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Showing results for "patient safety indicators".
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2481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41539/psn-pdf
      January 07, 2015 - retrospective cohort study on the association between day of hospital presentation and the quality and safety … retrospective cohort study on the association between day of hospital presentation and the quality and safety … With this large, retrospective cohort study, evidence of inferior weekend care now includes patients … The study, which involved nearly 100,000 stroke patients admitted to hospitals in the United Kingdom … , found significantly lower performance across 5 of 6 quality and safety indicators for patients admitted

2482. Enhancing Clinical Decision Support Applications for Community Pharmacist-Delivered Medication Therapy Management - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs025005-snyder-final-report-2019.pdf
      January 01, 2019 - 6 Unsafe drug (anti-hypertensives; benzodiazepine; hypnotic; antidepressant) for patient due to patient … Pharmacists indicated that most (89.3%) patients were receiving their first CMR. … Most (58.6%) of these MTPs related to a need for patient immunizations or problems with patients’ medication … Alerts are perceived as more highly influenced by payer goals, rather than patients’ clinical and safety … MTM alerts contain too little patient-specific information, positioning pharmacists to rely on patients

2483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45398/psn-pdf
      August 15, 2016 - incorporating-indications-medication-ordering-time-enter-age-reason Clear communication during medication prescribing can enhance safety … health information technology as a way to improve team communication, medication reconciliation, and patient … physician-communication-when-prescribing-new-medications https://psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider

2484. Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety Measures Prioritized by Medicare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
      June 02, 2025 - Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety Measures Prioritized by Medicare … Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety Measures Prioritized by Medicare … cornerstone of its patient safety improvement work for the last 6 years. … , improved collaboration in support of patient safety, and institutionalized a standard set of patient … Safety Indicators, which provides guidance on these issues.

2485. Denver Health: How a Safety Net System Maximizes Its Value (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_denver_health.pdf
      April 01, 2019 - Denver Health: How a Safety Net System Maximizes Its Value Denver Health: How a Safety Net System … The health system treats more than 210,000 patients each year and has a patient mix that is 25 percent … In the area of patient safety, for 4 example, health system leaders looked at various performance … They have also developed a set of internal quality indicators to track progress and any variances in … As a safety net system, Denver Health can’t afford not to make data-driven and evidence-based choices

2486. Workaround Error | PSNet
      psnet.ahrq.gov/web-mm/workaround-error
      October 30, 2024 - One study of ICU patients found that patients exposed to high nurse-to-patient ratios were twice as likely … safety.( 7 ) Not only are appropriate nurse ratios an important factor in patient safety, they also … April 24, 2018 Enhancing patient safety in pediatric primary care: implementing a patient … safety, learning environments, and relationships with continuity patients. … January 9, 2014 Validity of AHRQ patient safety indicators derived from ICD-10 hospital

2487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49759/psn-pdf
      May 01, 2016 - The Fall TIPS (Tailoring Intervention for Patient Safety) intervention is one example of a tool that … Like the fall prevention plan, the patient safety plan should be based on a thorough assessment of patient … Nurse Scientist Program Director, Center for Patient Safety Research and Practice and Center for Nursing … In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … Hospital: 2016 National Patient Safety Goals. Oakbrook Terrace, IL: Joint Commission.

2488. Research Methods for Studying the Primary Care Workforce: Slide Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
      August 01, 2024 - Science of Primary Care This NOFO prioritizes research projects aiming to improve primary care quality, safety … (especially new patients of color, uninsured patients, and patients with Medicaid coverage)? … On average, hiring an NP means an additional 103 visits, 9 new-patient visits, 10 visits for Black patients … Indicators 4. Contingencies 5. Feedback Reports 6. Feedback Meetings 7. … An evidence-based, structured, expert approach to selecting essential indicators of primary care quality

2489. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/hacrate2013.html
      January 01, 2018 - These reports, and others that followed, helped to shine a spotlight on patient safety but also highlighted … Among those principles was an awareness that many threats to patient safety originate in bad systems, … The medical records used for the Medicare Patient Safety Monitoring System (MPSMS) come from the CMS … Data for obstetric adverse events come from AHRQ Patient Safety Indicators (PSIs) 18 and 19. … National trends in patient safety for four common conditions, 2005–2011.

2490. Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indications for hospital inpatients | PSNet
      psnet.ahrq.gov/issue/systematic-review-interventions-improve-safety-and-quality-anticoagulant-prescribing
      January 12, 2022 - June 28, 2023 The value of learning from near misses to improve patient safety: a scoping … December 21, 2022 Do patient engagement interventions work for all patients? … A systematic review and realist synthesis of interventions to enhance patient safety. … transitions December 4, 2019 Doctors' perceived working conditions and the quality of patient … July 17, 2019 Patient engagement in health care safety: an overview of mixed-quality

2491. Meeting Minutes, November 2016 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2016-11-nac/nacmtg1116-minutes.html
      August 01, 2017 - , patient safety in ambulatory settings, and omega-3 fatty acids and cardiovascular disease. … innovation, quality, safety, and value in health care.” … Bast called for a research summit, featuring stakeholders, to focus on patient needs and the patient … Another possible focus for initial efforts might be patients with multiple chronic conditions. … Bindman called for the development of indicators of progress.

2492. Technical Appendix | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tap.html
      December 01, 2012 - Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators … FQHCs and rural health centers (RHCs) are "safety net" providers such as community health centers and … Source data on safety net providers were for 2005 and from the CMS ( ARF, 2008 ); population data were … AHA as short-term general hospitals, these hospitals are general medical and surgical hospitals; most patients … care practitioners are defined as non-Federal doctors of medicine or osteopathy who provide direct patient

2493. 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.

2494. 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.

2495. Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. | PSNet
      psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and
      May 08, 2017 - CPOE systems have been shown to reduce prescribing errors , this study's results indicate that the safety … May 8, 2017 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 … Annual Perspective Technology as a Tool for Improving Patient … Role in Patient Safety February 21, 2020 ISMP medication error report analysis

2496. A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events. | PSNet
      psnet.ahrq.gov/issue/radiation-oncology-specific-automated-trigger-indicator-tool-high-risk-near-miss-safety
      October 14, 2020 - July 15, 2020 Effect on patient safety of a resident physician schedule without 24-hour … September 2, 2015 The impact of health system membership on patient safety initiatives … September 1, 2021 A qualitative study of what care workers do to provide patient safety … patient-safety challenge in obstetrics. … September 23, 2020 Role of artificial intelligence in patient safety outcomes: systematic

2497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72826/psn-pdf
      March 10, 2021 - prescribers-perspectives-including-reason-use-information-prescriptions-and- medication-labels Communicating medication indications with the healthcare team and patients … can improve medication adherence and patient safety. … researchers found that prescribers were open to sharing medication indications and understood the safety

2498. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2021 User Database Report Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-II-508.pdf
      January 01, 2021 - show that patient safety is a top priority. … show that patient safety is a top priority. … show that patient safety is a top priority. … Reporting Patient Safety Events 74% 78% 5. … Interaction with Patients – 2021 SOPS Hospital 2.0 Database Unit/Work Area Patient Safety Rating

2499. The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. | PSNet
      psnet.ahrq.gov/issue/first-us-study-nurses-evidence-based-practice-competencies-indicates-major-deficits-threaten
      July 14, 2021 - , and Patient Outcomes. … A recent PSNet interview discussed the role of nurses with regard to patient safety and outcomes. … , and Patient Outcomes. … August 29, 2017 CE: nursing's evolving role in patient safety. … January 27, 2016 Continuing education in patient safety: massive open online courses

2500. Indication alerts intercept drug name confusion errors during computerized entry of medication orders. | PSNet
      psnet.ahrq.gov/issue/indication-alerts-intercept-drug-name-confusion-errors-during-computerized-entry-medication
      August 28, 2019 - commentary describes an incident involving a look-alike drug error and reviews strategies to enhance safety … April 12, 2017 Indication-based prescribing prevents wrong-patient medication errors … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … June 27, 2018 A prescription for enhancing electronic prescribing safety. … Cost-effectiveness of a computerized provider order entry system in improving medication safety