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4661. Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
      October 01, 2020 - Ask: How do you think the next patient will be harmed? … Staff Safety Assessment. … Ask: How do you think the next patient will be harmed? … Also, educate staff on the science of improving patient safety. … Say thank you at a staff meeting for the dedication to quality improvement and improving patient safety

4662. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49536/psn-pdf
      May 01, 2007 - This case raises multiple patient safety concerns. … Timely access to critical information is an important patient safety concern. … into the patient safety goals of many organizations.(6) Although the nurse caring for the patient gave … safety. … Joint Commission National Patient Safety Goals.

4663. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49858/psn-pdf
      April 01, 2019 - Identify critical safety points to consider during initial decision-making about incorporation of remote … units, in addition to providing care to their own critically ill patients. … (Consideration of the patient safety issues related to frequency of patient assessment in the hospital … Critical Safety Points to Consider When Deciding Whether to Incorporate Remote Telemetry Monitoring. … Education, Quality, and Safety Measures What are predefined patient safety and quality outcomes?

4664. Identification of in-hospital complications from claims data. Is it valid? | PSNet
      psnet.ahrq.gov/issue/identification-hospital-complications-claims-data-it-valid
      June 13, 2011 - February 18, 2011 The nature of adverse events in hospitalized patients. … April 24, 2018 Changes in safety attitude and relationship to decreased postoperative … August 17, 2022 Speaking up about patient-perceived serious visit note errors: patient … September 2, 2020 TRIAD XII: are patients aware of and agree with DNR or POLST orders … July 27, 2018 Improving health care quality and patient safety through peer-to-peer assessment

4665. Archived: Final Evidence Summary: Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary32/intimate-partner-violence-and-abuse-of-elderly-and-vulnerable-adults-screening-2013
      May 08, 2012 - studies of the diagnostic accuracy of screening instruments because it was relevant to evaluating the patient … Trials enrolled narrowly defined patient populations that may not be applicable to broader populations … Techniques include self-administered (e.g., computerized-enabled tool or patient self-report) as well … as person-to-person (e.g., clinician-to-patient) methods. … of patients with positive tests who have the condition NPV The proportion of patients with negative

4666. Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools. | PSNet
      psnet.ahrq.gov/issue/preventability-adverse-drug-events-involving-multiple-drugs-using-publicly-available-clinical
      December 21, 2017 - record with wrong-patient order entry errors. … July 2, 2014 What are the safety risks for patients undergoing treatment by multiple … specialties: a retrospective patient record review study. … October 29, 2012 Electronic alerts to prevent venous thromboembolism among hospitalized patients … View More See More About The Topic Hospitals Physicians Quality and Safety

4667. Nonopioid directives: unintended consequences in the operating room. | PSNet
      psnet.ahrq.gov/issue/nonopioid-directives-unintended-consequences-operating-room
      September 07, 2022 - This commentary discusses the impact of nonopioid use during surgery as a patient preference. … August 11, 2021 View More Related Resources Fire safety in the … November 23, 2024 How does robotic-assisted surgery change OR safety culture? … 19, 2023 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.

4668. Meeting Minutes, November 2017 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
      February 01, 2018 - Return to Contents Update on AHRQ's Patient Safety Learning Laboratories Jeffrey Brady, M.D., M.P.H … ., Center for Quality Improvement and Patient Safety, AHRQ, Kerm Henriksen, Ph.D., Center for Quality … Brady, Director of AHRQ’s Center for Quality Improvement and Patient Safety, introduced a session on … the AHRQ Patient Safety Learning Labs, which take a systems engineering approach to allow researchers … AQIPS is a nonprofit professional association that represents patient safety organizations and their

4669. Organizational Climate, Stress, and Error in Primary Care: The MEMO Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
      January 01, 2002 - Advances in Patient Safety: Vol. 1 66 Introduction While much research has focused on stress among … Advances in Patient Safety: Vol. 1 68 The clinician survey was derived in part from our Physician … Advances in Patient Safety: Vol. 1 72 Table 3. … outcomes on quality of care or patient safety. … National Patient Safety Foundation at the AMA; 1998. p.151–54. 20.

4670. Reducing warfarin medication interactions: an interrupted time series evaluation. | PSNet
      psnet.ahrq.gov/issue/reducing-warfarin-medication-interactions-interrupted-time-series-evaluation
      May 27, 2011 - Citation Related Resources From the Same Author(s) The impact of prescribing safety … Related Resources Analysis of the nature and contributory factors of medication safety … June 7, 2023 Perspectives on Safety Annual Perspective … Technology as a Tool for Improving Patient Safety March 29, 2023 … February 6, 2019 Pediatric medication safety in adult community hospital settings: a

4671. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
      January 01, 2024 - Hogan, M.P.A., Patient Safety Program Officer Center for Quality Improvement and Patient Safety (CQuIPS … /capturefalls/ https://www.unmc.edu/patient-safety/capturefalls/ https://www.unmc.edu/patient-safety/ … https://www.unmc.edu/patient-safety/capturefalls/tool-inventory.html https://www.unmc.edu/patient-safety … /patient-safety/capturefalls/learningmodules/index.html https://www.unmc.edu/patient-safety/capturefalls … patient-safety//capturefalls/roadmap/fall-reporting/index.html https://www.unmc.edu/patient-safety/capturefalls

4672. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet
      psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
      January 23, 2017 - & Patient Safety Target Procedural sedation is ubiquitous in modern clinical medicine. … events and unfavorable patient outcomes Two-person technique The adage that there is safety in numbers … 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. … November 25, 2020 Creating an integrated patient safety team.

4673. History of EHR Documentation Legislation | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact3.html
      July 01, 2024 - engagement, thereby potentially enhancing diagnostic safety. … safety. … focused on healthcare systems and clinical practices, healthcare providers, technology developers, and patients … Early research indicates that the OpenNotes initiative, engaging patients through shared clinical notes … Cures Act ultimately prioritizes ease of access to records and the transparency of clinical notes to patients

4674. Transforming Healthcare Quality through Information Technology (THQIT) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016151-mathews-final-report-2008.pdf
      January 01, 2008 - Safety net providers serving this target area have committed in- kind administrative time and IT staff … The network consists of the safety-net providers in the St. … Identify the number of shared patients in quarterly among selected provider organizations to identify … developing the ByNet HIE, Browsersoft requested demographic and encounter data extracts or reports for patients … Identify the number of shared patients in quarterly among selected provider organizations to identify

4675. The National Action Alliance to Advance Patient Safety Summer Webinar Series: CDC Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
      July 25, 2023 - Care, Founding Member, Patients For Patient Safety US Cammie Chaumont Menendez, MS, MPH, PhD Research … Customer/client/patient III. Coworker IV. … Customer/client (this includes a patient), the perpetrator does have a valid purpose with the business … and health of workers and patients or clients, all are needed and everyone has a role to play. … The course covers identifying workplace violence, risk factors for both patient-based (or client-based

4676. In Conversation with...Sorrel King | PSNet
      psnet.ahrq.gov/perspective/conversation-withsorrel-king
      March 01, 2007 - She has subsequently become one of the nation's foremost patient advocates for safety, forming an influential … The Role of the Patient in Improving Patient Safety March 1, 2007 Perspective Patients … have three roles in improving patient safety: helping to ensure their own safety, working with health … The following case illustrates how patients can help ensure their own safety. … A third role for patients is collective action as citizens to improve safety.

4677. Suicidality | The Academy
      integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/suicidality
      January 01, 2024 - for safety planning and connect patients with additional care, as appropriate. … Safety Planning: If a patient is at significant risk for suicide (e.g., expressing intent or making … , safety plans, referrals, and follow-ups to support continuity of care. 5,11 Regular contact with patients … Planning Brown & Stanley Safety Plan Template Patient safety plan template … to fill out with the patient.

4678. Why Aren't Numbers and Graphs Sufficient for a Quality Report? | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/explain/numbers.html
      November 01, 2018 - look at information on health care quality in the same way that they now look at data on automobile safety … the time, people don’t get the care that evidence indicates is best for their condition [2] or that safety … Part of the problem is that the “mental model” that many consumers and patients have about quality is … For example, while it is easy for the public to recognize the link between provider-patient communication … [1] Kaiser Family Foundation. 2008 update on consumers' views of patient safety and quality information

4679. Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). | PSNet
      psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
      December 23, 2020 - victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient … victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient … January 17, 2024 Experience of learning from everyday work in daily safety huddles: a … Assessing the perceived level of institutional support for the second victim after a patient … safety event.

4680. Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/evaluating-implementation-and-impact-pharmacy-technician-supported-medicines-administration
      November 14, 2018 - for patients with monitored dosage systems following hospital discharge. … January 23, 2019 Prevalence, severity, and nature of preventable patient harm across … July 31, 2019 Medication safety in mental health hospitals: a mixed-methods analysis … Related Resources WebM&M Cases Medication Mix-Up Leads to Patient … Annual Perspective Annual Perspective: Topics in Medication Safety