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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - Improving Patient Safety
The five projects in this category (Washington State University, Johns Hopkins … safety by measuring safety problems, characterizing adverse events, and conducting clinical safety interventions … who are at risk for safety problems after hospital discharge: one for patients and their families and … Patients reported that the patient survey’s length and response burden were acceptable. … 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
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
December 01, 2017 - 25% of inpatient surgeries.
1 million deaths follow surgery:
Between 0.5 and 5% of surgical patients … Armstrong Institute for Patient Safety and Quality. … Exploring Relationships Between Patient Safety Culture and Patients' Assessments of Hospital Care. … and patient safety. … The relationship between patient safety culture and the implementation of organizational patient safety
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Safety (SEIPS) model of work systems and patient safety (5)
describes five interacting elements of … Lack of familiarity with new technology is an increasingly
important patient safety problem. … Human factors systems approach to healthcare
quality and patient safety. … Beyond usability: designing effective technology implementation systems to promote patient
safety. … level of
care with different clinicians
Chaotic ICU environment
National glycemic control quality
indicators
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psnet.ahrq.gov/node/46122/psn-pdf
January 01, 2021 - Leapfrog Hospital Safety Score, Magnet designation, and
healthcare-associated infections in United States … Leapfrog Hospital Safety Score, Magnet Designation, and Healthcare-
Associated Infections in United … J Patient Saf. 2021;17(6):445-450.
doi:10.1097/PTS.0000000000000378. … Investigators explored whether the Leapfrog Hospital
Safety Score, a composite safety score calculated … https://psnet.ahrq.gov/issue/hospital-safety-grade
https://psnet.ahrq.gov/issue/workplace-empowerment-and-magnet-hospital-characteristics-predictors-patient-safety-climate
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psnet.ahrq.gov/node/33569/psn-pdf
June 15, 2024 - safety field. … https://psnet.ahrq.gov/primer/health-care-associated-infections
https://psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge … Patient education: Patients (and their families) must understand their diagnosis, their follow-up
needs … No consensus exists on how to ensure patient safety after hospital discharge, but some evidence indicates … The reasons why patients are readmitted likely vary
between hospitals and patient populations, indicating
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psnet.ahrq.gov/node/50862/psn-pdf
February 05, 2020 - assessment-nursing-home-reporting-major-injury-falls-quality-measurement-
nursing-home-compare
Nursing Home Compare publicly available reports on the quality and safety … Prior research has found that Nursing Home Compare does not accurately
capture patient safety performance … centers-medicare-and-medicaid-services-cms-nursing-home-compare
https://psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-Exec-Summary-Infographic.pdf
January 01, 2023 - safety and makes changes to
ensure that problems do not recur. … Hours 93%
positive
response
(highest)
32 to 40 Hours 82%
positive
response
(lowest)
Overall Patient … Safety Rating
85%
of respondents
rated their ASC as
"Excellent" or "Very good"
54%
Excellent … Action planning for patient safety improvement
The Action Planning Tool for the AHRQ Surveys on Patient … Safety Culture provides
step-by-step guidance on how to develop an action plan to improve patient safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
June 04, 2008 - The FDA provides feedback to the MedSun reporters so
they can improve patient safety related to the … that MedSun reports have
been extremely useful in
improving patient safety
nationwide.2 Here are … All LabNet reports are reviewed by the LabNet team, followup and potential patient safety
efforts are … Patient safety actionable
items might include placing reports in the MedSun newsletter to share with … In:
Advances in patient safety: From research to
implementation. Vol. 3, Implementation issues.
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psnet.ahrq.gov/node/49605/psn-pdf
June 01, 2010 - with
chronic hypertension is approximately 20%; this risk is markedly increased in patients with twins … hypertension or diabetes.(2,4) The primary objective of management in women
with preeclampsia must always be safety … In patients with chronic hypertension
and/or those with twins, as in this case, preeclampsia is more … 2,3) In women
with chronic hypertension, the use of antihypertensive agents removes one of the major indicators … Take-Home Points
This case illustrates several key points about enhancing the safety of care provided
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Infographic Summary … 52%
Web 45%
Overall Results
Average percent positive score across
12 composite measures of patient … safety culture 64%
positive
response
Highest Scoring Composite Measure:
Feedback and Communication … Action planning for patient safety improvement
The Action Planning Tool for the AHRQ Surveys on Patient … Safety Culture provides
step-by-step guidance on how to develop an actin plan to improve patient safety
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psnet.ahrq.gov/issue/relationship-between-medication-event-rates-and-leapfrog-computerized-physician-order-entry
November 26, 2014 - July 16, 2019
The safety of outpatient health care: review of electronic health records … May 15, 2024
The safety of inpatient health care. … January 7, 2015
The safety of electronic prescribing: manifestations, mechanisms, and … systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient … 10, 2011
Preventing potentially inappropriate medication use in hospitalized older patients
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/type-2-diabetes-medications-update_research-protocol.pdf
April 06, 2010 - Timing
We will include studies if patients have been on the medications for at least 3 months. … control with sulphonylureas or insulin compared with conventional
treatment and risk of complications in patients … Pioglitazone and risk of cardiovascular events in
patients with type 2 diabetes mellitus: A meta-analysis … Inclusion and exclusion criteria
Population and condition
of interest
□ All studies included patients … We excluded
studies that evaluated only patients with type I diabetes, impaired glucose tolerance, metabolic
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psnet.ahrq.gov/issue/effect-computerisation-quality-and-safety-chemotherapy-prescription
December 29, 2014 - RIS
Download Citation
Related Resources From the Same Author(s)
Patients … ' and healthcare workers' perceptions of a patient safety advisory. … February 2, 2022
Drug administration errors and their determinants in pediatric in-patients … December 23, 2020
Patient safety incidents are common in primary care: a national prospective … August 15, 2018
Overnight stay in the emergency department and mortality in older patients
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
June 01, 2021 - is a patient safety issue that affects millions of patients in the United States each year, and the … Good patient outcomes hinge on having an accurate and timely diagnosis. … in diagnostic processes, as well as enabling broader patient activation in health. … National Action Plan to Advance Patient Safety (NAP). 9 The NAP highlights the need for a total system … and staff and improve patient outcomes. 31
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digital.ahrq.gov/ahrq-funded-projects/e-prescribing-impact-patient-safety-use-and-cost/annual-summary/2009
January 01, 2009 - E-Prescribing Impact on Patient Safety, Use, and Cost - 2009
Project Name
E-Prescribing … Impact on Patient Safety, Use, and Cost
Principal Investigator
Weissman, Joel
Organization … safety by providing real-time drug information to the prescriber. … safety, use, and cost of prescription medications. … The study used or modified current measures of poor prescribing habits, utilization, and selected patient
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psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems
March 09, 2016 - July 7, 2021
Improving Patient Safety Through Teamwork and Team Training. … January 29, 2014
Practical Patient Safety. … November 13, 2018
Oxford Professional Practice: Handbook of Patient Safety. … February 26, 2014
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens … June 6, 2012
Patient Safety: An Engineering Approach.
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digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
January 01, 2008 - on Patient Safety which measures 9 dimensions of safety culture and 2
overall patient safety outcomes … Approximately 160 patient charts were examined for each time
period: forty patients each from general … Using staff perceptions on
patient safety as a tool for improving safety culture in
a pediatric hospital … Journal of Patient Safety.
[Case report]. 2008;4(2):113-8.
F. … Measuring staff perceptions on
patient safety in order to focus safety improvement
resources on areas
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psnet.ahrq.gov/node/836850/psn-pdf
March 31, 2022 - with medication management and errors in medication administration are major threats to patient
safety … above and that were featured on the AHRQ Patient Safety
Network (PSNet) in late 2020 or during 2021 … Patient interviews in this study revealed that patients
had little awareness of the potential for serious … and
overall patient safety. … Investigating improvement strategies
and tools for medication safety may advance overall patient safety
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tap.html
December 01, 2012 - Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators … FQHCs and rural health centers (RHCs) are "safety net" providers such as community health centers and … Source data on safety net providers were for 2005 and from the CMS ( ARF, 2008 ); population data were … AHA as short-term general hospitals, these hospitals are general medical and surgical hospitals; most patients … care practitioners are defined as non-Federal doctors of medicine or osteopathy who provide direct patient