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Showing results for "patient safety indicators".
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  1. No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti-transcript.html
    November 01, 2015 - Again, recognizing that the burden of toileting these patients and making sure these patients are clean … The confused patients. … Everyone recognizes these patients. … safety, not necessarily about who's right and who's wrong, but making it about the patient. … That really helped to reinforce both our commitment to patient safety through the use of our Team STEPPS

  2. No More Cauti Preventing Cauti Transcript (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/No_More_CAUTI_Preventing_CAUTI_transcript.docx
    May 05, 2015 - Again, recognizing that the burden of toileting these patients and making sure these patients are clean … The confused patients. … Everyone recognizes these patients. … safety, not necessarily about who's right and who's wrong, but making it about the patient. … That really helped to reinforce both our commitment to patient safety through the use of our team steps

  3. No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-transcript.html
    December 01, 2017 - Again, recognizing that the burden of toileting these patients and making sure these patients are clean … The confused patients. … Everyone recognizes these patients. … safety, not necessarily about who's right and who's wrong, but making it about the patient. … That really helped to reinforce both our commitment to patient safety hrough the use of our team steps

  4. Diagnostic error in medicine: analysis of 583 physician-reported errors. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors
    June 24, 2009 - An invited commentary [see link below] by a leader in the patient safety field, Dr. … Resources From the Same Author(s) Organizational and cultural changes for providing safe patient … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient … transfusion safety.

  5. Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/evaluation-harm-associated-high-dose-range-clinical-decision-support-overrides-intensive-care
    August 17, 2018 - Although clinical decision support is intended to improve safety, decision support alerts often result … December 21, 2017 Computerized prescriber order entry–related patient safety reports: … February 14, 2024 Patient Safety Innovations Remote Response … May 24, 2023 Allergic adverse drug events after alert overrides in hospitalized patients … April 13, 2022 Hospitals look to computers to predict patient emergencies before they

  6. The Give Teens Vaccines Study - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/give-teens-vaccines-study/activity/give-teens-vaccines-study/annual-summary/2010
    January 01, 2010 - Population: Teenagers Summary: Immunization rates have been designated as one of the leading health indicators … decision support, audit, and feedback on vaccination success measured as the proportion of eligible patients … The alerts have been appearing at the intervention sites whenever a patient encounter is opened in the … EHR for a patient due to receive a study vaccine. … 11 intervention sites and presented information about the study, as well as information on vaccine safety

  7. The “Never Antibiotic” Diagnoses: Acute Bronchitis – Facilitator Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
    September 01, 2022 - The “Never Antibiotic” Diagnoses: Acute Bronchitis – Facilitator Guide AHRQ Safety Program for Improving … Does my patient have an infection that requires antibiotics? 2. … Does my patient understand what to expect and the followup plan? … The patient described in the case queried whether he needed a chest x ray. … No. 17(22)-0030 September 2022 Acute Bronchitis AHRQ Safety Program for Improving Antibiotic Use – Ambulatory

  8. Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
    March 26, 2008 - IV infusion safety systems provide rapid, effective, and cost-effective patient safety improvement. … systems as they work to improve safety and quality of care for all patients. … patient safety and quality of care. … Safety issues with patient-controlled analgesia. ISMP medication safety alert! 2005; 3: 1-3. … ISMP medication safety alert! Safety issues with patient-controlled analgesia.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49740/psn-pdf
    August 21, 2015 - A time out was completed and the patient information, procedure, and sites were verified. … 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 … A robust mechanism of documentation and communication is essential to ensure safety of the injections … take in response to this incident; however, this step alone may not prevent similar errors, as the safety

  10. Patient safety in primary care: conceptual meanings to the health care team and patients. | PSNet

    psnet.ahrq.gov/issue/patient-safety-primary-care-conceptual-meanings-health-care-team-and-patients
    September 28, 2022 - Study Patient safety in primary care: conceptual meanings to the health care team … and patients. … Patient safety in primary care: conceptual meanings to the health care team and patients. … and staff conceptualize patient safety in primary care . … Patient safety in primary care: conceptual meanings to the health care team and patients.

  11. Nursing Home Survey on Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
    November 23, 2016 - Measurement Tool/Indicator Nursing Home Survey on Patient Safety Culture. … Citation Text: Nursing Home Survey on Patient Safety Culture. … This website hosts the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Nursing Home Survey along with … October 23, 2019 Is Our Pharmacy Meeting Patients' Needs? … February 28, 2025 Surveys on Patient Safety Culture.

  12. Relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nursing. | PSNet

    psnet.ahrq.gov/issue/relationships-among-psychological-safety-principles-high-reliability-and-safety-reporting
    September 16, 2015 - Patient safety event reporting is a key indicator of safety culture . … high-reliability organization were positively associated with patient safety event reporting behaviors … April 16, 2010 To err is human: patient misinterpretations of prescription drug label … November 16, 2022 Predictors and outcomes of patient safety culture: a cross-sectional … an analysis of the 2016 Hospital Survey on Patient Safety Culture.

  13. Psn-Pdf (pdf file)

    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

  14. AHRQ News Now | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsletters/e-newsletter/index.html
    August 12, 2025 - Statistical Brief Highlights Cost of Heart Disease July 22, 2025 Many Pediatric Pneumonia Patients … Findings and Evidence Gaps in Youth Mental Health June 24, 2025 July 17 Webinar: Empower Patients … Safety Tools May 6, 2025 Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient … Biosimilar Drugs December 17, 2024 COVID-19 Surges Tied to Higher Risks for All Hospital Patients … and Workforce Harm December 3, 2024 AHRQ-Funded Studies Consider Tramadol Use and Safety

  15. Preventing Wrong-Drug and Wrong-Patient Errors with Indication Alerts in CPOE Systems – Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs024945-lambert-final-report-2022.pdf
    January 01, 2022 - Key Words: medication safety, wrong-drug, wrong-patient, indication, clinical decision support, retract-and … Thus 0.1% of inpatient doses resulted patients getting the wrong-drug (25%*0.39%). … We interpret this as evidence of patient safety improvement because each abandonment is a self-intercepted … Joint Commission Journal on Quality and Patient Safety. 2006;32(2):73-80. 4. … Patient Safety 2015, draft report for comment.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49773/psn-pdf
    July 01, 2016 - focus on early identification of GBS colonization, use of prophylactic intrapartum antibiotics for patients … electronic resource provides an efficient means for providers to determine appropriate GBS screening for patients … One strategy that might improve both clinical education and patient safety would be to instruct trainees … Committee on Patient Safety and Quality Improvement. … Patient Safety Primer: Handoffs and Signouts. [Available at] Updated July 2016. 14.

  17. Critical Order Set Change and Critical Limb Ischemia | PSNet

    psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
    July 02, 2019 - relatively simple scenarios such as standardizing the use of potassium binding resins when treating patients … support continuous bladder irrigation that resulted in clinical complications for patients from overly … safety and care transitions at the University of California. … May 15, 2024 View More Related Resources Patient Safety … Safety Goals.

  18. Psn-Pdf (pdf file)

    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

  19. Psn-Pdf (pdf file)

    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

  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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