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  1. www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
    January 01, 2024 - safety in its quality series. … Given the priority of improving patient safety over the past decade and the implication of nurse workforce … factors in patient safety, it is timely to evaluate to what extent nursing factors have improved, especially … RESULTS Patient Outcomes Surgical Patients. … safety.
  2. www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
    January 01, 2024 - Methods: This prospective, multicenter, patient-blinded, randomized controlled trial enrolled 973 patientssafety. … day and during subsequent days to call the patient or relatives. … Similar statistical analyses were performed to assess secondary outcomes, safety outcomes, adverse events … vancomycin for neurosurgery wound prophylaxis: an interim report of a randomized clinical trial on drug safety
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/rodriguez/rodriguez.pptx
    June 02, 2025 - Management Prior to the iCARE trial, the largest multi-site trial of diabetes care improvement in the safety … with diabetes (n=6,111) in 2011 and 2012 Patient Experience Survey (random samples of patients with … Patient and clinic random effects are used to account for the clustering of time within patients and … Patient and clinic random effects are used to account for the clustering of time within patients and … Should We Be Spreading These Team-Based Approaches in the Safety Net?
  4. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
    March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Author, Year Description of Patient Safety Practice Study Design; Sample Size; Patient Population
  5. www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
    January 01, 2024 - Scope Background: Improving the quality and patient safety of long-term care is a continuing concern … Making the Health Care System Safer, Third Annual Patient Safety Research Conference; 2004 Sept 26- … Socio-technical probabilistic risk assessment: its application to patient safety. … Assessing risk: the role of probabilistic risk assessment (PRA) in patient safety improvement. … Advances in Patient Safety; From Research to Implementation.
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
    December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Pressure Ulcer Prevention …         X   Rehab Department Internal Review Department team weekly review of rehab patients
  7. 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
  8. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-users-guide-2.0.pdf
    March 01, 2025 - AHRQ Nursing Home Survey on Patient Safety Culture Version 2.0: User’s Guide SURVEYS ON PATIENT SAFETY … CULTURE NURSING HOME SURVEY 2.0: USER'S GUIDE PATIENT SAFETY SURVEYS ON PATIENT SAFETY CULTURE … AHRQ Surveys on Patient Safety Culture Nursing Home Survey Version 2.0: User’s Guide. … Introduction As nursing homes continually strive to improve the safety and quality of care for patients … are rewarded, supported, expected, and accepted with regard to patient safety.
  9. www.ahrq.gov/sops/about/faq/index.html
    June 01, 2022 - The Surveys on Patient Safety Culture survey items are grouped into areas of patient safety culture that … Center Survey on Patient Safety Culture Diagnostic Safety Supplemental Items Health IT Patient Safetysafety culture and patient safety. … , hospital tenure, unit/work area tenure, work hours, and whether they have direct interaction with patients … ASCs provide surgical services to patients who are not expected to need an inpatient stay following surgery
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
    January 10, 2005 - FangFei Chen Abstract Objective: The Patient Safety Center in the Veterans Health Administration … A detailed algorithm of the ergonomic assessment may be found on the Web site of the Patient Safety … Author affiliations Patient Safety Center of Inquiry, James A. … Address correspondence to: Kris Siddharthan, Ph.D., Patient Safety Center, James A. … Advances in Patient Safety: Vol. 3 358 16. Berk A, Paringer L, Mushkin SJ.
  11. www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
    January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety Final Progress Report … Title: Effects of Extended Work Hours on ICU Patient Safety Principal Investigator: Charles A. … In order to maximize exposure to patients and encourage continuity of patient care, residents are historically … Safety Variables To measure patient safety under the two schedules, we developed an intensive data … , and patient safety.
  12. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impguide.html
    July 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Facilitator Training Implementation of the Preventable … The Facilitator helps the team think through how they would add discussions of the patients included
  13. www.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug … Introduction The goal of patient safety is to reduce the risk of injury or harm to patients by improving … To reduce safety risks to patients, health systems expend considerable resources to prevent medication … ), enoxaparin (1 patient), warfarin (1 patient) and sublingual nitroglycerin (5 patients). … An empirical model to estimate the potential impact of medication safety alerts on patient safety, health
  14. www.ahrq.gov/practiceimprovement/delivery-initiative/meetingsummary.html
    December 01, 2020 - Support greater involvement of patients, clinicians, managers, and decisionmakers in planning and development … Carefully analyze how organizational features, such as culture, structure, resource base (e.g., safety … net providers), and patient characteristics, affect organizations' responses to external incentives … Include measures of care outcomes for patients receiving care from multiple providers and measures of … how multiple care providers interact to affect care of these complex patients.
  15. 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
  16. 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.
  17. 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 PatientSafety 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
  18. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/using-medical-office-transcript.pdf
    April 29, 2011 - Using the AHRQ Medical Office Survey on Patient Safety Culture (SOPS) Using the AHRQ Medical Office … Survey on Patient Safety Culture Webinar Transcript April 29, 2011 A conference call conducted … Patient tracking and followup, because patients are usually not in our offices, and staff training issues … Do you feel the survey items addressed all areas of patient safety? … Access to parking, lighting, access for handicap patients, and extended hours for clinics.
  19. 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
  20. 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

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