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4881. Event Investigation and Analysis Guide: Appendix B | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
      August 01, 2022 - were speaking to the tech at the same time while she was passing in the hall, because both of their patients … The nursing manager thought it was a safety issue to fill all the beds in the department, as they were … The CNA referred to both of the patients as "your patient" when providing each nurse with results. … Patient admits she is non-compliant with diet and medications. … RN#2 received report from ED on patient Mr. Smith in SBAR format. Mr.

4882. NJ-EPAC Pilot Testing of Electronic Prescribing Standards (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/NJ-EPAC%20Pilot%20Testing%20of%20Electronic%20Prescribing%20Standards_0.pdf
      April 01, 2008 - Standards effect on quality and patient safety. … “Representative level means at a client [health plan] level. … For example, one client may have several groups which have varying F&B information, however only one … list is provided by a single PBM but they sometimes contain data for several of the PBM's health plan clients … RxHub has developed such a transaction but it is currently being used by only one of its PBM clients

4883. Measuring the Value of Remote Intensive Care Unit (ICU) Monitoring - 2008 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/measuring-value-remote-intensive-care-unit-icu-monitoring/annual-summary/2008
      January 01, 2008 - This complex care coupled with inadequate nurse-patient ratios, provider fatigue, on-the-job training … Quantitative data were captured, as well, highlighting the effect of tele-ICU on patient outcomes, including … The initial sample for patient outcomes consisted of 4,167 subjects. … Physiologic Score (SAPS) II standards for intensive care, which assigns a value ranging from 0 to 150 to each patient … The impact of a tele-ICU on provider attitudes about teamwork and safety climate.

4884. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/pichert.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Planning and Implementing the Patient Advocacy Reporting … Annual SHS Complaint Report Capture, June 2007–July 2011, plotted as a function of CPPA pre-PARS launch indicators … Patients as observers and reporters in support of systems and patient safety. … Using patient complaints to promote patient safety: The Patient Advocacy Reporting System (PARS). … The Patient Safety Handbook, 2nd ed.

4885. Communication-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
      June 01, 2021 - Slide 2 5 Steps for Improving the Culture of Patient Safety SAY: One of the goals of the AHRQ Safety … system-based solutions to improve patient safety Slide 3 Improve Teamwork and Communication SAY … Communication is also a key factor for a strong culture of patient safety. … Slide 7 DESC for Conflict With Patients and Families SAY: Unfortunately, sometimes communication … She is concerned about patient safety, but feels uncomfortable pushing the issue, and decides to wait

4886. #05 DEPRESSION (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/depression-horizon-scan-high-impact-1312.pdf
      October 01, 2014 - DBS to the subcallosal cingulate white matter supported the long-term safety and antidepressant efficacy … The safety of ECT in patients with an implanted DBS system has not been established. … ketamine would have a minimal impact on health outcomes in the absence of data on long-term effects, safety … Efficacy and safety of mifepristone for the treatment of psychotic depression. … Neuropsychological safety of nucleus accumbens deep brain stimulation for major depression: effects

4887. Final Progress Report: Developing a Medical Biometric Identification System with a Secure Database Network That Can Access Electronic Medical Databases (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
      January 01, 2024 - The client can get the detailed information of the found patient identification from the patient database … “Client”   is   a   computer   inquiring   patient   ID   to   another   computer.   … Send patient information Client Computer Server 3. … This is an important safety feature, because it informs the clinic that the patient at that moment … Commission,   T.J.   2007   National  Patient   Safety   Goals.    

4888. #14 SUBSTANCE ABUSE (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1412.pdf
      December 01, 2014 - Experts wanted to see additional clinical trial data assessing baclofen’s long-term safety and efficacy … solution to a reference product; a user experience study with adult and juvenile volunteers; and a safety … All adult volunteers, and 15 of 19 adolescent volunteers, successfully used Evzio, removing the safety … to patients’ families that it be available for emergency use at home. … , and patients’ families, the experts concluded.

4889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49397/psn-pdf
      May 01, 2003 - safety and supervision of trainees. … safety vulnerability in our teaching institutions. … This strategy may also promote teamwork and communication, in addition to improving procedural safety … ACGME requirements will enhance patient safety by expanding the boundaries of resident education to … safety.

4890. Primary Care Visual Error Reporting Tool- Part 2 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/resource/b4_singh_017020_archives_17_part2.pdf
      January 01, 2009 - Undetermined: Not enough information provided in the patient chart to confidently give a severity level … Quality and Safety in Healthcare 2009; 18:199-204. 2. Singh G, Singh R.

4891. Preventing Infections in Endoscopic Procedures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-m.pdf
      May 01, 2017 - Endoscopy Infographic AHRQ Safety Program for Ambulatory Surgery Implementation Guide Empower … patients and families to insist that all team members wash their hands before providing care; … encourage patients and families to perform hand hygiene as well. … While rare, patients have acquired infections from these procedures due to: • Poor cleaning/disinfection … help prevent infections, health care professionals in the endoscopy suite should: References AHRQ Safety

4892. The Medication Metronome Project - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2010
      January 01, 2010 - 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 will remind patients via letter and … The goal of this intervention is to implement an efficient, visit-independent system to ensure that patients … The broader goal is to foster greater patient-physician connectedness by combining independent medication … Goal: Develop and disseminate health IT evidence and evidence-based tools to improve the quality and safety

4893. Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/stigmatizing-language-expressed-towards-individuals-current-or-previous-oud-who-have-pain-and
      January 09, 2011 - Health professional stigma and bias towards patients with substance use disorders can impede the … In this qualitative analysis of medical records for 25 patients with opioid use disorder, researchers … January 9, 2011 Patient safety climate: variation in perceptions by infection preventionists … April 24, 2019 Effect of a multifaceted clinical pharmacist intervention on medication safety … July 6, 2022 Identifying patients whose symptoms are underrecognized during treatment

4894. X-ray Flip | PSNet
      psnet.ahrq.gov/web-mm/x-ray-flip
      August 10, 2019 - Incidence of adverse events and negligence in hospitalized patients. … The nature of adverse events in hospitalized patients. … Improving patient safety by identifying side effects from introducing bar coding in medication administration … July 13, 2016 Profiles in patient safety: medication errors in the emergency department … April 6, 2011 View More Related Resources Patient Safety

4895. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49616/psn-pdf
      December 01, 2010 - A medication safety goal should be the preparation of patient-specific doses for all patients: infants … An approach to minimize both labor and drug cost and maximize patient safety can be adopted. … These costs must be balanced by the associated improvements in patient safety. … Patient dose individualization is a safe and effective method for delivering medications to patients. … Patient Safety. Bethesda, MD: American Society of Health-System Pharmacists Web site.

4896. Final Progress Report: Do Safety Warnings Change Prescribing Among the US Dialysis Population? (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdf
      January 01, 2024 - Final Progress Report: Do Safety Warnings Change Prescribing Among the US Dialysis Population? … Principal Investigator: Thamer, Mae FINAL REPORT TITLE PAGE Title: Do Safety Warnings Change Prescribing … (representing ~10%-30% of the 1988 ESRD patient pool). … Do Safety Warnings Change ESA Prescribing among the US Dialysis Population? … Influence of safety warnings on ESA prescribing among dialysis patients using an interrupted time series

4897. Two-Day Training Content | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/intro/teach/two-day.html
      January 01, 2024 - How could effective teamwork help protect and support patients and families? … Explain that when TeamSTEPPS was created, the patient safety movement was in its infancy and the groundbreaking … Today, TeamSTEPPS is part of the ongoing patient safety movement and the training builds on lessons and … research about the role teams play in preserving patient safety. … safety.

4898. 013-Ss-Cleaning-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/013-ss-cleaning-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Optimizing Environmental Cleaning Surgical Services … A clean environment was re-established after each patient use by disinfecting items used during patient … Although no one can be in the room when the UV-C light is activated, general safety features such as … Tool on the patients who suffered from infection. … No. 25-0029 April 2025 | 1 Optimizing Environmental Cleaning AHRQ Safety Program for MRSA Prevention

4899. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867986/psn-pdf
      March 24, 2025 - Sarah Mossburg: Suicide prevention is one The Joint Commission’s National Patient Safety Goals. … One tool that we have created and validated is called the Patient Safety Screener. … For example, the Patient Safety Screener, which is the screening tool that we have created and that … Sarah Mossburg: Could you tell us more about the Patient Safety Screener? Edwin Boudreaux: Sure. … It is designed by the patient and provider together so that patients have, in their own words, things

4900. SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
      January 01, 2025 - Patient Safety Culture® (SOPS®) Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated … Surveys on Patient Safety Culture® and SOPS® are registered trademarks of the U.S. … Surveys on Patient Safety Culture® (SOPS®) Workplace Safety Supplemental Items for Nursing Homes: 2025 … Action planning for patient safety improvement The Action Planning Tool for the AHRQ Surveys on Patient … Safety Culture provides step-by-step guidance on how to develop an action plan to improve patient safety