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Showing results for "patient safety indicators".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49857/psn-pdf
    March 01, 2019 - safety incidents, with 24% resulting in patient harm.(3) Insulin errors are reported across all phases … A prospective, observational study found 178 medication errors in 192 patients over 28 observed provider … shifts.(6) At least one error occurred in almost 60% of patients (37% reaching the patient), most often … Insulin, hospitals and harm: a review of patient safety incidents reported to the National Patient Safety … contributors Undifferentiated and unfamiliar patients Minimal past medical history or information

  2. Overnight stay in the emergency department and mortality in older patients. | PSNet

    psnet.ahrq.gov/issue/overnight-stay-emergency-department-and-mortality-older-patients
    March 05, 2025 - December 23, 2020 Is the Surgical Safety Checklist successfully conducted? … WebM&M Cases Delayed Evaluation of Abdominal Pain in an Elderly Patient … Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient … June 30, 2021 Analysis of risk factors for patient safety events occurring in the emergency … July 21, 2011 The effects of emergency department staff rounding on patient safety and

  3. Health care-associated infections among critically ill children in the US, 2007-2012. | PSNet

    psnet.ahrq.gov/issue/health-care-associated-infections-among-critically-ill-children-us-2007-2012
    April 05, 2013 - The authors estimate that the decrease in CLABSI rates alone not only enhanced patient safety but also … January 19, 2022 Linking patient safety climate with missed nursing care in labor and … May 20, 2020 For children admitted to hospital, what interventions improve medication safety … March 1, 2023 View More Related Resources Patient Safety Authority … See More About The Topic Hospitals Health Care Executives and Administrators Safety

  4. eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds. | PSNet

    psnet.ahrq.gov/innovation/esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-decision-support
    June 16, 2021 - Checklists are used in many clinical settings to improve patient safety, but prior research as documented … Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of … Cancer July 31, 2023 Understanding medication safety involving patient transfer … June 7, 2023 Patient Safety Innovations Remote Response … Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department April 7,

  5. Hand Hygiene (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/hand-hygiene-checklist.pdf
    January 03, 2014 - Before touching a patient 2. Before clean/aseptic procedure 3. After body fluid exposure 4. … After touching a patient 5. … After contact with a patient with known Clostridium difficile infection. … Before and after touching the patient B. … WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care is Safer

  6. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
    January 01, 2024 - Nursing Facility Patient Safety Survey: Recognizing that patient safety has received less attention in … staff and patients. … Poster presentation at the National Patient Safety Foundation 14th Annual Patient Safety Congress; 2012 … Improving nursing home patient safety in Maine: A review of the AHRQ Patient Safety Culture Survey implementation … Quality indicators for geriatric emergency care. Acad Emerg Med. 2009 May;16(5):441-9. 20.

  7. Final Progress Report: California Intensive Care Outcomes (CALICO) Project Final Report (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/dudley-report.pdf
    January 01, 2025 - safety improvement. … Patient Selection, Gender and Minority Inclusion, and Data Quality Eligible patients were adults (18 … safety deficiencies and condition-specific mortality performance indicators (i.e., risk-adjusted mortality … Quality and safety in the intensive care unit. J Intensive Care Med 2006;21:199-210. 3. … Qualitative review of intensive care unit quality indicators. J Crit Care 2002;17:1-12. 44.

  8. Chapter 2 | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/resources/vision/resources/vision2.html
    October 01, 2002 - the need to evaluate models of vision rehabilitation to determine their effectiveness for different patient … Although ecological evaluations (i.e., evaluations in which the rehabilitation professional observes the client … It focuses on functional rather than clinical indicators of vision problems. 34 The VF-14, a brief … However, in most cases, rehabilitation teachers use less formal, subjective assessments of their clients … on the short- or long-term effectiveness of orientation and mobility techniques or on the degree of safety

  9. AHRQ Safety Program for MRSA Prevention

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptx
    October 01, 2022 - Ensuring that every patient gets: An antibiotic only when one is needed The right agent At the right … Focus on the common goals of quality care and the welfare of the patient. … Why do you want to keep giving the patient antibiotics that are hurting his kidneys just because you’ … It’s great that the patient is now doing so much better.” … Association of adverse events with antibiotic use in hospitalized patients.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836843/psn-pdf
    April 07, 2022 - esimpler-dynamic-electronic-health-record-integrated-checklist-clinical- decision-support Checklists are used in many clinical settings to improve patient … safety, but prior research as documented challenges related to provider fatigue related to checklist … rates were similar to eSIMPLE, but that the enhanced checklist required less time to complete per patient

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33591/psn-pdf
    March 15, 2025 - safety field. … Triggers alert patient safety personnel to possible adverse events so they can review the medical record … Therefore, pharmacists and patient safety personnel could use that trigger to identify cases that may … and patients with cancer. … https://psnet.ahrq.gov/primer/measurement-patient-safety https://psnet.ahrq.gov/primer/measurement-patient-safety

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49741/psn-pdf
    September 01, 2015 - emergency department (ED) visits, comprising more than 11% of all visits in 2008.(1) In 2011, 54% of patients … Patients may actually present with right upper quadrant pain. … with abdominal pain without introducing any negative effect on safety. … Consultation with an obstetric specialist should be strongly considered in patients with abdominal pain … The effects of safety checklists in medicine: a systematic review.

  13. Pharmacy-led medication reconciliation is best practice. | PSNet

    psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-best-practice
    September 30, 2020 - September 20, 2023 Pharmacy leadership amid the pandemic: maintaining patient safety … 11, 2024 Impact of pharmacist-led discharge medication reconciliation on error and patient … July 17, 2024 Impact of pharmacist-led admission medication reconciliation on patient … Interdisciplinary collaboration across secondary and primary care to improve medication safety … November 30, 2022 Criteria for the selection of paediatric patients susceptible to reconciliation

  14. Effects of sleep inertia on cognition. | PSNet

    psnet.ahrq.gov/issue/effects-sleep-inertia-cognition
    April 21, 2021 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … May 20, 2019 Computerized prescriber order entry–related patient safety reports: analysis … July 23, 2010 The effects of work-hour limitations on resident well-being, patient care … July 10, 2008 Perceived impact of duty hours limits on the fragmentation of patient care … View More See More About The Topic Physicians Risk Managers Quality and Safety

  15. Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-items.pdf
    January 01, 2015 - Survey on Patient Safety Culture are grouped according to the safety culture composites they are intended … We feel rushed when taking care of patients. … Management provides adequate resources to improve patient safety. … Please give your facility an overall rating on patient safety. … Safety Near-Miss Documentation Overall Patient Safety Rating Communication in the Surgery/Procedure

  16. Appropriate Assertion (Slide Presentation) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion-slides/assertion-slides.html
    October 01, 2014 - Communication to Improve Patient Safety: A Continuous Process Slide 10. … , PhD, MPP Department of Anesthesiology and Critical Care Medicine The Johns Hopkins Quality and Safety … ©2004 JHU Quality and Safety Research Group Return to Contents Slide 3. … Communication to Improve Patient Safety: A Continuous Process Image of arrows going around in a circle … , safety; it’s hard to disagree with safe, high-quality care Avoid the issue of who’s right and who

  17. Injury and liability associated with monitored anesthesia care: a closed claims analysis. | PSNet

    psnet.ahrq.gov/issue/injury-and-liability-associated-monitored-anesthesia-care-closed-claims-analysis
    June 23, 2009 - MAC claims involved older and more ill patients, with respiratory depression being the most frequent … occurrence leading to patient injuries. … December 2, 2020 Influence of psychological safety and organizational support on the … Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients … January 2, 2008 Perspective The Wild West: Patient Safety

  18. Vital signs: changes in opioid prescribing in the United States, 2006-2015. | PSNet

    psnet.ahrq.gov/issue/vital-signs-changes-opioid-prescribing-united-states-2006-2015
    June 10, 2020 - August 18, 2021 Patients' perspectives of diagnostic error: a qualitative study. … May 6, 2020 Patient Safety Innovations Handshake antimicrobial … October 23, 2018 View More Related Resources Patient Safety in … July 27, 2018 Hospital Survey on Patient Safety Culture: 2018 User Database Report. … adverse events among patients in Dutch hospitals.

  19. CLABSI Learning From Defects Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
    April 01, 2022 - Infection control: Nursing: Significant Comorbidities: Patient Location: ______________ … __ Date: _________________ Patient … · Dialysis (tunneled) · Dialysis (nontunneled) · Peripherally inserted central catheter · Port AHRQ Safety … for Intensive Care Units: Preventing CLABSI and CAUTI Learn From Defects – CLABSI AHRQ Safety … No. 17(22)-0019 April 2022 2 AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI image1.png

  20. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. | PSNet

    psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors
    October 11, 2023 - October 11, 2023 A coproduced family reporting intervention to improve safety surveillance … September 18, 2024 Patient safety, satisfaction, and quality of hospital care: cross … sectional surveys of nurses and patients in 12 countries in Europe and the United States. … December 12, 2014 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … March 24, 2011 Addressing delays in medication administration for patients transferred
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