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psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - Innovation Patient Safety Focus
The GRACE program provides services to low-income seniors to help ensure … Safety
January 31, 2024
Patient Safety Innovations … and Quality
April 26, 2023
Patient Safety Innovations … Outcomes
March 29, 2023
Patient Safety Innovations … Patient Safety Innovations
Transition Coaches® Reduce
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psnet.ahrq.gov/issue/comparison-prototype-indications-based-prescribing-2-commercial-prescribing-systems
June 05, 2018 - July 10, 2019
Computerized prescriber order entry–related patient safety reports: analysis … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … Resources
Perspective
Cybersecurity and How to Maintain Patient … Specifications of computerized provider order entry and clinical decision support systems for cancer patients … October 10, 2018
Safety still compromised by computer weaknesses.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs015274-carayon-final-report-2009.pdf
January 01, 2009 - Characteristics of GMC ICUs (continued)
AICU CICU NICU PICU
Patient mix Medical and trauma
patients … For the majority of quality of care and safety indicators, CPOE/EHR
implementation had no effect: the … Technology and
patient safety: A two-edged sword. … Patient safety and proactive risk
assessment. In Y. … Coordination in the ICU and the Relation
with Quality of Care and Patient Safety.”
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psnet.ahrq.gov/web-mm/mark-my-limb
February 10, 2015 - But its standards, its national patient safety goals ( 5 ), and now its surgery Universal Protocol do … Accessed December 16, 2004.
5. 2004 national patient safety goals. … February 10, 2015
Standardization in patient safety: the WHO High 5s project. … June 4, 2014
The JCAHO patient safety event taxonomy: a standardized terminology and … June 30, 2011
Validity of selected AHRQ Patient Safety Indicators based on VA National
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-ambulatory-chronic-disease-care
January 01, 2023 - Completed
Grant Number
R18 HS017035
Funding Mechanism(s)
Ambulatory Safety … ambulatory care health information technology (IT) systems designed to improve chronic disease performance indicators … The dashboard, which provided information on eight quality indicators, was evaluated with a usability … Unexpectedly, 55 percent of physicians printed copies of the patient summary dashboards to give to patients … Monitoring , Patient Portal , Telehealth/Telemedicine
Internet use by primary care patients:
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-slides.html
March 01, 2017 - Interest in resident safety. … Willing to listen, learn, and work with staff to improve patient safety and the quality of health care … Other Patient Safety Initiatives - Safety Matters: Executive WalkRounds, Quality of Patient Care . … Other Patient Safety Initiatives - Safety Matters: Executive WalkRounds, Quality of Patient Care . … The Essential Guide for Patient Safety Officers.
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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?
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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?
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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?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-slides.pptx
January 01, 2017 - risks to sustaining your efforts with Premortem Tool
Design a scorecard with adaptive and technical indicators … North Carolina Center for Hospital Quality and Patient Safety. … Secure time and resources
Formalize job responsibilities for patient safety improvement work
Dedicate … Continue updating staff on patient safety activities
Continue collaborative activities
Revisit the … Patients
References
North Carolina Center for Hospital Quality and Patient Safety.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015354-rachman-final-report-2007.pdf
January 01, 2007 - EQUIP (Enhancing Quality in Patient Care Utilizing Information Technology in Patient Care)
Grant Final … Howard Brown
Health Center’s client population is primarily lesbian, gay, bisexual, and transgender … The Alliance partners together provide more than 350,000 medical visits to close to 100,000
patients … • Provide monthly dashboard reporting on clinical indicators for Health Disparities
Collaboratives … common goals and standardization:
• Use Chronic Care Model to manage disease and populations of patients
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psnet.ahrq.gov/issue/personal-formularies-primary-care-physicians-across-4-health-care-systems
July 10, 2019 - different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients … record with wrong-patient order entry errors. … December 21, 2017
Computerized prescriber order entry–related patient safety reports: … May 12, 2021
Patient safety in primary care: conceptual meanings to the health care team … and patients.
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - Patient Safety 101
June 16, 2024
Patient Safety 101. PSNet [internet]. 2019. … Background
The History of the Patient Safety Movement
The concept that patients could be harmed while … Definitions Used in Patient Safety
https://psnet.ahrq.gov/primer/patient-safety-101
https://psnet.ahrq.gov … Research in the
field of patient safety began with studies of hospitalized patients. … https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/primer/patient-safety-indicators
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - to Measure Outcomes
Baseline Data on Indicators- Where Are We Today? … Safety Committee Rounds:
Included how many patients have urinary catheters
What is the plan for … Slide 67
Reporting
Scorecard – Zero CAUTI is goal
Critical Care Committee
Patient Safety … Slide 77
Integrate & Coordinate With Other Efforts
Images: Logos of other patient safety programs … the Learning from Defects tool (Goal: >2)
Number of patient safety improvement plans currently in
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AppendixFMHAAHQRKick-Off.jsp
July 01, 2016 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … benefit for hospitals participating in the project will be enhanced comparative reporting for quality and patient … safety performance analyses and also additional tools in identifying the accuracy of medical coding … IT staff, particularly those involved with clinical lab systems; medical record experts, quality and patient … safety professionals.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - many comprehensive patient safety
initiatives. … safety reporting systems on analyzing injury hospitalizations and patients’
experiences (e.g., the … The VHA is a leader in patient safety research and intervention
Advances in Patient Safety: Vol. … State injury
indicators report, 2nd edition—1999 data. … Patient Safety
Committee. Patient safety efforts should focus on
errors.
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psnet.ahrq.gov/node/850928/psn-pdf
June 21, 2023 - Patient safety perception within hospitals: an examination
of job type, handoffs and information exchange … Patient safety perception within hospitals: an examination of job type, handoffs and
information exchange … Using data from the
2021 AHRQ Hospital Survey on Patient Safety Culture™ (SOPS®), these researchers … examined individual
and organizational factors influencing perceived patient safety ratings. … https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/surveys-patient-safety-culturetm-sopsr-hospital-survey
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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
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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.
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www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - , and reviews of patient complaints to learn about safety risks. 55-58 Prior work in other areas of … patient safety (e.g., medication errors, infection control) has examined the potential of engaging patients … from administrative datasets (e.g., patient safety indicators). 68,69 However, unlike specific safety … Another way to select records is through the “trigger” approach, which aims to “alert patient safety … safety events and enable targeted review of high-risk patients. 35 The Institute for Healthcare Improvement