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hcup-us.ahrq.gov/db/nation/kid/kid_2012_introduction.jsp
January 01, 1998 - 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. … lengths of stay than patients in other community hospitals. … Refined DRG (3M)
APRDRG
All Patient Refined DRG
APRDRG_Risk_Mortality
All Patient Refined
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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
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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.
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psnet.ahrq.gov/node/49719/psn-pdf
September 01, 2014 - Reviewing the case revealed that certain safety checks that are routine in the operating room (OR) do … Hence, a stale blood pressure alert would likely decrease patient
safety instead of improving it. … This may pose safety hazards. … The risk and safety of anesthesia at remote locations: the US closed
claims analysis. … Risk and safety of anesthesia outside the
operating room. Minerva Anestesiol. 2009;75:345-348.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results.pdf
January 01, 2025 - 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results … Surveys on Patient Safety Culture® and SOPS® are registered trademarks of the U.S. … Patient safety culture is the extent to
which these beliefs, values, and norms support and promote patient … in an organization as it relates to patient safety (see Figure 1). … safety culture and patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
November 01, 2019 - approaches to improve antibiotic prescribing and
enhance patient safety. … safety. … or for patients already receiving
antibiotics. … The patients included in these
studies were ICU patients and did not have worse
outcomes after the … The patient had a favorable response to diuresis.
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking/annual-summary/2011
January 01, 2011 - Organization
Northwestern University
Funding Mechanism
RFA: HS07-007: Ambulatory Safety … fragmentation of care, proliferation of information sources, and numerous obstacles experienced by patients … This study integrated interventions that target patients, providers, and the overall practice system … In advance of their physician visit at a multispecialty primary care center, patients received the materials … list, the patient's functional understanding of his/her medication regimen, questions on adherence and safety
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/obesity-in-adults-screening-and-management-2012
June 15, 2012 - evidence suggests that waist circumference may be an acceptable alternative to BMI measurement in some patient … Clinicians should understand the evidence but individualize decision making to the specific patient or … has a BMI of 40 kg/m 2 or higher, or the patient has a BMI of 35 kg/m 2 or higher and comorbid medical … FDA Drug Safety Communication: Completed Safety Review of Xenical/Alli (Orlistat) and Severe Liver Injury … Accessed at https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/fda-drug-safety-communication-completed-safety-review-xenicalalli-orlistat-and-severe-liver-injury
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
April 01, 2018 - Electronic medical records, patient information cards, and phone calls to
patient providers are all … Measure Topic – patient safety: No.
k. Measure Topic – family experience with care: No.
l. … Socioeconomic Status
The medical records data abstracted for this measure do not include indicators … Rurality/Urbanicity
The medical records data abstracted for this measure do not include indicators of … Quality‐of‐care indicators for children with sickle cell
disease.
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digital.ahrq.gov/sites/default/files/docs/page/Abridged_ReportHIT2009.pdf
November 17, 2011 - Applicants were expected to
demonstrate how patient-centered care can improve health outcomes, patient … safety, and patients’ reported experience with care. … Key Performance Indicators
In 2009, the NRC monitored key performance indicators of visits to and information … The monthly key performance indicators for visits to the NRC Web site were:
The mean number of visitors … However, there are no definitive answers regarding relative increases observed
among key usage indicators
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www.ahrq.gov/sites/default/files/2024-02/schnipper2-report.pdf
January 01, 2024 - Final Progress Report: Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety … safety. … Joint Commission journal on quality and patient safety/Joint Commission Resources
2013;39(8):371-82 … Eisenberg Patient Safety and Quality
Awards. … Innovation in patient safety and quality at the national level.
-
psnet.ahrq.gov/issue/impact-type-manual-medication-cart-filling-method-frequency-medication-administration-errors
January 23, 2019 - transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients … August 18, 2010
View More
Related Resources
Patient … Safety Primers
Medication Administration Errors
March 12, 2021 … December 10, 2014
Adverse drug events in hospitalized cardiac patients. … About The Topic
General Hospitals
Nurses
Pharmacists
Nurse Managers
Quality and Safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - simulators, several CRM-type
Advances in Patient Safety: Vol. 4
326
programs are being developed … Advances in Patient Safety: Vol. 4
328
Assessment can be made at both the element and category levels … Advances in Patient Safety: Vol. 4
330
• Refresher training with further practice, similar to the … National
Patient Safety Agency, London, U.K. (GF). … Advances in Patient Safety: Vol. 4
336
7. Maran N, Glavin R, Fletcher G.
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psnet.ahrq.gov/issue/acr-recommendations-use-chest-radiography-and-computed-tomography-ct-suspected-covid-19
August 14, 2019 - Delayed diagnosis of COVID-19 may lead to worse patient outcomes and increased exposure of healthy individuals … August 14, 2019
Joint Statement on Multiple Patients Per Ventilator. … June 16, 2021
Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 … December 16, 2020
Patient safety concerns in COVID-19–related events: a study of 343 … May 20, 2020
Joint Statement on Multiple Patients Per Ventilator.
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psnet.ahrq.gov/node/33574/psn-pdf
March 15, 2025 - Factors Influencing Safety in Ambulatory Care
Ensuring patient safety outside of the hospital setting … patients and caregivers
The role of provider–patient interactions
The role of the community and health … This elevates the importance of including the patient as a partner and ensuring that
patients understand … Patients consistently voice concerns about coordination of care, particularly
when one patient sees … /medical-office-survey-patient-safety-culture-2014-user-comparative-database-report
Patient engagement
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psnet.ahrq.gov/node/848109/psn-pdf
April 26, 2023 - A recent retrospective cohort study evaluated the safety of 10% calcium chloride administration via … 3 patients) were associated with low-grade infusion-related
adverse events (IRAE). … The median time to IRAE was 71 hours and no patient received plastic surgery
consultation or medications … and Patient Safety Target
As this case highlights, selecting the safest feasible mode of infusion for … When a patient complains of
pain or discomfort around the IV site, the infusion should be stopped, and
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - Commission on Accreditation of Healthcare Organizations (JCAHO) requires staffing assessment using specific indicators … Safety? … July 31, 2013
Identifying organizational cultures that promote patient safety. … Safety
March 27, 2024
WebM&M Cases
Uterine … December 22, 2010
Maternity ward at Highland under fire from patients.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-centered-medical-home_executive.pdf
July 01, 2012 - the variety of health care needs
of patients and to improve patient and staff
experiences, outcomes … A systems-based approach to improving quality
and safety
3. … Coordination of care (as perceived by patients)
c. Patient-provider interaction
2. … Effects on quality indicators for
chronic illness care and on clinical outcomes are uncertain. … safety risks (e.g., patients using email
for emergent medical issues), are possible and should be
-
psnet.ahrq.gov/node/33605/psn-pdf
March 12, 2021 - safety field. … psnet.ahrq.gov/issue/preventing-pediatric-medication-errors
https://psnet.ahrq.gov/issue/medication-dosing-safety-pediatric-patients-recognizing-gaps-safety-threats-and-best … carers-medication-administration-errors-domiciliary-setting-systematic-review
https://psnet.ahrq.gov/primer/health-literacy
https://www.ahrq.gov/professionals/quality-patient-safety … /quality-resources/tools/literacy-toolkit/index.html
https://www.ahrq.gov/professionals/quality-patient-safety … https://psnet.ahrq.gov/issue/factors-associated-barcode-medication-administration-technology-contribute-patient-safety
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psnet.ahrq.gov/issue/incidence-opioid-misuse-among-surgical-patients-persistent-opioid-use
October 13, 2018 - safety concern . … October 13, 2018
Patient outcomes after opioid dose reduction among patients with chronic … 14, 2020
Evaluation of policies limiting opioid exposure on opioid prescribing and patient … December 21, 2022
Factors causing variation in World Health Organization surgical safety … August 5, 2020
WebM&M Cases
Fatal Patient-Controlled