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psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - Both medication errors and adverse drug events (ADEs) are types of medication safety events. … in the ambulatory setting
is a crucial component of improving the quality and safety of patient care … Yet patients often refuse counseling, especially for medication refills. … advocates that the intended use be indicated on each prescription as
an aid for pharmacists and for patients … Health care systems are adopting systems approaches to improve patient safety.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/atypical-antipsychotics-off-label-update_research-protocol.pdf
May 19, 2010 - Effectiveness of
Off-label Use of Atypical Antipsychotics reviewed the scientific evidence on the safety … risk of death
and antipsychotics drugs, and comparison of the development of adverse effects between patients … Studies that did not report any outcomes of efficacy, effectiveness, safety/adverse events, or
utilization … We will define loss to follow-up as the number of patients excluded from
efficacy analyses, expressed … as a proportion of the number of patients randomized.
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - 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 … Insulin, hospitals and harm: a review of patient safety incidents reported to the National Patient Safety … August 30, 2023
Patient Safety Innovations
Remote
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-comm2.html
October 01, 2015 - Hispanic Health Care
Acknowledgments
Health Care For Hispanics
National Quality Strategy Priorities: Patient … Safety
National Quality Strategy Priority: Healthy Living
Part 1: Overviews of the Report and the … Severity index is based on a weighted sum of the 29 individual comorbidity indicators with more severe
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-206-fullreport.pdf
November 01, 2019 - Additionally, CT overuse creates cost burdens for the
patient, as well as for payers. … Measure Topic – patient safety: Yes.
k. Measure Topic – family experience with care: No.
l. … Ten Things Physicians and Patients Should Question. 2013. … CT scan utilization patterns in pediatric patients with
recurrent headache. … Renal safety in pediatric imaging: Randomized, double
blind phase IV clinical trial of iobitridol 300
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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
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/musculoskeletal-disorders-imaging_research-protocol.pdf
August 05, 2010 - Evidence-based Practice Center Technical Brief Protocol
Project Title: Technical Brief - Use and Safety … It requires that the patient be placed in a tube lying flat, either prone or supine. … What are the potential safety issues and harms of positional MRI technologies? … i Types of patients/patient selection criteria: inclusion and exclusion criteria, characteristics
of … enrolled patients (demographics, disease spectrum).
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www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0715-minutes.html
December 01, 2015 - Funding for grants for the use of health information technology targeting patient safety would be reduced … Efforts in quality indicators would be reduced. … Kronick added the news that AHRQ has begun a multiyear initiative to improve patient safety in ambulatory … Grumbach, M.D., added the need to engage patients, with an eye toward safety. … Jeff Brady, M.D., of AHRQ's Center for Quality Improvement and Patient Safety, noted a fairly new AHRQ
-
psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - Lucian Leape on patient safety in U.S. hospitals. Interview by Peter I. Buerhaus. … February 17, 2010
Keeping patients safe in healthcare organizations: a structuration … theory of safety culture. … June 20, 2011
Perspective
Advancing Patient Safety Through … March 25, 2020
View More
Related Resources
Patient safety in nursing
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb21.html
December 01, 2017 - Environment and Equipment Safety
Appendix A. References and Equipment Sources
Appendix B. … About 65,000 patients suffer a hip fracture each year.
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psnet.ahrq.gov/issue/prescription-opioid-use-misuse-and-use-disorders-us-adults-2015-national-survey-drug-use-and
October 17, 2012 - The majority of patients who misused opioids did so without a prescription, with many patients obtaining … A recent PSNet perspective discussed the patient safety aspects of the opioid epidemic. … : the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans … March 28, 2012
Improving patient safety and efficiency of medication reconciliation through … February 1, 2017
The rate and costs attributable to intravenous patient-controlled analgesia
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digital.ahrq.gov/sites/default/files/docs/page/HITSuccessStories112910.pdf
May 02, 2014 - safety, or they can have patients sign consents to opt-in and share all of their clinical information … of patient care.
11
Researchers did not find differences in the majority of quality-of-care indicators … This highlights
the importance of ongoing studies to identify how CPOE impacts the safety of patient … Patient safety: the role of human factors and systems engineering. … Coordination in the ICU and the Relation With Quality of
Care and Patient Safety.
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psnet.ahrq.gov/innovation/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
September 08, 2021 - and pharmacists reviewing relevant clinical electronic health record (EHR) data for all hospitalized patients … April 6, 2022
Patient safety, resident well-being and continuity of care with different … June 27, 2018
View More
Related Resources
Patient Safety … and Quality
April 26, 2023
Patient Safety Innovations … April 7, 2022
Patient Safety Innovations
U.S.
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digital.ahrq.gov/sites/default/files/docs/citation/assessingdynamicchroniccareimphndbk_120111comp.pdf
November 01, 2011 - quality
indicators. … The patient population
served by the safety net represents a segment of the priority populations identified … Patient Report Cards
Patient report cards were mailed to 2,729 patients in the intervention group on … Clinic staff
also reviewed patient lists and identify deceased patients, incorrectly-diagnosed patients … Due to the
high mobility of the safety net patient population we were expecting a relatively high mail
-
psnet.ahrq.gov/issue/using-name-overlap-analysis-understand-medication-name-search-safety
August 31, 2022 - Study
Using name overlap analysis to understand medication name search safety. … Using name overlap analysis to understand medication name search safety. … Using name overlap analysis to understand medication name search safety. … culture: a quasi-experimental evaluation of a patient safety demonstration project
October 16, 2019 … preventable time-critical dose omissions: impact of electronic medication management systems on in-patients
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - in the ambulatory setting is a crucial component of improving the quality and safety of patient care … Yet patients often refuse counseling, especially for medication refills. … Health care systems are adopting systems approaches to improve patient safety. … May 26, 2010
Patient safety in nursing practice. … June 23, 2009
View More
Related Resources
Patient Safety
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/colon-cancer-gene-profiling_technical-brief.pdf
December 01, 2012 - Patient-oriented and patient-advocacy Web sites for colon cancer were searched. … These GEP assays are all prognostic indicators.
Table 1. … The FDA addresses the safety and effectiveness of diagnostic tests and the quality
of the design and … Historically, the FDA has subjected test kits to premarket review of safety and effectiveness, but
not … result from both preanalytic factors (e.g.,
sample preparation) as well as analytic factors (such as reagents
-
psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - harm, additional anxiety, and
frustration for both patients and care providers. … Heher, MD, MPH Director, Quality & Patient Safety Department of Pathology Beth Israel
Deaconess Medical … Errors in laboratory medicine: practical lessons to improve patient safety. … Patient Safety Solutions. [Available at]
6. … Pathology and patient safety: the
critical role of pathology informatics in error reduction and quality
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
January 01, 2007 - Quality
improvement implementation and hospital
performance on patient safety indicators. … Patient safety proves elusive. … safety, but
progress is another matter. … The business case for
patient safety. Clin Orthop Relat Res 2007; 457:
21-34.
14. … What do we know about
financial returns on investments in patient safety? A
literature review.
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psnet.ahrq.gov/issue/reasons-computerised-provider-order-entry-cpoe-based-inpatient-medication-ordering-errors
June 27, 2018 - Investigators interviewed ordering and voiding providers and reviewed patients' medical records. … A past PSNet perspective discussed the impact of CPOE on patient safety . … Annual Perspective
Technology as a Tool for Improving Patient … Safety
March 29, 2023
Outpatient CPOE orders discontinued due to 'erroneous … safety.