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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Stone.pdf
January 01, 2004 - of patients and health care employees. … Subconstructs associated with quality emphasis include
patient centeredness, patient safety, innovation … Advances in Patient Safety: Vol. 2
472
testing. … The
effect of health care working conditions on patient
safety. … Advances in Patient Safety: Vol. 2
480
14. Ashish K.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
January 01, 2003 - Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary … Patient
Safety Interdisciplinary Education Project
Nancy E. … VAD-related patient safety. … Improving VAD Patient Safety through Patient Education
8. … Collaborative education to ensure patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/cgcahps-webcast-brief-2014.pdf
January 01, 2014 - Evans, Senior Director for Service
Excellence, and Liza Nyeko, Senior Manager,
Center for Quality and Safety … Practice engagement areas
receive monthly dashboards that focus on key
indicators. … practice
management look closely at the data, identify
areas that need improvement, select specific
indicators … Establishing Goals and Targets
For 2012-2013, MGH/MGPO established annual
targets focused on three indicators … for patient
experience:
1.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/cgcahps-webcast-brief-2014.pdf
January 01, 2014 - Evans, Senior Director for Service
Excellence, and Liza Nyeko, Senior Manager,
Center for Quality and Safety … Practice engagement areas
receive monthly dashboards that focus on key
indicators. … practice
management look closely at the data, identify
areas that need improvement, select specific
indicators … Establishing Goals and Targets
For 2012-2013, MGH/MGPO established annual
targets focused on three indicators … for patient
experience:
1.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - Network of Patient Safety Databases Chartbook, 2021
Network of
Patient Safety
Databases
Chartbook … safety concerns to prevent patient harm and improve patient safety. … Patient Safety
Network of Patient Safety Databases Chartbook, 2021| 15
GENERIC PATIENT SAFETY CONCERNS … Patient Safety
Network of Patient Safety Databases Chartbook, 2021| 16
Percentage of Patient Safety … and are labeled “Percentage of Patients
-
psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
May 16, 2022 - safety practices. … For most patients requiring invasive procedures in a hospital setting, consultation with the service … Safe but Sound: Patient Safety Meets Evidence-Based Medicine. … The Joint Commission Journal on Quality and Patient Safety . 2012 Jan; 38(1):24-33. … and Quality
April 26, 2023
Patient Safety Innovations
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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
-
hcup-us.ahrq.gov/reports/statbriefs/sb308-hospital-sepsis-2019-2022-addendum.pdf
January 01, 2022 - Records missing patient age information were included in this group because it was the largest of the … patient
populations. … Designation
Safety-net 441 438 595 633
Non-safety-net 1,567 1,553 1,640 1,590
Note: Less than … one percent of records for rural hospitals were missing safety-net status. … statistics calculated on the hospital discharges (i.e., the hospital stay),
not individual persons or patients
-
psnet.ahrq.gov/issue/investigating-adverse-event-free-admissions-medicare-inpatients-patient-safety-indicator
May 04, 2016 - Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. … Nearly 2 decades into the patient safety movement, measurement of safety events remains a challenge … The recent National Patient Safety Foundation report, Free From Harm , identified safety measurement … Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. … June 27, 2016
National trends in patient safety for four common conditions, 2005–2011
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
January 01, 2023 - by patients who have been impacted by safety incidents are provided. … Network of Patient Safety Databases Chartbook, 2023| 33
Figure 10a: Extent of Harm by Year – All Patients … Figure 10b: Extent of Harm by Year – Patients Under 18
Network of Patient Safety Databases Chartbook … Harm by Year – Senior Patients (Aged 65 and Older)
Network of Patient Safety Databases Chartbook … All Patients
Figure 11b: Extent of Harm by Event Type – Patients Under 18
Network of Patient Safety
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
June 02, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
Self-Assessment … Worksheet for Pressure Ulcer Healing 1
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer … Pressure Ulcer Healing
Communication Practices
Agency for Healthcare Research and Quality Safety … stage is updated:
Daily
Weekly
Every 2 weeks
Monthly
Quarterly
Individual
Patient … repositioning procedures
Treatment changes per frequency designated by protocol or provider
Indicators
-
psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - safety by providing continued monitoring and assessment of patients on DOACs
Janeane Giannini, … Safety and efficacy of apixaban in patients with end-stage renal disease: Meta-Analysis. … Patient Safety Network. https://psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing . … Patient Safety Network. Lethal Cap. https://psnet.ahrq.gov/web-mm/lethal-cap . March 2004. … October 31, 2011
Patient safety and the ageing physician: a qualitative study of key
-
psnet.ahrq.gov/primer/alert-fatigue
March 15, 2025 - increase in the chance patients will be harmed. … Effect of alert fatigue on patient safety Much of the literature on alert fatigue derives from studies … A book by a prominent patient safety leader details how a hospitalized teenager received a 38-fold … Tailor alerts to patient characteristics and critical integrated clusters of physiologic indicators. … November 3, 2021
Safety culture as a patient safety practice for alarm fatigue.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsrptexecsum_0.pdf
March 01, 2018 - 2018 Hospital SOPS Database Report Executive Summary Infograpic
Surveys on Patient Safety Culture™ … safety
culture based on the 2018 Hospital Survey on Patient Safety CUiture Database.
382,834 providers … and staff respondents
12 areas of patient safety culture
were assessed in the survey
average percent … not
overlook patient safety problems
720/o
Organizational Learning
72% of respondents reported … Safety Culture provides step-by-step guidance on
how to develop an action plan to improve patient safety
-
www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - Describe the impact of the role of the patient safety champion
3. … of safety, resident and fellow experience in patient safety investigations, and
monitoring of resident … , fellow, and faculty engagement in patient safety. … , elderly patients, patients with a spinal cord
AHRQ Safety Program for Reducing CAUTI in Hospitals … Extended use of urinary catheters in older
surgical patients: a patient safety problem?
-
www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 01, 2015 - Describe the impact of the role of the patient safety champion
3. … of safety, resident and fellow experience in patient safety investigations, and
monitoring of resident … , fellow, and faculty engagement in patient safety. … , elderly patients, patients with a spinal cord
AHRQ Safety Program for Reducing CAUTI in Hospitals … Extended use of urinary catheters in older
surgical patients: a patient safety problem?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - Describe the impact of the role of the patient safety champion
3. … of safety, resident and fellow experience in patient safety investigations, and
monitoring of resident … , fellow, and faculty engagement in patient safety. … , elderly patients, patients with a spinal cord
AHRQ Safety Program for Reducing CAUTI in Hospitals … Extended use of urinary catheters in older
surgical patients: a patient safety problem?
-
psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - A "dashboard" of safety and quality indicators has been developed to help track performance against national … We have also involved patients in our safety efforts by conducting safety walk rounds.( 4 ) During these … of patients. … Patient Safety Leadership WalkRounds. … Health Patient Safety Fellowship.
-
www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14apb.html
June 01, 2014 - Medical Office Survey on Patient Safety Culture
Appendix B
Previous Page Next Page
Table … of Contents
Medical Office Survey on Patient Safety Culture
Executive Summary
Chapter 1. … Average Percentage of Respondents Giving Their Medical Office an Overall Rating on Patient Safety by … Average Percentage of Respondents Giving Their Medical Office an Overall Rating on Patient Safety by
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-slides.pptx
September 01, 2022 - Does my patient understand what to expect and the followup plan? … ASB and UTI
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
23
Moment 4: Patient … Patient Handout: The Patient Handout explains the symptoms and symptomatic treatment of ASB and UTI. … Significance of bacteriuria in patients with end-stage renal disease on hemodialysis. … Cephalexin for susceptible bacteriuria in afebrile, long-term catheterized patients.