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Showing results for "patient safety indicators".
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4401. State Variation in Inpatient Stays Involving Sepsis, 2021 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb310-state-variation-sepsis-2021.pdf
      January 01, 2021 - Figure 3 shows the percentages by patient population (nonmaternal adult patients 65 years and older, … nonmaternal adult patients 18-64 years, patients with maternal conditions, children aged 28 days - … 17 years (pediatric patients), and neonatal patients aged 0-27 days). … Umscheid, M.D., M.S., Director Center for Quality Improvement and Patient Safety (CQuIPS) Agency … Safety (CQuIPS) Agency for Healthcare Research and Quality (AHRQ) 5600 Fishers Lane Rockville

4402. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/014-ss-cleaning.pptx
      April 01, 2025 - 7 Patients With MRSA Contaminate the Operating Room (OR)4 Kanamori et al., 2020 Studied microbial … burden in the OR environment during surgery for 10 patients on contact precautions for clinical isolates … Patient room must be sealed, including doors, windows, and vents. … SSI underwent revision of sternal wound midday Two other patients scheduled for surgery later in that … Evaluating hygienic cleaning in health care settings: what you do not know can harm your patients.

4403. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
      August 01, 2022 - Internal Safety Culture Assess your internal patient safety culture to evaluate whether patient safety … For example, does your facility review patient safety events openly and share lessons learned? … What type of organizational response plan is available for serious patient safety events? … Patient Safety Culture Assessment Items Does this exist at your organization? … Does your facility review patient safety events openly and share lessons learned?

4404. National costs of the medical liability system. | PSNet
      psnet.ahrq.gov/issue/national-costs-medical-liability-system
      May 20, 2015 - Related Resources Evaluation of policies limiting opioid exposure on opioid prescribing and patient … pain in opioid-naive patients undergoing elective surgery in a large American health system. … Combined impact of Medicare's hospital pay for performance programs on quality and safety … February 14, 2017 The long road to patient safety: a status report on patient safety … February 3, 2011 How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative

4405. Awareness of diagnosis and follow up care after discharge from the emergency department | PSNet
      psnet.ahrq.gov/issue/awareness-diagnosis-and-follow-care-after-discharge-emergency-department
      July 07, 2010 - addition to discharge summaries ) upon discharge from Australian emergency departments would improve patient … short discharge card, indicated statistically significant improvement (73.2% to 89.7%, p<0.001) in patient … July 7, 2010 Surgical safety checklist: implementation in an ambulatory surgical facility … to enhancing the safety and effectiveness of test-result follow-up? … safety.

4406. Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019. | PSNet
      psnet.ahrq.gov/issue/accuracy-emergency-department-clinical-findings-diagnosis-coronavirus-disease-2019
      September 09, 2020 - Findings indicate that physician clinical judgement was generally accurate and that certain patient characteristics … Download Citation Related Resources From the Same Author(s) When safety … The emergency department trigger tool: a novel approach to screening for quality and safety … September 30, 2020 The impact of the COVID-19 pandemic on Emergency Department visits and patient … safety in the United States.

4407. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/disparities-quality-improvement_research-protocol.pdf
      February 23, 2012 - As health care systems, disparity indicators, and groups subject to disparities vary geographically, … papers will be limited to studies of patients within the U. … The target group must comprise individuals with one of more of the disparity indicators. … Studies must include: (a) members of a target population as defined by one or more of the following indicators … outcomes for individuals and populations.14 Improvement of quality: Broadly defined to include the safety

4408. Diabetes Mellitus (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/diabetes-horizon-scan-high-impact-1406.pdf
      September 26, 2014 - for calibrating the CGM (as applicable) and checking sensor performance as needed plus associated reagents … Patients and their diabetes care teams work to adjust patient insulin dosages using feedback from a … health outcomes, citing safety concerns and limited efficacy data. … Summary of safety and effectiveness data (SSED). MiniMed 530G system. P120010. … Efficacy and safety of insulin degludec in a flexible dosing regimen vs insulin glargine in patients

4409. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/sands.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Reforming the Medical Liability System in Massachusetts … It includes hospitals, provider organizations, patient advocacy and safety organizations, insurers, and … The primary goal of the approach is to improve safety for patients, while an added benefit is a reduction … The DA&O approach benefits patient safety by encouraging open discussion of error, leading to improved … Sands, MD, MPH, Chief Patient Safety Officer, Healthcare Corporation of America, Nashville, TN.

4410. Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. | PSNet
      psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first
      December 21, 2014 - training initiative found positive perceptions of the impact on teamwork, communication, efficiency, and patient … safety. … interventions to improve emotional climate, indices of team skills and communication, and threat to patient … September 3, 2011 Use of the Safety Attitudes Questionnaire as a measure in patient safety … April 24, 2011 The relationship of the emotional climate of work and threat to patient

4411. Using medicolegal data to support safe medical care: a contributing factor coding framework. | PSNet
      psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding-framework
      April 03, 2024 - Human factors and patient safety contexts are important to consider when investigating root causes … The approach enhanced identification of process weakness to inform safety improvement work. … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … safety. … June 14, 2017 E-collection: Safety and Error Prevention in Health.

4412. Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. | PSNet
      psnet.ahrq.gov/issue/realizing-e-prescribings-potential-reduce-outpatient-psychiatric-medication-errors
      November 12, 2014 - Electronic prescribing is associated with improvements in medication safety, but it can also introduce … November 9, 2022 Adverse safety events in emergency medical services care of children … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … safety. … July 17, 2024 Ethical considerations and patient safety concerns for cancelling non-urgent

4413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49500/psn-pdf
      January 01, 2006 - The patient was discharged with a diagnosis of viral syndrome after receiving one dose of acetaminophen … children (younger than 19 years) presented with acetaminophen hepatotoxicity, with 62 of 63 suicidal patients … Safety Strategies A number of safety interventions could prevent future acetaminophen overdoses, and … An assessment of the safety of pediatric ibuprofen. … Outcome of acetaminophen overdose in pediatric patients and factors contributing to hepatotoxicity.

4414. Program-Dev-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Developing an Antibiotic Stewardship Program … The patient was started on ciprofloxacin that night. … These are all opportunities for improvements in the system that may have led to a poor outcome for this patient … Slide 15 Baseline Data Collection SAY: After reviewing patient charts and obtaining your baseline … A reduction in adverse events means improved resident safety and sometimes cost savings.

4415. Optimizing Safety of Mother and Neonate in a Mixed Methods Learning Laboratory | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/optimizing-safety-long-desc.html
      June 01, 2020 - The specific aims were to: Study how flow of communication may affect patient safety. … Examine how physical design elements may affect patient safety. … Develop a systematic method to study patient safety using a stepwise approach of problem analysis through … Patient Safety Learning Laboaratories In-Person Meeting Report: Design, Evaluate, Transform. … Patient Safety Learning Laboaratories In-Person Meeting Report. AHRQ, Rockville, MD, 2017. AFYA.

4416. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/haccost2017.html
      November 01, 2017 - Multiple Federal initiatives in patient safety highlight the need for better understanding of additional … These values will assist Federal efforts to track progress on improving patient safety and eliminating … AHRQ is pursuing a variety of measurement-related activities for improving patient safety and outcomes … Indicators (PSIs) were used to inform public health surveillance and reimbursement decisions. … These estimates can then inform patient safety and quality improvement efforts to measure success in

4417. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
      August 01, 2009 - Nurse Staffing and Patient Care Quality and Safety. In: Hughes RG, ed. … Patient Safety and Quality: An Evidence-Based Handbook for Nurses. … collecting standardized measures of nurse staffing, including: National Database of Nursing Quality Indicators … , competencies, and experience of nurses on unit Recommended patient-to-nurse ratios: 4-5 patients … critically ill patients, the same nurse volunteered to admit the new patient

4418. Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
      January 01, 2023 - SAFETY AND PATIENT SAFETY TARGET 24 Approaches to Improving Patient Safety (1) Procedural sedation … events and unfavorable patient outcomes. 25 Approaches to Improving Patient Safety: Number of … depression.24 33 Approaches to Improving Patient Safety: Monitoring During Procedural Sedation … Look-Alike, Sound-Alike Medication Names: Patient Safety Solutions, Volume 1, Solution 1, May 2007. … Closing the communication loop: using readback/hearback to support patient safety.

4419. Part 3: National Quality Strategy Priority—Care Coordination | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs4.html
      June 01, 2018 - Quality Strategy—National Quality Strategy Priorities Part 3: National Quality Strategy Priority—Patient … Safety Part 3: National Quality Strategy Priority—Person- and Family-Centered Care Part 3: National … Utilization Project, State Inpatient Databases, 2013 quality and disparities analysis file, and AHRQ Quality Indicators … Provider Ability To Share Medical Information Electronically Patients who reported that it was very … Patient Electronic Access to Medical Information Patients who reported that it was very important for

4420. US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. | PSNet
      psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016
      January 23, 2017 - Despite widespread efforts to curb opioid prescribing , opioid misuse remains a patient safety crisis … safety. … safety concern. … January 23, 2017 Addressing mistreatment of providers by patients and family members … as a patient safety event.