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effectivehealthcare.ahrq.gov/sites/default/files/pdf/off-label-use-research-priorities_research.pdf
May 01, 2009 - The DEcIDE
network assists health care providers, patients, and policymakers seeking unbiased information … Notably, while raising some concerns about off-label use, the studies
also identify disease- and patient-specific … Three prior studies have examined off-label use among broader, more representative
patient populations … insure that the most common
drugs dispensed through pharmacies matched those reported by physicians at patient … Regulatory and
reimbursement issues in treating patients
with immune-mediated neuropathies.
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digital.ahrq.gov/sites/default/files/docs/cds-slides-10192021.pdf
October 19, 2021 - Critical Decision Method Interviews
45
• Results ► Approaches
► Monitoring change of clinical indicators … )
► Potential challenges
► Focusing only on current status
► Different patients having different signs … /thresholds
► Focusing only on clinical indicators
► EHR not bringing abnormal status to attention
► … 2.0: a human factors framework for studying
and improving the work of healthcare professionals and patients … of space
• 77% decrease in repetitious navigation, up to 6X time savings
• Teams caring for the same patients
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - In 2003, AHRQ released its Patient Safety Indicators (PSIs), developed in response to a
congressional … Measuring Patient Safety to Drive Quality Improvement
Patient safety is a core domain of health care … Patient safety analysis of the ED care of patients with heart
failure and COPD exacerbations: A multicenter … Patient Safety Indicators: Using administrative data to
identify potential patient safety concerns. … Examining the impact of the AHRQ Patient Safety
Indicators (PSIs) on the Veterans Health Administration
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-j.pdf
September 01, 2015 - Urinary Catheter Brochure
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix J. … Urinary Catheter Brochure
Promptly
Remove
Urinary
Catheters
Focus on Patient Safety
Urinary … Catheter
Initiative Champions
Patient Management for
Incontinence
■ Turn patient every 2 hours … ■ Use quilted pad under patient.
■ Use skin barrier creams. … Does the patient
meet criteria for a
urinary catheter?
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - The presence and absence of incidents, errors, and negative outcomes are, no doubt, indicators of system … A Tale of Two Stories: Contrasting Views of Patient Safety. … Chicago, IL: National Patient Safety Foundation; 1998. [Available at]
9. Hollnagel E. … Health IT
August 1, 2015
Profiles in patient safety: misplaced femoral line … Safety in Care Transitions
November 16, 2022
Patient Safety Primers
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psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors
April 12, 2017 - Look-alike and sound-alike (LASA) drugs are a well-established source of medication errors that place patients … October 10, 2018
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 … Annual Perspective
Technology as a Tool for Improving Patient … Safety
March 29, 2023
Role of artificial intelligence in patient safety outcomes
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - Network of Patient Safety Databases Chartbook, 2019
Network of
Patient Safety
Databases
Chartbook … Patient Safety
Network of Patient Safety Databases Chartbook, 2019| 1
THE NETWORK OF PATIENT SAFETY … Safety Concern module:
Patient Safety
Network of Patient Safety Databases Chartbook, 2019| 14 … Patient Safety
Network of Patient Safety Databases Chartbook, 2019| 19
Percentage of Patient Safety … This figure displays reports of Falls resulting in residual harm to patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-facnotes.docx
May 01, 2017 - One section, to the left, includes a list of patients and whether any have flagged safety concerns; these … Be sure to also attend to privacy concerns; no patient information should be visible in areas with patient … indicators and standard work, and track improvement projects. … Be sure to also attend to privacy concerns; no patient information should be visible in areas with patient … to avoid patient privacy violations.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - management show
that patient safety is a top priority. … on patient safety? … The composite measure Overall Perceptions of Patient Safety
was dropped because the single Patient Safety … (A15)
We have patient safety problems in this unit. … area on patient safety?
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psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns
December 21, 2022 - Medication errors present challenges to patient safety worldwide . … Vulnerabilities in the medication-use process are exacerbated by the need to navigate comorbidities in older patients … with patients and families as partners in decision making, care coordination, and application of system … January 7, 2015
Missed medication doses in hospitalised patients: a descriptive account … Technology as a Tool for Improving Patient Safety
March 29, 2023
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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?
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www.ahrq.gov/funding/training-grants/hsrguide/hsrguide2.html
October 01, 2014 - A wide variety of indicators demonstrate improvements or shifts in organizational research culture. … Examples of indicators we found in our research are shown in Figure 4 .
Figure 4. … Indicators of a shift in research culture
Types of Indicators
Changed performance evaluation
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdf
September 01, 2015 - Download and review a copy of a UDS report on a safety net practice in your area.
4. … National Committee for Quality Assurance Healthcare Effectiveness Data and
Information Set (HEDIS) indicators … Leveraging Existing Data Resources
Practices, especially those in the safety net, already collect … required by health plans: quality of care and clinical outcome metrics, utilization,
other process indicators … clinical indicators, utilization rates, costs, and
revenues.
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www.ahrq.gov/sites/default/files/2025-06/xu-report.pdf
January 01, 2025 - PURPOSE
Patient safety in hysterectomy and myomectomy is important, given the large number of women … Other relevant patient characteristics assessed included patient sociodemographic characteristics
(e.g … Practice changes after the FDA warning and associated impact on patient safety and costs
To examine … among these patients, and expected distribution of hysterectomy
routes among these patients had there … Implications of these different response patterns for patient safety warrant close attention.
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psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - KH: When we think about the FDA’s role in patient safety, it seems like we’ve come a long way. … KH: When thinking about surveillance and indicators that potentially unsafe conditions exist, is there … KH: What’s next on the horizon for the FDA in terms of patient safety or threats to safety? … There are the security issues,
which are not safety issues, but can affect patient safety. … KH: Is there anything we haven’t discussed that you think the patient safety community may want to hear
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
September 01, 2022 - Does my patient understand what to expect and the followup plan? … is caused by viruses in children and adults1,2
Patients with viral pharyngitis have other signs and … a viral infection such as low-grade fever, malaise, fatigue, rhinorrhea, cough, and conjunctivitis3
Patients … and young adults
Antibiotics may not reduce symptoms or prevent Lemierre syndrome
Refer ill-appearing patients … Patient Handout: The Patient Handout explains the symptoms and symptomatic treatment of pharyngitis and
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-slides.pptx
September 01, 2022 - Does my patient understand what to expect and the followup plan? … Moment 1
Does my patient have an infection that requires antibiotics? … Does my patient understand what to expect and the followup plan? … Plan
Does my patient know what to expect and the followup plan? … Patient Handout: The Patient Handout explains the symptoms and symptomatic treatment of influenza and
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2024-virtual-research-meeting-summary-prems-proms.pdf
January 01, 2024 - healthcare quality and safety … Results are expected to be released on February 20,
2025.
10 key-indicators
Outcomes
1. … Person-centered care
PaRIS Key Indicators
10
Part II: The Use of PREMs and PROMs in Value-Based … On this World Patient Safety Day
(September 17), it is important to recognize the role of patient-reported … measures in enhancing quality and safety in healthcare.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-fac-notes.html
June 01, 2017 - One section, to the left, includes a list of patients and whether any have flagged safety concerns; these … Be sure to also attend to privacy concerns; no patient information should be visible in areas with patient … indicators and standard work, and track improvement projects. … Be sure to also attend to privacy concerns; no patient information should be visible in areas with patient … to avoid patient privacy violations.
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - Video to Improve Patient Safety: Clinical and Educational Uses
Yan Xiao, PhD; Colin F. … Video to Improve Patient Safety: Clinical and Educational Uses. PSNet [internet]. … Video to Improve Patient Safety: Clinical and Educational Uses. PSNet [internet]. … Video to Improve Patient Safety: Clinical and Educational Uses. PSNet [internet]. … September 21, 2022
Patient Safety in Obstetrics and Gynecology.