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2221. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
      January 01, 2022 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report PATIENT SAFETY … Center for Quality Improvement and Patient Safety (CQuIPS) Agency for Healthcare Research and Quality … From the AHRQ Center for Quality Improvement and Patient Safety, we thank Elizabeth Bainger, Erin Grace … to ultimately improving the quality and safety of care patients receive in this setting. … Historical Background: Medicare Patient Safety Monitoring System C.

2222. Appendix A. Details on Scan Data Set, Manual Reviews, Algorithm Classification Methods, and Supplemental Scan Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-a.html
      June 01, 2020 - 181 166 7 8 96% 0.68 Multimorbidity a 362 181 164 13 4 93% 0.34 Patient … Safety 362 181 157 14 10 92% 0.55 Pediatrics 362 181 175 1 5 99% 0.91 … Safety 2,459 134 2,154 86 85 93% 61% 96% 0.57 Pediatrics 2,459 69 2,348 … Safety 3 (6%) 3–3 270 (40%) 253–286 77 (29%) 71–82 4 (7%) 4–4 855 … Safety 176 177 193 184 204 196 Pediatrics 247 199 210 226 199 208

2223. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
      July 25, 2018 - the Surveys on Patient Safety Culture, healthcare- associated infections prevention, the patient safety … The first three are patient safety focused. … patient safety within an organization. … Safety Culture Health IT Patient Safety Supplemental Item Set. … safety, and assess how culture influences Health IT and patient safety.

2224. Final Progress Report: Real-time assessment of risk factors for medication errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
      January 01, 2024 - Medication errors; patient safety; ecological momentary assessment Purpose. … We hypothesize that safety threats posed by the extrinsic factors are, in fact, mediated through their … safety; and 3) identify factors in the inpatient adult and pediatric medical contexts that contribute … Generalizable findings will contribute to patient safety efforts nationwide. … Importantly, these efforts provide insights into the usefulness of the novel patient safety methods

2225. CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/cpcf.pdf
      December 31, 2015 - • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public and private … - Medical records for all patients treated at the practice site are available to and shared by all … could prescribe a medication for the patient; the provider could screen an asymptomatic patient for … In 2001, the IOM defined quality as having six aims: Safety, Timeliness, Effectiveness, Equity, Efficiency … , and Patient-Centeredness.

2226. Final Progress Report: NYU Patient Imaging, Quality and Safety Laboratory (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/horwitz-report.pdf
      January 01, 2025 - and Safety Laboratory (PIQS Lab) is focused on improving safety and outcomes for patients undergoing … Patient “Imaging Quality and Safety Laboratory (PIQS Lab).” … Patient Safety Learning Lab Annual Conference, Sep 2017, Rockville, MD. 2. … “Patient Imaging Quality and Safety Laboratory.” … Patient Imaging Quality and Safety (PIQS) Lab: Improving Safety of the Inpatient Interventional Radiology

2227. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/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.

2228. Imp-Handouts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
      June 02, 2025 - DON: The Medical Director comes once a week to make rounds on his patients. … He goes to each unit and makes rounds to see patients with the nurse manager. … designee) X X X Rehab Department Internal Review Department team weekly review of rehab patients … For example, some, but not all, of the physicians have standing orders for daily weights for CHF patients … I will print out the Transfer Risk Report to track the number of patients with high-risk diagnoses

2229. 7. Conclusions and Recommendations | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/conclusions.html
      July 01, 2021 - HSR has helped establish an evidence base to support decisionmaking and improvements in the quality, safety … used to improve the design of health care benefits, inform health care policy, and help providers and patients … knowledge and practice impact, (3) health care systems and services impact, (4) policy impact, (5) patient … safety or HIT implementation). … HRSA provides critical leadership in research on safety net services and the health care workforce, and

2230. Final Progress Report: Pursuing Perfection in Pediatric Therapeutics (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lannon1-report.pdf
      January 01, 2024 - Subthemes included quality and patient safety, practice-based research and improvement networks, pharmacogenomics … Subthemes included quality and patient safety, practice-based research and improvement networks, performance … Solutions for Patient Safety (SPS): SPS is composed of eight Ohio children's hospitals. … Below is a summary of networks key accomplishments: Solutions for Patient Safety (SPS) Initial work … safety.

2231. Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
      January 01, 2024 - System (ASRS) and the Patient Safety Reporting System (PSRS), we launched our Obstetric Safety Reporting … field patient and obstetrical safety. … Patient Safety in Obstetrics: Learning From Other High- Risk Fields. … Invited NASA safety experts to speak about aviation and patient safety and facilitate interdisciplinary … The Joint Commission Journal on Quality and Patient Safety. 2007.

2232. Practice and Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/quality-improvement.html
      August 01, 2025 - Safety, five in Person-Centered Care, four in Digital Healthcare, four in Behavioral Health and Substance … Medical College of Wisconsin  Grant Start Date:  February 1, 2022  Aims to increase the proportion of patients … A New Combination of Evidence-Based Interventions to Improve Primary Care Diagnostic Safety and Efficiency … The research team plans to examine the impact of the EBIs on patient safety and diagnostic efficiency … (Read  Eating Disorder Resources for Clinicians and Patients for additional information on this topic

2233. Implementing Hybrid Cardiac Rehabilitation to Expand Access and Capacity
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-consolidated-slides.pptx
      May 11, 2023 - included in most studies." 11 Safety Additional safety studies include: O’Connor et al. (2009 … Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized … with a clear explanation of processes in place to ensure their safety at home, and ask them to them … repeat the processes back to you. 47 Adopt a Safety Plan 47 Even enthusiastic staff may develop … and patient sharing of confidential information?

2234. Strategy 2: Communicating to Improve Quality (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
      April 30, 2013 - and Safety is a resource to help hospitals develop effective partnerships with patients and family … safety. … .2 Studies show that patients who are informed and engaged can help improve safety through “informed … How willing are patients to question healthcare staff on issues related to the quality and safety of … Patient involvement in patient safety: what factors influence patient participation and engagement?

2235. Postpartum Followup and Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0084-fullreport.pdf
      March 01, 2016 - and education, including patient-reported breastfeeding … health and safety through the identification and development of evidence-based clinical performance … Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … The automated report did not find the component for any of the 75 eligible patients, but one patient … The automated report did not find the component for any of the two eligible patients, but one patient

2236. Final Progress Report: Automated Image Analysis for the Prevention of Radiotherapy Delivery Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/lamb-report.pdf
      January 01, 2024 - Scope: The scope of this project is image-guided radiation therapy, in which patients are positioned … x-ray setup images to the CT scans used to plan patients’ treatments. … of magnitude and directly addressing the AHRQ priority of improving patient safety. … patient. … safety in radiotherapy and the allocation of finite quality assurance resources.

2237. 2013 Child Core Set Measure Retirement Process Summary of SNAC Scoring: Round II – Final Scoring (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc3.pdf
      September 01, 2014 - C-Section NPSV � Importance � A measure of potential harm/waste. � High cost, and safety … is no validity data for this or the other visit measures; Seems more important to keep for younger patients … Not patient centered, better measure would be survey of patients (CAHPS), and most states do this survey … Few patients. … Regardless of the issues identified, there are relatively strong indicators that central line bundles

2238. 157-What-Are-4-Es (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/157-what-are-4-es.docx
      October 01, 2024 - Engage: Engaging people in the patient safety process includes encouraging open communication, active … Educate: Educating people on patient safety and best practices ensures that they are equipped with the … to get staff perceptions on patient safety. … Staff are asked to anonymously evaluate aspects of patient safety culture. … The team also consults the results of their anonymous patient safety survey.

2239. Analysis of Requirements for Coverage With Evidence Development (CED) - Topic Refinement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-topic-refinement.pdf
      November 01, 2022 - FDA) makes decisions about the approval for marketing of products based on demonstrations of their safety … Patient- important outcomes may or may not be patient-reported (e.g., death). I. … For studies that involve researching the safety and effectiveness of new drugs and biological products … For studies that involve researching the safety and effectiveness of new drugs and biological products … "patient access schemes"[All Fields] 8.

2240. Coaching in the Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/coaching.html
      December 01, 2013 - Prioritize patient visits for the day: New patients—while discharge planning should always "begin … Already enrolled patients—monitor status and anticipate discharge needs.  … Round briefly on all patients daily to assess for changes in status and new needs.  … Maintain patient confidentiality at all times if teaching in an open setting. … (insurance coverage, pediatrician contact information and appointment date, CPR education, car seat safety