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psnet.ahrq.gov/web-mm/listen-family
April 15, 2015 - Safety Goal #4: "Eliminate wrong-site, wrong-patient, wrong-procedure surgery … manner to identify patients. … This was a major patient safety vulnerability. … Accessed May 14, 2004.
6. 2004 national patient safety goals. … September 12, 2016
Do the AHRQ Patient Safety Indicators flag conditions that are present
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psnet.ahrq.gov/issue/comparing-safety-performance-and-user-perceptions-patient-specific-indication-based
December 18, 2019 - Study
Comparing safety, performance and user perceptions of a patient-specific indication-based … Comparing safety, performance and user perceptions of a patient-specific indication-based prescribing … Comparing safety, performance and user perceptions of a patient-specific indication-based prescribing … of patients with COVID-19: a systematic review. … Technology as a Tool for Improving Patient Safety
March 29, 2023
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psnet.ahrq.gov/node/43634/psn-pdf
November 05, 2014 - Safety in numbers: lack of evidence to indicate the
number of physicians needed to provide safe acute … Safety in numbers: lack of evidence to indicate the number of
physicians needed to provide safe acute … https://psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide- … safe-acute-medical
Many studies have explored how staffing levels influence safe and reliable patient … physician staffing in acute internal medicine, this review describes the way workload, process timing,
patient
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digital.ahrq.gov/principal-investigator/lambert-bruce
January 01, 2023 - Lambert, Bruce
Preventing Wrong-Drug and Wrong-Patient Errors With Indication … Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems – Final Report. … Principal Investigator
Lambert, Bruce
Project Name
Preventing Wrong-Drug and Wrong-Patient … (TOP-MEDS)
Tools for Optimizing Medication Safety (TOP-MEDS) - Final Report … Tools for Optimizing Medication Safety (TOP-MEDS) - Final Report.
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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/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal-notes.docx
April 01, 2022 - Most EHRs have the capacity to create columns on the patient list that identifies patients with central … care roundsoDaily safety huddlesoChecklistsoLeverage EMR for patient list and date of central lineoDaily … care rounds
Daily safety huddles
Checklists
Leverage EMR for patient list and date of central line
Daily … You can create columns on the patient list that identifies patients with central li8nes and how long … Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety
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psnet.ahrq.gov/node/47058/psn-pdf
August 20, 2018 - ' evidence-based practice
competencies indicates major deficits that threaten
healthcare quality, safety … , and patient outcomes. … Nurses' Evidence-Based Practice
Competencies Indicates Major Deficits That Threaten Healthcare Quality, Safety … , and Patient Outcomes. … A recent PSNet interview discussed the
role of nurses with regard to patient safety and outcomes.
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digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems
January 01, 2023 - safety. … Safety
Despite the widespread use of computerized prescriber order entry (CPOE) systems, … wrong-drug and wrong-patient errors persist. … Problem lists are not well maintained and are often inaccurate and incomplete, jeopardizing patient safety … safety improvement.
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psnet.ahrq.gov/node/45493/psn-pdf
December 07, 2016 - rising frequency of IT blackouts indicates the
increasing relevance of IT emergency concepts to ensure
patient … safety. … Rising Frequency of IT Blackouts Indicates the Increasing Relevance of
IT Emergency Concepts to Ensure Patient … Safety. … The authors suggest that a culture of safety can facilitate learning and improvement across the
industry
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence-references.html
April 01, 2025 - The Economics of Diagnostic Safety. Improving Diagnosis in Health Care . … How can healthcare organizations implement patient-centered care? … Indicators and measurement tools for health system integration: a knowledge synthesis protocol. … excellence through prevention and teamwork (ADEPT) study protocol: a multicenter, prospective quality and safety … Jt Comm J Qual Patient Saf 2006;32(10):541–548. PMID: 17066991.
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psnet.ahrq.gov/node/60570/psn-pdf
June 10, 2020 - Indication-specific opioid prescribing for US patients with
Medicaid or private Insurance, 2017
June … Indication-specific opioid prescribing for US patients with
Medicaid or private Insurance, 2017. … https://psnet.ahrq.gov/issue/indication-specific-opioid-prescribing-us-patients-medicaid-or-private- … are-physicians-safely-prescribing-opioids-chronic-noncancer-pain-systematic-review-current
https://psnet.ahrq.gov/primer/opioid-safety … https://psnet.ahrq.gov/primer/opioid-safety
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psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-safety
September 29, 2017 - Relationships Between Physician Professional Satisfaction and Patient Safety
Mark Friedberg, MD, MPP … Relationships Between Physician Professional Satisfaction and Patient Safety. PSNet [internet]. … Relationships Between Physician Professional Satisfaction and Patient Safety. PSNet [internet]. … If the underlying causes of physician dissatisfaction also seem likely to threaten the safety of patients … Instead, as with other indicators of threats to quality and safety, the best responses to physicians'
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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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psnet.ahrq.gov/node/33830/psn-pdf
March 22, 2016 - who die due to medical errors has been a controversial subject since the inception
of the patient safety … Identifying and Analyzing Preventable Deaths
The Patient Safety Primer on Measurement of Patient Safety … Death Rate in
Low-Mortality Diagnosis Related Groups is an AHRQ Patient Safety Indicator and is appropriate … strengthening-ahrqs-role-in-preventing-medical-errors.html
https://psnet.ahrq.gov/primer/measurement-patient-safety … https://psnet.ahrq.gov/issue/patient-safety-indicators-overview
https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
August 01, 2022 - What caused the patient safety event to happen?
Where did the patient safety event happen? … What impact did the patient safety event have? … What were the consequences of the patient safety event? … How would consumer reporting of patient safety events be linked to quality and/or patient safety improvement … patient safety improvements.
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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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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find2.html
December 01, 2012 - Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators
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digital.ahrq.gov/2018-year-review/research-spotlights/prototype-computerized-provider-order-entry-system-reduced
January 01, 2018 - 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 … Schiff was superior with respect to prescribing speed, safety, and user satisfaction as compared to two … Gordon David Organization: Brigham and Women's Hospital Research Profile: Enhancing Medication CPOE Safety
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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/node/43313/psn-pdf
April 22, 2015 - pointed to a relationship between nurse staffing ratios and patient safety. … at high hospital
volume, mortality increased for six high-risk conditions drawn from AHRQ Quality Indicators—acute … They propose
flexible staffing policies in order to improve patient safety. … /primer/nursing-and-patient-safety
https://psnet.ahrq.gov/issue/hospital-workload-and-adverse-events … psnet.ahrq.gov/issue/hospital-workload-and-adverse-events
https://psnet.ahrq.gov/issue/inpatient-quality-indicators