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psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - , gaps that endangered patient safety. … Timeliness is an extremely important determinant of patient safety—arguably as important as clinical … Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety … demand to reduce nursing stress and improve patient safety. … September 29, 2010
Application of patient safety indicators internationally: a pilot
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-appendix.pdf
January 01, 2019 - Patient Counseling
1. We encourage patients to talk to pharmacists about their medications. … Overall Perceptions of Patient Safety
1. … Patient Counseling
1. We encourage patients to talk to pharmacists about their
medications. … Patient Counseling
1. We encourage patients to talk to pharmacists about their
medications. … Patient Counseling
1. We encourage patients to talk to pharmacists about their
medications.
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psnet.ahrq.gov/issue/predicting-self-intercepted-medication-ordering-errors-using-machine-learning
May 13, 2020 - September 20, 2011
Detecting patient deterioration using artificial intelligence in a … safety in the inpatient setting. … May 12, 2021
Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique … patient-safety challenge in obstetrics. … June 3, 2020
A smartphone app designed to empower patients to contribute toward safer
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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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psnet.ahrq.gov/issue/disentangling-quality-and-safety-indicator-data-longitudinal-comparative-study-hand-hygiene
March 23, 2011 - Study
Disentangling quality and safety indicator data: a longitudinal, comparative … Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance … Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance … November 18, 2016
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient … See More About The Topic
Hospitals
Health Care Executives and Administrators
Safety
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-slides.pptx
November 01, 2019 - Antibiotic Use – Acute Care
Cellulitis and SSTI
The Four Moments of Antibiotic Decision Making
Does my patient … of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics? … Elevated inflammatory markers in 60–90% of patients
Leukocytosis in 35–50% of patients
Associated with … received trimethoprim/sulfamethoxazole, and 630 patients received placebo for 7 days
Baseline patient … Major cutaneous abscess: 198 patients
Wound infection: 198 patients
Cure at investigator assessment
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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - The patient safety committee at the hospital performed a full review of the case. … Moreover, the patient safety committee learned that transmission of start and stop date fields in electronic … Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors … safety and continuity of care. … June 27, 2018
Computerized prescriber order entry–related patient safety reports: analysis
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psnet.ahrq.gov/web-mm/transfusion-slip
June 14, 2011 - The Commentary
Defects in the process of transfusion currently pose a greater hazard to patient safety … Patient safety and blood transfusion: new solutions. … National patient safety goals. … The Patient Safety Discussion Forum. NPSF Listserv. August 8, 2002. … November 30, 2022
Deriving ICD-10 codes for patient safety indicators for large-scale
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psnet.ahrq.gov/issue/patient-safety-perception-within-hospitals-examination-job-type-handoffs-and-information
December 18, 2014 - Study
Patient safety perception within hospitals: an examination of job type, handoffs … Patient safety perception within hospitals: an examination of job type, handoffs and information exchange … Using data from the 2021 AHRQ Hospital Survey on Patient Safety Culture™ (SOPS®) , these researchers … examined individual and organizational factors influencing perceived patient safety ratings. … Findings indicate that nurses have lower patient safety perceptions compared to other job types and that
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psnet.ahrq.gov/web-mm/medication-mix-bad-worse
March 01, 2018 - Clinicians should inform patients of the dispensed or administered drug and allow the educated patient … Printing the list of prescribed medications for the patient can be useful, allowing patients to compare … Drug mix-ups threaten patient safety. Medscape Pharmacists. April 29, 2008. [Available at] 2. … safety. … safety.
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psnet.ahrq.gov/issue/patient-safety-planting-seed
February 09, 2011 - Commentary
Patient safety: planting the seed. … Patient safety: planting the seed. J Nurs Care Qual. 2005;20(3):198-202. … February 9, 2011
Patient safety in nursing practice. … care unit admission of delirious or mechanically ventilated patients. … September 28, 2010
Implementation of patient centeredness to enhance patient safety.
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psnet.ahrq.gov/issue/saving-lives-and-saving-money-hospital-acquired-conditions-update
May 01, 2017 - by the Patient Safety and Quality Improvement Act of 2005. … Reporting System for Patient Safety Events. … May 25, 2016
Patient Safety in Ambulatory Settings. … May 6, 2015
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms … March 5, 2013
Eliminating CLABSI: A National Patient Safety Imperative.
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Safety (SEIPS) model of work systems and patient safety (5)
describes five interacting elements of … Lack of familiarity with new technology is an increasingly
important patient safety problem. … Human factors systems approach to healthcare
quality and patient safety. … Beyond usability: designing effective technology implementation systems to promote patient
safety. … level of
care with different clinicians
Chaotic ICU environment
National glycemic control quality
indicators
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - Introduction
Efforts to increase patient safety within hospital settings are numerous and have resulted … In 1996, in conjunction with an institutional movement to QI, patient safety efforts refocused on
systems … When developing patient safety reporting systems,
providers should take care to learn from successful … Key to any patient safety endeavor is the creation of a reporting system that takes into account
limited … Medical
teamwork and patient safety: The evidence-based
relation.
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psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
July 17, 2024 - The care of patients with complex, chronic illnesses is often poorly coordinated ( 10 ), leaving patients … Organizations should take specific steps to improve medication safety for patients (especially children … October 18, 2023
Patient safety in palliative care at the end of life from the perspective … February 13, 2019
Optimizing patient safety in clinical trials by improving transitions … Cancer
July 31, 2023
Patient Safety Innovations
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - Annual Perspective
Computerized Provider Order Entry and Patient Safety
Urmimala Sarkar, MD, … Computerized Provider Order Entry and Patient Safety. PSNet [internet]. … Computerized Provider Order Entry and Patient Safety. PSNet [internet]. … Computerized Provider Order Entry and Patient Safety. PSNet [internet]. … Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/095-mrsa-surveillance.docx
April 01, 2025 - Either surveillance approach can complement universal decolonization and help identify patients needing … However, surveillance is needed to identify patients at high risk for MRSA infections and those who would … Active Surveillance
Passive Surveillance
Definition
Collection of nasal cultures from asymptomatic patients … AHRQ Safety Program for MRSA Prevention | Surgical Services AHRQ Pub. … No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention | Surgical Services Pre-Operative MRSA
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/normothermia_audit.docx
December 01, 2017 - Tool: Normothermia Audit
AHRQ Safety Program for Surgery
Normothermia Audit Tool
Introduction
Problem … Statement
Patients’ perioperative core temperatures should be maintained at normothermia to prevent … recommend that you collect data from 10 surgical patents, but there is no right or wrong number of patients … A safety program team member may collect data retrospectively from patient charts. … patient moves through your perioperative area.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part1.pdf
April 01, 2018 - Medical Office Survey on Patient Safety Culture: 2018 User Database Report Part I
PATIENT
SAFETY … Patient Safety Culture Composites and Definitions
Patient Safety Culture Composite Definition: The extent … Patient Care Tracking/Followup The office reminds patients about appointments, documents
how well patients … Patient Care Tracking/Followup
This office reminds patients when they need to schedule an
appointment … use
to implement changes to improve patient safety culture and patient safety.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2018mosopsdatabasereport-part1-rev0921.pdf
April 01, 2018 - Medical Office Survey on Patient Safety Culture: 2018 User Database Report Part I
PATIENT
SAFETY … Patient Safety Culture Composites and Definitions
Patient Safety Culture Composite Definition: The extent … Patient Care Tracking/Followup The office reminds patients about appointments, documents
how well patients … Patient Care Tracking/Followup
This office reminds patients when they need to schedule an
appointment … use
to implement changes to improve patient safety culture and patient safety.