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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/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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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep4.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Client Experience … Functioning Measures and Gaps
Client Experience Measures and Gaps
Program Performance Measures and … While, by definition, client experience measures are derived from client-reported data, arguments can … be made for using knowledgeable proxy respondents when clients are unable to respond for themselves. … of consumer survey tools designed to solicit feedback on these constructs, such as the National Core Indicators
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psnet.ahrq.gov/node/854992/psn-pdf
November 01, 2023 - Failure to rescue as a patient safety indicator for
neurosurgical patients: are we there yet? … Failure to rescue as a patient safety indicator for neurosurgical
patients: are we there yet? … https://psnet.ahrq.gov/issue/failure-rescue-patient-safety-indicator-neurosurgical-patients-are-we-there-yet … The authors discuss several modifications to existing
FTR definitions to better suit neurosurgical patients … https://psnet.ahrq.gov/issue/failure-rescue-patient-safety-indicator-neurosurgical-patients-are-we-there-yet
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www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdf
January 01, 2024 - However, although patients report being concerned about diagnostic error and patient safety,13
they … Minnesota Alliance for Patient Safety Annual Conference;
2016 Oct 28; Minneapolis, MN. … Patient safety strategies targeted at
diagnostic errors: A systematic review. … Patient engagement and patient safety. Perspectives on Safety. 2013. … https://psnet.ahrq.gov/perspectives/perspective/136/patient-engagement-and-patient-safety.
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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/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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
January 01, 2004 - The burgeoning interest in safety in health care focuses on patients. … However, the safety of patients and airline passengers is different from the safety
of workers in that … the climate of safety that affects patients and airline passengers
is largely outside their control … Patient Safety: Vol. 4
432
medications. … These
scores can then be related to other indicators of patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-team-assessment-scale-jtcommjqualpatsaf.pdf
June 30, 2024 - the quality of care provided to patients. … -
provement and Patient Safety, Agency for Healthcare Research and Qual-
ity. … The relationship between patient safety cul-
ture and patient outcomes: a systematic review. … The AHRQ hospital survey on patient safety
culture: a tool to plan and evaluate patient safety pro-
grams … Improving Patient Safety Through Teamwork and
Team Training.
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digital.ahrq.gov/ahrq-funded-projects/technology-exchange-cancer-health-network-tech-net/annual-summary/2008
January 01, 2008 - health IT collaborative network can contribute to measurable and sustainable improvements in the cost, safety … rural cancer care setting. ( Achieved )
Improve access to appropriate care, increase the quality and safety … Patient satisfaction was high—95 percent of patients indicated that their telemedicine visit was as good … Cost savings are achievable, even at relatively low patient volumes. … early indicators from the cost savings model suggest that the system has improved the efficiency of
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psnet.ahrq.gov/issue/patterns-potential-opioid-misuse-and-subsequent-adverse-outcomes-medicare-2008-2012
June 30, 2021 - Researchers defined six possible indicators of opioid misuse (e.g., obtaining opioids from more than … Patients with any of these opioid use triggers were significantly more likely to experience an overdose … August 10, 2016
Patient mortality during unannounced accreditation surveys at US hospitals … June 28, 2017
Inappropriate prescribing of opioids for patients undergoing surgery. … May 17, 2017
Findings of a naloxone database and its utilization to improve safety and
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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/43290/psn-pdf
June 25, 2014 - safety between hospitals. … Similarly, deaths in patients with
low-mortality diagnoses are also used to identify safety problems … Although
much more work is required to validate this measure, it may fill a need as a measure of patient … safety that
allows comparisons between hospitals. … hospital-mortality-when-failure-not-good-measure-success
https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
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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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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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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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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
January 25, 2008 - Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy
Mapping a Large Patient … Safety Database to the
2005 Patient Safety Event Taxonomy
John R. … definitions of patient safety terms, data elements for patient safety reporting systems,
principles … harmed patients or could lead to
patient harm … The patient safety handbook.
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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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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