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psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
January 07, 2015 - Such systems (unintentionally) compromise patient safety, by design. … But, one could ask, how can I say it compromises patient safety? … What evidence is there that patients were harmed? … Safety efforts should focus on reducing risks to patient safety, whether or not they have produced harm … Work system design for patient safety: the SEIPS model.
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psnet.ahrq.gov/node/864868/psn-pdf
March 27, 2024 - Challenges and Threats to Patient Safety
Consider a scenario where a patient – Mr. … There is very little research about the correlation of
patient-family engagement and patient safety, … /issue/process-indicators-quality-clinical-pharmacy-services-during-transitions-care
compliance and … Strategies to Improve Patient Safety
To address these risks, it is vital to create safety nets within … Effective communication between healthcare providers and patients is
vital for patient safety and quality
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digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
January 01, 2020 - outcomes and reduce disparities for patients seeking emergency care.
… The research team will evaluate overall patient volumes, service uptake, delivery learning curves, safety … and quality indicators over time, and population health outcomes. … medication safety during care transitions. … These systems offer promising solutions to challenges related to cost, efficiency, patient safety, and
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-slides.pptx
September 01, 2022 - Ambulatory Care
1
Objectives
Diagnose acute bronchitis
Manage patients with acute bronchitis without … Decision Making
Does my patient have an infection that requires antibiotics? … Does my patient understand what to expect and the followup plan? … Does my patient understand what to expect and the followup plan? … Patient Handout: The Patient Handout explains the symptoms and symptomatic treatment of bronchitis and
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psnet.ahrq.gov/node/60858/psn-pdf
August 26, 2020 - Patient Communication Breakdowns
Patients or their caregivers sometimes receive conflicting recommendations … safety interventions designed to improve transitions of care. … Avoidable hospital readmissions | Australian Commission on Safety and Quality in Health Care. … Accessed July 3, 2020. https://www.safetyandquality.gov.au/our-work/indicators/avoidable-hospi…
2. … Medication use among inner-city patients
after hospital discharge: patient-reported barriers and solutions
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qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Composite.pdf
January 01, 2000 - staff are to patient needs. … safety and quality
standards. … The information in this Report
is based on what are called Inpatient Quality Indicators, Patient Safety … Indicators, and
Pediatric Quality Indicators. … information about the AHRQ Patient Safety Indicators
Click here for detailed information about the
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psnet.ahrq.gov/issue/duration-anesthesia-indicator-morbidity-and-mortality-office-based-facial-plastic-surgery
March 19, 2018 - December 2, 2020
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … March 27, 2019
Patient safety in the office-based setting. … March 11, 2019
Patient safety in plastic surgery: identifying areas for quality improvement … July 13, 2010
Promoting a culture of patient safety: a review of the Florida moratoria … June 16, 2008
Perspective
The Wild West: Patient Safety
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.pdf
April 01, 2022 - AHRQ Safety … Significant Comorbidities:
Patient Location: ________________
Patient Age _______
Date: … � Multidisciplinary rounding
� Safety huddle
� CAUTI/CLABSI (central line-associated bloodstream … Yes No Uncertain
High volume with bladder scanning (greater than 400ml) Yes No Uncertain
AHRQ Safety … No. 17(22)-0019
April 2022
AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI
3Learn From
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psnet.ahrq.gov/node/47127/psn-pdf
June 05, 2018 - incorporating-medication-indications-prescribing-process
Misinterpretation of medication instructions can lead to medication administration errors and patient … past
PSNet perspective discussed integrating clinician decision support systems to improve medication safety … psnet.ahrq.gov/issue/challenges-electronic-health-records-and-diabetes-electronic-prescribing-implications-safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-k.pdf
June 02, 2025 - Infographic Poster on CAUTI Prevention
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix … If the patient no longer needs the
catheter, follow your hospital’s policy
to have it removed. … On daily physician
rounds, staff should
inform the physician that
the patient has a catheter. … Does the patient continue to meet
an appropriate indication? … AHRQ Safety Program for Reducing CAUTI in Hospitals
Indications
A
lte
rn
atives
Review for Need
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal.pptx
April 01, 2022 - 3
Case 3: Cardiac Surgery Patient
Mr. … Do all patients on diuretics need a CVC? … care rounds
Daily safety huddles
Checklists
Leverage EMR for patient list and date of central line
Daily … Do clinicians know which of their patients have central venous catheters? … as Champions in Preventing Device-Associated Infections. http://www.ahrq.gov/professionals/quality-patient-safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - This tracking of key indicators is critical to improving prevention practices in this hospital. … Use of the National Database of Nursing Quality Indicators (NDNQI) is recommended when measuring pressure … experience
· Financial information
· Safety and quality
Pressure injuries fall under safety and quality … It shows trended data specific to the unit for the quality indicators measured and monitored. … Have him/her go through each of the key indicators on the tool.
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www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
April 01, 2025 - Safety Culture (SOPS) . * Feedback from Patient Safety Leadership WalkRounds . * Tools Mapping method … Displaying Patient Photos in Medical Records Reduces Errors, Improves Patient Safety . * * Indicates … Design spaces for patients with behavioral health conditions that provide safety for patients and healthcare … Rationale: Patients are vulnerable at the many intersections of care transitions, particularly the … Quality Improvement and Patient Safety Agency for Healthcare Research and Quality Fran Griffin,
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load4.html
May 01, 2024 - safety in other domains, however. … safety. … impact of EHRs on cognitive load and diagnostic accuracy will be critical to advancing patient safety … orders that do reach patients. 66
EHR audit log data can also be coupled with radio-frequency identification … safety.
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www.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - HHS and other public and private partners are continuing to work to improve patient safety. … AHRQ’s patient safety programs continue to enable and guide improvements in health care delivery. … [3] See http://www.ahrq.gov/professionals/quality-patient-safety/pfp/index.html . … [8] Online at http://www.ahrq.gov/professionals/quality-patient-safety/pfp/hacrate2013.html … [9] The 2010 baseline data are online at http://www.ahrq.gov/professionals/quality-patient-safety
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psnet.ahrq.gov/node/33728/psn-pdf
May 01, 2012 - This is a real shift in
perspective in patient safety. … Safety Indicators PSIs detected 35 of 393 events, and voluntary incident reporting detected
4 of 393 … and to fix them as we improve patient safety. … systems and
to update our patient safety measurement approaches. … Much work remains to be done to improve patient safety.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
March 01, 2020 - Patient Safety.
Person- and Family-Centered Care.
Communication and Care Coordination. … Patient Safety (n=42): Worse - 8; Same - 13; Better - 21. … Patient Safety measures: Disparities between males and females were improving for 7% of the measures … Patient Safety (n=30): Worsening - 1; No Change - 16; Improving - 13; Person-Centered Care (n=21): No … Return to Top
Patient Safety
Slide 25
Chartbook on Women's Health Care
Patient Safety
Slide
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digital.ahrq.gov/ahrq-funded-projects/flualert-influenza-vaccine-alerts-providers-electronic-health-record/annual-summary/2010
January 01, 2010 - Throughout the study period, process indicators will be tracked to follow the implementation of the system … This ensures that the alert is based on the most recent patient-specific influenza vaccine information … importance of hearing about both benefits and potential risks of the vaccine, especially when vaccine safety … analysis indicates that parents want to learn about their child’s risk for influenza and the side effects, safety
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 5
Previous Page Next … Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive … When RCAs are conducted, patients will be consulted during the analysis process. … The TEP recommended that reporting systems for patient safety events have a governing body to ensure … The first stage is initiated when a health care consumer who has experienced a patient safety event (