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2601. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
      July 01, 2018 - Eisenberg Patient Safety and Quality Award, National Level. … Eisenberg Patient Safety and Quality Award, National Level. … Eisenberg Patient Safety and Quality Award, National Level. … Eisenberg Patient Safety and Quality Award, National Level. … Validating the patient safety indicators in the Veterans Health Administration: do they accurately identify

2602. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60543/psn-pdf
      May 27, 2020 - safety practices. … For most patients requiring invasive procedures in a hospital setting, consultation with the service … Safe but Sound: Patient Safety Meets Evidence-Based Medicine.  … The Joint Commission Journal on Quality and Patient Safety. 2012 Jan; 38(1):24-33. 3. … BMJ Quality & Safety 2009; 18:169-173. 8.

2603. The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. | PSNet
      psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
      October 12, 2022 - rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient … safety. … Safety. … Safety. … November 10, 2021 COVID-19: the dark side and the sunny side for patient safety.

2604. Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids | PSNet
      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

2605. Measure Descriptions for Daily Care Processes: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/dailycare-processes-facguide.html
      January 01, 2017 - Measure Descriptions for Daily Care Processes: Facilitator Guide AHRQ Safety Program for Mechanically … Data also provides quantifiable measures of care practices, guides patient safety conversations, and … Slide 11: SSD-ETT Contraindications Say: During your daily patient evaluations, check for patients … explanations for the measures used to evaluate the implementation of the interventions within the AHRQ Safety … of your patients.

2606. 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt2.pdf
      January 01, 2016 - 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part II Nursing Home Survey on Patient Safety … Nursing Home Survey on Patient Safety Culture 2016 user comparative database report, appendixes, part … Highlights were based on results for the 12 patient safety culture composites, Willingness To Recommend … Comparing Your Results You can compare your nursing home’s percent positive scores on the patient safety … Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report Table of Contents

2607. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
      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

2608. Using Mass Media To Spread Messages About a Quality Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/distribute/promote/multiple/using-media.html
      September 01, 2019 - be: Promoting a report with asthma measures through the web sites of virtual support groups for patients … Promoting a report with patient safety indicators by cultivating a blogger in your community who has … a particular concern about patient safety. … What happens when patients, family members, or others use the report to make better decisions about … Remember that this can include purchasers or policymakers as well as individual patients or families.

2609. Antibiotic Audit Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
      December 01, 2017 - Purpose of This Tool This tool will help your safety program team understand how appropriately you are … We have attached two versions based on two different antibiotic regimens to illustrate how your safety … to assess antibiotic prophylaxis in a different group of patients. … number of patients to review. … AHRQ Safety Program for Surgery Program for Surgery Antibiotic Audit Tool Note: This tool should

2610. Pharmaceutical Safety Tracking (PhaST): Managing Medications for Patient Safety (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017258-gardner-final-report-2010.pdf
      January 01, 2010 - Pharmaceutical Safety Tracking (PhaST): Managing Medications for Patient Safety Grant Final Report … Patient Safety Inclusive project dates: 09/04/07 - 05/31/10 Principal Investigator: … The result is that many patients are exposed to inadequate outpatient medication safety monitoring, … As clinically indicated to further assess risk and ensure patient safety, the PTS may speak with a parent … Tracking (PhaST): Managing Medications for Patient Safety Abstract Final Report Purpose Scope

2611. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73526/psn-pdf
      July 28, 2021 - safety. … Some examples include: the use of two patient identifiers, mandatory counseling of patients about their … Not meeting this Joint Commission requirement and failing to follow the patient safety safeguard of … Mandatory counseling of patients for all first-fill medications can aid in verifying patient understanding … Patient Safety Network. 2020 Jun 24.

2612. 161-Inpatient-Daily-Goals (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/161-inpatient-daily-goals.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Inpatient Daily Goals ICU & Non-ICU Room Number: ____________ … ___Yes ___No Does the patient have decolonization indication (e.g., central line or lumbar drain)? … ___Yes ___No · Is the patient receiving DVT prophylaxis? … ___Yes ___No · Is the patient receiving PUD prophylaxis? … No. 25-0007 | October 2024 | 1 AHRQ Safety Program

2613. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
      March 12, 2008 - This study highlighted an opportunity to embed the culture of patient safety to promote safe medication … and fostering a culture of patient safety. eMAR and barcoding represent the use of technology to prevent … Barcode medication and patient armband scan rates were evaluated for compliance with patient safety … This study highlighted an opportunity to embed the culture of patient safety. … Limiting override access could decrease medication errors and improve patient safety throughout the

2614. Time Series | Digital Healthcare Research
      digital.ahrq.gov/research-method/time-series
      January 01, 2023 - Samantha Project Name Understanding CancelRX: Impact on Clinical Workflows, Medication Safety … Risks, and Patient Outcomes Preventing Wrong-Drug and Wrong-Patient Errors With … CPOE Systems Understanding CancelRX: Impact on Clinical Workflows, Medication Safety … Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes - … Samantha Project Name Understanding CancelRX: Impact on Clinical Workflows, Medication Safety

2615. Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation. | PSNet
      psnet.ahrq.gov/issue/using-machine-learning-system-identify-and-prevent-medication-prescribing-errors-clinical-and
      June 05, 2018 - Jt Comm J Qual Patient Saf. 2019;46(1):3-10. doi:10.1016/j.jcjq.2019.09.008. … Jt Comm J Qual Patient Saf . 2019; 46 (1) :3-10 . … Jt Comm J Qual Patient Saf. 2019;46(1):3-10. doi:10.1016/j.jcjq.2019.09.008. … October 10, 2018 Computerized prescriber order entry–related patient safety reports: … May 24, 2023 Electronic prescribing systems in hospitals to improve medication safety

2616. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations | PSNet
      psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
      September 27, 2023 - Barnes, MD, FACEP and Garth Utter, MD, MSc, FACS Background This case illustrates the patient safety … Barnes, MD, FACEP Consulting Editor, AHRQ’s Patient Safety Network (PSNet) Health Sciences Clinical Professor … Safety Indicators. … Safety for Selected Indicators Composite (PSI 90). … safety indicator.

2617. Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/guides/implguide-pt1.html
      October 01, 2015 - Skin Care in the Incontinent Patient Appendix O. CAUTI Event Report Template Appendix P. … When used with the Comprehensive Unit-based Safety Program (CUSP) Toolkit, the practices outlined in … In a 2007 study, cases with CAUTI resulted in $1,300 to $1,600 in additional cost per patient. 9   … urine cultures and nontreatment of asymptomatic bacteriuria are also critical factors in improving patient … safety and are addressed in this guide to the extent that they directly relate to CAUTI prevention and

2618. Evidence Report on the (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/osteoarthritis-pain_research-protocol.pdf
      August 05, 2010 - Evidence-based Practice Center Systematic Review Protocol Project Title: Comparative Effectiveness and Safety … In addition, efficacy and safety may vary for individual drugs within a class. … We will also include studies that report safety in patients with rheumatoid arthritis or were taking … ; setting (primary care or referral); the number of patients randomized relative to the number of patients … Comparative effectiveness and safety of analgesics for osteoarthritis.

2619. AHRQ Safety Program for Surgery: Final Report (pdf file)
      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

2620. 2017-02 (pdf file)
      hcup-us.ahrq.gov/reports/methods/2017-02.pdf
      January 01, 2017 - Consumer Product Safety Commission (CPSC). … to external databases (i.e., American Hospital Association Annual Survey, National Highway Traffic Safety … mortality rates) were analyzed for four possible additional stratifiers: two hospital characteristics (safety … With regard to the patient characteristics, we found slight variation by patient sex using the 2013 … performance achievement indicators over 12 and 24 months.