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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
April 19, 2008 - Medical simulation has been recognized as an effective tool to improve patient safety. … The role of simulation in patient safety. In:
Dunn WF, eds. … Does simulation
improve patient safety? … Self-efficacy, competence,
operational performance, and patient safety. … Improving patient safety through simulation research.
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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-Elder_18.pdf
February 19, 2008 - outcomes of patient care, including quality
indicators, adverse events, harm, and patient satisfaction … Work
system design for patient safety: The SEIPS model. … Organizing patient safety
research to identify risks and hazards. … Advances in patient safety: From
research to implementation. Vol. 3. … Integrating patient
safety into the clinical microsystem.
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psnet.ahrq.gov/node/43257/psn-pdf
August 14, 2014 - Participants supported the approach
and involvement of frontline staff in safety surveillance to foster … a safety culture and enhance patient safety
education for trainees. … barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
https://psnet.ahrq.gov/primer/detection-safety-hazards … https://psnet.ahrq.gov/primer/culture-safety
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www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
February 01, 2017 - The Four Es of Early Mobility: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated … Finally, to ensure that it is safe for a patient to be mobilized, screen daily for PT/OT safety before … The execute step will help to improve the culture of safety in your unit. … and outcome measures, early mobility successes, and barriers to implementation at multidisciplinary safety … final E of the TRIP model, collect process measure data and review your performance results at monthly safety
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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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digital.ahrq.gov/sites/default/files/docs/survey/cis-survey-pre-go-live.pdf
June 16, 2021 - How often patients are asked the same questions. … Sharing important information with patients and families. … Involving patients and families in the care planning process. … The overall safety of patient care. … Communications when patients are transferred to different units.
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www.ahrq.gov/sites/default/files/2024-01/hollingsworth-report.pdf
January 01, 2024 - Final Progress Report: Effects of Physician Social Networks on Surgical Quality, Safety, and Costs … Title: Effects of Physician Social Networks on Surgical
Quality, Safety, and Costs
Principal Investigator … We excluded claims submitted by physicians who do not
participate in direct patient care and those who … We considered an ED visit, readmission, or death to have occurred if a patient was discharged
alive … We controlled for confounders at the patient, health system, and community levels.
V.
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - It is a continuing puzzle that health care does not respond to economic and research indicators the same … So when Linda Aiken talks about it [ nursing's patient safety agenda being unfinished ], I agree with … A strong evidence base suggests that focusing on nursing would improve patient safety. … June 16, 2011
Working conditions that support patient safety. … June 9, 2011
Nursing 2006 Patient-safety survey report.
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www.ahrq.gov/sites/default/files/2024-02/green-report.pdf
January 01, 2024 - Final Progress Report: Advancing Patient Safety Implementation through Pharmacy-Based Opioid Medication … Use Research
Title: Advancing Patient Safety Implementation through Pharmacy-Based Opioid Medication … Key Words
Opioids; medication safety; naloxone; pharmacy; syringes
Scope
Background
Use and nonmedical … safety in pharmacy and community settings. … as patient safety and workplace security.
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psnet.ahrq.gov/node/850678/psn-pdf
June 14, 2023 - Implementation of this innovation resulted in improved patient safety and
quality for patients at high … Failure to identify, communicate, or act on indicators of acute deterioration of hospitalized patients … outside
of the ICU is a potentially preventable patient safety issue associated with increased mortality … Innovation Patient Safety Focus
The innovation uses an early detection alert system to identify patients … Build and maintain a shared safety culture to minimize communication gaps.
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psnet.ahrq.gov/issue/case-studies-medication-reconciliation
February 15, 2023 - September 13, 2023
Patient Safety. … May 18, 2017
Patient Safety. … January 28, 2015
Patient Safety Papers 4. … May 2, 2012
Patient Safety Papers 5. … November 10, 2010
Patient Safety Papers.
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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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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship6.html
August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Diagnostic Stewardship … Page Next Page
Table of Contents
Diagnostic Stewardship as a Model To Improve the Quality and Safety … Antimicrobial stewardship programs aim to promote optimal treatment and reduce harms to individual patients … They also provided a service to recommend diagnostic testing based on these protocols, patient history … While inappropriate transfusion may reflect mismanagement of a correctly diagnosed patient, such incidents
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www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
January 01, 2024 - Results: The chemotherapy process used at SJCRH includes multiple layers designed with
patient safety … Scope
Background
Patient safety is at the forefront of our nation’s consciousness at governmental … In response to this problem of patient safety risks, a group of 140 public and private
organizations … Patient safety
features incorporated into the order entry screens are noted parenthetically. … Check and verify the patients arm band, noting both the patient name and MRN.
2.
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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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psnet.ahrq.gov/issue/patient-who-falls-its-always-trade
February 17, 2011 - The patient who falls: "It's always a trade-off". … March 17, 2021
Surgical teams' attitudes about surgical safety and the surgical safety … November 15, 2023
Patient Safety Innovations
Preventing … April 26, 2023
Healthcare-associated adverse events in alternate level of care patients … May 12, 2010
Strategies to improve the patient safety outcome indicator: preventing or
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
September 05, 2017 - Case Report on Ambulatory Safety and Quality
PATIENT
SAFETY
CASE REPORT
IMPROVING YOUR
LABORATORY … in primary
care is an established patient safety concern. … safety citations, and Web-based resources to summarize core patient
safety practice content and improvement … : 1) patients and community
members, 2) patient safety experts, and 3) primary care clinicians and … Safety in Primary Care: Evaluating Tools for Improving Laboratory Testing
Is improving patient safety
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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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psnet.ahrq.gov/node/73187/psn-pdf
April 28, 2021 - Jt Comm J Qual Patient Saf. 2020;47(4):234-241.
doi:10.1016/j.jcjq.2020.11.008. … safety. … this study set in the Netherlands, pediatric
residents were asked to develop a contingency plan for patients … that engaging in deliberate cognitive
processing during handoffs resulted in better understanding of patients … ’ problems, which could contribute to
improved patient safety.
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psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - ) This
cultural shift requires resources to support patients and providers in a patient-centered, collaborative … Good team communication is a critical element of patient safety and should be an ongoing priority for … [Available at]
https://archive.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources … Patient Safety and Quality: An Evidence-Based Handbook for Nurses. … The role of consumers, families and the community in
patient safety: learning from experience.