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Showing results for "patient safety indicators".
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4641. Effectiveness of interventions to improve patient handover in surgery: a systematic review. | PSNet
      psnet.ahrq.gov/issue/effectiveness-interventions-improve-patient-handover-surgery-systematic-review
      June 25, 2018 - Review Effectiveness of interventions to improve patient handover in surgery: a systematic … Effectiveness of interventions to improve patient handover in surgery: A systematic review. … Effectiveness of interventions to improve patient handover in surgery: A systematic review. … A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from … July 1, 2016 The impact of surgical safety checklists on theatre departments: a critical

4642. Documentation of Heart Rate During Fluid Resuscitation for Children With Severe Sepsis or Septic Shock (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-fullreport.pdf
      June 01, 2018 - The effect of fluid resuscitation should be monitored continuously using the following indicators: heart … Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … Special Health Care Needs The medical records data abstracted for this study did not include indicators … Socioeconomic Status The medical records data abstracted for this study did not include indicators of … Rurality/Urbanicity The medical records data abstracted for this study did not include indicators of

4643. Person- and Family-Centered Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pfcc.html
      June 01, 2018 - Patient Safety, Person-Centered Care, and Healthy Living measures have improved overall, but many disparities … Strategy has identified three long-term goals related to person- and family-centered care: Improve patient … , family, and caregiver experience of care related to quality, safety, and access across settings. … Some examples of person-centered care include ensuring that patients' preferences, desired outcomes, … and experiences of care are integrated into care delivery; integrating patient-generated data in electronic

4644. An Electronic Personal Health Record for Mental Health Consumers - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/electronic-personal-health-record-mental-health-consumers/annual-summary/2012
      January 01, 2012 - Benjamin Organization Emory University Funding Mechanism RFA: HS08-002: Ambulatory Safety … Druss and his research team adapted an existing PHR to better meet the needs of patients with serious … During the first 6 months of the intervention phase, a clinical care nurse helped patients access and … MH-PHR on patient self-activation and provider effectiveness in mental health management. … Chronic Care*, Low-SES/Low Income*, Medicaid, Mental Health/Depression, Racial or Ethnic Minorities*, Safety

4645. Too Many Cooks in the Kitchen | PSNet
      psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
      March 07, 2018 - with multiple chronic comorbidities  List at least two safety-related disadvantages of starting complex … Approach to Improving Safety & Patient Safety Target  The most obvious management failure in this case … Anesthesia Patient Safety Foundation Newsletter. 2019;33(3).  … July 20, 2016 Quality improvement and patient safety organizations in anesthesiology. … Safety: Collaboration, Communication, and Physician Leadership.

4646. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50698/psn-pdf
      November 27, 2019 - In situations such as these, suicide risk—and its impact on patient safety—may not be the highest initial … safety and resulted in the tragic outcomes. … To ensure patient safety, protocols for further assessment and referral to treatment must be linked … Take-Home Points Suicide is a common cause of death that impacts Patient Safety in EDs and medical hospitals … National Patient Safety Goal for suicide prevention, R3 Report, Requirement, Rationale, Reference.

4647. Appendix C: VTE Measurement and Tracking | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appc.html
      May 01, 2016 - Is patient eligible for survey? … Yes    No, patient is under-prophylaxed     No, patient is over-prophylaxed 7. … Comfort care only patient. … for the patient. … Since October 2007, medical centers must report one of these indicators on diagnostic codes: Y =

4648. Best Practices in the Diagnosis and Treatment of Ventilator-Associated Pneumonia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-facilitator-guide.pdf
      November 01, 2019 - Best Practices in the Diagnosis and Treatment of Ventilator-Associated Pneumonia AHRQ Safety … As a reminder, Moment 1 asks: Does my patient have an infection that requires antibiotics? … Diagnosing VAP can be challenging because there are several reasons why a patient can have respiratory … Additionally, there are several reasons why a patient may have abnormalities on chest imaging, such … If the patient is severely ill, consider adding an aminoglycoside to these agents.

4649. Wrong-side Bedside Paravertebral Block: Preventing the Preventable | PSNet
      psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
      August 10, 2019 - This process is endorsed by the widely adopted United Kingdom national safety initiative titled "Stop … Take-Home Points Wrong-site errors are considered never events and represent a core patient safety … safety. … Safety Primers Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December … January 17, 2019 Evaluation of a patient safety programme on Surgical Safety Checklist

4650. Confusion With Acetaminophen | PSNet
      psnet.ahrq.gov/web-mm/confusion-acetaminophen
      December 01, 2009 - The patient was discharged with a diagnosis of viral syndrome after receiving one dose of acetaminophen … Two days later, the patient returned to the ED with continuing fever and new rigors, vomiting, lethargy … The patient was admitted to the hospital, given intravenous N-acetylcysteine, and his symptoms improved … (three required orthotopic liver transplant) and 9 of 10 patients with accidental overdoses surviving … Safety Strategies A number of safety interventions could prevent future acetaminophen overdoses, and

4651. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
      June 02, 2025 - This unit lets the same patient safety problems keep happening. … When transferring patients from one unit to another, important information is often left out. … In the past 12 months, how many patient safety events have you reported? … Patient Safety Rating (Poor, Fair, Good, Very Good, Excellent) E1. … How would you rate your unit/work area on patient safety?

4652. Disposition of Comments_Technical Brief No. 48_Use of Life Cycle Assessment in the Healthcare Industry: Environmental Impacts and Emissions Associated With Products, Processes and Waste (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/lifecycle-assessment-disposition-comments.pdf
      November 20, 2024 - KI Reviewer #2 Introduction [pg. 2, "that there is no impact or increased risk to patient safety"]: … (environmental impact - or do you still mean patient safety?) … Many of those factors, including patient safety, can be quantified and compared to the potential human … KI Reviewer #2 Findings [pg. 13, GQ1a, "frameworks included a human health or patient safety component … Peer reviewer #1 Findings Page 19 line 31, LCA is not meant to consider patient safety except in the

4653. Shared Medical Records and Chronic Illness Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs016759-ralston-final-report-2012_0.pdf
      January 01, 2012 - Further understand the potential benefits and the safety of the shared record among patient with diabetes … These studies suggest that SMRs may have some unanticipated negative impacts on the quality, safety … accrued into the Group Health diabetes registry and to be able to assess clinical quality of care indicators … with certain patient and provider characteristics and indicators of better clinical quality of care … Poisson regression models within a GEE framework to estimate the adjusted rate ratio of meeting three indicators

4654. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed.pptx
      June 02, 2025 - 2 Hospital staff provide ongoing support and expertise (r/t CAUTI prevention, catheter use and safety … components rather than a set of tasks to be completed. 7 Lack of Feedback & Strategy to Overcome Patients … move from the ED to other units, and there is no systematic process to let ED staff know of patient … Transition to an evidence-based practice approach for patient care delivery. … Healthcare Research and Quality through the contract, “National Implementation of Comprehensive Unit-based Safety

4655. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49725/psn-pdf
      January 01, 2015 - In surgical patients, PA catheter data often can reveal unfavorable developments that need treatment … Preoperative PA catheter data can be helpful in determining whether it is safe for high-risk patients … The fundamental patient safety teaching point of this case concerns why the PA catheter balloon was … Checklist from the World Health Organization (10), an on-going project chaired by patient safety authority … World Alliance for Patient Safety. WHO Surgical Safety Checklist and Implementation Manual.

4656. DARTNet Summary Report (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/distributed-network-ambulatory-therapeutics_research.pdf
      July 01, 2009 - the best practices of high- performing member practices, which are identified by comparing quality indicators … data or to patients. … The findings of our safety analyses suggest that sulfonylureas may put patients at increased risk of … and improved quality of care for patients. … data or to their patients.

4657. Changing-System-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Changing the System To Improve Patient Safety Long-Term … Care Slide Title and Commentary Slide Number and Slide Changing the System To Improve Patient Safety … SAY: Hello, and welcome to this presentation: “Changing the System To Improve Patient Safety.” … Slide 2 View Potential Harms as Opportunities SAY: In health care, when problems cause harm to patients … Moment 1: Does my patient have an infection that requires antibiotics?

4658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60856/psn-pdf
      August 26, 2020 - with multiple chronic comorbidities  List at least two safety-related disadvantages of starting complex … Approach to Improving Safety & Patient Safety Target  The most obvious management failure in this case … , there is a subconscious assumption that all patients will do so.  … #18 https://psnet.ahrq.gov//#20 https://psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic … Anesthesia Patient Safety Foundation Newsletter. 2019;33(3). https://www.apsf.org/article/on-reducing-fixation-errors

4659. EvidenceNOW Supplement in Annals of Family Medicine | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/evaluation/publications/supplement.html
      August 01, 2018 - At these practices, two-thirds to three-quarters of patients at risk were meeting the goals for the ABCS … Among patients with a history of heart disease, less than 50 percent met heart health targets for aspirin … Effect of Practice Ownership on Work Environment, Learning Culture, Psychological Safety, and Burnout … A Community Engagement Method to Design Patient Engagement Materials for Cardiovascular Health The … A community engagement method to design patient engagement materials for cardiovascular health.

4660. Implementation Outcomes of a Health Information Technology Program For Vulnerable Diabetes Patients - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/implementation-outcomes-health-it-program-vulnerable-diabetes-patients/annual-summary/2012
      January 01, 2012 - The research team evaluated SMART-Steps’ effect on patient-centered outcomes, safety events, and measures … action plans, for a diverse sample of patient triggers. … indicating that either no contact was made, a message was left, or an action was made on behalf of patient … There was a high level of variation in call backs by type of patient problem and by study language, which … An interesting aspect of the study was the impact of the patient-centered care on nonadherence coaching