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hcup-us.ahrq.gov/news/exhibit_booth/sid_brochure.jsp
May 01, 2018 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … State-level inpatient healthcare issues, including:
Access to care
Quality of care and patient … safety
Use and cost of hospital services
Variations in medical practice
Healthcare cost inflation … health policy changes
Diffusion of medical technology
Study multiple hospital visits for the same patient … Available annually since 1990, SID files include all patients, regardless of payer, thus providing a
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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/bim.docx
December 01, 2017 - Mitigation Tool
Introduction
Problem Statement
Guidelines summarizing evidence exist to help ensure that patients … In addition, consistent guideline adherence may significantly improve patient safety. … Additionally, all BIM team members should be trained on the science of patient safety (e.g., having viewed … Do staff believe that the guideline is appropriate for their patients?
3. … Applicability to unit patients
Does the guideline apply to the unit’s patients?
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psnet.ahrq.gov/issue/including-reason-use-prescriptions-sent-pharmacists-scoping-review
March 10, 2021 - Clear communication regarding medication indications can improve patient safety . … safety, but prescribers noted concerns about impacts on workflow and patient privacy. … March 10, 2021
COVID-19 and open notes: a new method to enhance patient safety and trust … and safety of care: a systematic review and meta-analysis. … November 4, 2020
Organisational factors associated with safety climate, patient satisfaction
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
January 01, 2010 - Of the 4,521 patients, 532 (11.8%) had a urinary catheter placed. … Finally, identify nurse and physician champions who are enthusiastic, passionate, patient safety advocates … encounter and throughout the trajectory of care makes clinical decisions that affect patient safety, … Patients?
What’s different about ED nursing? … Healthcare Research and Quality through the contract, “National Implementation of Comprehensive Unit-based Safety
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www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
January 01, 2024 - Our prior research conducted under the auspices of an AHRQ-funded Center of Excellence for
Patient Safety … safety. … management and is a major priority of the Joint Commission's 2008 National
Patient Safety Goals. … These findings have important implications for patient safety
and support the development of structured … Our findings have implications for quality of care reporting and patient safety.
12
Jennifer
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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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digital.ahrq.gov/sites/default/files/docs/citation/europe-e-prescribing-report.pdf
February 01, 2011 - Interviewees identified the improved patient safety derived from e-
prescribing as an important benefit … avoiding having to repeat patient information when patients are
handed off among physicians. … represented by organizations such as the National Patient Safety Agency, have,
surprisingly, advocated … Basic and networked e-prescribing benefits
include the following:
o Improved patient safety. … safety
• Reduce claims and liability costs
Reduction in errors:
• Improved patient safety
•
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psnet.ahrq.gov/issue/outpatient-cpoe-orders-discontinued-due-erroneous-entry-prospective-survey-prescribers
October 13, 2018 - , for the wrong medication, or were a duplicate order for a medication the patient was already taking … A previous Annual Perspective discussed the impact of CPOE on patient safety. … safety reports: analysis of 2522 medication errors. … Annual Perspective
Technology as a Tool for Improving Patient … Prescription errors related to the use of computerized provider order-entry system for pediatric patients
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psnet.ahrq.gov/issue/medication-errors-during-simulated-paediatric-resuscitations-prospective-observational-human
February 23, 2022 - The authors recommend additional research into new approaches to protecting patients in paediatric emergency … April 5, 2023
Comparing safety, performance and user perceptions of a patient-specific … December 11, 2024
Safe clinical practice for patients hospitalised in mental health wards … August 24, 2022
A qualitative study of what care workers do to provide patient safety … safety: a realist synthesis.
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psnet.ahrq.gov/issue/association-note-quality-and-quality-care-cross-sectional-study
June 05, 2018 - physician notes written by general internists, cardiologists, and endocrinologists while providing care for patients … May 1, 2019
Computerized prescriber order entry–related patient safety reports: analysis … Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of … Safety in the Ambulatory Care Setting
August 5, 2022
Speaking up about patient-perceived … for service users to feedback patient safety experiences following a care transfer: a qualitative study
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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
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effectivehealthcare.ahrq.gov/sites/default/files/s13.pdf
October 01, 2007 - ORIGINAL ARTICLE
Methodologic Challenges to Studying Patient Safety and
Comparative Effectiveness
Brian … Strom MD, MPH
Abstract: Studies of patient safety and comparative effectiveness
entail unique methodologic … SPECIAL LOGISTICAL ISSUES
Finally, unique logistical issues arise in the study of
patient safety and … Patient safety studies are another example. … The
appeal of using IT to improve patient safety grows as health
systems computerize, but some of these
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psnet.ahrq.gov/node/33786/psn-pdf
May 01, 2015 - Video to Improve Patient Safety: Clinical and Educational
Uses
May 1, 2015
Xiao Y, Mackenzie CF, Seagull … Video to Improve Patient Safety: Clinical and Educational Uses. PSNet
[internet]. 2015. … https://psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
Perspective … Improvement in patient safety
often relies on understanding of human and systems factors that contribute … These and other forces should bring about innovative uses of video to improve patient
safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - for the purposes of improving patient safety … hospitals in support of patient safety culture improvement. … This proved to be a surprisingly complex task; the theoretical definitions and empirical
indicators … Other metrics (e.g., length of stay, indicators of
patient experience, variable direct costs) may engage … Improving Patient Safety in Hospitals: A
Resource List for Users of the AHRQ Hospital
Survey on Patient
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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - However, results from STORM indicate that previously identified and novel risk indicators that are readily … Patient Safety Innovations
Ambulatory Safety Nets to Reduce … Missed and Delayed Diagnoses of Cancer
July 31, 2023
Patient Safety … Safety Innovations
Preventing Falls Through Patient and Family Engagement to Create … Customized Prevention Plans
May 31, 2023
Patient Safety Innovations
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023987-fuad-final-report-2018.pdf
January 01, 2018 - the Agency for Healthcare Research and Quality (AHRQ) mission to
improve the quality of life and the safety … safety and quality of care.14,24-33 Patients want to be involved
in making decisions about their own … Non-numerical indicators were
analyzed using qualitative methods. … There were also clear
indicators of patient satisfaction. … Improving Patient Safety through User-Centered Healthcare
Background Check System Design.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-execsumm.pdf
April 01, 2018 - Medical Office Survey on Patient Safety Culture: 2018 User Database Report Part I Executive Summary … Surveys on Patient Safety Culture
Executive Summary
2018 Medical Offices Survey
Database Report … safety culture based on the 2018 Medical Office Survey
on Patient Safety Culture Database.
2,437 … Communicate your action plan
The Action Planning Tool for the AHRQ Survey on Patient Safety Culture … /medical-office/mo-reports.html
https://www.ahrq.gov/sops/quality-patient-safety/patientsafetyculture
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psnet.ahrq.gov/issue/computerized-prescriber-order-entry-related-patient-safety-reports-analysis-2522-medication
December 21, 2017 - Study
Computerized prescriber order entry–related patient safety reports: analysis … Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors … More widespread implementation of these systems has revealed new safety concerns. … Investigators determined that patients experienced delays in receiving medications due to these errors … Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors
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psnet.ahrq.gov/issue/learning-errors-analysis-medication-order-voiding-cpoe-systems
May 29, 2019 - July 10, 2019
Computerized prescriber order entry–related patient safety reports: analysis … March 21, 2018
Association of display of patient photographs in the electronic health … record with wrong-patient order entry errors. … Annual Perspective
Technology as a Tool for Improving Patient … Technology-induced errors associated with computerized provider order entry software for older patients