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psnet.ahrq.gov/issue/incorporating-indications-medication-ordering-time-enter-age-reason
June 05, 2018 - Clear communication during medication prescribing can enhance safety. … health information technology as a way to improve team communication , medication reconciliation , and patient … June 5, 2018
Association of display of patient photographs in the electronic health … record with wrong-patient order entry errors. … June 27, 2018
Computerized prescriber order entry–related patient safety reports: analysis
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psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - for Patient Safety Research
Although patient safety research has made great strides over the past 15 … Safety Research
Today, the number of patients who receive care in ambulatory environments is expanding … assess the culture of safety in their institutions.(17) CAHPS surveys "ask
consumers and patients to … Safety Indicators and Quality Indicators), specific performance measures required by accrediting or … Patient Safety Primer: Diagnostic Errors. AHRQ Patient Safety Network Web site.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti.pptx
June 02, 2025 - urinary flow obstructions
4
Appropriate Catheter indication
Monitoring fluids in critically ill patients … prevent falls
15
Inappropriate catheter indications
Monitoring of fluids in non-critically ill patients … 17
Inappropriate catheter indications
Patient or family request
Educate patient and family on … safety! … Healthcare Research and Quality through the contract, “National Implementation of Comprehensive Unit-based Safety
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psnet.ahrq.gov/node/33586/psn-pdf
December 15, 2024 - These fundamental shifts have resulted in new threats to patient safety—a
cruel irony given that technological … Effect of alert fatigue on patient safety
Much of the literature on alert fatigue derives from studies … https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety … The Making Healthcare Safer III
report outlines several patient safety practices to address alert fatigue … Tailor alerts to patient characteristics and critical integrated clusters of physiologic indicators.
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - safety in cancer patients: reliability concerns are raised. … safety network system on outcomes of medical patients- a before and after cohort study. … March 24, 2011
Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare … Indicators
April 26, 2023
Patient Safety Primers … Patient Safety Primers
Improving Patient Safety
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psnet.ahrq.gov/node/848125/psn-pdf
April 26, 2023 - Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care
Units. … state (e.g., via oxygen saturation, pulse rate, and other
indicators) and is well-tolerated by patients … patient safety learning labs in 2014 and continues to promote their work. … National Patient Safety Agency. … https://psnet.ahrq.gov/issue/remote-patient-monitoring-during-covid-19-unexpected-patient-safety-benefit
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hcup-us.ahrq.gov/reports/statbriefs/sb195-Potentially-Preventable-Hospitalizations.jsp
November 01, 2015 - Although overall inpatient hospital stays have declined, increasingly patients are being seen in EDs … Definitions
Prevention Quality Indicators
The Prevention Quality Indicators (PQIs; version 4.4 … DRGs comprise a patient classification system that categorizes patients into groups that are clinically … DRGs group patients according to diagnosis, type of treatment (procedures), age, and other relevant criteria … safety, person-centered care, care coordination, effective treatment, healthy living, care affordability
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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
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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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications.pptx
April 01, 2022 - His team has kept the central line in because the patient said he has had trouble in the past with healthcare … Disclaimer: All case studies are hypothetical and not based on any actual patient or hospital information … Any similarity between a case study and actual patient or hospital experience is purely coincidental. … Safety and outcomes of midline catheters vs peripherally inserted central catheters for patients with … Jugular versus femoral short-term catheterization and risk of infection in intensive care unit patients
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psnet.ahrq.gov/node/42823/psn-pdf
December 18, 2013 - Error Index: development and
application of a novel national indicator for assessing the
relative safety … error index: development and
application of a novel national indicator for assessing the relative safety … Reporting and Learning System to develop a tool that
identifies outlier hospitals with higher rates of patient … orthopaedic-error-index-development-and-application-novel-national-indicator-assessing
https://psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
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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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psnet.ahrq.gov/node/45506/psn-pdf
November 30, 2016 - November 30, 2016
ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5. … indication-based-prescribing-system-our-future
https://psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider … issue/incorporating-indications-medication-ordering-time-enter-age-reason
https://psnet.ahrq.gov/issue/patient-safety-examining-adequacy
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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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digital.ahrq.gov/ahrq-funded-projects/crossing-quality-assessment-chasm-aligning-measured-and-true-quality-care/annual-summary/2010
January 01, 2010 - Organization
University of Pennsylvania
Funding Mechanism
RFA: HS07-002: Ambulatory Safety … The UPHS uses EpicCare Hyperspace, and the PVAMC uses the VistA-based Computerized Patient Record System … Unfortunately, the data exhibited only weak correlations across the indicators, and therefore a composite … In 2006, there was a problem with the reagents used to measure the HbA1c which artificially lowered the … Still, chart review of a sample of patient panels where the point estimate of the expected and actual
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digital.ahrq.gov/health-care-theme/medication-safety
January 01, 2023 - Medication Safety
Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant … large language models and machine learning to retrospectively analyze electronic health records of patients … shaping future clinical guidelines that help doctors select the most effective antibiotics for each patient … unnecessary use of broad-spectrum antibiotics, lower the risks of drug resistance, and ultimately improve patient … Context is Critical: Understanding When and Why Electronic Health Record-Related Safety
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www.ahrq.gov/faqs/index.html?page=11
Safety Network (PSNet) Patient Safety Organizations (PSOs) Permissions Primary Care Practice-Based Research … The Report tracks progress across the NQS priorities (patient safety; person- and family-centered care … How do I subscribe or unsubscribe to the Patient Safety Network newsletter? … To subscribe to the Patient Safety Network (PSNet) newsletter, go to: https://subscriptions.ahrq.gov … You will then see “Patient Safety Network (PSNet)” under Topic on the “Subscriber Preferences” page.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report-appendixes.pdf
January 01, 2022 - Interaction With Patients (Tables B-13, B-15, B-16)
• Respondents without direct patient interaction … show that patient safety is a
top priority. … show that patient safety is a top priority. … show that patient
safety is a top priority. … show that patient safety is a top priority.
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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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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