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Showing results for "patient safety indicators".
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4741. Spotlight (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
      January 01, 2019 - * Patient Safety Events in Psychiatry Safety events in inpatient psychiatry are similar to those … Defining patient safety events in inpatient psychiatry. … Patient Safety Events in Psychiatry (2) Examples of safety events particular to psychiatry Self-harm … Defining patient safety events in inpatient psychiatry. … Rates of Patient Safety Events Rates of safety events in inpatient psychiatry have been reported from

4742. Effect of a Veterans Health Administration mandate to case review patients with opioid prescriptions on mortality among patients with opioid use disorder: a secondary analysis of the STORM randomized control trial. | PSNet
      psnet.ahrq.gov/issue/effect-veterans-health-administration-mandate-case-review-patients-opioid-prescriptions
      May 18, 2022 - This study focuses on high-risk patients with a new OUD diagnosis. … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … March 28, 2011 The WHO patient safety curriculum guide for medical schools. … May 20, 2020 An electronic intervention to improve safety for pain patients co-prescribed … Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety

4743. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
      psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
      December 31, 2024 - safety Develop an approach to managing patients diagnosed with pulmonary embolism including anticoagulation … Approach to Improving Safety This case represents a classic Swiss cheese model in which several, small … radiologic findings Failure of the primary team to review imaging studies Failure to recognize multiple indicators … safety and minimize diagnostic error. … Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's

4744. Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
      January 01, 2024 - and actions promoting patient safety (72% and 75%). … The AHRQ Hospital Survey on Patient Safety Culture: a tool to plan and evaluate patient safety programs … Safety culture assessment: a tool for improving patient safety in healthcare organizations. … Measuring patient safety climate: a review of surveys. … /patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf Table 1.

4745. Improving Laboratory Monitoring in Community Practices: A Randomized Trial - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial/annual-summary/2012
      January 01, 2012 - Organization Brigham and Women's Hospital Funding Mechanism RFA: HS07-006: Ambulatory Safety … in ambulatory settings, and constitute an important target for patient safety and quality improvement … safety in ambulatory care. … through a patient portal. … of patients at each clinic using the EHR.

4746. Appendix F. CAUTI Prevention in Long-Term Care: Frequently Asked Questions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.html
      March 01, 2017 - CAUTI Prevention in Long-Term Care: Frequently Asked Questions AHRQ Safety Program … urinary catheters for 2 to 10 days will develop bacteriuria. 4 Moreover, chronically catheterized patients … (30 days or more) have bacteriuria 99 percent of the time. 5 Some patients with bacteriuria and a urinary … Per the Centers for Disease Control and Prevention's (CDC) National Healthcare Safety Network (NHSN) … guideline on diagnosis, prevention, and treatment of CAUTI includes the following recommendations for a patient

4747. Feeling No Pain | PSNet
      psnet.ahrq.gov/web-mm/feeling-no-pain
      August 30, 2023 - This understanding is critical to the study of error and patient safety because a basic tenet of psychology … The pervasive attitude that technology is the solution to all problems can compromise patient safety … Such factors can promote the enhancement of patient safety. … Enhancing patient safety by effectively reducing the likelihood of error necessitates that actions be … 30, 2023 What Happened to Patient Safety.

4748. Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. | PSNet
      psnet.ahrq.gov/issue/critical-care-nurses-physical-and-mental-health-worksite-wellness-support-and-medical-errors
      March 21, 2018 - nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety … , and patient outcomes. … safety during the COVID-19 pandemic. … February 2, 2022 Using smart IV infusion pumps outside of patient rooms. … November 10, 2021 Supervision, interprofessional collaboration, and patient safety in

4749. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867676/psn-pdf
      February 26, 2025 - Responding to Patient Safety Events February 26, 2025 Shaikh U. … Responding to Patient Safety Events. PSNet [internet]. 2025. … https://psnet.ahrq.gov/primer/responding-patient-safety-events Background Patient safety events that … https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events … The timing of an apology to patients and families could be guided by an assessment of the benefits of

4750. On the Other Hand | PSNet
      psnet.ahrq.gov/web-mm/other-hand
      December 12, 2012 - 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 … Joint Commission National Patient Safety Goals. … Patient Safety Innovations Ambulatory Safety Nets to Reduce

4751. Future Research Needs for First- and Second-Generation Antipsychotics for Children and Young Adults (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/antipsychotics-children-future_research.pdf
      February 01, 2012 - • Patient insight into illness? … Web-based prioritization exercises allowed each stakeholder to distribute a limited number of star-shaped indicators … some safety outcomes tend to be more homogenous across studies (e.g., weight gain). … Patient registries with linkages of patient-reported outcomes to clinical datasets (such as claims or … Challenge that patients tend to be reluctant to accept randomization.

4752. Disruptive and Unprofessional Behavior | PSNet
      psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
      September 15, 2024 - Background Disruptive and unprofessional behavior by clinicians poses a definite threat to patient safety … Safety Primers Long-term Care and Patient Safety April 10, 2024 … and Safety Practices March 27, 2024 Patient Safety Primers … National Patient Safety Goals March 27, 2024 Patient … Patient Safety Primers Deprescribing as a Patient Safety Strategy

4753. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49864/psn-pdf
      June 01, 2019 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout June … Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. … https://psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback … Patients often have many complex illnesses; treatments have the ability to be extraordinarily precise … to do so, especially when one is in a busy work setting, enduring lots of change, and managing sick patients

4754. Impact of Meaningful Use Patient Engagement Objectives in a Multicultural Practice-Based Research Network | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/impact-meaningful-use-patient-engagement-objectives-multicultural-pbrn
      January 01, 2023 - engagement, including providing patients with after-visit summaries (AVS), patient-specific education … Compare patients’ utilization of a secure Web portal to view their medical records and communicate with … versus a public health care setting that serves uninsured, under-insured, and predominantly minority patients … The study also found that fewer than 10 percent of patients in the safety net clinics logged into the … clinics; however, criteria related to messaging through web portals may present future challenges in safety

4755. INTRODUCTION TO THE HCUP KIDS' INPATIENT DATABASE (KID), 2019
      hcup-us.ahrq.gov/db/nation/kid/kid_2019_introduction.jsp
      January 01, 2012 - safety, and the impact of health policy changes. … safety, and the impact of health policy changes. … There is no uniform patient identifier available that allows a patient-level analysis with the KID. … There is no uniform patient identifier available that allows a patient-level analysis with the KID. … Type of Data Element HCUP Name Coding Notes All Patient Refined DRG (3M) APRDRG All Patient

4756. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
      May 01, 2017 - mistakes are not necessarily more common with these drugs, the consequences of errors are more serious for patients … use4,5,6,7 Use of a uniform mixed preparation unitwide for all patients to reduce variability and risk … Provide patient/family education regarding oxytocin use. 16 AHRQ Safety Program for Perinatal Care … Admin. 21 Key Safety Elements: Create Independent Checks Assessment of appropriateness of patient … Improving patient safety and uniformity of care by a standardized regimen for the use of oxytocin.

4757. Rapid Response Systems | PSNet
      psnet.ahrq.gov/primer/rapid-response-systems
      July 18, 2024 - Such teams have become a widely used patient safety intervention due in large part to their inclusion … Patient Safety Primers Long-term Care and Patient Safety April 10, 2024 … Patient Safety Primers Inpatient Transitions of Care … : Challenges and Safety Practices March 27, 2024 Patient Safety … Safety Primers Deprescribing as a Patient Safety Strategy October 27, 2021

4758. Improving Laboratory Monitoring in Community Practices: A Randomized Trial - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial/annual-summary/2011
      January 01, 2011 - Organization Brigham and Women's Hospital Funding Mechanism RFA: HS07-006: Ambulatory Safety … in the ambulatory setting, and constitute an important target for patient safety and quality improvement … Laboratory monitoring to ensure the safety and effectiveness of drug therapy and the timely management … safety in ambulatory care. … of patients at each clinic using the EHR.

4759. The Wet Read | PSNet
      psnet.ahrq.gov/web-mm/wet-read
      October 01, 2017 - The patient was admitted for pain control with intravenous morphine and started on patient-controlled … Around-the-clock attending radiology coverage is essential to avoid mistakes in the care of trauma patients … safety. … August 21, 2024 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of

4760. Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health | PSNet
      psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
      March 27, 2024 - Innovation Patient Safety Focus The SASH program personalized care coordination services successfully … In Conversation with...Richard Ricciardi about Office-Based Patient Safety January … July 12, 2023 Patient Safety Innovations Preventing Falls … April 26, 2023 Patient Safety Innovations Enhancing … March 29, 2023 Patient Safety Innovations Team-Developed