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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight10.html
August 01, 2014 - screening, immunizations, growth data, children with special health care needs, well-child/preventive care, patient … not meet, the system staff prioritized each requirement according to whether it (1) was related to patient … safety, (2) was developmentally appropriate and patient focused, (3) described a function that would … that the well-child visit and immunization categories were their highest priorities, followed by the patient
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight10.pdf
September 08, 2015 - immunizations, growth data, children
with special health care needs, well-
child/preventive care, patient … not meet,
the system staff prioritized each
requirement according to whether it
(1) was related to patient … safety, (2)
was developmentally appropriate
and patient focused, (3) described a
function that would … the
well-child visit and immunization
categories were their highest priorities,
followed by the patient
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www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
January 01, 2013 - preventive care for women and adolescent girls, prenatal care, pediatric use of the
emergency department, patient … safety, and followup care for behavioral health and mental
illness. … Annual Percentage of Asthma Patients with
One or More Asthma-related Emergency
Room Visits (ages … Assessment of a novel hybrid Delphi and Nominal Groups technique to evaluate quality indicators. … Despite these indicators of the measure’s importance, SNAC members were concerned about the validity
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
January 01, 2024 - /
patient-safety/settings/multiple/measure-dx.html … Toolkit for Engaging Patients To Improve Diagnostic
Safety. … Content last reviewed
July 2023. https://www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source … ://www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1 … .html
https://www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
January 01, 2004 - safety movement in the United States. … Patients have a
Advances in Patient Safety: Vol. 3
372
right to know their past and present medical … Yet, I have been
Advances in Patient Safety: Vol. 3
374
unable to locate any case in which an … Advances in Patient Safety: Vol. 3
376
Part II: Ethical reflections on the cooperation clause
Preserving … Advances in Patient Safety: Vol. 3
380
Author affiliation
Center for Ethics, Emory University, Atlanta
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www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
January 01, 2024 - Key Words: allergy, electronic medical records, patient safety, health information technology,
natural … EHR) systems is vital to the appropriate
management of patient care, safety, and education. … The number of allergies per patient was calculated and the frequency
of patients having 1, 2, 3…, or … Identification of
HSRs documented in the electronic health record (EHR) is important for patient safety … safety and provider alert fatigue.
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
April 01, 2018 - Preoperative patient decolonization significantly decreases incidence of S. aureus SSIs.” [ Barbos … on-line) to assess, through unannounced on-site assessments, compliance with all Medicare ASC health and safety … evaluated by surveyors, including (i) hand hygiene and use of personal protective equipment; (ii) injection safety … Analyzed two hospital characteristics: dynamic (nurse to patient ratio) and structural (hospital size … Surgical wound infection rates by wound class, operative procedure, and patient risk index.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
October 01, 2014 - Also see medication recommendations for such patients. … Refer to the FDA Web site for additional dosing and safety information, including safety protocols. … Get this information for your State and have available for staff and patients. … Remind patients of quitline support (1-800-QUIT-NOW). … For patients who are abstinent, congratulate them on their success.
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool4.html
March 01, 2025 - Language and Its Relationship to Readmissions and Patient Safety Limited English proficiency (LEP), the … Improving Health Literacy to Protect Patient Safety , recommends practices to avoid miscommunication … Professional development may be needed to avoid significant patient safety risks that can result from … Safety (TeamSTEPPS®) training module, Enhancing Safety for Patients With Limited English Proficiency … Let the interpreter know that you expect him or her to alert you to any concerns about potential safety
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
March 01, 2025 - Language and Its Relationship to Readmissions and Patient Safety Limited English proficiency (LEP), the … Improving Health Literacy to Protect Patient Safety , recommends practices to avoid miscommunication … Professional development may be needed to avoid significant patient safety risks that can result from … Safety (TeamSTEPPS®) training module, Enhancing Safety for Patients With Limited English Proficiency … Let the interpreter know that you expect him or her to alert you to any concerns about potential safety
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www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
January 01, 2024 - Published in AHRQ Patient Safety 2-volume set.
Washington, DC, 2004. … “Re-engineering the Hospital Discharge for Patient Safety.” … AHRQ Second
Annual Patient Safety Conference, Arlington VA, September 26-28, 2004. … “Re-engineering the Hospital Discharge for Patient Safety.” … Perspectives of Patient
Safety: Five years After the IOM Report.
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www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
January 01, 2024 - Wright, PhD
Organization: Duke University Human Simulation and
Patient Safety Center
Dates of Project … The MBS was conducted in the Duke University Human Simulation and Patient
Safety Center and included … The tests were then reviewed by teamwork experts,
clinicians, and patient safety experts to judge consistency … TeamSTEPPS Team
Strategies & Tools to Enhance Performance & Patient Safety [Internet]. … Simulation and Patient Safety.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
July 01, 2023 - Severe Hypertension Scenarios: PowerPoint Presentation
Severe Hypertension Scenarios
Safety Program … Notice where clinician interactions are crucial to keeping patients safe. … Safety concerns include potential stroke and seizures if she’s diagnosed with preeclampsia. … -Safety-
-Action-
-Timing-
-Ownership-
-Next-
Kim, triage nurse
Alice Smith, the patient
Beth, L&D … Safety concerns include potential stroke if her very high blood pressure is not treated acutely.
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www.ahrq.gov/sites/default/files/2024-05/fraser-report.pdf
January 01, 2024 - Services (HHS)
Agency for Healthcare Research and Quality (AHRQ)
Center for Quality Improvement and Patient … Safety (CQuIPS)
301.427.1515 or 240.704.4285
Monika.Haugstetter@ahrq.hhs.gov
ACKNOWLEDGMENT OF AGENCY
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
April 01, 2016 - improvements in the quality
and safety of care delivered to patients. … Engages patients and families: demonstrates an ongoing commitment to patient and family members, connects … Safety experts and other content
experts may be included, as well as patients and family members. … The CNA referred to both of the patients as “your patient” when providing each nurse with results. … ■ How is patient safety discussed on your unit?
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www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
January 01, 2024 - The
Joint Commission Journal on Quality and Patient Safety. 2017 Jul;43(7):319-329. … Eisenberg Award for
National Level Innovation in
Patient Safety and Quality
National Quality Forum … Safety
Innovation Award
Patient Safety Movement
Foundation
Innovation
17
AHRQ Grant Final … The Joint
Commission Journal on Quality and Patient Safety. 2017;43(7):319-329.
doi:10.1016/j.jcjq.2017.04.001 … The Joint Commission Journal on Quality and Patient
Safety. 2006;32(3):167-175. doi:10.1016/S1553-7250
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6.html
May 01, 2018 - Quality measurement and interventions will be enhanced by having these data at the individual patient … languages in order to facilitate understanding during patient-provider interactions, a care provider's … An EHR is defined by ONC as:
A real-time patient health record with access to evidence-based decision … The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) has extended PQRI but not its … of gaps in care and to understand the effects of incentive programs on underresourced primary care safety
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/access/access-slides.html
June 01, 2018 - Health care safety net for hospital admissions of vulnerable populations. … in the composition of the health care workforce is important because it affects outcomes, quality, safety … , 2014
Patient Characteristics
Health Center Population
U.S. … 28.2
28.5
West
28.7
28.8
Notes:
Importance: Some hospitals contribute to the safety … The effect of patient-provider communication on medication adherence in hypertensive Black patients:
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www.ahrq.gov/sites/default/files/2025-07/weinger3-report.pdf
January 01, 2025 - safety. … BCAs also received patient safety CME and MOCA Part IV credit for 7.5 hours. … out (5→4) and for the first ½
year of 2021, study sites either could not use human actors as study patients … We are not studying patient outcomes. … and manage uncommon but
potentially lethal clinical events is critical to improving the “rescue” of patients
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide3.html
February 01, 2016 - Bleeding risk and patient preferences are also considered in the decisionmaking process. … No VTE prophylaxis is typically recommended for patients undergoing these procedures unless the patient … Extending prophylaxis further up to 35 days results in additional reductions in DVT with a comparable safety … As always, patient preference may play a role in prophylaxis choice, particularly for those patients … mobility, and helping to reassess the patient at various intervals.