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Showing results for "patient safety indicators".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37438/psn-pdf
    June 16, 2010 - Identification of inpatient DNR status: a safety hazard begging for standardization. … Identification of inpatient DNR status: A safety hazard begging for standardization. … of nurse leaders at academic medical centers found great variation in the method used to document patients … This lack of standardization has been recognized as a patient safety problem, and resources exist to … https://psnet.ahrq.gov/issue/use-color-coded-patient-wristbands-creates-unnecessary-risk https://psnet.ahrq.gov

  2. But See the Patient First | PSNet

    psnet.ahrq.gov/web-mm/see-patient-first
    September 27, 2023 - Auerbach et al. 15 and the TOPS (Triad for Optimal Patient Safety) project team examined how teamwork … a result of the interventions, and patients expressed improved perception of team functions, patients … of an improved culture of safety and participated in actual quality improvement. … of safety and patient-centered care. … for Optimal Patient Safety (TOPS) project. 

  3. HIT for Medication Safety in Critical Access Hospitals - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/p20hs015325-hartzema-final-report-2005.pdf
    January 01, 2005 - Further consideration was given to pending national patient safety standards such as the … .) and (7) improve patients' knowledge about their treatment (e.g., printed, bilingual patient education … Also, how would they impact patient safety, productivity or financial performance of your hospital? … CQI quality indicators could be established for the total number of clinical alert warnings/total number … Quality indicators as simple as the total number of errors/total number of doses given can be measured

  4. Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record. | PSNet

    psnet.ahrq.gov/issue/reduced-effectiveness-interruptive-drug-drug-interaction-alerts-after-conversion-commercial
    May 20, 2019 - Clinical decision support systems are widely utilized to improve patient safety by alerting providers … to potential medication errors and other safety concerns. … record with wrong-patient order entry errors. … What can apologies in the electronic health record tell us about health care quality, processes, and safety … 2018 Errors in electronic health record–based data query of statin prescriptions in patients

  5. 030-Hand-Hygiene-Webinar-Slides-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/030-hand-hygiene-webinar-slides-notes.docx
    October 01, 2024 - Decolonizing patients 2. Decontaminating the healthcare environment 3. … National Patient Safety Goals for over a decade due to its critical role in preventing the transmission … The 2024 National Patient Safety Goals advise organizations to follow hand hygiene guidelines from the … , patient equipment, or patient environment during care of a patient who is on contact isolation precautions … However, the process encourages patients and their families to advocate for their safety and provides

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44135/psn-pdf
    November 06, 2015 - freedom-speak-review-whistleblowing-nhs Staff willingness to raise awareness of problems that could affect patient … care is an important indicator of safety culture. … explores National Health Service (NHS) staff perceptions regarding raising concerns about health care safety … measures for NHS organizations to use to help ensure that staff are comfortable raising awareness of patient … safety concerns.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866854/psn-pdf
    January 01, 2025 - Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. … Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. … https://psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical … https://psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record … https://psnet.ahrq.gov/issue/patient-feedback-reporting-tool-opennotes-implications-patient-clinician-safety-and-quality

  8. 132-Preventing-Clabsi-4-Key-Steps-One-Pager (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/132-preventing-clabsi-4-key-steps-one-pager.docx
    October 01, 2024 - These central line-associated bloodstream infections (CLABSI) cause significant harm to patients and … Line-Associated Bloodstream Infection (CLABSI) Prevention To Reduce Harm From MRSA ICU & Non-ICU AHRQ Safety … Inpatient costs, mortality and 30-day readmission in patients with central-line-associated bloodstream … The Joint Commission. https://www.jointcommission.org/resources/patient-safety-topics/infection-prevention-and-control

  9. E-prescribing Impact on Patient Safety, Use and Cost (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r01hs015175-weissman-final-report-2007.pdf
    January 01, 2007 - E-prescribing Impact on Patient Safety, Use and Cost Grant Final Report Grant ID: 5 R01 HS015175-02 … E-prescribing Impact on Patient Safety, Use and Cost Inclusive dates: 09/03/04 - … make important contributions to patient safety. … “Emerging Research on Patient Safety: Issues of Measurement, Causes, and Evaluation”. … “Research on Patient Safety at the Other IHP: Measurement, Causes, and Evaluation”.

  10. 2019 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
    December 01, 2020 - In addition, the area of patient safety was expanded to include sections on healthcare-associated infections … and patient safety culture. … Limitations With the Medicare Patient Safety Monitoring System Data For these measures, “hospital … Hospital Conditions report (https://www.ahrq.gov/sites/ default/files/wysiwyg/professionals/quality-patient-safety … https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49483/psn-pdf
    June 01, 2005 - Clinicians who regularly care for hospitalized patients—particularly the critically ill—often observe … Getting Started The RCA team is usually led by a member of the institution’s patient safety or quality … ventilated patients, prevention of venous thromboembolism). … Asking clinicians to jump through bureaucratic hoops in the name of patient safety squanders the good … Hospital-onset infections: a patient safety issue.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73066/psn-pdf
    March 24, 2021 - Patient Safety. 2021;3(1):10-22. doi:10.33940/data/2021.3.1. … , barriers to implementation and threats to safety persist. … Based on events reported to the Pennsylvania Patient Safety Reporting System, the authors characterized … medication-reconciliation https://psnet.ahrq.gov/issue/problem-medication-reconciliation https://psnet.ahrq.gov/issue/patient-safety-authority … https://psnet.ahrq.gov/issue/patient-safety-authority https://psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it

  13. Organizational Embrace of CUSP to Improve Patient Safety (Transcript) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
    April 01, 2013 - overall perception of safety and some other indicators, and we selected the units that you indicate … It’s about the patient at the center and patient safety. I appreciate your time. … started doing what we call patient safety walkabouts. … We start with a topic that’s a patient safety goal. … of all of our patients.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50611/psn-pdf
    October 30, 2019 - https://psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing The patient safety committee … 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. … Caution when prescribing Xarelto to first-time patients. Pharmacy Times. October 14, 2015.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44176/psn-pdf
    August 21, 2015 - Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative … - care The patient safety field's understanding of safety issues in ambulatory care continues to evolve … Some of these themes were also found in a prior study of primary care patients in the United Kingdom. … https://psnet.ahrq.gov/issue/trust-temporality-and-systems-how-do-patients-understand-patient-safety-primary-care … https://psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety

  16. Health IT Hazard Manager Beta-Test Appendix E. Inter-Rater Cognitive Testing Results (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
    June 16, 2021 - recommendation (2) • CDS Other: erroneous, faulty logic • Faulty design (1) • Software Design Other entries: client … IT staff conducted a retrospective investigation that did not identify any other patients receiving … clinicians (2) • Loss of pre-existing safeguards (1) • Other organizational factors other: “poor vendor client … The IT staff identified three other patients with surnames beginning with “Test” and changed the names … of test patients to this format: zzGHS1234.

  17. Assemble the Team and Engage Leadership for Perinatal Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
    July 01, 2023 - Slide 3: The L&D Unit-Based CUSP Team Understands that patient safety culture is local. … Is composed of engaged frontline providers who take ownership of patient safety. … Patient safety officers. Chief quality officers. Ancillary staff. … Patient safety officers. Technicians. Clerks and receptionists. Patient advocates. … Considers patient risks identified in the staff safety assessment with team members.

  18. MAINTAIN AND EXPAND (pdf file)

    hcup-us.ahrq.gov/reports/methods/2011_01.pdf
    January 01, 2011 - Do patient safety events increase readmissions? Medical Care. 2009 May;47(5):583-90. … Readmissions for venous thromboembolism: expanding the definition of patient safety indicators. … Do patient safety events increase readmissions? Medical Care 2009 May; 7(5): 583-590. … These are patients at risk for at least 1 of 9 types of patient safety events, as specified in software … at risk for any of the patient safety events, 2.6% had at least one safety event.

  19. LabGenie: A Patient-Engagement Tool to Aid Older Adults' Understanding of Lab Test Results | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/labgenie-patient-engagement-tool-aid-older-adults-understanding-lab-test
    January 01, 2025 - Education Patient Engagement Shared Decision Making Research indicates that patients … such as patient portals to facilitate communication with their patients and to provide them with secure … Viewing lab test results is one of the most used features of patient portals, but older adult patients … Misinterpreting lab results can lead to mismanagement of chronic diseases and safety concerns, particularly … provide tailored visual representations of lab results (e.g., with customized reference ranges and indicators

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43313/psn-pdf
    April 22, 2015 - pointed to a relationship between nurse staffing ratios and patient safety. … at high hospital volume, mortality increased for six high-risk conditions drawn from AHRQ Quality Indicators—acute … They propose flexible staffing policies in order to improve patient safety. … /primer/nursing-and-patient-safety https://psnet.ahrq.gov/issue/hospital-workload-and-adverse-events … psnet.ahrq.gov/issue/hospital-workload-and-adverse-events https://psnet.ahrq.gov/issue/inpatient-quality-indicators
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