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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
January 01, 2024 - PATIENT
SAFETY
AHRQ Patient Safety Tools and Resources
Check out AHRQ’s New Patient Safety YouTube … http://ahrq.gov/patient-safety/resources/diagnostic-safety/toolkit.html
http://ahrq.gov/patient-safety … with patients and families to improve quality and safety. … patient safety by meaningfully
engaging patients and families in
their care. … their
care, including communication with doctors and nurses,
responsiveness of staff, and other indicators
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
March 27, 2025 - CPHQ, Principal Program Analyst, Ripple Effect
Page 3 of 15
Problem Statement
One in 20 patients … The National Database of Nursing Quality Indicators (NDNQI) data
showed a marked increase in hospital-acquired … Safety/Worker Safety Relationship and Continuum
• Patient/Family Engagement
• Patient-Centered Care … Explore how the patient safety curriculum and
competency attestation in the Patient Safety
Structural … COVID-
19 pandemic increases in nursing-sensitive quality indicators.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - to Advance Patient Safety
Webinar Series
Engaging Boards and Executive Leadership In Safety
August … for Patient Safety-US – a WHO chapter for safety advocacy in the US
• Current Boards: IHI Board of … Directors and Solutions for Patient Safety (Pediatric Safety Network)
• Previously served on the boards … mortality triple
the norm and rise in
adverse events and
claims (often lagging
indicators)
• Patient … Patient Safety
National Action Alliance To Advance Patient Safety
Four Pillars of the National Action
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www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
January 01, 2024 - ;
hospital; patient safety
3
FINAL REPORT NARRATIVE
Purpose
Hospital inpatient falls are among … total nursing hours per patient-day supplied by
RNs
Structure indicators (patient characteristics) … Effects of nursing rounds on patients’ call light use, satisfaction, and
safety. … Chapter 8-Safety Practice 33, Falls prevention.
[10] American Nurses Association (ANA). … on quarterly indicators: Version 5.0.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab3.html
December 01, 2012 - Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
March 09, 2005 - Despite this, medication-related problems that jeopardize patient safety
are common in nursing homes … Table 1 highlights the RAPs targeted as part of the current
patient safety research project, as well … We did so because we believed that falls and delirium
pose the largest threats to patient safety in … The Falls Medication Monitoring Care Plan
Advances in Patient Safety: Vol. 4
410
Figure 3. … GRAM™
software focus of patient safety study in nursing
facilities.
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www.ahrq.gov/talkingquality/plan/partners/healthcare-org.html
July 01, 2011 - Topics have included:
The Agency for Healthcare Research and Quality Patient Safety Indicators.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Stone.pdf
January 01, 2004 - of patients and health care employees. … Subconstructs associated with quality emphasis include
patient centeredness, patient safety, innovation … Advances in Patient Safety: Vol. 2
472
testing. … The
effect of health care working conditions on patient
safety. … Advances in Patient Safety: Vol. 2
480
14. Ashish K.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
January 01, 2003 - Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary … Patient
Safety Interdisciplinary Education Project
Nancy E. … VAD-related patient safety. … Improving VAD Patient Safety through Patient Education
8. … Collaborative education to ensure patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
June 02, 2025 - and Safety
i Tool C.1
Prioritization Worksheet
What is the purpose of this tool? … Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool C … will serve as your
comparator, meaning the patients without the adverse event. … How To Improve Hospital Quality and Safety
2 Tool C.1
costs and risk of the adverse event (e.g … How To Improve Hospital Quality and Safety
3 Tool C.1
its situation.
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www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
January 01, 2024 - Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention
Labor and Delivery … Nurse Staffing: A Patient Safety Intervention
Team members:
Barbara L. … g e
PURPOSE
To help define and measure adverse hospital events, AHRQ developed Inpatient Quality Indicators … AHRQ also developed
Patient Safety Indicators (PSIs) to screen for problems that patients experience … Births were restricted to those with 37 to 42 weeks of gestation, with no known
indicators of high-risk
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/ereports.html
December 01, 2017 - Electronic Reports
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing … surface area (SA) and the Bates-Jensen Wound Assessment Tool (BWAT) total assessment score display as indicators … The criteria capture indicators of possible infection as well as delayed healing, as any sign of infection … vitamin and supplement information with date ordered, average weekly meal intake for the report week), indicators … Indicators of a decline in activities of daily living, such as bed mobility, transfer, or toileting,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheetinstructions.pdf
June 02, 2025 - Quality and Safety
Tool C.1 i
Prioritization Worksheet
What is the purpose of this tool? … Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety … will serve as your
comparator, meaning, the patients without the adverse event. … Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety … Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.docx
January 01, 2013 - Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
How … Clinical and other staff (e.g., quality and patient safety staff at the hospital) running the quality … The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11. … Using patient safety indicators to estimate the impact of potential adverse events on outcomes. … in these indicators.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
January 01, 2013 - AHRQ QI Toolkit
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety … Clinical and other staff (e.g., quality and patient safety staff at the hospital) running the quality … The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11. … Using patient safety indicators to estimate the impact of potential adverse events on outcomes. … in these indicators.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
December 01, 2017 - Trained all staff in Science of Safety?
Completed Perioperative Staff Safety Assessment (PSSA)? … Image: Table with two columns, process data and outcome data:
Process Data
What we do to patients … Example: percentage of patients receiving appropriate antibiotic redosing. … Outcome Data
What happens to patients. … Slide 8: Patient or Provider Factors
Image: Sample form covering patient or provider factors:
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
June 02, 2025 - Survey on Patient Safety (facility version)
Survey on Patient Safety
Instructions
This survey asks for … · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … We are actively doing things to improve patient safety
(1
(2
(3
(4
(5
7. … We have patient safety problems in this unit
(1
(2
(3
(4
(5
18. … on patient safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
May 01, 2017 - Safety Culture
• Overall unit patient safety grade4
• Composite frequencies on 12 patient safety … Safety Indicators
o Birth Trauma Rate-Injury to Neonate
o Obstetric Trauma Rate-Vaginal Delivery … Impact on unit patient safety culture. … safety culture and to patient outcomes. … Available from: http://www.ahrq.gov/professionals/quality-patient-safety/
patient-safety-resources/resources
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www.ahrq.gov/faqs/index.html?page=24
of 274
Search FAQS
Filter by Categories
- Any - 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 … What is a Patient Safety Organization (PSO)? … The Patient Safety Act authorizes AHRQ to designate or "list" an entity as a Patient Safety Organization
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www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p1-barreto.html
April 01, 2024 - Safety
5. … Medical Homes
P8: Do Telemedicine Visits Provide Similar Quality and Safety as In-Person Visits? … P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes
P10 … The program is designed to improve patient kidney health, knowledge, and safety, while filling gaps in … The intervention uses electronic indicators to identify AKI survivors, then connects them with nurse