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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/hai/patient-safety-resources/cdiff-toolkit/cdiffl2tools4d.html
September 01, 2012 - Evaluation
Date: XXX
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Indicators … at Campus and XXX patients at Campus according to SYBASE query listing. … Methodology: Retrospective reviews of antibiotic usage were conducted in patients who received oral … Do
Reports were generated using the SYBASE query listing all patients who received oral azithromycin … Check
A total of XXX (nonexclusive) patients were included in this review (Table 1).
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www.ahrq.gov/downloads/monahrq/xls/MONAHRQ_50_build_2_Measure_List.xlsx
July 26, 2014 - women who give birth vaginally without forceps or vacuum have a serious vaginal tear No — 1.0
PSI 90 Patient … safety composite for selected indicators (pressure ulcer, iatrogenic pneumothorax, central venous catheter-related … safe based on eight patient safety problems Yes 0531 3.0
&"-,Bold"&12AHRQ Quality Indicators … 5.0.2
ED-2b Admit decision time to emergency department departure time for admitted patient How long … patients spent in the emergency department after the doctor decided the patient would stay in the hospital
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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/news/newsroom/case-studies/index.html?page=34
September 01, 2008 - AHRQ’s evidence-based tools and resources are used by organizations nationwide to improve the quality, safety … College of Obstetricians and Gynecologists Date: August 2008
Illinois Hospitals Use AHRQ's Patient … : Hospital Survey on Patient Safety Culture, Surveys on Patient Safety Culture Topic(s): Patient Safety … Safety (PIPS) Topic(s): Patient Safety, Emergency Preparedness Geographic Location: Louisiana Country … Safety Indicators, Healthcare Cost and Utilization Project (HCUP), U.S.
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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/patient-safety/settings/multiple/index.html
August 01, 2023 - Choosing a Patient Safety Organization (PSO) describes the benefits of working with a PSO. … of their care, including communication with doctors and nurses, responsiveness of staff, and other indicators … proactively identify and mitigate built environment conditions that may impact patient and work safety … agencies about practices that can improve patient safety across the healthcare system—from hospitals … Safety (TeamSTEPPS) is a customizable program to improve patient safety by training clinicians in teamwork
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www.ahrq.gov/news/newsletters/e-newsletter/949.html
March 01, 2025 - AHRQ Celebrates Patient Safety Awareness Week . … AHRQ Celebrates Patient Safety Awareness Week During Patient Safety Awareness Week 2025, AHRQ is showcasing … the current state of patient and workforce safety. … Highlights From AHRQ’s Patient Safety Network AHRQ’s Patient Safety Network (PSNet) highlights journal … ET: Safety Culture in Healthcare: Improving Safety Culture Using Teamwork and Patient Safety Norms
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www.ahrq.gov/research/findings/studies/index.html?page=359
January 01, 2024 - Keywords: Surgery, Simulation, Patient Safety, Training
Darlow S , Wen KY Development … Tedesco D , Hernandez-Boussard T , Carretta E Evaluating patient safety indicators in orthopedic … AHRQ Patient Safety Indicators (PSIs) were used to identify inpatient adverse events (AEs). … Evaluating patient safety indicators in orthopedic surgery between Italy and the USA. … Keywords: Adverse Events, Orthopedics, Patient Safety, Quality Indicators (QIs), Surgery
Pagination
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www.ahrq.gov/programs/index.html?page=2
February 24, 2024 - More
PSNet Discover the latest literature, news, and expert commentary on patient safety … More
AHRQuality Indicators™ Metrics and tools that bring excellence to healthcare decision … National Action Alliance for Patient and Workforce Safety
The Agency for Healthcare Research and … and Workforce Safety as a public-private collaboration to improve both patient and workforce safety. … and share with their patients.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2017qdrslides110718.pptx
January 01, 2018 - Patient Safety: More than two-thirds of patient safety measures were improving overall. … Source: AHRQ, Medical Expenditure Panel Survey (MEPS).
37
Trends in Patient Safety
Ensuring patient … Safety Measures
More than two-thirds of patient safety measures were improving overall (Figure 18), … Data source for third measure: AHRQ and CMS, MPSMS.
39
Decline in Patient Safety Measures
Two patient … Patient Safety.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
February 28, 2022 - Keep the focus on patient safety.
Be measurable. … Safety Culture
Results
Patient outcome and clinical process measures
AHRQ Surveys on Patient Safety … Culture
Patient Safety Indicators
16
Level III: Behavior Measures
Measurement
Team Performance … AHRQ Surveys on Patient Safety Culture. … Include indicators for in-hospital complications that may represent patient safety events.
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www.ahrq.gov/patient-safety/reports/advances/index.html
July 01, 2022 - Advances in Patient Safety
Next Page
Table of Contents
Advances in Patient Safety … in Patients ( PDF , 174 KB)
Joseph G. … Schyve
Measurement and Taxonomies
Applying Patient Safety Indicators (PSIs) Across Health Care Systems … Bonham
Safety Improvement Initiatives
Behind the Scenes: Patient Safety in the Operating Room and … Rake
Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings ( PDF , 186 KB)
Lucy
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www.ahrq.gov/news/newsletters/e-newsletter/948.html
March 01, 2025 - Highlights From AHRQ’s Patient Safety Network . … Highlights From AHRQ’s Patient Safety Network AHRQ’s Patient Safety Network (PSNet) highlights journal … articles, books and tools related to patient safety. … Instruments for patient safety assessment: a scoping review . … Failure to rescue female patients undergoing high-risk surgery .
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www.ahrq.gov/research/findings/studies/index.html?page=58
January 01, 2024 - Keywords: Clinician-Patient Communication, Emergency Department, Communication, Diagnostic Safety and … All other perinatal indicators were significantly associated with at least 4 of 7 other indicators, and … : examining safety and healthcare utilization in the disabled and elderly. … Bariatric surgery in Medicare patients: examining safety and healthcare utilization in the disabled and … Keywords: Surveys on Patient Safety Culture, Organizational Change
Hoffmann JA , Johnson JK
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www.ahrq.gov/contact/support.html
Subject (Required):
Category (Required):
-- Select One -- Accessibility AHRQ Quality Indicators … Centers (EPCs) Freedom of Information Act (FOIA) Funding & Grants Guidelines Health Care Information for Patients … Safety Network (PSNet) Patient Safety Organizations (PSOs) Permissions Primary Care Practice-Based Research … Women's Health) Publications & Research Quality Measures SafetyNet StateSnapshots/NHDRQRnet Surveys on Patient … Safety Culture TalkingQuality TeamSTEPPS Technology Assessments U.S.
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www.ahrq.gov/es/tools/index.html?page=2
October 01, 2024 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care … More
The SHARE Approach Five-step process for clinicians and their patients More … Any - Featured Clinicians & Providers Hospitals & Health Systems Prevention & Chronic Care Quality & Patient … Setting of Care: Long-term Care
Pediatric Toolkit for Using the AHRQ Quality Indicators … This stand-alone pediatric version of the Quality Indicators Toolkit helps meet the needs of hospitals
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www.ahrq.gov/news/newsletters/e-newsletter/829.html
August 01, 2022 - AHRQ Accepting Proposals To Establish Patient Safety Learning Laboratories . … safety indicators. … Applicants may focus on current pressing patient safety issues such as: patient falls, medication safety … Highlights From AHRQ’s Patient Safety Network
AHRQ’s Patient Safety Network (PSNet) highlights journal … articles, books and tools related to patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.pdf
December 23, 2009 - Project Charter
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and … Safety
i Tool D.2
Project Charter
What is the purpose of this tool? … What patient
population will be included?
2. … Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D … Specific patient population? Are certain service lines being included?
2.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d2_pdi_projectcharter.pdf
December 23, 2009 - Project Charter
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality … and Safety
i Tool D.2
Project Charter
What is the purpose of this tool? … What patient
population will be included?
2. … Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety … Specific patient population? Are certain service lines being
included?
2.