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  1. www.ahrq.gov/sites/default/files/2024-12/kmetik-otoole-report.pdf
    January 01, 2024 - Key Words Exception reporting, performance measures, quality indicators, electronic health record systems … Cases (patients) were sampled randomly. Abstraction tool. … documentation of patient reasons for exception. … reported to the data warehouse that included patients with multiple exceptions and patients who met … safety.
  2. www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
    June 01, 2020 - safety related events (e.g., surgical errors, healthcare-associated infections), and patient experience … Patient Safety. … See also Patient Safety and Definitive Health Outcomes (under HSR/PCR Areas of Interest). … Patient Safety Studies of opioid-related harm in general are not automatically included as patientPatient safety studies are also prevention studies insofar as they examine how to prevent accidental
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
    January 01, 2004 - We were unable to identify any studies about outpatient Advances in Patient Safety: Vol. 3 36 … Key committees and decisionmakers in quality management, patient safety, and IT were enlisted during … A Advances in Patient Safety: Vol. 3 44 program ran nightly to find plan members eligible for … Advances in Patient Safety: Vol. 3 46 Figure 3. Alternative medications alert Table 1. … Advances in Patient Safety: Vol. 3 50 27. Soumerai SB, Majumdar SR, Lipton HL.
  4. www.ahrq.gov/funding/training-grants/hsrguide/hsrguide.html
    October 01, 2014 - in health and health care and the need for health care systems to accommodate increasingly diverse patient … data, evidence, and tools to make health care affordable, safe, effective, equitable, accessible, and patient-centered … For example, products stemming from health services research serve to enable providers and patients to … Return to Contents   Background and Purpose of the Guide AHRQ's mission is to improve the quality, safety
  5. www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
    January 01, 2024 - /caregivers identified more patient safety threats than did home health providers. … Patient Safety in the Home. Institute for Healthcare Improvement;2017. 27. … Real time patient safety audits: improving safety every day. … What practices will most improve safety? Evidence- based medicine meets patient safety. … Human factors systems approach to healthcare quality and patient safety.
  6. www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
    January 01, 2025 - Voluntary reporters include health care professionals, patients, and consumers. … Most of the reports submitted by patients were submitted through regulatory authority. … The most common patient events reported among patients undergoing reoperation was abdominal/pelvic/back … Two- thirds of patients undergoing reoperation reported patient events only. … One fourth of patients reported both patient and device events (Figure 1).
  7. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Communicating Infectious Concerns With Antibiotic … This, in turn, should help the practitioner develop an informed response regarding changes in patient … State what you think needs to happen for the patient and also suggest a timeframe. … Consider the following case: The microbiology lab must notify the facility whenever a patient has a culture … Effective communication is a key component to ensure resident safety. 2.
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-145-fullreport.pdf
    July 01, 2016 - The workgroup developed a set of safety thresholds based on utilization data and published literature … Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care: No. l. … and parent counseling about health, nutrition, safety, parenting, and psychosocial issues. … Safety information for stimulant medications approved for ADHD treatment by the U.S. … Treatment of attention deficit hyperactivity disorder in children and adolescents: safety considerations
  9. www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
    April 01, 2013 - And emphasis now at this particular patient safety issue is reported by all hospitals in all units across … Improving our patient safety work was related to three things. … As we go forward, we see challenges in keeping CLABSI reduction in patient safety on the unit’s radar … safety journeys not only for central lines but for other patient harm. … It really is a foundation on which units can build their patient safety process.
  10. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
    January 17, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults PATIENT SAFETY … The Patient Safety and Quality Improvement Act (PSQIA)143 and AHRQ’s Patient Safety Organization (PSO … Toolkit for Engaging Patients To Improve Diagnostic Safety. … Be The Expert On You. https://www.ahrq.gov/patient-safety/settings/ambulatory/tools/ diagnostic-safety … /settings/ambulatory/tools/diagnostic-safety/toolkit.html https://www.ahrq.gov/patient-safety/settings
  11. www.ahrq.gov/sites/default/files/2024-07/madison-report.pdf
    January 01, 2024 - care and safety. … Medicare data indicate that patients in rural and critical access hospitals are more likely than patients … Assess value of HIM, HIT, and telehealth and impact on patient care, including patients’ perceptions … Health Information Technology and Patient Safety: Evidence from Panel Data. Health Aff. … From Patient Education to Patient Engagement: Implications for the Field of Patient Education.
  12. www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-transcript.html
    December 01, 2017 - and Safety Quality. … If we look also at the area of patient safety; all of you on your units are aware of the issue of sentinel … care for patients that do have catheters, help improve their patient safety by reducing infection risks … So for example, care plans for patient safety will often include plans to try to prevent falls. … There are sometimes care plans for patient safety, so they can be doing in terms of reducing risk of
  13. Paul Tedrick (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
    July 09, 2013 - and Safety Quality. … If we look also at the area of patient safety; all of you on your units are aware of the issue of sentinel … care for patients that do have catheters, help improve their patient safety by reducing infection risks … So for example, care plans for patient safety will often include plans to try to prevent falls. … There are sometimes care plans for patient safety, so they can be doing in terms of reducing risk of
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
    July 01, 2023 - • Central to Patient Safety and Quality Improvement: o Learn from unit‐based drills (Readiness) … As such, debriefs are a critical tool for improving patient safety and quality improvement within your … Agency for Healthcare Research and Quality, Rockville, MD. https:// www.ahrq.gov/patient-safety/patients-families … Agency for Healthcare Research and Quality, Rockville, MD. https:// www.ahrq.gov/patient-safety/reports … /reports/engage/casestudies.html www.ahrq.gov/patient-safety/patients-families/index.html https://nap.nationalacademies.org
  15. www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
    July 01, 2021 - Patient Navigation Provide navigation resources to improve access and linkage.  … Metabolic Monitoring: Journal Article: Evidence-Based Recommendations for Monitoring Safety of Second … Providers were also resistant to changing the course of treatment for their patients. … Providers were more focused on quality measures that impacted a greater number of their patients. … stigma associated with behavioral disorders, pediatricians were not always aware of services their patients
  16. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
    January 01, 2021 - • Patient Safety: More than 40% (11 of 26) of Patient Safety measures were improving. … The three measures that improved the most reflected improved communication with patients at hospital … discharge, timely initiation of home health care services, and fewer home health care patients needing … the 2021 NHQDR include: • Several areas in which the nation has invested in quality improvement and patientsafety have shown substantial improvements.
  17. www.ahrq.gov/hai/tools/mvp/modules/technical/nurse-early-mobility-protocols-fac-guide.html
    January 01, 2017 - Nurse-Driven Early Mobility Protocols: Facilitator Guide AHRQ Safety Program for Mechanically … Each PCT has eight patients. … who is responsible for mobilizing that patient, or patients, during a 12-hour shift. … Patients are also mobilized in the evening, so there are two designated patient care technicians on the … Each patient care technician will discuss the patients’ level of activity with the RN at the beginning
  18. www.ahrq.gov/sites/default/files/2024-01/soumerai-report.pdf
    January 01, 2024 - Key Words: Hypertension, medication errors, patient safety PURPOSE The main objective of the study … medications for that patient during the analytic time period of the patient’s incident hypertension … The unit of analysis was the patient. … We also evaluated models that adjusted simultaneously for patient and prescriber characteristics. … ), $3,500 ($3.50 per patient) for group detailing, and $5,000 ($5 per patient) for individual detailing
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.pdf
    March 01, 2022 - CHG showering (see Section 10: “Patient CHG Shower Instructions”) for patients to read prior to beginning … Escalation Efforts for Patient Refusals As is the case with other medical care, patients can refuse … If patient initially declines a. 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
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.pdf
    March 01, 2022 - • For obese or incontinent patients, additional cloths may be needed. … Escalation Efforts for Patient Refusals As is the case with other medical care, patients can refuse … 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

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