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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/014-bcx-algorithm-decision-support-tool.docx
October 01, 2024 - A Scoping Review of Indications for Blood Cultures in Adult Nonneutropenic Patients” by Fabre et al in … AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
| 1
Algorithm of Indications for Bacterial … Blood Cultures for
Non-Neutropenic Adult Patients
· This algorithm is not a substitute for clinical … Is the patient at risk for endovascular infection?
ii. … Does this patient need blood cultures?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
January 01, 2020 - Management Support for Patient Safety 90% 90% 89% 87%
4. … Management Support for Patient Safety
1. … Management Support for Patient Safety
1. … Management Support for Patient Safety
1. … Management Support for Patient Safety
1.
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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/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/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
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/xXX8ZeqpmqtMURtJSfub56
April 01, 2004 - Two patient-based assessments of management of
fluoride supplementation have been reported.25,26
Twenty … Because only a
small amount of varnish is applied, the total amount
of active agent administered to the patient … of these indicators. … Does newly acquired knowledge
improve patient care? JAMA. 1980;244:2183–2185.
26. … A review of their clinical use,
cariostatic mechanism, efficacy and safety.
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psnet.ahrq.gov/issue/examining-nurses-decision-process-medication-management-home-care
December 21, 2018 - March 20, 2019
Prevalence and predictors of adverse events in older surgical patients … June 22, 2011
Toward improving patient safety through voluntary peer-to-peer assessment … May 18, 2022
Safety of care by caregivers of cancer patients. … September 24, 2010
HomeNet: ensuring patient safety with medical device use in the home … August 18, 2010
Strategies to improve the patient safety outcome indicator: preventing
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - with urinary tract infection
Engaging Patients and Families
In the event that a patient (or … designing and piloting new systems to decrease the use of catheters and CAUTI, such as performing daily safety … using their feedback and about all considerations included when making new equipment purchases (e.g., safety … Plan for celebrations along the journey to thank staff for the wonderful patient safety culture improvements … safety.
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psnet.ahrq.gov/issue/vulnerabilities-computerized-physician-order-entry-systems-qualitative-study
July 02, 2019 - provider order entry (CPOE), but it has also had unintended adverse effects on patient safety. … the need for robust independent usability testing of CPOE within electronic health records to support patient … safety. … Annual Perspective
Technology as a Tool for Improving Patient … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
November 01, 2019 - Improving Antibiotic Use – Acute Care
The Four Moments of Antibiotic Decision Making
Does my patient … Decision Making
Does my patient have an infection that requires antibiotics? … 90%
Dialysis patients 90%
Patients with short-term catheters 30–75%
Patients with long-term catheters … Patients undergoing orthopedic surgery
8
ASB and UTI
AHRQ Safety Program for Improving Antibiotic … No patients developed pyelonephritis or candidemia.
12
ASB and UTI
AHRQ Safety Program for Improving
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psnet.ahrq.gov/node/49521/psn-pdf
September 12, 2006 - Physicians can help improve patient safety by providing an indication for each medication
prescribed … USP Center for the Advancement of Patient Safety. Use caution–avoid confusion. USP QualityReview. … Safety still compromised by computer weaknesses. ISMP Medication Safety Alert! Acute Care Edition. … Labeling of medicines and patient safety: evaluating methods of
reducing drug name confusion. … Reducing medication errors by linking drug names with patients'
diagnostic codes.
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www.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
January 01, 2024 - Final Progress Report: Improving Patient Safety in Orthopedic Trauma Surgical Training
Title: Improving … Patient Safety in Orthopedic Trauma Surgical Training
Principal Investigator: Donald D. … Safety
Center for Quality Improvement and Patient Safety
Agency for Healthcare Research and Quality … The paradigm struggles to ensure patient safety. … The long-term goal of our work is to improve patient
safety and outcomes by better understanding orthopedic
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
January 01, 2013 - is taking", and "compare those
medicines to new medicines given to the patient". … interactions, needed clinical
monitoring, or preventive health services, for clinicians to improve quality or safety … When the patient was
discharged from the hospital, the system would automatically prompt the intervention … As a public institution,
Wishard serves as a safety net in providing medical care to residents of Marion … Effective approaches to MR could improve
outcomes and safety for patients.
9
Implications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
June 02, 2025 - one patient and family experience council engages patients and their families in care outcomes at the … Patient and family engagement involves: “collaborating with patients and families of all ages, at all … Patient Safety video
Imagine all of the places where “patient lenses” would add dimension to your improvement … to gain support for your plan
Consider whether the Science of Safety Video might be valuable for patient … – 1/3= staff 2/3=patients & family members
Departments include:
Clinical Quality Safety and Risk
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
January 01, 2004 - From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings … 381
From Here to There: Lessons from an
Integrative Patient Safety Project in
Rural Health Care … An interdisciplinary patient safety team, under the direction of Dr. … safety, design
interventions that increase patient safety, implement new practices, and sustain
change … We explored these issues further when administering a staff-wide Patient
Safety Survey.
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www.ahrq.gov/sdoh/data-analytics.html
July 01, 2022 - database on Social Determinants of Health (SDOH) , which was created under a project funded by the Patient … In addition, the HCUP data can be used in conjunction with other data sources using geographic indicators … , including county and ZIP Code of patient or of hospital where care was received, depending on the HCUP … housing security, transportation, financial strain, general well-being, social connectedness, physical safety … safety, and person-centered care using national data.
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hcup-us.ahrq.gov/news/exhibit_booth/nrd_brochure.jsp
May 01, 2017 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … The NRD includes discharges for patients with and without repeat hospital visits in a year and those … variables to your research, including:
Primary and secondary diagnoses and procedures
Patient … Variations in medical practice
Health care cost inflation
Quality of care and patient safety
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digital.ahrq.gov/2018-year-review/executive-summary
January 01, 2018 - Rudin
A simple app, designed with input from patients, resulted in 92 percent of patients continuing … Project
Research investment: $1.5M
AHRQ health IT safety research was prominently featured … Stories about these pioneering health IT safety research projects are captured in the section of this … Table 3: Health IT Safety Research Spotlights. … Enhancing Medication CPOE Safety and Quality by Indications-Based Prescribing
Research investment:
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
June 01, 2020 - Can patients report patient safety incidents in a hospital setting? A systematic review. … Patient participation: current knowledge and applicability to patient safety. … Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families: Environmental … Deriving ICD-10 codes for Patient Safety Indicators for large-scale surveillance using administrative … Patient Safety Indicators: using administrative data to identify potential patient safety concerns.
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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