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psnet.ahrq.gov/web-mm/dont-push
March 02, 2011 - The patient received IV magnesium sulfate immediately. … Efficacy and safety of IM ziprasidone vs. … February 7, 2024
Impact of team performance on the surgical safety checklist on patient … safety and quality of care: a panel study. … December 21, 2014
Patient safety, satisfaction, and quality of hospital care: cross sectional
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-facnotes.docx
May 01, 2017 - One section, to the left, includes a list of patients and whether any have flagged safety concerns; these … Be sure to also attend to privacy concerns; no patient information should be visible in areas with patient … indicators and standard work, and track improvement projects. … Be sure to also attend to privacy concerns; no patient information should be visible in areas with patient … to avoid patient privacy violations.
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psnet.ahrq.gov/node/49549/psn-pdf
December 06, 2007 - According
to the VA National Center for Patient Safety (NCPS), elopement is defined as: "A patient that … "(
1) Wandering can also lead to significant safety risks when the patient has decreased capacity.(2 … an
elopement tool kit created by the VA Center for Patient Safety.(9) A "yes" to any of the following … Analyzing missing patient events at the VA. TIPS (Topics in Patient Safety). … National Center for Patient Safety. VHA NCPS escape and elopement management.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
June 01, 2020 - Can patients report patient safety incidents in a hospital setting? A systematic review. … Patient participation: current knowledge and applicability to patient safety. … Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families: Environmental … Deriving ICD-10 codes for Patient Safety Indicators for large-scale surveillance using administrative … Patient Safety Indicators: using administrative data to identify potential patient safety concerns.
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psnet.ahrq.gov/node/60594/psn-pdf
June 17, 2020 - Validation of a secondary screener for suicide risk:
results from the Emergency Department Safety
Assessment … Jt Comm J
Qual Patient Saf. 2020;46(6):342-352. doi:10.1016/j.jcjq.2020.03.008. … Evaluation (ED-SAFE) Secondary Screener among adult patients at eight emergency departments (EDs) in … Of 1,376 patients endorsing active suicidal
ideation or recent suicide attempt, most were positive for … Based on score, the research team stratified patients at mild-, moderate-, or high-risk for suicide and
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-2.pdf
January 01, 2016 - SAFETY
CULTURE
2016 USER COMPARATIVE DATABASE REPORT
Medical Office Survey on Patient Safety Culture … on Quality, and patient safety grade. … Overall Perceptions of Patient Safety and Quality
1. … Overall Perceptions of Patient Safety and Quality
1. … Overall Perceptions of Patient Safety and Quality
1.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/001-clabsi-prevention-webinar-slides.pptx
October 01, 2024 - Explain to the patient that this treatment is to protect them from infection. … National Healthcare Safety Network (NHSN) Patient Safety Component. https://www.cdc.gov/nhsn/psc/index.html … The Joint Commission. https://www.jointcommission.org/resources/patient-safety-topics/infection-prevention-and-control … Agency for Healthcare Research and Quality. https://www.ahrq.gov/hai/patient-safety-resources/cli-checklist … The Joint Commission. https://www.jointcommission.org/resources/patient-safety-topics/infection-prevention-and-control
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psnet.ahrq.gov/node/40148/psn-pdf
June 20, 2012 - This systematic
review found that while reducing shift length has some effect on patient safety, existing … literature does not
indicate the optimal shift length or the magnitude of benefit for patients or physicians … safety. … /issue/new-recommendations-duty-hours-acgme-task-force
https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety … effects-duty-napping-intern-sleep-time-and-fatigue
https://psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
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psnet.ahrq.gov/node/50746/psn-pdf
December 18, 2019 - creating a positive organizational culture can
both promote speaking up about medical errors and increase patient … safety. … influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
https://psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va … https://psnet.ahrq.gov/issue/barriers-speaking-about-patient-safety-concerns
https://psnet.ahrq.gov/ … primer/culture-safety
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psnet.ahrq.gov/node/73879/psn-pdf
September 29, 2021 - Evolving factors in hospital safety: a systematic review
and meta-analysis of hospital adverse events … Evolving factors in hospital safety: a systematic review and
meta-analysis of hospital adverse events … J Patient Saf. 2021;17(8):e1285-e1295.
doi:10.1097/pts.0000000000000889. … https://psnet.ahrq.gov/issue/evolving-factors-hospital-safety-systematic-review-and-meta-analysis-hospital … -
adverse-events
Hospital adverse events are common and can contribute to serious patient harm.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
November 01, 2014 - LHC had been in the 50th percentile in quality, safety, patient satisfaction, employee satisfaction, … Data include clinical process and outcomes data, patient safety data, patient satisfaction data, and … What is the impact on patient quality and safety? What is the impact on employee satisfaction? … safety, and patient satisfaction is presented. … and outcomes assessments, and patient safety.
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psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - , and Wrong-Patient Surgery. … safety field. … Background Few medical errors are as vivid and terrifying as those that involve patients who have undergone … Comprehensive efforts to improve surgical safety have incorporated timeout principles into surgical safety … December 18, 2024
Grading recommendations for enhanced patient safety in sentinel event
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digital.ahrq.gov/ahrq-funded-projects/improving-otitis-media-care-electronic-health-record-ehr-based-clinical/annual-summary/2010
January 01, 2010 - The Children's Hospital of Philadelphia
Funding Mechanism
RFA: HS07-006: Ambulatory and Safety … The full intervention consists of: 1) a method for linking all services a patient receives from any physician … The project team provided six rounds of feedback reports on four OM quality indicators directly to physicians … The feedback report includes quality adherence information such as the proportion of patients with acute … physician use of the EHR during pediatric clinical encounters and the physician interactions with the patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
February 24, 2008 - The AHRQ Hospital Survey on Patient Safety Culture consists of 12 dimensions of safety
culture. … • Management support for patient safety. … safety and shows that
patient safety is a top priority. … The nature of
adverse events in hospitalized patients. … Leadership
guide to patient safety.
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psnet.ahrq.gov/primer/disclosure-errors
September 15, 2024 - Safety Primers
Long-term Care and Patient Safety
April 10, 2024 … Patient Safety Primers
Inpatient Transitions of Care: Challenges … and Safety Practices
March 27, 2024
Patient Safety Primers … National Patient Safety Goals
March 27, 2024
Patient … Safety Primers
Deprescribing as a Patient Safety Strategy
October 27, 2021
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - The presence and absence of incidents, errors, and negative outcomes are, no doubt, indicators of system … A Tale of Two Stories: Contrasting Views of Patient Safety. … Chicago, IL: National Patient Safety Foundation; 1998. [Available at]
9. Hollnagel E. … Health IT
August 1, 2015
Profiles in patient safety: misplaced femoral line … Safety in Care Transitions
November 16, 2022
Patient Safety Primers
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digital.ahrq.gov/ahrq-funded-projects/rural-trial-clinic-order-entry-decision-support/annual-summary/2008
January 01, 2008 - , point-of-care-based clinical decision support tool designed to help clinicians manage patients with … Information previously entered about the patient such as age, allergies, and weight was integrated into … respiratory infection resulting in the prescribing of an antimicrobial agent, and 3) proportion of adults patients … safety, provider productivity, and office efficiency. ( Ongoing - final analyses in progress * )
Assess … clinical practice domains were studied, linked to the tool’s decision support features: medication safety
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www.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - HAC Rates, 2010 to 2014
Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring … Safety Monitoring System, National Healthcare Safety Network, and Healthcare Cost and Utilization Project … Numerous other public and private initiatives to improve healthcare quality and patient safety were implemented … HHS and other public and private partners are continuing to work to improve patient safety. … AHRQ’s patient safety programs continue to enable and guide improvements in health care delivery.
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psnet.ahrq.gov/node/860382/psn-pdf
January 10, 2024 - equity-acquisition
Changes in hospital leadership and ownership can impact patient safety and health … This study
compared hospital-acquired adverse events among Medicare patients treated at private equity-acquired … Researchers found that Medicare patients
experienced a 25% increase in hospital-acquired conditions … https://psnet.ahrq.gov/issue/quality-and-safety-outcomes-hospital-merger-following-full-integration-safety-net-hospital … https://psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk
https://psnet.ahrq.gov
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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