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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.
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
March 01, 2017 - Guide to Administering the AHRQ Nursing Home Survey on Patient Safety Culture and Reviewing Results … To reduce CAUTIs and other HAIs and improve patient safety, it is critical to follow clinical guidelines … AHRQ also provides a list of initiatives related to the survey areas titled Improving Patient Safety … in Nursing Homes: A Resource List for Users of the AHRQ Nursing Home Survey on Patient Safety Culture … Guide to Administering the AHRQ Nursing Home Survey on Patient Safety Culture and Reviewing Results
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psnet.ahrq.gov/node/60014/psn-pdf
March 04, 2020 - A radiation oncology-specific automated trigger indicator
tool for high-risk near-miss safety events … A Radiation Oncology–Specific Automated Trigger
Indicator Tool for High-Risk, Near-Miss Safety Events … psnet.ahrq.gov/issue/radiation-oncology-specific-automated-trigger-indicator-tool-high-risk-near-
miss-safety … Trigger tools are used to detect adverse events; their use has been studied in general oncology patients … psnet.ahrq.gov/issue/radiation-oncology-specific-automated-trigger-indicator-tool-high-risk-near-miss-safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
May 01, 2004 - Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors … 333
Establishing a Culture of Patient
Safety Through a Low-tech Approach
to Reducing Medication … This requirement added
further momentum to the push toward a culture of patient safety. … Advances in Patient Safety: Vol. 3
340
9. … Impact on patient safety
The impact of any prescribing-related and safety-focused initiative must be
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
May 07, 2008 - we were taking extra steps
towards patient safety. … By
avoiding such complications, these interventions enhanced patient safety and avoided patient
harm … Program projects support patient safety goals common
to many health systems. … Initiating
transformational change to enhance patient safety. … J
Patient Safety 2006; 2: 20-24.
1. Kohn LT, Corrigan JM, Donaldson MS.
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psnet.ahrq.gov/node/33617/psn-pdf
August 01, 2005 - https://psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
difficult is the working environment … It is a
continuing puzzle that health care does not respond to economic and research indicators the … So when Linda Aiken talks about it [nursing's patient
safety agenda being unfinished], I agree with … Reference
Back to Top
https://psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
https://psnet.ahrq.gov … /perspective/unfinished-patient-safety-agenda
https://psnet.ahrq.gov//#casetop
1.
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psnet.ahrq.gov/issue/long-term-risk-overdose-or-mental-health-crisis-after-opioid-dose-tapering
August 25, 2021 - events associated with long-term opioid therapy have led to recommendations for dose tapering for patients … October 14, 2020
Quality and safety outcomes of a hospital merger following a full integration … at a safety net hospital. … , 2022
View More
Related Resources
Development of prescribing indicators … related to opioid-related harm in patients with chronic pain in primary care- a modified e-Delphi study
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
April 23, 2008 - Evaluating goals and the implementation process to inform next steps, paying particular
attention to indicators … Provide linkers with general
literature/references re: falls risk
assessment and interventions; key
indicators … Consistently implemented 19 64
A guide to reevaluation of fall risk 55 57
Inclusive of sitters/safety … assessment (FRA) on admission (%) 94 100
Intervals of fall risk assessment defined as:
Q shift on all patients … 40 64
Q shift on at-risk patients 36 4
Other 24 32
Fall risk assessment tool
Internally developed
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digital.ahrq.gov/ahrq-funded-projects/partnership-clinician-electronic-health-record-ehr-use-and-quality-care/annual-summary/2011
January 01, 2011 - Organization
Michigan Public Health Institute
Funding Mechanism
RFA: HS07-006: Ambulatory Safety … - including the need to redesign workflow to incorporate use of the EHR before, during, and after a patient … This project addressed one of the key problems in leveraging health IT to support high-quality patient … The quality indicators selected were those that the Institute of Medicine has identified as priority … clinician use of an EHR and quality of preventive care, chronic disease management, and medication safety
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psnet.ahrq.gov/issue/prescription-enhancing-electronic-prescribing-safety
August 04, 2021 - A Prescription For Enhancing Electronic Prescribing Safety. … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … May 1, 2019
Computerized prescriber order entry–related patient safety reports: analysis … October 13, 2018
Association of display of patient photographs in the electronic health … record with wrong-patient order entry errors.
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psnet.ahrq.gov/primers-0
March 15, 2025 - The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions … Disclosure
(1)
Patient Safety Indicators
(3)
Human Factors Engineering … patients to ensure safe care, and emphasizing patient involvement as a means of improving the culture … created new patient safety concerns. … safety to refer to events where patients were harmed (or easily could have been).
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-surgical-report-cards.pdf
November 01, 2023 - What measures or indicators are used in report cards to examine the safety of
surgical care?
3. … We answered Review Questions 1 and 2 by focusing on the harms and patient
safety measures or indicators … safety measures, AHRQ’s
Patient Safety Indicators, or the National Committee for Quality Assurance ( … What Measures or Indicators Are
Used in Report Cards To Examine the Safety of Surgical
Care? … patient safety.
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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - ; rather, patients can play an active part in enhancing patient safety when engaged and encouraged by … patient safety. … World Health Organization: Patients for Patient Safety. … Published May 2017, Geneva, Switzerland: World Health Organization; https://www.who.int/initiatives/patients-for-patient-safety … Safety Primers
Nursing and Patient Safety
April 21, 2021
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psnet.ahrq.gov/node/847046/psn-pdf
April 05, 2023 - prescribing
Requiring a prescriber to include an indication for a medication can reduce the risk of wrong-patient … In addition to patient safety benefits,
several risks and drawbacks were uncovered, such as potential … loss of patient privacy or alert fatigue. … documenting-indication-antimicrobial-prescribing-scoping-review
https://psnet.ahrq.gov/issue/indication-specific-opioid-prescribing-us-patients-medicaid-or-private-insurance … -2017
https://psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2022/TechSpecs/PSI_17_Birth_Trauma_Rate-Injury_to_Neonate.pdf
July 01, 2022 - AHRQ Quality Indicators™ (AHRQ QI™) ICD-10-CM/PCS Specification v2022
Prepared by:
Agency for Healthcare … Hospital-Level Indicator
Type of Score: Rate
Patient Safety Indicator 17 (PSI 17) Birth Trauma Rate
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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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psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients
June 01, 2014 - Citation Text:
Improving patient safety by shifting power from health professionals to patients. … safety by shifting power from health professionals to patients. … August 9, 2023
Emotional safety is patient safety. … safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences … Engagement for Improving Patient Safety.
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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