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Showing results for "patient safety indicators".
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.htmlDecember 01, 2017 - Surgical Site Infection Investigation Tool AHRQ Safety Program for Surgery Introduction … Problem Statement Your team cannot always predict which patients will develop a surgical site infection … program or Comprehensive Unit-based Safety Program (CUSP) meeting. … If the investigation reveals variability in surgical care, your safety program team can use additional … QUESTION DATA Did the patient use chlorhexidine washcloths prior to surgery?
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www.ahrq.gov/research/findings/final-reports/stpra/stpra3.htmlApril 01, 2018 - When designing an intervention to improve patient safety, it is important to look for opportunities in … , prevention of patient-to-patient transmission; assessment of risk factors for SSIs; risk procedures … Alternatively, When a particular issue becomes a patient safety concern (e.g., when a patient's chronic … nurse might consider the Two-Challenge Rule or the CUS tool ("I'm concerned, uncomfortable; this is a safety … safety regulations), an important first step to improving outcomes—in this case, reducing the risk of
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5a.htmlJanuary 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide HSOPS … Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative … Readiness Assessment HSOPS Section Summary The Hospital Survey on Patient Safety … The Hospital Survey on Patient Safety Culture (HSOPS) is a reliable and valid survey 13 designed to … /professionals/quality-patient-safety/patient-safety-resources/patientsafetyculture/hospdim.html .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdfMay 06, 2008 - Improving patient safety is a key initiative across the system, as safety is the basis upon which all … Staff see PEERs as an opportunity to share issues not related to patient safety. … PEERs reports also have driven patient safety in the obstetrics department. … The number of patient falls with injury per 1,000 inpatient days is one of the core clinical indicators … used across Trinity Health to assess patient safety for the system.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdfApril 19, 2008 - Medical simulation has been recognized as an effective tool to improve patient safety. … The role of simulation in patient safety. In: Dunn WF, eds. … Does simulation improve patient safety? … Self-efficacy, competence, operational performance, and patient safety. … Improving patient safety through simulation research.
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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-Elder_18.pdfFebruary 19, 2008 - outcomes of patient care, including quality indicators, adverse events, harm, and patient satisfaction … Work system design for patient safety: The SEIPS model. … Organizing patient safety research to identify risks and hazards. … Advances in patient safety: From research to implementation. Vol. 3. … Integrating patient safety into the clinical microsystem.
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effectivehealthcare.ahrq.gov/sites/default/files/study-design-considerations-chapter-2.pptxJanuary 01, 2013 - Cohort design has the potential to increase efficiency Well suited for rare adverse events in vaccine safety … The design was originally proposed for rare adverse events in vaccine safety studies for which it seems … Regardless of the design chosen, selection of appropriate data source(s), the patient population, inclusion … Regardless of the design chosen, selection of appropriate data source(s), the patient population, inclusion … Regardless of the design chosen, selection of appropriate data source(s), the patient population, inclusion
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdfMarch 01, 2004 - Introduction This study, which started in October 2001, is one of the 22 patient safety projects funded … Advances in Patient Safety: Vol. 3 72 Since the only technology requirement for participation was … Advances in Patient Safety: Vol. 3 78 F ig u re 3 . … safety, efficiency, and quality of care in nursing Advances in Patient Safety: Vol. 3 84 homes … Patient safety in geriatrics: a call for action. J Gerontol 2003; 58A(9):813–819. 8.
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49737/psn-pdfJune 01, 2015 - table https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references improve the quality and safety … of patient care. … The nurse reported that the patient had not voided in 2 hours, but history notes the patient is incontinent … Assist in healing of open sacral/perineal wound in incontinent patients. … products in male and female patients with urinary incontinence. -
psnet.ahrq.gov/issue/prevention-intravenous-drug-incompatibilities-intensive-care-unitFebruary 28, 2009 - January 24, 2018 Patient-specific electronic decision support reduces prescription of … June 17, 2020 Patients' negative experiences with health care settings brought to light … Protocolization of analgesia and sedation through smart technology in intensive care: improving patient … safety. … June 28, 2023 Three new best practices in the 2022-2023 Targeted Medication Safety
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Too Many Cooks Spotlight Pdf (pdf file)
psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdfJanuary 01, 2020 - with multiple chronic comorbidities • List at least two safety-related disadvantages of starting … when personnel and intellectual resources are already stretched thin. 16 Approach to Improving Safety … was at high risk for abrupt decompensation and death 20 Approach to Improving Safety (7) Systems … Surgical risk factors, morbidity, and mortality in elderly patients. … Anesthesia Patient Safety Foundation Newsletter. 2019;33(3). https://www.apsf.org/article/on-reducing -
Final Progress Report: Evaluating treatment options and patterns of care in early pregnancy failure (pdf file)
www.ahrq.gov/sites/default/files/2024-12/dalton-report.pdfJanuary 01, 2024 - patients’ treatment preferences. … Statewide, patients were more likely to be treated with a surgical uterine evacuation than patients … About a third or more of providers in this study indicated concern about the safety of misoprostol and … office uterine evacuations for EPF treatment, though their safety and efficacy have been consistently … Misinformation about the safety of misoprostol and/or office uterine evacuations may be contributing -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49704/psn-pdfMarch 01, 2014 - Over 3 visits in the subsequent 10 days, the patient was seen by different providers who all noted that … The patient improved and he ultimately did well with appropriate therapies. … In addition, although it is common in patient safety discussions to focus on errors of omission (9), … Safely doing less: a missing component of the patient safety dialogue. -
Mod4-Event-Checklist (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdfApril 01, 2016 - Assess and Inform ■ Ensure the patient is stable, and provide emotional support to the patient/family … ■ Report any adverse event to the appropriate professional responsible for patient safety events. … ■ Identify a patient/family liaison. … ■ Use the following as guidance: Joint Commission’s National Patient Safety Goals; National Quality … ■ Maintain contact with patient advocate/liaison. -
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.htmlAugust 01, 2022 - Assess and Inform Ensure the patient is stable, and provide emotional support to the patient/family … Report any adverse event to the appropriate professional responsible for patient safety events. … Identify a patient/family liaison. … Use the following as guidance: Joint Commission's National Patient Safety Goals; National Quality Forum's … Continue to monitor patient/family status and needs.
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49410/psn-pdfJuly 01, 2003 - .(6) In order to avoid patient movement, the patient must understand, in advance, what the physician … is Human: Building a Safer Health System,”(10) recommended that permanent committees dedicated to safety … Incidence of adverse events and negligence in hospitalized patients. … The nature of adverse events in hospitalized patients. … Patient safety: a curriculum for teaching patient safety in emergency medicine. -
hcup-us.ahrq.gov/reports/statbriefs/sb158.jspJuly 01, 2013 - Variables for Revisit Analyses American Hospital Association (AHA) Linkage Files AHRQ Quality Indicators … Adverse Drug Events Among Hospitalized Medicare Patients: Epidemiology and National Estimates from … The Joint Comm.J. on Quality and Patient Safety. 2010, 36:1, 12-21. 8 Classen DC, Pestotnik SL, Evans … Adverse drug events in hospitalized patients. … Quality and Safety in Health Care. 2008;17;216–23. 11 Levinson DR.
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836876/psn-pdfMay 16, 2022 - The setting and workflow experienced by EMS personnel caring for patients in dynamic situations can … monitoring patient safety in the prehospital setting suggests that safety surveillance systems have … Patient Safety Incidents Perhaps one sign of EMS’s emergence in the field of patient safety is the growth … A recent systematic review identified a median rate of 5.9 incidents per 100 records/transports/patients … of patient safety, is also becoming feasible in the prehospital setting. -
www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdfJanuary 01, 2025 - Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal … The NEST Patient Safety Learning Laboratory to Improve the Safety and Value of Interfacility Neonatal … When patients live in remote, rural and/or underserved communities, it is important to support the patient … Out-of-hospital pediatric patient safety events: results of the CSI chart review. … Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2011January 01, 2011 - General Hospital (MGH) to evaluate the value of an IT system that supports between-visit medication safety … As these lab test dates become due, the Medication Metronome system reminds patients via letter and informs … The goal of this intervention is to implement an efficient, visit-independent system to ensure that patients … , and meets both patient and provider needs. … This function allows a patient who is in the doctor's office for another reason, on a day close to the
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