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3541. Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care. | PSNet
      psnet.ahrq.gov/issue/are-we-heeding-warning-signs-examining-providers-overrides-computerized-drug-drug-interaction
      September 01, 2016 - More than 30% of alert overrides were considered inappropriate and put patients at significant risks … This study suggests that medication alert overrides will likely remain an important source of patient … Related Resources Adherence to drug–drug interaction alerts in high-risk patients … May 19, 2014 Patient safety, error reduction, and pediatric nurses' perceptions of smart … View More See More About The Topic Hospitals Physicians Quality and Safety

3542. COVID-19 Surges Tied to Higher Risks for All Hospital Patients, AHRQ Study Finds | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/942.html
      December 01, 2024 - Highlights From AHRQ’s Patient Safety Network . AHRQ in the Professional Literature . … COVID-19 patient loads faced increased adverse events for all patients, an AHRQ study showed.  … surges impacted overall patient safety. … Highlights From AHRQ’s Patient Safety Network AHRQ’s Patient Safety Network (PSNet) highlights journal … articles, books and tools related to patient safety.

3543. Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-facilitator-guide.pdf
      November 01, 2019 - As a reminder, Moment 1 asks: Does my patient have an infection that requires antibiotics? … Slide 3 The Four Moments of Antibiotic Decision Making SAY: Moment one is: Does my patient … Slide Moment 2: Diagnosis of Type of Cellulitis SAY: It is important to assess whether the patient … Baseline patient and lesion characteristics were similar—8 percent had prior methicillin-resistant … If a patient is not improving by day 3, it is important to reassess.

3544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49662/psn-pdf
      August 01, 2012 - These four safety procedures (Table 3 ) minimize inadvertent insertion of the PEG tube through intervening … review of 28 such cases, 16 occurred after PEG replacement; thus, it is important to follow standard safety … safety procedures, and proper post-procedural care, especially while the PEG tract matures. … Rachel Sorokin, MD Chief Patient Safety and Quality Officer Thomas Jefferson University Hospital https … PEG Insertion Safety Procedures. Four PEG Insertion Safety Procedures 1. Insufflate stomach 2.

3545. Bringing Quality Measurement to the Point of Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs017059-wu-final-report-2010.pdf
      January 01, 2010 - Characterize provider attitudes and measure provider satisfaction with performance indicators 4. … Patient Goal Body Mass Index Patients 18+ BMI recorded in past 24 months Breast Cancer Screen … 50+ Patient received flu shot from the most recent September 1 For each practice, 120 patients age … with their current methods Functionality % Keeping medication lists 53.1% Monitoring medication safety … Easier % of Respondents: No Change % of Respondents: More Difficult Monitoring medication safety

3546. Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
      August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Pediatric Diagnostic Safety … Diagnostic Safety Research Priorities and Opportunities The Future of Pediatric Diagnostic Safety … clinicians “develop a partnership of mutual responsibility and trust.” 59 Such partnerships model patient … pressures for the recognition and treatment of life-threatening illness as well as those related to patient … Aggregating cases with similar diagnostic process failures may allow patient safety leaders to implement

3547. New Scorecard Report on the U.S. Primary Care System | The Academy
      integrationacademy.ahrq.gov/news-and-events/news/new-scorecard-report-us-primary-care-system
      June 24, 2025 - Education & Workforce Policy & Financing Clinicians Patients … Ultimately, an unproductive primary care system jeopardizes the health and safety of every community. … 45% of PCPs surveyed reported burnout; of these PCPs, 39% indicated that they planned to stop seeing patients … The 2025 Primary Care Scorecard Data Dashboard provides state-specific data on primary care indicators … Primary Care Physicians Plan to Stop Seeing Patients. doi:10.26099/EVWB-8T35 Callaghan KA.

3548. About the Toolkit Development | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/cauti-hospitals/toolkit-about.html
      March 01, 2018 - Complications associated with CAUTI result in increased length of stay, patient discomfort, excess health … with State organizations and hospitals across the country to implement the Comprehensive Unit-based Safety … included— Health Research & Educational Trust Johns Hopkins Medicine Armstrong Institute for Patient … Safety and Quality Michigan Health & Hospital Association Keystone Center for Patient Safety & Quality

3549. Info FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/faqs/index.html?page=20
      January 01, 2015 - of 274 Search FAQS Filter by Categories - Any - Accessibility AHRQ Quality Indicators … Centers (EPCs) Freedom of Information Act (FOIA) Funding & Grants Guidelines Health Care Information for Patients … Safety Network (PSNet) Patient Safety Organizations (PSOs) Permissions Primary Care Practice-Based Research … Women's Health) Publications & Research Quality Measures SafetyNet StateSnapshots/NHDRQRnet Surveys on Patient … Safety Culture TalkingQuality TeamSTEPPS Technology Assessments U.S.

3550. Healthcare staff wellbeing, burnout, and patient safety: a systematic review. | PSNet
      psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review
      November 13, 2024 - Review Healthcare staff wellbeing, burnout, and patient safety: a systematic review … Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. … Many experts have raised concerns that increasing clinician burnout will hinder patient safety. … Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. … patients' views and experiences.

3551. Delineation of risk through the exploration of a culture of safety in community home health. | PSNet
      psnet.ahrq.gov/issue/delineation-risk-through-exploration-culture-safety-community-home-health
      December 04, 2016 - for patient safety. … January 25, 2023 Safety of care by caregivers of cancer patients. … February 6, 2013 Patient safety culture in home care: experiences of home-care nurses … to patient safety? … February 6, 2008 Improving Patient Safety.

3552. Incident learning in radiation oncology: a review. | PSNet
      psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
      October 14, 2020 - Learning from adverse events is a core component of patient safety improvement. … July 2, 2009 Assessing the relationship between patient safety culture and EHR strategy … safety climate and patient satisfaction. … September 27, 2016 Society of Interventional Radiology IR Pre-Procedure Patient Safety … March 4, 2015 A checklist to improve patient safety in interventional radiology.

3553. Comparing perspectives on organisational silence: an analysis of the Gosport inquiry. | PSNet
      psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry
      September 29, 2021 - I and safety II. … December 23, 2008 Patient safety: it's not just carefulness, it's a culture. … May 4, 2019 Cybersecurity in health is an urgent patient safety concern: we can learn … from existing patient safety improvement strategies to address it. … February 3, 2021 Implementing patient safety and quality improvement in dermatology.

3554. HomeNet: ensuring patient safety with medical device use in the home. | PSNet
      psnet.ahrq.gov/issue/homenet-ensuring-patient-safety-medical-device-use-home
      June 18, 2014 - Commentary HomeNet: ensuring patient safety with medical device use in the home. … HomeNet: ensuring patient safety with medical device use in the home. … HomeNet: ensuring patient safety with medical device use in the home. … July 21, 2021 Safety of care by caregivers of cancer patients. … January 5, 2017 Safety risks associated with physical interactions between patients and

3555. Centers for Medicare & Medicaid Services Special Study – Pilot Testing of Electronic Prescribing Standards | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/centers-medicare-medicaid-services-special-study-%E2%80%93-pilot-testing-electronic
      January 01, 2023 - Safety This project, part of five grants awarded by the Agency for Healthcare Research … In addition, the study evaluated the impact of e-prescribing on workflow, patient safety, and drug utilization … To measure the impact of electronic prescribing on patient safety and drug utilization in those practices … There was major concern about patient identity matching. … The evaluation indicated that e-prescribing has a positive effect on patient safety.

3556. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39786/psn-pdf
      August 25, 2010 - trend-analysis-radiation-therapy-incidents-over-seven-years Analysis of voluntary error reports indicated a decrease in safety … trend-analysis-radiation-therapy-incidents-over-seven-years https://psnet.ahrq.gov/primer/reporting-patient-safety-events

3557. Monitoring Ventilator-Associated Events: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-slides.html
      February 01, 2017 - Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Monitoring … exhibits at least one of these indicators of worsening oxygenation: Daily minimum PEEP values increase … Patient admitted late in the day. … Slide 22: AHRQ Safety Program for Mechanically Ventilated Patients VAE: An Objective Outcome Measure … Slide 27: AHRQ Safety Program for Mechanically Ventilated Patients Diagnosing A Potential VAC Slide

3558. Patient Safety Executive Walkarounds (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
      April 01, 2004 - Patient Safety Executive Walkarounds 223 Patient Safety Executive Walkarounds Suzanne Graham, John … To lead patient safety improvements, medical leadership must give patient safety the attention and focus … to patient safety (e.g., obtaining input from staff/physicians regarding patient safety, developing … Patient Safety Executive Walkarounds 229 Evaluations Because transformation of the patient safety … percent responded that they have a better understanding of patient safety and the KP patient safety

3559. AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Medical-Office-Users-Guide-2021.pdf
      January 01, 2021 - ON PATIENT SAFETY CULTURE PATIENT SAFETY AHRQ Medical Office Survey on Patient Safety Culture … current status of patient safety culture,  Identify strengths and areas for patient safety culture … Patient Safety Culture Composites The Medical Office Survey on Patient Safety Culture emphasizes patient … Patient Safety Culture Composite and Definitions Patient Safety Culture Composite Definition: The … Patient Care Tracking/Followup The office reminds patients about appointments, documents how well patients

3560. Issue Brief - 10 16 06 v4.pub (Read-Only) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/ImprovingQualityofHealthcareThruHIE.pdf
      January 01, 2007 - Interest in improving quality and safety, inefficiencies experienced by providers, and rising healthcare … improving quality" as a significant driver of their HIE efforts, while 82 percent cited "improving safety … , 70 percent cited "inefficiencies experienced by providers who need information to support patient … and a technical infrastructure to support secure electronic information sharing while protecting patient … eHI engages multiple stakeholders, including clinicians, consumer and patient groups, employers, health