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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-facguide.docx
January 01, 2017 - Slide 2
[Type text] [Type text] [Type text]
AHRQ Safety Program for
Mechanically Ventilated Patients … explanations for the measures used to evaluate the implementation of the interventions within the AHRQ Safety … Program for Mechanically Ventilated Patients. … of your patients. … Slide 32
References
Slide 33
17
AHRQ Safety Program for Mechanically Ventilated Patients Early
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14notes.html
June 01, 2014 - Medical Office Survey on Patient Safety Culture
Notes
Previous Page Next Page
Table of … Contents
Medical Office Survey on Patient Safety Culture
Executive Summary
Chapter 1. … Three of the 10 patient safety culture composites, consisting of 12 items, use the frequency response … safety culture, information exchange with other settings, and patient safety and quality issues. … The 10 patient safety culture composites are composed of three or four survey items.
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digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
January 01, 2020 - outcomes and reduce disparities for patients seeking emergency care.
… The research team will evaluate overall patient volumes, service uptake, delivery learning curves, safety … and quality indicators over time, and population health outcomes. … medication safety during care transitions. … These systems offer promising solutions to challenges related to cost, efficiency, patient safety, and
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psnet.ahrq.gov/node/73211/psn-pdf
May 05, 2021 - of interruptive prescribing alerts in
ambulatory CPOE to change prescriber behaviour and
improve safety … prescriber order entry (CPOE) systems embedded in electronic health systems alert
clinicians to potential safety … However, it
is unclear whether these behavioral changes improve patient safety outcomes. … Recommendations for
future research include randomized controlled trials to determine which alerts maximize patient … safety,
while minimizing prescribers’ alert fatigue.
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psnet.ahrq.gov/node/845632/psn-pdf
March 08, 2023 - pharmacists-reducing-medication-risk-medical-outpatient-clinics-retrospective-
study-18
Community pharmacists play an important role in ensuring patient … safety. … pharmacists-reducing-medication-risk-medical-outpatient-clinics-retrospective-study-18
https://psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety … https://psnet.ahrq.gov/primer/pharmacists-role-medication-safety
https://psnet.ahrq.gov/perspective/ … annual-perspective-topics-medication-safety
https://psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
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digital.ahrq.gov/ahrq-funded-projects/using-telemedicine-system-promote-patient-care-among-underserved-individuals/annual-summary/2011
January 01, 2011 - Using a Telemedicine System to Promote Patient Care Among Underserved Individuals - 2011 … Alfred
Organization
Temple University
Funding Mechanism
RFA: HS07-007: Ambulatory Safety … Telemedicine has the capacity to empower the patient, strengthen the patient-provider relationship, and … was on, and whether the patient was at his or her goal BP. … All patients had baseline and 6-month followup visits.
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psnet.ahrq.gov/node/40013/psn-pdf
July 24, 2011 - In this study, investigators
attempted to engage patients in safety by having patients themselves sign … Unfortunately, fewer
than 70% of patients successfully followed the instructions and successfully marked … universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
https://psnet.ahrq.gov/issue/patient-safety-resources-clinicians … https://psnet.ahrq.gov/issue/patient-safety-resources-clinicians
https://psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery … https://psnet.ahrq.gov/primer/patient-engagement-and-safety
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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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www.ahrq.gov/patient-safety/resources/learning-lab/re-engineering-postnatal-unit-care-long-desc.html
April 01, 2025 - A supporting-our-community website was developed with healthcare system partners to offer patients … support, and shared decision making during postpartum care. 4 The videos are available on the Postnatal Safety … Hospital Discharge Transition Change Package , providing evidence-based strategies to improve postnatal safety … quality indicators for postpartum care. 3 The project’s findings informed international maternal health … Patient Safety Learning Labs: effective collaborations for enhanced patient safety.
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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
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www.ahrq.gov/sites/default/files/2024-12/morgan-report.pdf
January 01, 2024 - Final Progress Report: Improving Patient Safety and Disease Management While on Contact Isolation
Final … Progress Report
Improving Patient Safety and Disease Management While on Contact Isolation
Daniel … research and a leader in the study of infection control and patient
safety. … safety. … safety.
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psnet.ahrq.gov/issue/screening-medication-errors-using-outlier-detection-system
December 18, 2019 - October 10, 2018
Computerized prescriber order entry–related patient safety reports: … October 31, 2014
View More
Related Resources
Assessing the safety … August 7, 2019
Accurate measurement in California's safety-net health systems has gaps … Perspective
The Role of Bar Coding and Smart Pumps in Safety
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www.ahrq.gov/news/newsletters/e-newsletter/923.html
July 01, 2024 - (Source: AHRQ 2024 Chartbook on Patient Safety .) … Highlights From AHRQ's Patient Safety Network . … AHRQ Seeks Nursing Homes for Pilot Test of Surveys on Patient Safety Culture Nursing Home Survey 2.0 … Highlights From AHRQ’s Patient Safety Network AHRQ's Patient Safety Network (PSNet) highlights journal … articles, books and tools related to patient safety.
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psnet.ahrq.gov/node/45206/psn-pdf
October 17, 2017 - Evaluation of the association between Hospital Survey on
Patient Safety Culture (HSOPS) measures and … Evaluation of the association between Hospital Survey on Patient
Safety Culture (HSOPS) measures and … https://psnet.ahrq.gov/issue/evaluation-association-between-hospital-survey-patient-safety-culture-hsops … https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture … https://psnet.ahrq.gov/issue/surveys-patient-safety-culture
https://psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and
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psnet.ahrq.gov/issue/appropriateness-commercially-available-and-partially-customized-medication-dosing-alerts
July 16, 2015 - October 11, 2017
Provider and patient perceptions of an external medication history function … A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient … April 5, 2023
Perspectives on Safety
Annual Perspective … Technology as a Tool for Improving Patient Safety
March 29, 2023 … May 4, 2022
The tradeoffs between safety and alert fatigue: data from a national evaluation
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015377-schadow-final-report-2008.pdf
January 01, 2008 - safety and quality of care, and for the
development and implementation of HIT in diverse health-care … SPL knowledge using a large set of drug-intolerance, orders, and dispense
records covering >50,000 patients … We evaluated over 1.6 million de-identified patient records from the
Regenstrief Medical Record System … safety initiatives. … terminology and more accurate intolerance records in order to increase the overall effectiveness
of this safety
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psnet.ahrq.gov/node/50748/psn-pdf
December 18, 2019 - Systematic review of interventions to improve safety and
quality of anticoagulant prescribing for therapeutic … https://psnet.ahrq.gov/issue/systematic-review-interventions-improve-safety-and-quality-anticoagulant … prescribing
Adverse drug events associated with anticoagulation medications are common in hospitalized patients … review and meta-analysis of 19 trials of controlled, system-level
interventions (evaluating 12,742 patients … ) for improving the safety or quality of anticoagulant prescribing for
hospitalized adults.
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psnet.ahrq.gov/issue/prevalence-adverse-drug-events-ambulatory-care-systematic-review
July 29, 2020 - December 29, 2014
Development of prescribing indicators related to opioid-related harm … in patients with chronic pain in primary care- a modified e-Delphi study. … for patients with monitored dosage systems following hospital discharge. … February 6, 2019
A systematic review of primary care safety climate survey instruments … May 15, 2013
The effect of medication reconciliation in elderly patients at hospital
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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