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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/glucose_control_audit.docx
December 01, 2017 - your patients maintain euglycemia throughout the perioperative period. … recommend that you collect data from 10 surgical patents, but there is no right or wrong number of patients … The more patients you review, the more likely you are to identify opportunities to improve your perioperative … A safety program team member may collect data retrospectively from patient charts. … AHRQ Safety Program for Surgery
AHRQ Safety Program for Surgery
AHRQ SAFETY PROGRAM FOR SURGERY
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www.ahrq.gov/patient-safety/reports/engage/limitations.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Limitations … Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction … Limitations of the Environmental Scan
Model of Patient Safety in Primary Care
Methods
Gaps Identified … strategies on improving patient safety in primary care settings. … safety, primary care, and patient engagement.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-guide.docx
September 01, 2022 - The Sometimes Antibiotics” Diagnoses: Sinusitis – Facilitator Guide
AHRQ Safety Program for Improving … Does my patient have an infection that requires antibiotics?
2. … Does my patient know what to expect and the followup plan? … Slide 5
Moment 1: Does My Patient Have an Infection That Requires Antibiotics? … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
Sinusitis
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - We spoke to him about the state of patient
safety, especially in light of past, landmark reports on … patient safety that established the field. … safety initiatives have improved patient safety? … Sarah Mossburg: So, bundles and checklists are effective tools to improve safety, based on the
indicators … problems and enable organizations to readily measure patient safety.
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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompny.jsp
August 01, 2006 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … Safety collects data on ambulatory surgery and other outpatient services as part of their Statewide … For data year 2011, SPARCS provided HCUP with ambulatory surgery records (patient type A) defined using … For data year 2010, SPARCS provided HCUP with ambulatory surgery records (patient type A) defined using … Prior to data year 2010, SPARCS provided HCUP with ambulatory surgery records (patient type A) defined
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pso.ahrq.gov/sites/default/files/wysiwyg/guides-psos-providers-determining-parent-orgs-affiliated-providers.pdf
July 01, 2021 - Safety Rule’s Definition of Parent Organization
Background
The Patient Safety Rule, at 42 C.F.R. … o The preamble to the Patient Safety Rule, at 73 Fed. … The Patient Safety Rule includes a definition of affiliated provider to identify to whom patient safety … o The preamble to the Patient Safety Rule, at 73 Fed. … Page 5 of 9
safety activities and to facilitate, if desired, one corporate patient safety evaluation
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 6. … safety (part of the system purpose included in Recommendation 2.1) if the factors precipitating patients … impacts of events on patients and their families. … jurisdictions, there may be barriers to sharing such information even when requested by the involved patients … The idea of consumer reporting systems for patient safety events holds great promise.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/progestogens-preterm-birth-disposition-121205.pdf
September 07, 2012 - The safety signal
uncovered by the FDA was an excess of fetal death in patients
exposed to 17P. … , of note each of these is mediated
by the care provider as part of the process of
care; none are patient … A it must work for
patient B" clearly does not apply for 17OH. … Given that this document could be
used to provide guidelines for patient care and change
reimbursement … Physicians need to inform patients that there is a potential safety
signal with the administration of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-facguide.docx
January 01, 2017 - Slide 2
[Type text] [Type text] [Type text]
AHRQ Safety Program for
Mechanically Ventilated … Slide 8
National Health Safety Network VAE Definition
SAY:
In 2013, the Centers for Disease Control … and Prevention developed the National Healthcare Safety Network, or NHSN, VAE Surveillance Definition … SAY:
The indicators of worsening oxygenation for the purposes of determining VAC are—
· Daily minimum … References
Slide 37
References
Slide 38
References
Slide 39
17
Monitoring VAEs
AHRQ Safety
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www.ahrq.gov/ncepcr/reports/grants-transform/key-study-outcomes.html
March 01, 2017 - designated schedulers, and options for electronic communication with providers. 22 Similarly, in a study of safety … All of the studies found improvements in the target indicators following PCMH transformation, suggesting … undergoing PCMH transformation in Pennsylvania according to their level of improvement in clinical indicators … and Systems® benchmarks, and that family satisfaction appeared to stem from better access, care, and safety … Foundation in Alaska, who described improved communication with physicians and increased feelings of safety
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/outcomes.html
October 01, 2015 - designated schedulers, and options for electronic communication with providers. 22 Similarly, in a study of safety … All of the studies found improvements in the target indicators following PCMH transformation, suggesting … undergoing PCMH transformation in Pennsylvania according to their level of improvement in clinical indicators … and Systems® benchmarks, and that family satisfaction appeared to stem from better access, care, and safety … Foundation in Alaska, who described improved communication with physicians and increased feelings of safety
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www.ahrq.gov/patient-safety/reports/engage/results.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Results … ; patient safety advocate. … Having patients take an active role in treatment decisions is vital to improving patient safety. … Patients and providers identified shared decisionmaking as important to improving patient safety and … Other frequent patient safety issues addressed were communication between patients and providers, including
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psnet.ahrq.gov/node/39142/psn-pdf
December 02, 2009 - Resident and RN perceptions of the impact of a medical
emergency team on education and patient safety … Resident and RN perceptions of the impact of a medical
emergency team on education and patient safety … https://psnet.ahrq.gov/issue/resident-and-rn-perceptions-impact-medical-emergency-team-education-and-
patient-safety … Rapid response systems serve an important patient safety function in hospitals by helping detect
systematic … Both groups agreed that the presence of the RRT
improved patient safety, and both also felt that the
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psnet.ahrq.gov/node/866351/psn-pdf
July 24, 2024 - Seeking systems-based facilitators of safety and
healthcare resilience: a thematic review of incident … Seeking systems-based facilitators of safety and healthcare resilience: a
thematic review of incident … anticoagulant medication errors to demonstrate the effectiveness of
Systems Engineering Initiative for Patient … Safety (SEIPS) and healthcare resilience as an alternative
investigative approach. … healthcare-resilience-meta-narrative-systematic-review-and-synthesis-reviews
https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
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psnet.ahrq.gov/node/867138/psn-pdf
November 13, 2024 - Could breaks reduce general practitioner burnout and
improve safety? A daily diary study. … Could breaks reduce general practitioner burnout and improve safety? A
daily diary study. … physicians to investigate the association between breaks during the workday and burnout, well-being, and
patient … safety perceptions. … A break that includes a positive interaction also improves
perceptions of patient safety.
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psnet.ahrq.gov/node/45256/psn-pdf
July 01, 2017 - Applied use of safety event occurrence control charts of
harm and non-harm events: a case study. … Applied Use of Safety Event Occurrence Control Charts of Harm and
Non-Harm Events: A Case Study. … https://psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-
events-case-study … https://psnet.ahrq.gov/issue/value-close-calls-improving-patient-safety
https://psnet.ahrq.gov/issue … development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
https://psnet.ahrq.gov/primer/reporting-patient-safety-events
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psnet.ahrq.gov/node/44418/psn-pdf
September 23, 2015 - Learning from patient safety incidents in incident review
meetings: organisational factors and indicators … Learning from patient safety incidents in incident review meetings: Organisational
factors and indicators … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
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psnet.ahrq.gov/node/35462/psn-pdf
February 18, 2011 - Investigators tracked quality-of-care indicators and compared trends
internally and with fee-for-service … Findings illustrated
significant improvements over time for all indicators within the Veterans Affairs … (VA) health care system and
better quality scores than Medicare on 12 of 13 indicators in 2000. … on a
national level (see National Center for Patient Safety). … effect-transformation-veterans-affairs-health-care-system-quality-care
https://psnet.ahrq.gov/issue/national-center-patient-safety-ncps
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psnet.ahrq.gov/node/42660/psn-pdf
October 16, 2013 - Practice indicators of suboptimal care and avoidable
adverse events: a content analysis of a national … Practice indicators of suboptimal care and avoidable adverse
events: a content analysis of a national … https://psnet.ahrq.gov/issue/practice-indicators-suboptimal-care-and-avoidable-adverse-events-content … although the test
contained some assessment related to avoiding adverse events, it did not evaluate all safety-related … https://psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
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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