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  1. www.ahrq.gov/research/findings/final-reports/ptflow/section4.html
    July 01, 2018 - Do patients typically wait for hours for a physician specialist consult? … After reviewing its data, ED leaders found that 87 percent of LWBS patients were triaged as Emergency … Further, this subset of ESI 3 patients had an average length of stay of 426 minutes, compared with an … average of 294 minutes for all ED patients. … seen is a major patient-safety and quality-of-care concern.
  2. 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
  3. www.ahrq.gov/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
  4. 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.
  5. www.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
    April 01, 2018 - valuable and important tool for assessing the risks associated with the occurrence of many different patientsafety events in a variety of different health care contexts. … settings, for example through a common patient identifier field. … A toolkit of core fault trees for important safety problems such as medication errors, serious and sentinel … Better methods to track patients across provider sites.
  6. www.ahrq.gov/ncepcr/reports/primary-care-research/references.html
    January 01, 2024 - TeamSTEPPS: Team strategies and tools to enhance performance and patient safety. … Advances in Patient Safety: New Directions and Alternative Approaches (Vol 3: Performance and Tools) … Journal of Patient Safety. 2010 Dec;6(4):238-43. doi: 10.1097/pts.0b013e3181fe401f. … Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic … Advances in Patient Safety: From Research to Implementation (Volume 1: Research Findings) Rockville,
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docx
    April 30, 2013 - , family, and clinicians to improve patient safety and the quality of care. … 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?
  8. www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
    December 01, 2017 - safety improvement for quite a period of time. … "We believe that patient and family engagement involve collaborating with patients and families of all … safety in your organization. … We should approach to learn from mistakes and improve patient safety in that engaging patients and family … What would she suggest that we use information-wise to teach a patient about the safety behind maybe
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
    April 01, 2008 - Because of growing interest in these systems, experts in the field of patient safety and critical-care … need with triage, direct patient care, or escalation of patient monitoring.2 Patient safety, evaluations … safety. … The PRRT and Rover Teams contributed to an environment of patient safety. C. … safety.
  10. www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
    April 01, 2018 - is an engineering tool that was developed in the 1970s to quantify risks and identify threats to the safety … external to the process include the ability of policies and procedures to direct best practices, the safety … Event 660 Patient fails to notice infection during home care. … Event 642 Staff fail to protect patient effectively. … Event 450 Obese, but not diabetic, patient (30 ≤BMI <40).
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-care/cathetercare-maintenance.pptx
    March 01, 2017 - No. 16(17)-0003-12-EF March 2017 AHRQ Safety Program for Long-term Care: HAIs/CAUTI Welcome to … 1 AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI … AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI 2 AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI … In support of resident safety, seeking task assistance is expected. … Patients’ bath basins as potential sources of infection: a multicenter sampling study.
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
    July 07, 2002 - Advances in Patient Safety: Vol. 2 280 Figure 1. … Advances in Patient Safety: Vol. 2 292 References 1. Patel VL, Kaufman DR, Arocha JF. … A tale of two stories: contrasting views of patient safety. … Chicago, IL: National Healthcare Safety Council of the National Patient Safety Foundation, American … Going solid: a model of systems dynamics and consequences for patient safety.
  13. www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
    January 01, 2024 - safety. … The occurrence of false checking in particular poses risks to patient safety, because it provides false … Introduction of surgical safety checklists in Ontario, Canada. … Effect of a comprehensive surgical safety system on patient outcomes. … Barriers to staff adoption of a surgical safety checklist.
  14. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicutoolkit.pdf
    January 01, 2004 - This toolkit includes resources for hospitals that wish to improve safety when newborns transition home … Previous experience in patient education is vitally important. … ■ Prioritize patient visits for the day. … ■ Maintain patient confdentiality at all times if teaching in an open setting. … insurance coverage, pediatrician contact information and appointment date, CPR education, car seat safety
  15. www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
    January 01, 2024 - Center for Patient Safety, Dana-Farber Cancer Institute Jie Zheng, Ph.D. … Key Words: Patient safety; reporting systems; medical errors: safe practices. Introduction. … Future Application of the Collaborative Approach for Patient Safety Goals. … Joint Commission Journal on Quality and Patient Safety 2005 Feb; 31(2): 68-80. … Joint Commission Journal on Quality and Patient Safety 2006 Jan; 32(1): 37-50.
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.docx
    March 01, 2022 - showering (see Section 10: “Patient CHG Shower Instructions”) for patients to read prior to beginning … Patients will be more likely to read the instructions in their spare time. · Provide patient with a single-use … Escalation Efforts for Patient Refusals As is the case with other medical care, patients can refuse any … An escalation pathway is recommended, not because a patient refuses, but because some patients may respond … escalation pathways were commonly used, to help explain and reinforce the importance of the protection and safety
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.docx
    March 01, 2022 - Generally, patients with lumbar drains are not permitted to shower. … Escalation Efforts for Patient Refusals As is the case with other medical care, patients can refuse any … If patient initially declines 2. Assess why: Is your patient tired? … An escalation pathway is recommended, not because a patient refuses, but because some patients may respond … escalation pathways were commonly used to help explain and reinforce the importance of the protection and safety
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
    June 01, 2017 - Just Culture Webcast November 2016 Using Just Culture to Improve Hospital Survey on Patient Safety … So here's a little background on the Hospital Survey on Patient Safety Culture. … Safety Culture Comparative Database for comparison to other hospitals in support of patient safetysafety -- when working on patient safety within their hospital. … I've been the Patient Safety Officer since 2003.
  19. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/4-approach-qi-process/cahps-section-4-ways-to-approach-qi-process.pdf
    May 17, 2017 - Implementing and validating a comprehensive unit-based safety program. … Patient-centered improvement strategies have to consider the needs of patients and their families as … The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) For many health … TeamSTEPPS is an evidence-based training program designed to improve quality and safety by enhancing … The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) 4.D.2.
  20. www.ahrq.gov/news/events/nac/2022-07-nac/nacmtg072122-minutes.html
    December 01, 2022 - Ting, M.D., M.B.A., Delta Air Lines Yanling Yu, Ph.D., Washington Advocates for Patient Safety Jiajie … end-of-life patients and patients experiencing cognitive disability. … what matters to the specific patient. … Susan Edgman-Levitan, P.A., said that a survey should be conducted on patient safety culture in home … capture the patient perspective.

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