent versus 78
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www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
March 01, 2025 - The proposed measure addresses patients who board for longer than
four hours, among other indicators … • Patients and patient advocacy groups, who bring a unique perspective on the
experiences patients … The standard would need to be 1) appropriate
for promoting patient safety and quality of care and 2) … President
Certification Board for Professionals in Patient
Safety
Institute for Healthcare Improvement … Patients
Impact on ED Staff
Impact on Cost
Impact on Public Safety
What Drives ED Boarding?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
April 08, 2004 - safety, finance/economics of patient safety, organizations involved in
patient safety, medication use … patient safety practicum, and a patient safety guest lecture seminar. … in patient safety. … safety, they can result in significant harm, the percentage of patients
receiving medication management … safety problems in order
to improve care for all patients.
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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
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/nh/about/measures-nursing-home-family-member-609.pdf
December 28, 2017 - Patient Experience Measures from the CAHPS Nursing Home Family Member Survey
Patient Experience Measures … Psychometric analyses also indicate that composite measures are reliable and
valid measures of patients … Survey results are typically reported along with other
measures of quality and safety. … Learn more about using CAHPS survey results to improve patient experience. … http://www.ahrq.gov/cahps/consumer-reporting/index.html
http://www.ahrq.gov/professionals/quality-patient-safety
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-h.pdf
July 07, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Tools to Help Patients Communicate … safety, and enhance quality of care. … Patients can also use the form during the visit to write down what they and the doctor
agreed the patient … Expanding patient involvement in care. Effects on patient outcomes. … http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/index.html
http://www.ahrq.gov
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www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
April 01, 2018 - Denver Health and Vail hospitals followed National Healthcare Safety Network (NHSN) guidelines and performed … Vail was noted to have the lowest risk patients and a very low SSI rate. … Ideally (for statistics, but not for patients), there would be enough events, so that the rate could … Some adjustments can be made if patient-case mix is considered. … Acquiring the data for and developing valid models that adjust for patient-case mix is a large endeavor
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
February 01, 2017 - Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide
AHRQ Safety … Slide 43: Address Variability in Practice
Say:
We want to use principles of patient safety and … One of the biggest issues we face in patient safety and quality is variability in practice. … Trying to reduce variability in practice is a crucial element to improving patient safety. … Review that data and input it to your Comprehensive Unit-based Safety Program (CUSP) graphs and tables
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www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
January 01, 2024 - allows us to quickly
and accurately generate evidence on pain management practices and associated
patient … Patients were excluded if they had less than two clinical
visits, as these patients were likely patients … Certain patient cohorts were also analyzed in the Veterans Health Administration (VHA). … To help improve healthcare quality and safety, quality
measures/indicators have been used for monitoring … Diverse Patient Trajectories during Cytotoxic Chemotherapy:
Capturing Longitudinal Patient Reported