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psnet.ahrq.gov/issue/effect-delays-2-week-wait-cancer-referral-pathway-during-covid-19-pandemic-cancer-survival-uk
October 21, 2020 - proportion of patients with early-stage tumors progressing from having curable to incurable disease. … Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety … June 29, 2022
Concordance with urgent referral guidelines in patients presenting with … November 25, 2020
User-testing guidelines to improve the safety of intravenous medicines … June 17, 2020
Safety at the time of the COVID-19 pandemic: how to keep our oncology patients
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/pharmacotherapy
January 01, 2018 - medications for opioid use disorder, Side effects associated with medications, Evidence base for the safety … evidence of co-occurring substance use that may pose significant risk for patient safety; significant … , or even a lifetime if patients are benefitting.” 1 When patients have met their treatment goals and … The patient should have input into this decision through a shared decisionmaking process between patient … Patient Progress Assessment
Tracking Patient Outcomes
Recovery Plans for Recurrence
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015321-guise-final-report-2009.pdf
January 01, 2009 - Hypothesis: An integrated outpatient and inpatient health information system will improve
patient safety … Design: Work-Sampling Study)
Workflow Study: AHRQ Advances in Patient Safety: New Directions and … safety, yet little is known about how electronic charting affects workflow and
patient care in busy … This study
also demonstrated the incremental gains in patient safety achieved with each level of HIT … in Advances in patient safety: New directions and
alternative approaches. Vol. 4.
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2011
January 01, 2011 - project consists of three studies that assessed the impact of health information technology (IT) on patient … on patient safety. … An experienced research nurse identified medication errors in the data and ADEs experienced by the patient … For the third study, 162 subjects completed all parts of the study, of which 82 patients were in the … This information can help providers identify patients who may be at higher risk for medication errors
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psnet.ahrq.gov/node/49817/psn-pdf
January 01, 2018 - The patient reportedly had not taken his beta-blocker in the 36 hours prior to admission. … Center for
patient safety organizations, health IT users, vendors, and researchers to share resources … Computerized prescriber order entry-related patient safety
reports: analysis of 2522 medication errors … Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia; 2008. … WHO Collaborating Center for Patient Safety Solutions.
May 2007;1:solution 1. [Available at]
14.
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www.ahrq.gov/sites/default/files/2024-01/phillips-report.pdf
January 01, 2024 - The purpose of this study was to
compare facility and individual characteristics between those patients … over 65 years, and less than 2% were in patients between ages 0 and 17 years. … Fifty-
five percent of these discharges were for female patients, and the majority of the
discharges … were for White patients (68%). … outcomes, specifically on patient safety.
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psnet.ahrq.gov/issue/potential-uses-ai-perioperative-nursing-handoffs-qualitative-study
September 01, 2021 - Handoffs and transitions of care represent a vulnerable time for patients as important information … June 14, 2023
Patient Safety Innovations
Remote Response … Perspective
Surveillance Monitoring to Improve Patient … Safety in Acute Hospital Care Units
April 26, 2023
An observational study
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psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
October 27, 2010 - January 31, 2018
Making a move: using simulation to identify latent safety threats before … the care of injured patients in a new physical space. … August 4, 2021
The effectiveness of inking needle core prostate biopsies for preventing patient … specimen identification errors: a technique to address Joint Commission patient safety goals in specialty
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - We spoke to her about zero harm and patient safety. … Safety is a commitment we make to the patients we serve, and the goal of that commitment is zero harm … These kinds of leading and real-time indicators are the right focal point in the effort to change outcomes … in patient and workforce safety. … Instead, with “Safety II,” risk reduction can motivate improvements in patient safety by focusing on
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
December 01, 2015 - to Monitor Outcomes
Baseline Data on Indicators—Where Are We Today? … Safety Committee Rounds
Included how many patients have urinary catheters
What is the plan for removal … and as a unit
It reflects on our personal and professional commitment to patient safety
72
Sustaining … measures
Gaps in application of the
evidence
Staff Safety Assessment survey
How will the next patient … the Learning from Defects tool (Goal: >2)
Number of patient safety improvement plans currently in effect
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digital.ahrq.gov/sites/default/files/docs/publication/u18hs016394-lapane-final-report-2006.pdf
January 01, 2006 - safety outcomes and to quantify the extent to which the gains
with respect to medication-related patient … safety, effectiveness of patient care, efficiency of
patient care, communications with the patient, … Patient Safety Gains. … Drug alerting at point of
prescribing has the potential to improve patient safety in the outpatient … currently tolerate.21 With
respect to the initial standards improving patient safety, participants
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2012
January 01, 2012 - General Hospital (MGH) to evaluate the value of an IT system that supports between-visit medication safety … The broader goal is to foster greater patient-physician connectedness by combining independent medication … Patient enrollment for audiotaped baseline interviews was completed in June 2012 with 49 patients from … The study team obtained patient scheduling data from the online patient scheduling system and is contacting … Goal: Develop and disseminate health IT evidence and evidence-based tools to improve the quality and safety
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psnet.ahrq.gov/issue/clinical-pharmacist-led-integrated-approach-evaluation-medication-errors-among-medical
December 09, 2020 - pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients … The clinical pharmacist performed medication chart review, patient monitoring, and attended medical … prescribing physicians, approximately half of medication errors were intercepted before reaching the patient … Related Resources From the Same Author(s)
Factors influencing family member perspectives on safety … More About The Topic
Intensive Care Units
Facility and Group Administrators
Quality and Safety
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digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial
January 01, 2023 - Safety
Medication errors and preventable adverse drug events (ADEs) occur commonly among … patients in the ambulatory setting, and constitute an important target for patient safety and quality … safety in ambulatory care. … by telephone rather than a patient portal. … However, while patient portal use decreased over time, those patients who did use the portal were notified
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psnet.ahrq.gov/issue/education-initiatives-cognitive-debiasing-improve-diagnostic-accuracy-student-providers
October 21, 2020 - January 26, 2022
Developing the Safer Dx Checklist of Ten Safety Recommendations for … June 21, 2023
Annual Perspective
Improving Diagnostic Safety … September 16, 2020
Incoming interns recognize inadequate physical examination as a cause of patient … A qualitative study of emotions, triggers, regulation strategies, and effects on patient care. … October 30, 2019
Controversies in diagnosis: contemporary debates in the diagnostic safety
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2011
September 30, 2020 - 1400 hospitals by the American Society of Health-System Pharmacists found that uptake of medication safety … 2022
ASHP national survey of pharmacy practice in hospital settings: monitoring and patient … 2017
ASHP national survey of pharmacy practice in hospital settings: monitoring and patient … September 23, 2020
Effect of bar-code technology on the safety of medication administration … December 23, 2016
Intravenous infusion safety technology: return on investment.
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psnet.ahrq.gov/issue/reducing-rate-catheter-associated-bloodstream-infections-surgical-intensive-care-unit-using
November 16, 2022 - October 12, 2022
Teamwork, communication and safety climate: a systematic review of interventions … Building the bridge to quality: an urgent call to integrate quality improvement and patient … safety education with clinical care
October 2, 2019
Realistic distractions and interruptions … February 7, 2022
AHRQ patient safety project reduces bloodstream infections by 40 percent
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psnet.ahrq.gov/issue/medication-administration-time-study-mats-nursing-staff-performance-medication-administration
February 21, 2018 - Author(s)
Influencing organisational culture to improve hospital performance in care of patients … September 6, 2023
Changing hospital organisational culture for improved patient outcomes … September 24, 2016
No interruptions please: impact of a no interruption zone on medication safety … See More About The Topic
General Hospitals
Nurses
Nurse Managers
Quality and Safety
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psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-geriatric-inpatients
February 04, 2018 - entry system, researchers displayed guidelines for administering psychotropic medication to elderly patients … Resources From the Same Author(s)
The incidence and severity of adverse events affecting patients … May 27, 2011
The impact of prescribing safety alerts for elderly persons in an electronic … General Hospitals
Physicians
Facility and Group Administrators
Risk Managers
Quality and Safety
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/040-mrsa-surveillance-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
MRSA Surveillance
ICU & Non-ICU
Slide Title and Commentary … Slide 3
MRSA Is a Serious Threat
SAY:
MRSA is a serious threat to patient safety. … patient populations. … The Comprehensive Unit-based Safety Program (CUSP) team reviewed the literature and found out that MRSA … No. 25-0007
October 2024
MRSA Surveillance
| 1
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU