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Showing results for "patient safety indicators".
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  1. Routine Goes Awry | PSNet

    psnet.ahrq.gov/web-mm/routine-goes-awry
    September 23, 2020 - case generated additional review and discussion, including concerns expressed by the parents about the safety … The most commonly cited preoperative risk is bleeding, which occurs in up to 3% of patients. … There were nine unanticipated outcomes in these patients: four patients developed postoperative bleeding … Safety and outcomes of outpatient pediatric otolaryngology procedures at an ambulatory surgery center … safety: past, present, and future.

  2. Workaround Error | PSNet

    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

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867044/psn-pdf
    October 30, 2024 - "Near miss": a mixed-methods analysis of medical student assignments in patient safety. … "Near miss": a mixed-methods analysis of medical student assignments in patient safety. … https://psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient- safety … https://psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-safety … https://psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-safety

  4. Community Pharmacy Survey on Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture
    October 23, 2019 - Measurement Tool/Indicator Community Pharmacy Survey on Patient Safety Culture. … Citation Text: Community Pharmacy Survey on Patient Safety Culture. … The AHRQ Surveys on Patient Safety Culture™ (SOPS®) Community Pharmacy Survey and accompanying toolkit … May 2, 2018 Hospital Survey on Patient Safety Culture: 2018 User Database Report. … July 14, 2009 Is Our Pharmacy Meeting Patients' Needs?

  5. Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors. | PSNet

    psnet.ahrq.gov/issue/just-what-doctor-ordered-review-evidence-impact-computerized-physician-order-entry-system
    June 15, 2016 - This systematic review sought to determine the overall effect of CPOE on medication safety across different … hospitals and patient populations. … Overall, CPOE did reduce medication errors in both adults and children, but patient outcomes were not … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients … March 23, 2012 The impact of prescribing safety alerts for elderly persons in an electronic

  6. Slow Down: Right Drug, Wrong Formulation | PSNet

    psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
    October 13, 2018 - The patient reportedly had not taken his beta-blocker in the 36 hours prior to admission. … Center for patient safety organizations, health IT users, vendors, and researchers to share resources … Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors … Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia; 2008. … WHO Collaborating Center for Patient Safety Solutions. May 2007;1:solution 1. [Available at] 14.

  7. Understand the Science of Safety Module Alternate Text | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
    July 01, 2018 - The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected … and are aimed at improving patient safety.  … factors, individual provider factors, and task factors all have an effect on patient safety. … Concentric circles show the layered system-level factors that affect patient safety: institutional factors … Having a nurse responsible for more than two patients in the ICU can increase the patient populations

  8. Denver Health: How a Safety Net System Maximizes Its Value (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_denver_health.pdf
    April 01, 2019 - Denver Health: How a Safety Net System Maximizes Its Value Denver Health: How a Safety Net System … The health system treats more than 210,000 patients each year and has a patient mix that is 25 percent … In the area of patient safety, for 4 example, health system leaders looked at various performance … They have also developed a set of internal quality indicators to track progress and any variances in … As a safety net system, Denver Health can’t afford not to make data-driven and evidence-based choices

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60042/psn-pdf
    March 11, 2020 - https://psnet.ahrq.gov/issue/walgreens-complaints-medication-errors-go-missing Response to reported safety … walgreens-complaints-medication-errors-go-missing https://psnet.ahrq.gov/issue/barriers-speaking-about-patient-safety-concerns … https://psnet.ahrq.gov/perspective/safety-retail-pharmacy https://psnet.ahrq.gov/issue/how-chaos-chain-pharmacies-putting-patients-risk

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844988/psn-pdf
    February 22, 2023 - Ensuring patients have an understanding of their diagnoses and care plan is a critical component of … patient engagement and can improve safety. … Although the majority of patients (>90%) felt confident in their knowledge of their diagnosis and treatment … https://psnet.ahrq.gov/perspective/role-health-literacy-patient-safety https://psnet.ahrq.gov/issue/ … hospitalized-patients-understanding-their-plan-care https://psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake

  11. Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/prospective-evaluation-medication-related-clinical-decision-support-over-rides-intensive-care
    April 07, 2019 - However, alerts are pervasive and often irrelevant , leading patient safety experts to question whether … their modest improvement in safety outweighs the harms of alert fatigue . … June 5, 2018 Computerized prescriber order entry–related patient safety reports: analysis … December 21, 2017 View More Related Resources Patient … in critically ill patients.

  12. Opioid prescribing to US children and young adults in 2019. | PSNet

    psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-adults-2019
    September 30, 2020 - September 30, 2020 Filling a gap in safety metrics: development of a patient-centred … October 13, 2018 Partnering with patients and families living with chronic conditions … to coproduce diagnostic safety through OurDX: a previsit online engagement tool. … February 12, 2020 Patients' experiences and perspectives of patient-reported outcome … pain in opioid-naive patients undergoing elective surgery in a large American health system.

  13. Advancing the Safety of Acute Pain Management. | PSNet

    psnet.ahrq.gov/issue/advancing-safety-acute-pain-management
    January 08, 2020 - January 8, 2020 Patient Safety Essentials Toolkit. … May 29, 2019 Declaration to Advance Patient Safety. … May 25, 2022 Safer Together: A National Action Plan to Advance Patient Safety. … November 25, 2020 Using Machine Learning to Improve Patient Safety in the Home or Remote … October 31, 2018 Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying

  14. Parisetal Hfes2008 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
    January 01, 2008 - I�TRODUCTIO� Intensive Care Unit (ICU) patients are critically ill, and the life-saving interventions … For example, delays in the initiation of antibiotic therapy in patients with conditions such as meningitis … example, for antibiotics in which pharmacokinetic monitoring is important like gentamicin, or for patients … Work system design for patient safety: The SEIPS model. … Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41702/psn-pdf
    November 07, 2018 - AHRQ patient safety project reduces bloodstream infections by 40 percent. … Patient Saf Qual Hcare. September 12, 2012. … https://psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent The … safety field. … https://psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent https

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45279/psn-pdf
    September 27, 2016 - Does clinical supervision of health professionals improve patient safety? … Does clinical supervision of health professionals improve patient safety? … https://psnet.ahrq.gov/issue/does-clinical-supervision-health-professionals-improve-patient-safety- … systematic-review-and The patient safety movement catalyzed a well-known change in physician duty hours … This systematic review examined how increased clinical supervision affects patient safety.

  17. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
    September 01, 2023 - as authorized by the Patient Safety and Quality Improvement Act of 2005 (PSQIA). … Healthcare providers submit patient safety event data to Patient Safety Organizations (PSOs), which … , to substantial costs to both patients and healthcare providers.5 Hospitals and patient safety researchers … safety events nationally, and cannot be used to calculate the actual prevalence of patient safety … Falls are one of the most common patient safety events reported in the NPSD.

  18. Emerging Measures (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/emerging/emerging.doc
    January 01, 2001 - Online Resources: For more information on CAHPS®, go to: http://www.ahrq.gov/professionals/quality-patient-safety … measure2.html  For more information on AHRQ QIs, go to: http://www.ahrq.gov/professionals/quality-patient-safety … measures/measure3.html For more information on HEDIS®, go to: http://www.ahrq.gov/professionals/quality-patient-safety … information on Title V Maternal and Child Health Programs, go to: http://www.ahrq.gov/professionals/quality-patient-safety … Online Resources: For more information on CAHMI, go to: http://www.ahrq.gov/professionals/quality-patient-safety

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49855/psn-pdf
    March 01, 2019 - Patients can also be empowered to speak during preprocedural huddles and contribute to the team's understanding … Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health … Do safety checklists improve teamwork and communication in the operating room? … Patient safety in interventional radiology: a CIRSE IR checklist. … A checklist to improve patient safety in interventional radiology.

  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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