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psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
August 20, 2018 - July 25, 2018
Optimal preoperative assessment of the geriatric surgical patient: a best … October 10, 2012
Handoffs causing patient harm: a survey of medical and surgical house … September 27, 2017
Impact of pharmacist-led admission medication reconciliation on patient … September 20, 2023
Patient Safety Innovations
Ambulatory … Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer
July 31, 2023
Diagnostic
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psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - The Commentary
Ensuring Safety With Liver Biopsy
The use of liver biopsy to obtain tumor or liver … Although evidence is limited, the safety of the different techniques appears to be similar. … August 12, 2020
Identifying electronic health record usability and safety challenges … November 28, 2018
Randomized trial of reducing ambulatory malpractice and safety risk … More
See More About The Topic
Hospitals
Health Care Providers
Quality and Safety
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datatools.ahrq.gov/nhqdr/glossary/
January 01, 2022 - Perception of Need
Patient Safety Priority Area
Person-Centered Care Priority Area
Poor
Readmission … Although patients may not always be able to assess their need for care, problems getting care when patients … Patient Safety Priority Area – Patient Safety means making care safer by reducing harm caused in the … Measures of patient safety include measures related to healthcare associated infections, adverse drug … Transition of care – The movement of a patient from one setting of care to another.
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psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care
September 09, 2020 - Study
Inappropriate medication in a national sample of US elderly patients receiving … The spectrum of patient safety problems in home care was reviewed in a recent article . … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … safety. … Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients
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psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety. PSNet [internet]. … Missed Nursing Care: A Key Measure for Patient Safety. PSNet [internet]. … safety grades reported by nurses.( 4 ) Where missed care rates are higher, patients are less likely … The state has seen steeper declines in mortality and improvements in other indicators than other states … February 23, 2022
Patient Safety Primers
Nursing and Patient
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psnet.ahrq.gov/web-mm/which-end-which
February 09, 2011 - first few years, many surgeons misidentified structures and as a result injured the common bile duct in patients … On average, patients have an ileus that is much shorter with the laparoscopic procedure than with open … safety imperative. … January 15, 2014
Patient safety, resident well-being and continuity of care with different … January 27, 2019
Impact of diagnosis-timing indicators on measures of safety, comorbidity
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 3. … The TEP included experts in patient safety, patient safety event reporting systems, health care delivery … safety; patients and family members are highly motivated to share their experiences " to make sure it … safety events, and many other factors that contribute to patient safety events. … had a family member who had experienced a patient safety event.
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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-Kline_32.pdf
March 03, 2008 - Standard safety interventions for all
patients admitted to the hospital
Environmental safety
1. … Patient safety
1. … safety, patient safety, and
daily routines (Table 2). … for patient safety. … The ABCD model for patient safety.
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psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
March 04, 2011 - September 23, 2020
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … March 14, 2022
Use of unsolicited patient observations to identify surgeons with increased … May 27, 2011
The impact of prescribing safety alerts for elderly persons in an electronic … May 27, 2011
Effect of computerisation on the quality and safety of chemotherapy prescription
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psnet.ahrq.gov/node/49496/psn-pdf
December 01, 2005 - They did not notice that the patient was blind. … signage is not readily visible in large, braille, or raised print,
and if audible direction and floor indicators … ’ companions rather than patients), compromising patient privacy
(eg, by helping patients to complete … their safety (eg, from misidentifying medications) and well-being (eg, from being
unaware of medication … Many blind persons live alone, as did this
patient, leading independent lives.
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - Educate patients on the importance and relevance of correct patient identification. … 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. … patient-safety challenge in obstetrics.
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psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
June 07, 2023 - Each institution should develop standard tracheostomy management protocols to enhance patient safety. … : a pilot patient safety initiative. … January 31, 2024
Do patients who read visit notes on the patient portal have a higher … safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. … safety project reduces bloodstream infections by 40 percent.
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psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - safety
problems and safety problems, in a simplistic view, are the result of failed practice and/or … As a consulting entity we sought to avoid violation of any client business associate or confidentiality … To gather frontline RSI case
information, we sought a public source and examined a state patient safety … They are part of the surgical
packs of drapes and are not supposed to be inserted inside of patients … Gibbs MD FACS
Founder and Director
NoThing Left Behind®: A National Surgical Patient Safety Project
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-cvd.html
June 01, 2018 - Quality Strategy—National Quality Strategy Priorities
Part 3: National Quality Strategy Priority—Patient … Safety
Part 3: National Quality Strategy Priority—Person- and Family-Centered Care
Part 3: National … Project, State Inpatient Databases, 2001‐2013 quality and disparities analysis files and AHRQ Quality Indicators … Heart Attack Patients Given Fibrinolytic Medication
Hospital patients with heart attack given fibrinolytic … Project, State Inpatient Databases, 2001‐2013 quality and disparities analysis files and AHRQ Quality Indicators
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www.ahrq.gov/sites/default/files/2024-07/samore-report.pdf
January 01, 2024 - The program was designed
primarily for safety, ease of use, and capacity to integrate decision support … safety features of the CCOE, and their overall
experience as INFORM project participants. … The topic of patient safety addressed two separate features of the CCOE tool: 1) the
drug-drug interaction … The other patient safety feature evaluated in the focus groups was the drug information in
the CCOE … During the baseline season,
4% of patients in group A clinics (range: 1-9%) and 6% of patients in group
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www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
January 01, 2024 - Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis
AHRQ Final Report … are:
1) to review impact on patient safety of implementing hospital systems to
identify and respond … METs have been reported to have two major and distinct effects on
improving hospitalized patient safety … MET responses can be an effective component of a hospital patient safety/quality
improvement program … The patient-at-risk team: identifying and managing
seriously ill ward patients.
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psnet.ahrq.gov/issue/prescribing-patterns-heart-failure-exacerbating-medications-following-heart-failure
January 26, 2022 - Harmful prescribing practices were most strongly associated with small hospital size and patients with … The authors call for development of strategies to improve prescribing practices for heart failure patients … July 22, 2020
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients … 5, 2012
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See More About The Topic
Hospitals
Quality and Safety
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hip-fracture-pain.ppt
May 01, 2011 - effectiveness and safety? … Evidence about the patient subpopulation characteristics that influence effectiveness and safety was … It is important to note that no studies examined the effectiveness or safety of the most commonly used … The evidence may support continued research to test effectiveness and safety. … Influence of Subpopulation Characteristics on Effectiveness and Safety (2)
Abou-Setta AM, Beaupre LA,
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effectivehealthcare.ahrq.gov/sites/default/files/hip-fracture-pain.ppt
May 01, 2011 - effectiveness and safety? … Evidence about the patient subpopulation characteristics that influence effectiveness and safety was … It is important to note that no studies examined the effectiveness or safety of the most commonly used … The evidence may support continued research to test effectiveness and safety. … Influence of Subpopulation Characteristics on Effectiveness and Safety (2)
Abou-Setta AM, Beaupre LA,
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www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
November 01, 2017 - proposal calls for folding AHRQ into the NIH as a new institute: the National Institute for Research on Safety … The proposal retains the following AHRQ programs: investigator-initiated research, patient safety, Evidence-based … It eliminates the following AHRQ programs: health information technology (IT), quality indicators, Consumer … Analysis of the use of Comprehensive Unit-based Safety Program in long-term care settings revealed a … AHRQ could perhaps support an information-sharing network for patients. Dr.