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www.ahrq.gov/talkingquality/translate/scores/scoring.html
June 01, 2016 - Patient-Level “Yes or No”
A “yes or no” question is not as simple when it is a response to a survey … or a measure about whether a patient has or has not received a certain health service. … For example, a clinical process measure may address whether patients admitted to a hospital with a heart … answers can be tricky if your measure captures a negative event, such as the percentage of hospital patients … Experience indicates that in this case, saying how often a patient safety event did happen will be
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal5.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Lessons on How To Improve Future … Collaboratives
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient … work, whether to eliminate CLABSI or to address any other safety issue. … and quality challenges faced by their unit's patients. … It demonstrates how CUSP works with existing patient safety frameworks such as TeamSTEPPS®, Just Culture
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psnet.ahrq.gov/node/49454/psn-pdf
July 01, 2004 - stopped by the Data Safety and Monitoring Board on the basis of clear lack of effect. … safety associated with drotrecogin alfa (activated) is the error of omission.(14) As
with other proven … The drug's high cost, concerns about safety, and failure to recognize eligible patients are
thought … Efficacy and safety of recombinant human activated protein C
for severe sepsis. … Applying patient selection criteria for drotrecogin alfa
therapy in practice.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2012
January 01, 2012 - These cross-disciplinary cores supported projects soliciting information from patients about adverse … Interactive voice response is linked to a patient EHR to monitor patients taking these medications by … safety. … safety in the future. … of the American Informatics Association, and the Journal of Patient Safety.
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psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
June 27, 2018 - Eisenberg Patient Safety and Quality Awards. … April 19, 2017
Patient Safety and Adverse Events. … February 27, 2019
Patient Safety and Adverse Events. … May 3, 2017
The Economics of Patient Safety: Strengthening a Value-based Approach to … December 7, 2016
Special Section on Patient Safety and Quality in Healthcare.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Masica_112.pdf
November 30, 2010 - • Determine whether a structured MTM program focused on patient safety increases patient
satisfaction … The primary outcome of ADEs reflects the study focus on patient safety. … • Construct an MTM intervention that promotes patient safety. … Study outcomes (Table 3) are all linked to patient safety. … The
optimal design of MTM programs for improving patient safety remains unclear.
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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/antibiotic-use/improve/program-part1-slides.pptx
November 01, 2019 - Bridge to executive leadership Ideally trained in infectious diseases
Interest in antibiotic use and patient … in development of guidelines and policies
Endorse guidelines in their practice
Perform consults for patients … with complicated infectious disease problems or for patients receiving certain antibiotics
Their buy-in … compliance with quality metrics while ensuring rational antibiotic use (e.g., Sepsis Core Measure)
Patient … Review materials for patient and health care worker education regarding optimal antibiotic prescribing
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psnet.ahrq.gov/node/49426/psn-pdf
November 01, 2003 - Per the hospital’s safety protocol, the planned lumbar puncture was put
on hold because of her agitation … The patient received IV magnesium sulfate immediately. … whether such a
protocol was appropriate and whether it provides the best balance of effectiveness and safety … If sedation is truly urgent for medical or safety reasons, use IV push haloperidol but attempt to keep … Efficacy and safety of IM ziprasidone vs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
September 01, 2005 - Comprehensive patient safety programs in health care
settings. … Patient safety: achieving a new standard for
care. … Ambulatory
patient safety. What we know and need to know. … Patient safety:
achieving a new standard for care. … Applied strategies for improving patient
safety.
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psnet.ahrq.gov/node/33676/psn-pdf
November 01, 2008 - RW: What do you think the broader field of patient safety should be learning from your own research and … SS: Well, I think that infection prevention in many ways is a paradigm for patient safety, at least for … certain
aspects of patient safety research. … For many patient safety problems, that type of applied epidemiological approach is appropriate:
falls … On the other hand are other patient safety problems that are much more rare
and get a lot more attention
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psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition
May 13, 2009 - December 5, 2018
Patient Safety, 2nd edition. … May 13, 2015
Improving Usability, Safety and Patient Outcomes With Health Information … December 6, 2017
Medication governance: preventing errors and promoting patient safety … November 5, 2013
Using the ABCs of situational awareness for patient safety. … June 6, 2012
Keeping Patients Safe: Transforming the Work Environment of Nurses.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
July 25, 2023 - Care,
Founding Member,
Patients For Patient
Safety US
Cammie Chaumont Menendez,
MS, MPH, PhD
Research … Customer/client/patient
III. Coworker
IV. … Customer/client (this includes a patient), the perpetrator does have a valid purpose with the business … and health of workers and patients or clients, all are needed and everyone has a role to play. … The course covers identifying workplace violence, risk factors for both patient-based (or client-based
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - The recent Joint Commission National Patient Safety Goal on clinical alarm safety highlighted the complexities … Default settings are useful when patients first arrive on a unit; they can act as a safety net by detecting … The Joint Commission announces 2014 National Patient Safety Goal. … Many of those patients are also on cardiac monitors, and there are fewer nurses per patient. … Barbara Drew, RN, PhD
May 1, 2016
Alarm fatigue: impacts on patient safety.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/vaccine-safety_disposition-comments.pdf
January 01, 2020 - statistical
significance, unless they can state with certainty that
the vaccine alone truly protects the patient … In addition, nothing is known
about the patient factors which may influence the effect
of the vaccine … 1 Research
Gaps—Page
129 line 43
Please change to: “Large scale studies may help to
determine patient … other AEs reported
(regardless of whether they were pre-specified
or mentioned spontaneously by the patient … Patients
received either a single dose of Zostavax or placebo.
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psnet.ahrq.gov/web-mm/which-end-which
February 09, 2011 - first few years, many surgeons misidentified structures and as a result injured the common bile duct in patients … On average, patients have an ileus that is much shorter with the laparoscopic procedure than with open … safety imperative. … January 15, 2014
Patient safety, resident well-being and continuity of care with different … January 27, 2019
Impact of diagnosis-timing indicators on measures of safety, comorbidity
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psnet.ahrq.gov/node/850917/psn-pdf
June 21, 2023 - Improving safety outcomes through medical error
reduction via virtual reality-based clinical skills … Improving safety outcomes through medical error reduction via
virtual reality-based clinical skills … Safety Sci. 2023;165:106200. doi:10.1016/j.ssci.2023.106200. … https://psnet.ahrq.gov/issue/improving-safety-outcomes-through-medical-error-reduction-virtual-reality … effectiveness-using-simulation-development-clinical-reasoning-undergraduate-nursing-students
https://psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
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psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - January 22, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news … Maintaining hand hygiene is a critical safety activity for patients, families, and healthcare workers … Commentary
AI: promise or peril for patient safety. … Patients for Patient Safety US (PFPS-US) is a patient- and family-led organization to improve healthcare … safety, equitable healthcare, and patient outcomes.
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - 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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psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety-hospitals
March 18, 2013 - safety in hospitals: a retrospective patient record review study. … Comparing adverse event reports from patients who died in the hospital versus patients discharged alive … A retrospective patient record review study of changes to patient safety over time. … November 3, 2015
What are the safety risks for patients undergoing treatment by multiple … June 17, 2015
Role of relatives of ethnic minority patients in patient safety in hospital