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Showing results for "patient safety indicators".
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2421. Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
      January 01, 2005 - The final intervention (75 patients) resulted in one patient prescribed short-acting nifedipine for … Advances in Patient Safety: Vol. 3 280 A follow-up utilization review was completed in March 2001 … present management and monitor the patient (2 patients); the rationale was not provided for 4 patients … Advances in Patient Safety: Vol. 3 284 Fourth and final intervention An intervention was taken … Advances in Patient Safety: Vol. 3 288 References 1.

2422. Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/guides/implguide-pt1.html
      October 01, 2015 - Skin Care in the Incontinent Patient Appendix O. CAUTI Event Report Template Appendix P. … When used with the Comprehensive Unit-based Safety Program (CUSP) Toolkit, the practices outlined in … In a 2007 study, cases with CAUTI resulted in $1,300 to $1,600 in additional cost per patient. 9   … urine cultures and nontreatment of asymptomatic bacteriuria are also critical factors in improving patient … safety and are addressed in this guide to the extent that they directly relate to CAUTI prevention and

2423. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841140/psn-pdf
      December 07, 2022 - association-measured-quality-and-future-financial-performance-among- hospitals-performing Hospitals that implement quality improvement initiatives improve patient … safety but also incur financial expenses related to implementation, sustainment, and reporting. … The findings indicate hospitals with lower Patient Safety Indicator 90 (PSI 90) scores had poorer financial … association-measured-quality-and-future-financial-performance-among-hospitals-performing https://psnet.ahrq.gov/issue/doing-well-doing-good-evaluating-influence-patient-safety-performance-hospital-financial … relationship-between-occurrence-surgical-complications-and-hospital-finances https://psnet.ahrq.gov/issue/correlation-between-hospital-finances-and-quality-and-safety-patient-care

2424. Implementation-Guide-Appendix-P (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-p.xls
      June 02, 2025 - Sheet1 AHRQ Safety Program for Reducing CAUTI in Hospitals Toolkit for Reducing Catheter-Associated … CAUTI DATA REVIEW: Look at 3 Parameters: CAUTI Rates, Percent of Patients with at least one appropriate … If CAUTI Rates are DECREASING (Favorable Trend): Look at % of Patients with Appropriate Indication … Favorable (decreasing) Favorable (increasing) Unfavorable (increasing) Has case mix changed so more patients … If CAUTI Rates are INCREASING (Unfavorable Trend): Look at % of Patients with Appropriate Indication

2425. Research Spotlights - Archives
      hcup-us.ahrq.gov/reports/spotlights_archive.jsp
      December 01, 2019 - This study uses the 2005 through 2007 Hawaii State Inpatient Databases (SID), Patient Quality Indicators … Read more about this publication Patient safety indicators for England from hospital administrative … This study uses AHRQ’s Patient Safety Indicators (PSIs) to examine the feasibility of deriving patient … safety indicators from hospital episode data for England; determine whether the indicators point to … adverse outcomes for patients; and compare patient safety event rates, excess length of stay, and mortality

2426. Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
      January 01, 2024 - Yet, more can be done to improve patient safety in nursing homes. … Study Testing GRAM™’s Effectiveness on Patient Safety Begins. … The use of GRAM™ software to improve patient safety in nursing facilities. … Improving patient safety through early recognition of adverse medication effects. … Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes.

2427. Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. | PSNet
      psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients
      August 25, 2021 - Hospital readmission rates are an important indicator of patient safety. … August 2, 2023 Association between hospital performance on patient safety and 30-day … December 20, 2020 Ambulatory safety nets to reduce missed and delayed diagnoses of cancer … May 8, 2019 Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator … November 16, 2016 Hospital safety scores: do grades really matter?

2428. Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
      January 01, 2025 - safety in primary care has lagged behind that of acute care.1-3 Patient safety issues occur as or … own health, engaging patients’ families into patient care, following up with patients, and integrating … Ambulatory patient safety: what we know and need to know. … Transforming concepts in patient safety: a progress report. … AHRQ quality indicators - guide to prevention quality indicators: hospital admission for ambulatory

2429. Special Considerations for Measurement of Diagnostic Safety (continued) | Agency for Healthcare Research and Quality
      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

2430. Prompting Removal of Unnecessary Indwelling Urinary Catheters
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
      April 01, 2022 - longer needed 10.4% to 32% of inappropriate use of indwelling catheters is in surgical and medical patients … Yes, because all patients on diuretics need a urinary catheter Yes, because the floor physician will … Example of a Nurse-Driven Protocol for Catheter Removal. http://www.ahrq.gov/professionals/quality-patient-safety … Catheter-associated urinary tract infections in adult patients. … WHO Surgical Safety Checklist.

2431. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
      July 01, 2023 - Understand the Science of Safety for Perinatal Safety AHRQ Safety Program for Perinatal Care … Slide 1: AHRQ Safety Program for Perinatal Care Understand the Science of Safety for Perinatal Safety … As a result, a patient slips on the floor. … patient safety. … safety.

2432. Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation. | PSNet
      psnet.ahrq.gov/issue/using-machine-learning-system-identify-and-prevent-medication-prescribing-errors-clinical-and
      June 05, 2018 - Jt Comm J Qual Patient Saf. 2019;46(1):3-10. doi:10.1016/j.jcjq.2019.09.008. … Jt Comm J Qual Patient Saf . 2019; 46 (1) :3-10 . … Jt Comm J Qual Patient Saf. 2019;46(1):3-10. doi:10.1016/j.jcjq.2019.09.008. … October 10, 2018 Computerized prescriber order entry–related patient safety reports: … May 24, 2023 Electronic prescribing systems in hospitals to improve medication safety

2433. Understanding the AI Wave—What Is AI? | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave2.html
      July 01, 2025 - might warn a provider that a new Warfarin prescription may lead to an increased risk of bleeding for a patient … Another use-case includes tools designed to predict the duration of a procedure using patient information … thrombocyte count, c-reactive protein, procalcitonin, and more 14 —some of which may not be definitive indicators … impossible) to fully understand why a particular prediction was made, which can raise concerns around trust, safety

2434. Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. | PSNet
      psnet.ahrq.gov/issue/clinical-deterioration-nurse-sensitive-indicator-out-hospital-context-scoping-review
      July 19, 2023 - safety. … safety leadership. … October 23, 2024 Patient safety, satisfaction, and quality of hospital care: cross sectional … surveys of nurses and patients in 12 countries in Europe and the United States. … August 16, 2023 Approaches to improving patient safety in integrated care: a scoping

2435. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33882/psn-pdf
      June 01, 2019 - The presence and absence of incidents, errors, and negative outcomes are, no doubt, indicators of system … Jt Comm J Qual Patient Saf. 2014;40:376-383. [go to PubMed] 3. … Towards the development of a resilience engineering tool to improve patient safety: the RETIPS approach … A Tale of Two Stories: Contrasting Views of Patient Safety. … Chicago, IL: National Patient Safety Foundation; 1998. [Available at] 9. Hollnagel E.

2436. Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/re-engineering-postnatal-unit-care-long-desc.html
      April 01, 2025 - A  supporting-our-community website was developed with healthcare system partners to offer patients … support, and shared decision making during postpartum care. 4 The videos are available on the Postnatal Safety … Hospital Discharge Transition Change Package , providing evidence-based strategies to improve postnatal safety … quality indicators for postpartum care. 3 The project’s findings informed international maternal health … Patient Safety Learning Labs: effective collaborations for enhanced patient safety.

2437. Quality Performance Monitoring Data Collection and Reporting Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/quality-performance-monitoring-data-collection-and-reporting-final-report.pdf
      April 01, 2015 - Safety Research Agenda,25,26 reports released by the work of the AHRQ Quality Indicators projects,27 … Improving patient safety—five years after the IOM report. N Engl J Med 2004;351:2041-3. 9. … The end of the beginning: patient safety five years after To Err Is Human. … The long road to patient safety: A status report on patient safety systems. … Setting a research agenda for medical errors and patient safety.

2438. The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. | PSNet
      psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
      October 12, 2022 - rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient … safety. … Safety. … Safety. … November 10, 2021 COVID-19: the dark side and the sunny side for patient safety.

2439. Measure Descriptions for Daily Care Processes: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/dailycare-processes-facguide.html
      January 01, 2017 - Measure Descriptions for Daily Care Processes: Facilitator Guide AHRQ Safety Program for Mechanically … Data also provides quantifiable measures of care practices, guides patient safety conversations, and … Slide 11: SSD-ETT Contraindications Say: During your daily patient evaluations, check for patients … explanations for the measures used to evaluate the implementation of the interventions within the AHRQ Safety … of your patients.

2440. MAINTAIN AND EXPAND (pdf file)
      hcup-us.ahrq.gov/reports/methods/2011_01.pdf
      January 01, 2011 - Do patient safety events increase readmissions? Medical Care. 2009 May;47(5):583-90. … Readmissions for venous thromboembolism: expanding the definition of patient safety indicators. … Do patient safety events increase readmissions? Medical Care 2009 May; 7(5): 583-590. … These are patients at risk for at least 1 of 9 types of patient safety events, as specified in software … at risk for any of the patient safety events, 2.6% had at least one safety event.