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www.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
June 01, 2020 - Johns Hopkins Armstrong Institute Learning Lab was to use systems engineering methods to partner with patients … , patients’ families, and others to eliminate preventable harm, optimize patient outcomes and experience … nurse-managed insulin infusion protocol at Johns Hopkins to illustrate the potential of optimizing safety … Automation and interoperability of a nurse-managed insulin infusion protocol as a model to improve safety … level indicators of workload to predict perceived exertion .
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
August 01, 2025 - system
that can affect patient safety. … ,
and patient safety. … contributions to patient safety by tracking
harm to patients as reflected in the medical chart. … Better patient safety culture score predicted better
state regulatory performance indicators including … outcomes, and patient
safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
March 01, 2004 - Safety Indicators (PSIs).16 The PSIs are primarily based on ICD codes for
specific patient populations … Safety Indicators (PSIs). … Patient
Safety Indicators, Version 2.1, Revision 1. … Hougland P, Masheter C, Xu W, Utah/Missouri
Patient Safety Consortium. … Patient safety
efforts should focus on medical injuries. JAMA
2002;287(15):1993–7.
23.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf
January 01, 2003 - Advances in Patient Safety: Vol. 1
6
hospitalized in the United States reported hospital system … unusual, worrisome indicators. … Advances in Patient Safety: Vol. 1
8
Results
Reported communication between health care providers … There was
Advances in Patient Safety: Vol. 1
10
Table 3. … Advances in Patient Safety: Vol. 1
14
19. Fuss MA, Bryan YE, Hitchings KS, et al.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_XIII.pdf
August 13, 2014 - Pediatric Patient Safety Consortium
DSF Expert Work Group Roster
Name Experience
Co-Chair … Patient in crisis—a patient in high distress presenting with typically life-threatening or complex problems … aID=11860&print=yes
defuse the crisis and restore safety, and implementation of psychotherapeutic … Psychotherapy for crisis includes psychotherapy, mobilization of resources to defuse the crisis and restore
safety … Note that process indicators (such as improved compliance, convenience
and personal preference) are
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_XIII.pdf
August 25, 2014 - Pediatric Patient Safety Consortium
DSF Expert Work Group Roster
Name Experience
Co-Chair … Patient in crisis—a patient in high distress presenting with typically life-threatening or complex problems … aID=11860&print=yes
defuse the crisis and restore safety, and implementation of psychotherapeutic … Psychotherapy for crisis includes psychotherapy, mobilization of resources to defuse the crisis and restore
safety … Note that process indicators (such as improved compliance, convenience
and personal preference) are
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_XIII.pdf
January 01, 2014 - Pediatric Patient Safety Consortium
DSF Expert Work Group Roster
Name Experience
Co-Chair … Patient in crisis—a patient in high distress presenting with typically life-threatening or complex problems … aID=11860&print=yes
defuse the crisis and restore safety, and implementation of psychotherapeutic … Psychotherapy for crisis includes psychotherapy, mobilization of resources to defuse the crisis and restore
safety … Note that process indicators (such as improved compliance, convenience
and personal preference) are
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-summ.html
October 01, 2015 - Hispanic Health Care
Acknowledgments
Health Care For Hispanics
National Quality Strategy Priorities: Patient … Safety
National Quality Strategy Priority: Healthy Living
Part 1: Overviews of the Report and the … Comorbidities:
AHRQ indicators for 29 comorbidities. … Severity index is based on a weighted sum of the individual comorbidity indicators with more severe comorbidities
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
April 01, 2022 - request for external catheter
Comfort in dying patient
AHRQ Safety Program for ICUs: Preventing CLABSI … incontinence
Urine volume measurements
Random urine sample collection
Management of urination in patients … use of a skin sealant or moisture barrier
Considering a male or female external catheter for select patients … October 2020. http://www.ahrq.gov/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-c.html … The Ann Arbor criteria or appropriate urinary catheter use in hospitalized medical patients: results
-
www.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - provides estimates of the national rate of hospital-acquired conditions (HACs) for the Partnership for Patients … Of the 28 measures, 21 are from the AHRQ/CMS Medicare Patient Safety Monitoring System (MPSMS), 6 are … from the AHRQ Patient Safety Indicators (PSIs), and 1 is based on National Healthcare Safety Network … Conditions
Information on 2011 Measured HACs
Information on 2012 Measured HACs
Partnership for Patients … Associated With Central Venous Catheters
17,000
0.52
17,000
0.51
Falls
MPSMS
In-Hospital Patient
-
www.ahrq.gov/research/publications/pubcomguide/pcguide1apb.html
April 01, 2024 - ® MONAHRQ ® National Guideline Clearinghouse TM National Quality Measures Clearinghouse TM Quality Indicators … TM SOPS ® Surveys on Patient Safety Culture ® Systematic Review Data Repository TM TeamSTEPPS ®
-
www.ahrq.gov/patient-safety/reports/advances/planning.html
July 01, 2022 - Advances in Patient Safety
Dissemination Planning Tool: Exhibit A from Volume 4
Previous … Page
Table of Contents
Advances in Patient Safety
Acknowledgments
Preface
Peer Reviewers … Advances in Patient Safety: From Research to Implementation . … This tool will help you, the Patient Safety Researcher, develop a plan for disseminating your research … What problems related to safety in patient care does your research finding or product address?
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mchpcc-ps.html
June 01, 2018 - Chartbook on Healthy Living
Maternal and Child Health Care: Person-Centered Care & Patient Safety … Child Health Care: Effectiveness Measures
Maternal and Child Health Care: Person-Centered Care & Patient … Safety
Maternal and Child Health Care: Care Coordination Measures
Maternal and Child Health Care … Return to Contents
Patient Safety: Birth Trauma
Cases included in birth trauma measure:
Hemorrhage … Cost and Utilization Project, State Inpatient Databases, disparities analysis file and AHRQ Quality Indicators
-
www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
January 01, 2024 - Safety Indicators (PSIs), available at the time of sample
selection.[5] Though some of the PSIs appear … it has been shown in previous research to
be related to patient safety.[7]
Patient Location: Patients … The Relation of Hospital Workload to Patient Safety: Final Report to AHRQ
group of patients than they … Miller, M.R., et al., Patient Safety Indicators: Using Administrative Data to
Identify Potential Patient … Measures of Workload and Inpatient Complications Using AHRQ’s Patient
Safety Indicators in Three Massachusetts
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-slides.html
December 01, 2017 - Identify and give examples of adaptive and technical indicators to include on a performance scorecard … Safety Culture: How many safety climate responses are positive? … Safety Culture: Average percent positive scores for Safety Climate Domain from most recent Hospital Survey … on Patient Safety (HSOPS)? … Slide 9: Nurture Your Safety Culture
It’s the soil, not the seed.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - provides estimates of the national rate of hospital-acquired conditions (HACs) for the
Partnership for Patients … National Hospital-Acquired Condition Rate,” available at
http://www.ahrq.gov/professionals/quality-patient-safety … Of the
28 measures, 21 are from the AHRQ/CMS Medicare Patient Safety Monitoring System (MPSMS), 6 are … from the AHRQ Patient Safety Indicators (PSIs), and 1 is based on National Healthcare Safety Network … Central Venous
Catheters
17,000 0.52 17,000 0.51
https://admin.ahrq.gov/professionals/quality-patient-safety
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6.html
June 01, 2014 - Client Perception of Coordination Questionnaire (CPCQ)
7. … Head And Neck Cancer Integrated Care Indicators
16. … Schizophrenia Quality Indicators for Integrated Care
50. … Safety Net Medical Home Scale (SNMHS)
72. … Safety Net Medical Home Provider Experience Survey
75.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
January 01, 2014 - Safety Indicators (PSIs). … Safety Indicators
(PSIs). … Examining the impact
of the AHRQ Patient
Safety Indicators (PSIs)
on the Veterans Health
Administration … The Agency for
Healthcare Research and Quality’s (AHRQ)
Patient Safety Indicators (PSIs) were used … Study Healthcare Research and Quality’s (AHRQ)
Patient Safety Indicators (PSI) to hospital
discharge
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6q.html
June 01, 2014 - Care fragmentation and emergency department use among complex patients with diabetes. … Schizophrenia Quality Indicators for Integrated Care
Care Coordination Measure Mapping Table … for Integrated Care
Purpose: To develop a set of quality indicators for schizophrenia care to be … Two investigators independently selected all relevant quality indicators, and all were described based … Development of a set of schizophrenia quality indicators for integrated care.
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
April 01, 2024 - Safety Indicators (PSIs) for a wide range of surgical specialties. … events during care delivery and are used by hospitals to evaluate and prioritize patient safety policies … safety at risk. … ratio , and patient demographics. … “High-quality pain management care can improve patients' healthcare experience and well-being, and lower