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effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-safety-practices-rapid-protocol.pdf
September 09, 2022 - What patient safety measures or patient safety indicators have been used to examine the harms
associated … of healthcare for patients.2 We will focus
specifically on patient safety practices intended to prevent … Safety Learning hub (pslhub.org), and World Health Organization’s Global Patient
Safety Network. … safety practice, rationale for the patient safety practice, outcomes, and implementation barriers and … Assessing the Evidence for Context-
Sensitive Effectiveness and Safety of Patient Safety Practices:
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www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
January 01, 2024 - Key Words: patient experience; patient care; patient safety; patient engagement; hospitals; implementation … safety. … to
improved patient safety and experience. … Hospital Survey on Patient Safety Culture. … Patient involvement in patient safety: what factors influence
patient participation and engagement?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - [PATIENT/FAMILY ENGAGEMENT]
Key messages: Patients and their family members can effectively impact patient … of patient safety, especially CAUTI prevention? … 51
51
Selected Resources For
Engaging Patients and Families as Partners in Safety
AHRQ CUSP Toolkit … Patient safety resources for consumers. … Retrieved from http://www.apic.org/For-Consumers/Patient-safety-resources.
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psnet.ahrq.gov/node/49443/psn-pdf
May 01, 2004 - in our patients' best interests. … When HIPAA appears to compromise good patient care or
safety, HIPAA must be set aside, not because HIPAA … This case raises a number of issues about patient safety (13-17) and common misconceptions about
HIPAA … When a tradeoff between privacy/confidentiality and safety exists, we should ask our patients whether … Apparent conflicts between HIPAA and patient safety often reveal underlying unsafe practices
and misunderstandings
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
September 01, 2022 - Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Facilitator Guide
AHRQ Safety … Slide 3
The Four Moments of Antibiotic Decision Making
SAY:
Moment One is: Does my patient have … In the absence of a similar study of patients with systemic signs of infection or patients who received … Slide 23
Moment 4: Patient Followup
SAY:
Patients with UTIs should be told that it may take approximately … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
ASB
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hcup-us.ahrq.gov/reports/statbriefs/sb195-Potentially-Preventable-Hospitalizations.jsp
November 01, 2015 - Although overall inpatient hospital stays have declined, increasingly patients are being seen in EDs … Definitions
Prevention Quality Indicators
The Prevention Quality Indicators (PQIs; version 4.4 … DRGs comprise a patient classification system that categorizes patients into groups that are clinically … DRGs group patients according to diagnosis, type of treatment (procedures), age, and other relevant criteria … safety, person-centered care, care coordination, effective treatment, healthy living, care affordability
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025238-xie-final-report-2020.pdf
January 01, 2020 - matching the situation to the patterns they have learned
(e.g., obtaining blood cultures in febrile patients … change of clinical • Focusing only on current status • Providing information on
indicators (analytical … ) • Different patients having different current status and trend
• Matching patient conditions signs … building a
with clinical patterns learned
from past experience
(intuitive)
• Focusing only on clinical indicators … Work system design for patient safety: the
SEIPS model.
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psnet.ahrq.gov/issue/spikes-demand-coronavirus-patients-are-creating-shortages-asthma-drugs-and-sedatives
May 11, 2016 - sedatives for ventilator patients. … Drug shortages are a persistent system-level challenge to patient safety. … February 29, 2012
Systematic review of interventions to improve safety and quality of … ISMP Medication Safety Alert! … June 24, 2020
Medication Safety During the COVID-19 Pandemic: What Have We Learned in
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psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - Improving the safety of peripheral intravenous catheters. BMJ. 2008;337:a630. … Safety of prolonging peripheral cannula and i.v. tubing use from 72 hours to 96 hours. … of 3165 patients. … September 15, 2011
An examination of Leapfrog safety measures and Magnet designation. … safety events and electronic health records use: an observational study.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/safer-guides-slides.pdf
February 18, 2025 - Thank You for Your Commitment
To Advance Patient and Workforce Safety! … ► Leveraging EHRs to identify unsafe care processes and potential patient
safety concerns before harm … • Perform independent real-world testing with local data to reduce risks
to patient safety. … • Establish reporting mechanisms for clinicians and patients to flag AI-
related safety issues. … Health IT Concerns => Patient Harm
EHR Safety Defined: 3 domains
The Need for Proactive Risk Assessment
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave4.html
July 01, 2025 - hospital data, it might latch onto contextual clues—like a patient’s hospital unit—instead of physiologic indicators … the ICU, the model may associate ICU admission with high sepsis risk and underestimate the risk for patients … found to introduce errors in 70 percent of generated clinical notes. 43 AI-generated responses to patient
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digital.ahrq.gov/sites/default/files/docs/survey/cis-survey-pre-go-live-physician.pdf
December 27, 2004 - How often patients are asked the same questions. [ ] [ ] [ ] [ ] [ ] [ ] [ ]
3. … Able to share important information with patients and families. [ ] [ ] [ ] [ ] [ ] [ ] [ … The overall safety of patient care. [ ] [ ] [ ] [ ] [ ] [ ] [ ]
14. … How often patients are asked the same questions. [ ] [ ] [ ] [ ] [ ] [ ] [ ]
3. … The overall safety of patient care. [ ] [ ] [ ] [ ] [ ] [ ] [ ]
14.
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psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory-pharmacy
June 07, 2017 - May 11, 2017
Severe hyperglycemia in patients incorrectly using insulin pens at home. … March 16, 2025
Community Pharmacy Survey on Patient Safety Culture. … June 16, 2019
In patient safety efforts, pharmacists gain new prominence. … January 23, 2019
Evaluation of patient safety culture in community pharmacies. … September 25, 2008
Patient-centered approach for improving prescription drug warning
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-measurement.html
November 01, 2017 - Safety Culture Survey
The ASC SOPS can be used to track changes in patient safety culture over time … and evaluate the impact of patient safety interventions. … specifically for ASC staff and asks for their opinions about the culture of patient safety in their … provide practical resources ASCs can use to implement changes to improve patient safety culture and … patient safety.
5 ASC Quality Reporting .
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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-Williams_115.pdf
June 19, 2008 - Approach of Quality Improvement/Patient Safety
RCHI leaders searched for ways to implement the hallmarks … of the perspective of patient safety
and quality improvement. … Patient
safety issues, Joint Commission requirements, and other regulatory mandates are discussed as … The Rural Peer Review Model emphasizes adherence to CMS core measures (quality of care
indicators mandated … care, and it promotes systems thinking and
quality and patient safety improvements for a significant
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psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive
July 14, 2010 - Download Citation
Related Resources From the Same Author(s)
Impact of patient … safety mandates on medical education in the United States. … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient … Intensive Care Units
Operating Room
Health Care Providers
Risk Managers
Quality and Safety
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psnet.ahrq.gov/issue/hospital-acquired-infections-pennsylvania
December 06, 2006 - April 25, 2018
Patient Safety Learning Laboratories: Advancing Patient Safety through … September 22, 2021
Advancing Patient Safety Implementation Through Safe Medication Use … August 3, 2016
Patient Safety. … May 24, 2015
Oversight Hearing on Recent Patient Safety Issues. … December 23, 2012
With Safety in Mind: Mental Health Services and Patient Safety.
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hcup-us.ahrq.gov/news/exhibit_booth/sid_brochure.jsp
May 01, 2018 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … State-level inpatient healthcare issues, including:
Access to care
Quality of care and patient … safety
Use and cost of hospital services
Variations in medical practice
Healthcare cost inflation … health policy changes
Diffusion of medical technology
Study multiple hospital visits for the same patient … Available annually since 1990, SID files include all patients, regardless of payer, thus providing a
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psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendation-tracking
June 19, 2012 - Related Resources From the Same Author(s)
Error disclosure: a new domain for safety … June 19, 2012
Overnight stay in the emergency department and mortality in older patients … November 29, 2023
Changes in medication safety indicators in England throughout the covid … -19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using … 22, 2016
Multiple points of system failure underpin continuous subcutaneous infusion safety
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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