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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018649-levick-final-report-2014.pdf
January 01, 2014 - safety
necessary to improve clinical outcomes and efficiency. … Aim 3: Examine quantitatively improvements in health outcomes, staff perceptions of patient safety, … safety necessary to affect any meaningful progress towards improvements in clinical outcomes and … Economic and Clinical Health
Act (HITECH Act) -‐part of 2009 AARA, is to "improve health care quality, safety … While none of the information availability indicators are precisely estimated for preterm birth, the
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psnet.ahrq.gov/node/33573/psn-pdf
March 15, 2025 - Background
Disruptive and unprofessional behavior by clinicians poses a definite threat to patient safety … https://psnet.ahrq.gov/issue/negative-impact-nurse-physician-disruptive-behavior-patient-safety-review-literature … While most patient safety problems are attributable to underlying systems
issues, disruptive behaviors … Lucian Leape, one
of the founders of the patient safety movement, proposed a systems-level approach … https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/association-adverse-events-opioid-addiction-treatment-quality-measure-continuity
March 09, 2022 - randomized quality improvement study
February 12, 2020
A mixed-methods analysis of patient … safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based … October 14, 2020
Care quality, patient safety, and nurse outcomes at hospitals serving … 19, 2022
Staffing, teamwork and scope of practice: analysis of the association with patient … safety in the context of rehabilitation.
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psnet.ahrq.gov/issue/developing-cancer-specific-trigger-tool-identify-treatment-related-adverse-events-using
May 20, 2020 - trigger burden varied by disease, stage, and patient demographics. … 13, 2020
The business case for quality: economic analysis of the Michigan Keystone Patient … Safety Program in ICUs. … April 22, 2020
Patient safety in marginalised groups: a narrative scoping review … A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety
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psnet.ahrq.gov/issue/development-and-evaluation-i-pass-picu-standard-electronic-template-improve-referral
June 14, 2023 - Jt Comm J Qual Patient Saf . 2024; 50 (5) :338-347 . … April 24, 2018
Patient safety after implementation of a coproduced family centered communication … March 13, 2019
Association of patient and family reports of hospital safety climate with … July 5, 2023
Patient Safety Innovations
Remote Response … March 23, 2022
Care transition of trauma patients: processes with articulation work before
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psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-improves-maternal-and
September 23, 2024 - Innovation Patient Safety Focus
Project Nurture focuses on working with patients who have a substance … Intervention Innovation Summary
September 23, 2024
Patient Safety … Safety Innovations
Reducing Preventable Patient Harm Due to Retained Surgical Items … : The RSI Bundle
May 29, 2024
Patient Safety Innovations … and Quality
April 26, 2023
Patient Safety Innovations
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www.ahrq.gov/hai/tools/mvp/modules/technical/daily-care-processes-slides.html
January 01, 2017 - Measure Descriptions for Daily Care Processes: Slide Presentation
AHRQ Safety Program for Mechanically … Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Measure … Guides patient safety conversations. … Slide 7: Let's Begin…
Image: The AHRQ Safety Program for Mechanically Ventilated Patients Daily Care … Evaluate daily for patients receiving mechanical ventilation
Does the patient have a subglottic secretion
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-guide.docx
September 01, 2022 - Sustaining Antibiotic Stewardship Efforts – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic … assistants, front desk staff, and pharmacists so that they consider antibiotic stewardship to be a patient … safety issue and are committed to working together to improve antibiotic decision making across the … , and what symptomatic treatment the practice will recommend for patients with influenza. … No. 17(22)-0030
September 2022
Sustaining Efforts
AHRQ Safety Program for Improving Antibiotic Use –
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psnet.ahrq.gov/issue/blinded-prospective-study-error-detection-during-physician-chart-rounds-radiation-oncology
November 16, 2022 - Peer review of radiation oncology patient treatment plans can help prevent harm and reduce errors. … May 19, 2021
Patient and physician perspectives of deprescribing potentially inappropriate … March 9, 2022
Preliminary study of patient safety and quality use cases for ICD-11 MMS … A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety … January 29, 2020
Patient-reported safety and quality of care in outpatient oncology.
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psnet.ahrq.gov/issue/occurrence-prevention-and-management-psychological-effects-emerging-virus-outbreaks
July 19, 2023 - Compared with clinicians at lower risk, those in contact with affected patients had greater levels of … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … safety. … July 19, 2023
The challenges in monitoring and preventing patient safety incidents for … May 29, 2013
View More
Related Resources
Patient Safety
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psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions
March 20, 2024 - Although e-prescribing has improved the safety of medication ordering, preventable errors persist … standardization of terminology in e-prescription programs can lead to incorrect medication order and patient … October 31, 2011
Work effort, readability and quality of pharmacy transcription of patient … Annual Perspective
Technology as a Tool for Improving Patient … 10, 2017
Impact of computerized physician order entry alerts on prescribing in older patients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
November 01, 2004 - model of work-system and patient safety. … Introduction
In our Systems Engineering Initiative in Patient Safety (SEIPS)* study,
“Patient Safety … Systems Engineering Initiative in Patient Safety (SEIPS) model of work system
and patient safety … Patient Safety: From Research to
Implementation.13
Patients who presented a high clinical acuity for … First, patients’ eligibility for
Advances in Patient Safety: Vol. 3
318
participation was determined
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
January 01, 2003 - Advances in Patient Safety: Vol. 2
296
Prevalence and cost of clinical inertia
Prevalence
It … visit, with the
Advances in Patient Safety: Vol. 2
300
patient setting the clinical agenda for … Advances in Patient Safety: Vol. 2
302
The recommended visit interval of 3–6 months for those with … Advances in Patient Safety: Vol. 2
308
47. Pellegrini F, Belfiglio M, De Berardis G, et al. … Advances in patient safety: from research to
implementation.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-5.pdf
April 21, 2015 - CT scan utilization patterns in
pediatric patients with
recurrent headache. … They randomly
selected 141 charts for review out of a possible
1,076 patient records. … CT scans were ordered in
34 patients, and none had any significant
findings. … https://acsearch.acr.org/docs/69439/Narrative/
http://www.acr.org/Quality-Safety/Appropriateness-Criteria … http://www.acr.org/Quality-Safety/Appropriateness-Criteria
http://www.acr.org/Quality-Safety/Appropriateness-Criteria
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psnet.ahrq.gov/node/49694/psn-pdf
October 01, 2013 - Educate patients on the importance and relevance of correct patient identification. … Medication error reporting in nursing
homes: identifying targets for patient safety improvement. … ISMP Medication Safety Alert! Acute Care Edition. Oops, sorry, wrong patient! … WHO Collaborating Centre on Patient Safety Solutions: Patient Identification. … Health IT and Patient Safety: Building Safer Systems for Better Care.
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www.ahrq.gov/news/newsroom/case-studies/202402.html
July 01, 2024 - In summer 2022, two patients were diagnosed with CAUTI in quick succession. … AHRQ's Toolkit for Reducing CAUTI in Hospitals, which is based on AHRQ's Comprehensive Unit-based Safety … The number of patient catheter days has not topped 26 per month since April 2023. … Catheter utilization per 1,000 patient days fell from 0.42 in 2021 to 0.19 in 2023 and remained at 0.20 … Safety,
Quality of Care,
Urinary Tract Infection (UTI)
Geographic Location:
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project
January 01, 2023 - Lack of timely medication intensification and inadequate safety monitoring among patients taking prescription … Patients whose physicians were allocated to the intervention had earlier low-density lipoprotein (LDL … ) laboratory assessment compared to patients of control physicians. … Among patients with elevated baseline LDL, there was a slight decrease in time to achieving the LDL goal … Medication safety monitoring was infrequently performed and not statistically different between study
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - hospitals that were not participating in, or exposed to,
the statewide campaign, and adjusting for patient … multiple stakeholders, including policymakers, payers, healthcare administrators,
clinicians, and patients … A multi-pronged patient safety bundle that includes a toolkit for clinicians and educational resources … safety maternal health
bundles that includes a bundle on reducing primary cesareans.25 The AIM safety … https://saferbirth.org/
https://psnet.ahrq.gov//#24
https://psnet.ahrq.gov//#25
https://saferbirth.org/patient-safety-bundles
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psnet.ahrq.gov/issue/doctors-and-dentists-still-flooding-us-opioid-prescriptions
October 13, 2018 - May 5, 2021
Balancing safety, comfort, and fall risk: an intervention to limit opioid … and benzodiazepine prescriptions for geriatric patients. … : the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans … May 20, 2020
Medication safety: reducing anesthesia medication errors and adverse drug … February 22, 2019
Reducing patient harm from opiates.
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effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1306.pdf
July 01, 2013 - safety evaluation. … , thus disrupting the current health care model for this patient population. … data
and postmarket safety evaluation—set forth by FDA. … data and postmarket safety evaluation—set forth by FDA. … would view lorcaserin if it demonstrates safety and efficacy in a
majority of patients.