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Showing results for "patient safety indicators".
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  1. Association of state-level opioid-reduction policies with pediatric opioid poisoning. | PSNet

    psnet.ahrq.gov/issue/association-state-level-opioid-reduction-policies-pediatric-opioid-poisoning
    September 09, 2020 - safety collaborative. … January 27, 2019 Association of patient and family reports of hospital safety climate … October 14, 2020 The problem with making Safety-II work in healthcare. … safety. … CDC guideline for opioid prescribing associated with reduced dispensing to certain patients

  2. Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/association-between-clinic-opioid-administration-and-discharge-opioid-prescription-urgent
    May 19, 2021 - Opioid use is an ongoing patient safety concern. … September 1, 2021 Association of implementation and social network factors with patient … safety culture in medical homes: a coincidence analysis. … September 2, 2020 View More Related Resources Patient … Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of

  3. Day of discharge does not impact hospital readmission after major cardiac surgery. | PSNet

    psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
    October 16, 2019 - Studies have demonstrated worse clinical outcomes for patients admitted to the hospital on weekends … This retrospective study found that patients undergoing elective cardiac surgery who were discharged … Download Citation Related Resources From the Same Author(s) Factors affecting patient … April 10, 2024 The top patient safety strategies that can be encouraged for adoption … December 18, 2017 Reporting and classification of patient safety events in a cardiothoracic

  4. A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. | PSNet

    psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
    December 20, 2023 - also introduced threats to patient safety . … In this qualitative analysis, researchers explored factors contributing to HIT-related patient safety … Of all incidents, 20% led to patient harm. … February 5, 2020 Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator … for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe

  5. Discrepancies between home medications listed at hospital admission and reported medical conditions. | PSNet

    psnet.ahrq.gov/issue/discrepancies-between-home-medications-listed-hospital-admission-and-reported-medical
    November 03, 2021 - August 4, 2021 Patient safety, satisfaction, and quality of hospital care: cross sectional … surveys of nurses and patients in 12 countries in Europe and the United States. … process for elderly patients. … safety by creating a house staff quality council. … process for elderly patients.

  6. Section 2: Why Improve Patient Experience? | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/quality-improvement/improvement-guide/2-why-improve/index.html
    February 01, 2020 - returning test results and gaps in communication that may have broad implications for clinical quality, safety … indicators, making it good for business as well as for patients. … Relationship quality is a major predictor of patient loyalty; one study found patients reporting the … A systematic review of evidence on the links between patient experience and clinical safety and effectiveness … Mortality among patients with acute myocardial infarction: The influences of patient-centered care and

  7. Pharmacy-driven performance improvement initiative to increase compliance with intravenous smart pump drug error reduction systems at a large urban academic medical center. | PSNet

    psnet.ahrq.gov/issue/pharmacy-driven-performance-improvement-initiative-increase-compliance-intravenous-smart-pump
    September 23, 2020 - September 23, 2020 Using smart IV infusion pumps outside of patient rooms. … and patient-reported outcomes during treatment with new oral anticancer agents. … March 4, 2015 Patient care, square-rigger sailing, and safety. … Technology as a Tool for Improving Patient Safety March 29, 2023 … hazards associated with intravenous vancomycin through the analysis of patient safety event reports.

  8. Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach. | PSNet

    psnet.ahrq.gov/issue/strategies-prevent-missed-nursing-care-international-qualitative-study-based-upon-positive
    May 18, 2022 - the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients … May 18, 2022 Burnout and its relationship to self-reported quality of patient care and … nurses are away from patients? … October 20, 2021 Can patients contribute to enhancing the safety and effectiveness of … Perspective Surveillance Monitoring to Improve Patient

  9. The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. | PSNet

    psnet.ahrq.gov/issue/effect-computerised-decision-support-alerts-tailored-intensive-care-administration-high-risk
    October 18, 2023 - Same Author(s) Adverse drug events caused by three high-risk drug-drug interactions in patients … 6, 2019 The impact of computerized physician medication order entry in hospitalized patients—a … safety. … September 6, 2023 Patient Safety Innovations Remote Response … Annual Perspective Technology as a Tool for Improving Patient

  10. Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. | PSNet

    psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19
    April 29, 2020 - April 29, 2020 Progress Made Towards Improving Opioid Safety, But Further Efforts to … Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient … December 9, 2020 Patient Options for Safe and Effective Disposal of Unused Opioids. … May 4, 2016 Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices … April 27, 2016 Approaches and Challenges to Electronically Matching Patients' Records

  11. Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. | PSNet

    psnet.ahrq.gov/issue/hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary
    May 21, 2019 - May 21, 2019 Crossing academic boundaries for diagnostic safety: 10 complex challenges … November 18, 2015 Encouraging patients to speak up about problems in cancer care. … Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient … interventions to improve emotional climate, indices of team skills and communication, and threat to patient … cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient

  12. Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. | PSNet

    psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after
    April 11, 2011 - concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients … April 11, 2011 Patient safety event reporting expectation: does it influence residents … March 22, 2017 Understanding patient-centred readmission factors: a multi-site, mixed-methods … January 24, 2024 Medicines safety in anaesthetic practice. … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients

  13. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
    October 27, 2014 - Safety Indicators (PSIs) 18 and 19. … /quality-patient-safety/pfp/hacrate2011-12.html http://www.ahrq.gov/professionals/quality-patient-safety … Advancing patient safety in the U.S. Department of Veterans Affairs. … Patient safety and quality: an evidence-based handbook for nurses. … Eisenberg Patient Safety and Quality Awards.

  14. Race, ethnicity, and 60-day outcomes after hospitalization with COVID-19. | PSNet

    psnet.ahrq.gov/issue/race-ethnicity-and-60-day-outcomes-after-hospitalization-covid-19
    January 12, 2022 - study used registry data to examine racial and ethnic disparities in post-discharge outcomes among patients … Findings indicate that Black patients may be more vulnerable to COVID-19-related complications (e.g., … September 16, 2020 Patient safety culture in assisted living: staff perceptions and association … November 30, 2022 The effect of medication reconciliation via a patient portal on medication … April 5, 2023 Exploring changes in patient safety incidents during the COVID-19 pandemic

  15. Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. | PSNet

    psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training-program-improves
    August 18, 2010 - Jt Comm J Qual Patient Saf. 2010;36(9):424-429, 385. … Jt Comm J Qual Patient Saf . 2010; 36 (9) :424-429, 385 . … Jt Comm J Qual Patient Saf. 2010;36(9):424-429, 385. … June 27, 2011 Use of the Safety Attitudes Questionnaire as a measure in patient safety … Safety (TOPS) experience.

  16. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. | PSNet

    psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study
    December 21, 2014 - Pharmacist involvement in inpatient care is a proven strategy to improve safety, and a pharmacist-led … April 10, 2024 Development of patient safety measures to identify inappropriate diagnosis … February 3, 2016 Impact of a pharmacist on medication reconciliation on patient admission … August 24, 2011 A comprehensive pharmacist intervention to reduce morbidity in patients … process for elderly patients.

  17. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/ereports.html
    December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Electronic Reports … Clinicians report that indicators of an increase in behaviors or change in types of behaviors from the … If yes, could these indicators have been identified before the ulcer developed?

  18. Appendix R. Infection Prevention Support Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiapr.html
    April 01, 2018 - Once your patient specific data has been uploaded, you must load that patient information into the data … retrospective cohort of procedures, including associated SSI as defined by the National Healthcare Safety … cohort, as well as in non-cohort patients. … arthroplasty, abdominal and vaginal hysterectomy, spinal fusion, craniotomy, and herniorrhaphy at a safety … group. 3 This tool is available upon request from the research team. 4 The National Healthcare Safety

  19. Innovations | PSNet

    psnet.ahrq.gov/innovations
    February 26, 2025 - Innovations The PSNet Innovations page highlights pioneering advances that can improve patient safety … safety improvement recently published in the peer-reviewed literature. … (1) Patient Safety Indicators (3) Human Factors Engineering … with the goal of improving patient safety on a single topic across multiple facilities. … , and families could improve patient safety.

  20. Quality Improvement in Action Slides

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
    April 01, 2022 - CAUTI QI in Action ׀ 8 Hospital Survey on Patient Safety: ICU Results Dimensions of Concern Staffing … Unit Data ICU Assessment Hospital Survey on Patient Safety Culture (HSOPS) Safety Attitudes Questionnaire … (SAQ) Manchester Patient Safety Assessment Framework (MaPSaF) Other – Please specify source: Process … safety Staff eagerness to understand how to do PDSAs NOTE: Use the ICU Assessment and patient safety … CAUTI Event Report Template. http://www.ahrq.gov/professionals/quality-patient-safety/hais/cauti-tools
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