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www.ahrq.gov/sites/default/files/wysiwyg/learning-health-systems/frailty-ehr.pdf
September 01, 2022 - Safety and Quality
Johns Hopkins School of Medicine
Douglas W. … Safety and Quality
Johns Hopkins School of Medicine
AHRQ Publication 22-0058
September 2022 … • Johns Hopkins School of Medicine, Armstrong Institute for Patient Safety and Quality
ACTION IV … EFI for the
same patient population. … Data included anonymized
patient-level (row-level) data from both EHR and claims data for each patient
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www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
January 01, 2024 - In response,
the IOM has outlined a national agenda to improve patient safety (1). … and (2) the AHRQ Patient Quality Safety Indicators. … Study 3: We calculated the positive predictive value of selected AHRQ Patient Safety
Indicators (PSI … For some of the AHRQ Patient
Safety Indicators, there are significant differences in the risk-adjusted … Glance LG, Impact of Date Stamping on Patient Safety Measurement:
Experience with the AHRQ Patient Safety
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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
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www.ahrq.gov/research/findings/studies/index.html?page=258
January 01, 2024 - , Patient Safety
Olfson M , Wall M , Wang S Risks of fatal opioid overdose during the first … safety indicators: a comparison of two approaches to identifying adverse events. … safety indicators (PSI). … Surgeon-reported complications vs AHRQ patient safety indicators: a comparison of two approaches to identifying … Keywords: Adverse Events, Patient Safety, Quality Indicators (QIs), Surgery
Jones CD , Anthony
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www.ahrq.gov/ncepcr/tools/pf-handbook/mod6.html
December 01, 2018 - Working With Safety Net Practices
Module 2 Trainer’s Guide: Working With Safety Net Practices
Module … interested in improving its lab reporting process, you can use observation and document review to track patients … Leveraging Existing Data Resources
Practices, especially those in the safety net, already collect a … Patient surveys: patient experience. … indicators, utilization rates, costs, and revenues.
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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
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html
June 01, 2017 - This image shows an example of a visual management board with numerous elements, such as a list of the patients … Components
✔ Safety status for today’s patients
✔ Safety metrics
✔ Safety training
✔ Leader standard … work
✔ Improvement projects
Note: Do not display identifiable patient data in area with patient … (Minimal Version)
Key outcome measures
Days since last harm; days since last near miss
Indicators … Does the use of a visual management board result in the gains in key measures like patient safety culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
April 18, 2004 - Advances in Patient Safety: Vol. 1
80
Introduction
Patients face a significant risk of adverse events … Advances in Patient Safety: Vol. 1
82
Descriptive statistics
Data for patients in each of the three … and pneumonia patients:
Advances in Patient Safety: Vol. 1
86
DRG 109 (CABG) VA = $6,424 UCH … Florida Patient Safety Center,
Inc. (AMS, RRC). … Advances in Patient Safety: Vol. 1
98
48.
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www.ahrq.gov/research/publications/search.html?page=2
June 01, 2023 - & Family Engagement Prevention & Chronic Care Primary Care Quality & Patient Safety Report to Congress … on learning from patient experiences, explores how patient-reported experiences can augment other methods … safety. … Number: 22(23)-0047-2-EF
Developing and Assessing the Validity of Claims-based Indicators … findings demonstrated that structured EHR data can be used by healthcare providers to identify frail patients
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www.ahrq.gov/
February 07, 2025 - in Primary Care WEBINAR | May 13: Implementing CMS’ Patient Safety Structural Measure WEBINARS | Hospitals … Interested in Reducing Central Line-Associated Bloodstream Infections
Quality & Patient Safety … Highlights From AHRQ's Patient Safety Network Funding & Grants AHRQ Announces Interest in Health Services … Patient Safety and Quality Improvement
Making healthcare safer in all settings … Providing the latest literature, news, and expert commentary on patient safety topics
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www.ahrq.gov/news/newsletters/e-newsletter/896.html
January 01, 2024 - Highlights From AHRQ’s Patient Safety Network .
AHRQ in the Professional Literature . … Highlights From AHRQ’s Patient Safety Network
AHRQ’s Patient Safety Network (PSNet) highlights journal … articles, books and tools related to patient safety. … Articles featured this week include:
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … Addressing nursing shortages and patient safety using Maslow's hierarchy of needs .
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/medication-risk-score.html
January 01, 2013 - Background: This tool can be used to identify medication-related risk factors for falls in hospitalized patients … Add up the point value (risk level) for every medication the patient is taking. … If the patient is taking more than one medication in a particular risk category, the score should be … Medication Fall Risk Evaluation Tools
Use the tools below when evaluating patients found to have high … The comments section provides information on how to evaluate the indicators.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
October 01, 2017 - Perform a detailed skin exam on each patient. … Patient experience.
Financial information.
Safety and quality. … Pressure injuries fall under safety and quality, in the far left column. … It shows trended data specific to the unit for the quality indicators measured and monitored. … Have him/her go through each of the key indicators on the tool.
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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.
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www.ahrq.gov/faqs/index.html?page=27
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 … Safety Culture TalkingQuality TeamSTEPPS Technology Assessments U.S. … equity of healthcare delivery from the perspectives of patients, caregivers, and clinical professionals
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview-facnotes.docx
May 01, 2017 - and serious safety events. … Key interventions have included shared reporting on key safety indicators; collaborative learning and … The boards also track key safety indicators. … That particular center saw a 10 percentage-point increase in their patient safety culture survey, which … the previous day and any concerns for upcoming patients today.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
February 26, 2008 - Recommendations for fall risk assessment
Screen all patients on admission for probable indicators … These patients and—in fact—all patients, require
environmental safety interventions designed to prevent … Patient education about these risks and
safety precautions to reduce risk are essential for these patients … Joint Commission. 2008 National patient safety goals:
Hospital program. … National Center on
Patient Safety toolkit: Falls policy.
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www.ahrq.gov/research/findings/studies/index.html?page=328
January 01, 2024 - The authors assessed the validity of using ICD-9-CM code 710.3 to identify adult patients with dermatomyositis … Keywords: Diagnostic Safety and Quality, Patient-Centered Outcomes Research, Skin Conditions … They found that claims-based ascertainment of safety at a single institution was very accurate. … Validation of using claims data to measure safety of lumbar fusion surgery. … Patient priorities must be considered through patient-centered app design. AHRQ-funded; HS018910.
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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/patient-safety/settings/long-term-care/resource/hcbs/findings/tab2.html
March 01, 2023 - Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators