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psnet.ahrq.gov/issue/documenting-indication-antimicrobial-prescribing-scoping-review
August 03, 2022 - Antimicrobial stewardship is an important element of patient safety. … evidence indicates that appropriate antimicrobial indication documentation can improve prescribing and patient … April 10, 2024
Patient identification of diagnostic safety blindspots and participation … October 5, 2022
Economics of Medication Safety. … Improving Medication Safety Through Collective, Real-time Learning.
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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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-d.pdf
June 02, 2025 - Poster on Indications for Urinary Catheters
AHRQ Safety Program for Reducing CAUTI in Hospitals … Does your patient
really need that
catheter? … catheters
include:
■ Assistance in healing of severe
perineal and sacral wounds in
incontinent patients … Acute urinary retention or obstruction
■ Accurate measurement of urinary
output in critically ill patients
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psnet.ahrq.gov/node/48158/psn-pdf
July 24, 2019 - Perceived patient safety culture in nursing homes
associated with "Nursing Home Compare" performance … indicators. … Perceived Patient Safety Culture in Nursing Homes Associated With "Nursing
Home Compare" Performance … Indicators. … /nursing-home-survey-patient-safety-culture
https://psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing
January 01, 2023 - Patient Safety
Technology Usability
Research shows that incorporation of medication … ISMP Medication Safety Alert! … Medicine has come a long way in terms of patient empowerment. … However, if the patient has several prescriptions, they may confuse their medications. … “It is important for patients to keep their medicines straight – patients stop taking medicines without
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-ambulatory-chronic-disease-care/annual-summary/2011
January 01, 2011 - Organization
University of Missouri at Columbia
Funding Mechanism
RFA: HS07-006: Ambulatory and Safety … To improve patient care quality and safety, the Family Medicine and General Internal Medicine practices … performance through the EHR), and providing patients with access to a Web-based interactive software … A composite measure of eight diabetes care-quality indicators improved in practices able to access performance … In-home medication reconciliation is potentially limited by incomplete information from patients and
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www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-slides.html
February 01, 2017 - Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients … North Carolina Center for Hospital Quality and Patient Safety. … Secure time and resources:
Formalize job responsibilities for patient safety improvement work. … Continue updating staff on patient safety activities.
Continue collaborative activities. … North Carolina Center for Hospital Quality and Patient Safety.
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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/patient-safety/quality-resources/tools/chtoolbx/emerging/index.html
June 01, 2020 - established quality measurement sets such as the Consumer Assessment of Health Plans (CAHPS®), AHRQ Quality Indicators … Risk-adjusted average length of stay for asthma patients.
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www.ahrq.gov/es/sops/bibliography/index.html?page=3
January 01, 2025 - Evaluation of patient safety culture in community pharmacies. … Cross-sectional study on patient safety culture, patient safety competency, and adverse events. … indicators. … evaluation of a patient safety demonstration project. … Changes in patient safety culture: A patient safety intervention for Finnish forensic psychiatric hospital
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www.ahrq.gov/sops/bibliography/index.html?page=3
January 01, 2025 - Evaluation of patient safety culture in community pharmacies. … Cross-sectional study on patient safety culture, patient safety competency, and adverse events. … indicators. … evaluation of a patient safety demonstration project. … Changes in patient safety culture: A patient safety intervention for Finnish forensic psychiatric hospital
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digital.ahrq.gov/ahrq-funded-projects/risk-based-approach-improving-management-chronic-kidney-disease/annual-summary/2011
January 01, 2011 - health centers with improved clinical decision support for physicians and self-management support for patients … to best treatment practices will be measured by several indicators, including problem lists and encounter … Data for the study will be taken for patients with CKD from the electronic records in Harvard Vanguard's … The analysis found that among 11,760 patients treated by 166 primary care providers (PCPs) across 15 … were consistently associated with improved effectiveness and drug safety.
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - The effect of the Virginia
Mason Production System (VMPS) can be seen in indicators of clinical outcomes … , safety, patient
satisfaction, process indicators, staff engagement, and economics. … lean efforts an innovative approach called experience-based
design, Virginia Mason is showing that patient … The innovation lies in combining them all, thinking about the entire patient journey (pre-, during, … So, we asked the question, 'What if we did a femoral nerve
block as soon as the patient was stabilized
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hcup-us.ahrq.gov/datainnovations/clinicaldata/va.jsp
July 01, 2016 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … Whether it is private programs to recognize and reward hospitals improving patient safety or helping … Virginia hospitals into the pilot, which resulted in the collection of nearly 400,000 POA-enhanced patient
-
psnet.ahrq.gov/node/865466/psn-pdf
March 27, 2024 - Equity in Patient Safety
March 27, 2024
Thomas A, Lee M, Mossburg S. Equity in Patient Safety. … safety measures; that Black patients received worse care than White patients in 36% of patient safety … on
patient safety and health equity. … indicators (e.g., postoperative sepsis infections, perioperative hemorrhage), these highly graded … Efforts to Improve Patient Safety and Equity
Patient safety and equity can be improved through efforts
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psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
March 30, 2016 - Chemotherapy Administration Safety Standards. PSNet [internet]. … Chemotherapy Administration Safety Standards. PSNet [internet]. … September 9, 2015
Do patient safety indicators explain increased weekend mortality? … May 18, 2022
View More
Related Resources
Patient Safety … Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients
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psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - AHRQ’s Patient Safety Indicators (PSIs) focus on measuring if potentially preventable complications … This includes the development of patient-reported safety outcomes measures , having patients and individuals … report patient safety events, and ensuring patients are included in robust communication and resolution … safety indicators that are used by CMS. … We believe it is important that patients have a role in patient safety, including sitting on governance
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
April 01, 2022 - Indwelling Urinary Catheter Indications” is part of the Agency for Healthcare Research and Quality’s Safety … Slide 2
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
AHRQ Safety … to the patient. … ” patients who are located in your ICU but awaiting availability of a non-ICU bed.
· Patients with very … No. 17(22)-0019
April 2022
2
AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI
image1.png
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psnet.ahrq.gov/node/35462/psn-pdf
February 18, 2011 - Investigators tracked quality-of-care indicators and compared trends
internally and with fee-for-service … Findings illustrated
significant improvements over time for all indicators within the Veterans Affairs … (VA) health care system and
better quality scores than Medicare on 12 of 13 indicators in 2000. … on a
national level (see National Center for Patient Safety). … effect-transformation-veterans-affairs-health-care-system-quality-care
https://psnet.ahrq.gov/issue/national-center-patient-safety-ncps
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psnet.ahrq.gov/node/44418/psn-pdf
September 23, 2015 - Learning from patient safety incidents in incident review
meetings: organisational factors and indicators … Learning from patient safety incidents in incident review meetings: Organisational
factors and indicators … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and