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2321. Final Progress Report: Simulation to Support Competency-Based Training in Orthopedic Trauma (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/anderson-thomas-report.pdf
      January 01, 2024 - safety. … provide a safe environment for orthopedic surgeons to acquire valuable experience without putting patients … Patient census varies so that each resident is presented with different learning opportunities during … will ensure that residents are prepared to handle the responsibilities they are given while ensuring patient … safety.

2322. Making Health Care Safer II, Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
      March 01, 2013 - Safety Practices Executive Summary Patient Safety 2 amount of money and person-hours have been … “Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: … safety campaigns or collaboratives, or local sentinel patient safety events) – Patient safety culture … What is the Patient Safety Practice? … Why should this Patient Safety Practice work?

2323. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
      January 01, 2020 - Point-Based (Quantitative) Model of VTE Risk Assessment Factors Associated with Increased Bleeding-Patient … CrCl ≥ 30 mL/min: Enoxaparin 40 mg SQ once daily (for ABW ≤ 150 kg, non-trauma patient) Enoxaparin … It may require advanced clinical decision support and/or a safety net to achieve reliable adherence. … with scores ≥4 but patient not on prophylaxis. … The patient has no prior history of cardiovascular disease.

2324. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb2.html
      January 01, 2020 - Point-Based (Quantitative) Model of VTE Risk Assessment Factors Associated with Increased Bleeding-Patient … CrCl ≥ 30 mL/min: Enoxaparin 40 mg SQ once daily (for ABW ≤ 150 kg, non-trauma patient) Enoxaparin … It may require advanced clinical decision support and/or a safety net to achieve reliable adherence. … with scores ≥4 but patient not on prophylaxis. … The patient has no prior history of cardiovascular disease.

2325. Final Progress Report: Development of an Education Intervention for Triage Interruption Management (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/johnson-ying-report.pdf
      January 01, 2024 - amount of time required to complete a task, such as writing orders, dictating notes, and assessing patients … Two standardized patients were used in each scenario. … BMJ Quality & Safety, 22(8), 656–663. https://doi.org/10.1136/bmjqs-2013-001967 2. … Testing the performance and accuracy of the emergency severity index in older emergency department patients … Medication safety initiative in reducing medication errors.

2326. TeamSTEPPS Team Leadership Module 2
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
      June 02, 2025 - Report out on your conclusions. 6 6 Partnering With the Patient Team Leadership Patients … Strategies for involving patients and family caregivers in teams: Include patients in bedside rounds. … Assess patients’ preference regarding involvement. Ask patients about their concerns. … Help them access relevant information on a patient portal. 8 8 Patients and Family Caregivers … safety and quality of care.

2327. Tools for Reducing Central Line-Associated Blood Stream Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
      January 01, 2013 - Ensure you are using National Healthcare Safety Network definitions for CLABSI11,12 2. … safety and teamwork. … The Daily Goals Checklist is used to develop daily care plans for patients. … Nosocomial bloodstream infection in critically ill patients. … National Healthcare Safety Network Patient Safety Component Manual.

2328. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
      June 21, 2021 - Medicine, Iowa City, Iowa, USA 2School of Biomedical Informatics, Center for Healthcare Quality and Safety … Health Science Center, Houston, Texas, USA 3Center for Innovations in Quality, Effectiveness and Safety … improve­ ments, and ensure that any medical errors uncovered are routed through the organisation’s usual safety … Health Services Research and Development (HSR&D) Center for Innovations in Quality, Effectiveness, and Safety … Safety, AHRQ (R01HS27363), and the Gordon and Betty Moore Foundation.

2329. II. Hotline Design and Development | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/design2.html
      May 01, 2016 - Acceptability of a Hotline to Patients and Caregivers To be effective, a patient safety hotline must … safety observations from patients and caregivers. … safety information directly from patients and caregivers with first-hand knowledge of their experience … safety improvements (rather than focusing on public accountability or patient safety research). … However, there are some patient safety terms that are well understood by patients and caregivers, and

2330. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-overview/slide.ppt
      May 07, 2008 - It is important to note here that the guideline reflected scientific and safety knowledge at the time … Finally the remains safety concerns when using medications with pregnant tobacco users. … Identify and document tobacco use status for every patient at every visit. Advise to quit. … Identify and document tobacco use status for every patient at every visit. Advise to quit. … or additional treatment to help the patient quit.

2331. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
      January 01, 2004 - in the patient safety event. … Change that dramatically improves the safety of hospital patients begins with the frontline managers … of their patients. … Web-based patient safety reporting system readiness assessment Web-based Patient Safety Reporting System … Patient safety: achieving a new standard of care.

2332. 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.

2333. Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
      January 01, 2024 - GTC Team Basic Patient Exclusion Criteria Patients aged 65 years or older Patient is discharged to a … Phase I (Aims 1 and 1a) Hospitalized patients were approached for inclusion in Phase I if the patient … Patients were either recruited while the patient was still in the hospital or while in the patient’s … I mean, we're concerned with medication safety and right patient, right drug, at the right time. … From a patient safety perspective, these two medication lists should be identical; however, over 80%

2334. Chapter 4. Conclusions and Next Steps | Agency for Healthcare Research and Quality
      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 patient … safety 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.

2335. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
      January 01, 2004 - Based on this experience, new technologies for improving patient safety should include mechanisms for … Advances in Patient Safety: Vol. 1 334 Figure 1. … Nineteen comments were reports Advances in Patient Safety: Vol. 1 336 of the same problem: an … New technologies for improving patient safety should include mechanisms and funding for post-fielding … Patient safety in guideline-based decision support for hypertension management: ATHENA DSS.

2336. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
      January 01, 2024 - Final Progress Report: Staff Nurse Fatigue and Patient Safety Staff Nurse Fatigue and Patient Safety … Safety Purpose: To evaluate the relationship of staff nurse fatigue to patient safety. … safety. ** Scott et al (in press) The effects of staff nurse work hours on vigilance and patient safety … Hospital staff nurse work hours and patient safety [abstract]. … Fatigue among clinicians and the safety of patients. NEJM.

2337. Healthcare Research and Quality Act of 1999 (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/hrqa99b.html
      October 01, 2014 - (V) Patients and consumers. … (B) The conduct of research on the comparative effectiveness, cost-effectiveness, and safety of drugs … safety; and (3) disseminate such effective strategies throughout the health care industry. … demonstrations into the use of new information tools aimed at improving shared decision-making between patients … METHODOLOGY- The Director shall, in developing the methods used under paragraph (1), consider— (A) safety

2338. 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive in a Single Hospital? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
      January 01, 2006 - The Quality and Patient Safety perspective is placed at the top indicating its priority importance in … safety data from internal safety reporting systems, patient satisfaction survey data, and work culture … to the PICU staff in order to evaluate teamwork and patient safety.6 A wide variety of staff and … Once these baseline measurements were obtained, the health system’s Chief Patient Safety Officer met … Areas of focus include patient safety, patient flow, and patient satisfaction.

2339. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
      January 01, 2025 - Key Words: Diagnostic error, Patient safety, diagnosis, quality, health services research 3. … Context Three decades of research have focused on the role of systems and policies on patient safety … Although the role of clinicians in these systems has been recognized as part of improving patient safety … Our study builds upon foundational research in patient safety, which initially highlighted the overall … These tools and methods will provide transformational opportunities for patient safety, particularly

2340. 3. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
      January 01, 2024 - Building knowledge and skills of patients and families through resources and tools such as patient portals … and patients has shifted to a more collaborative one, where the patient has a greater role in their … patients’ views and preferences. 105 , 198-200 Involving the patient in the diagnostic process is … https://www.ahrq.gov/patient-safety/settings/multiple/measure-dx.html . … https://www.ahrq.gov/patient-safety/settings/multiple/calibrate-dx.html .