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Showing results for "patient safety indicators".
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  1. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-workplace-safety-report-pt1.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 … Action planning for patient safety improvement 2.
  2. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-final-report-b.pdf
    January 01, 2025 - Overall, nearly half were safety net practices (43%). … specific major disruptive events: As an additional sensitivity analysis, we examined models containing indicators … • Create panels of patients. • Identify needed services for patients. … • Link patients with community resources. … Practices’ Patient Population Characteristics 3.1.3.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar02/spc_slides.pptx
    June 04, 2013 - Statistical Process Control-- Possible Uses to Monitor and Evaluate Patient-Centered Medical Home Models … Safety and Quality, Johns Hopkins Medicine With Thanks to Mimi Huizinga, MD, Melissa Sherry, MPH … Identify differences across groups Aid self-management interventions Monitor changes in individual patients … that analyzes data from electronic medical records to continuously monitor for abnormal patterns in patients … Application of this approach can be at the patient, provider and population levels.
  4. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - The outcome (whether a patient develops an HA-VTE) is linked to use of the order set, whether the patient … No, patient was under-prophylaxed, OR No, patient was over-prophylaxed. … Patients hospitalized less than 48 hours. Patients <18 years of age. Comfort care patients. … Stratified random sampling: Patients from several important patient groups are randomly sampled (e.g … AHRQ's Quality Indicators include a Patient Safety Indicator (AHRQ PSI #12) that does not use the POA
  5. psnet.ahrq.gov/web-mm/what-happened-telemetry
    January 18, 2012 - Most non-ICU patients on telemetry are hemodynamically stable, whereas those in ICU may not be. … units, in addition to providing care to their own critically ill patients. … (Consideration of the patient safety issues related to frequency of patient assessment in the hospital … Education, Quality, and Safety Measures What are predefined patient safety and quality outcomes … safety.
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
    December 23, 2004 - The facility had a problem with preventive maintenance of its Advances in Patient Safety: Vol. 2 … addressing the patients’ needs). … As in the Eindhoven taxonomy, slips Advances in Patient Safety: Vol. 2 80 Figure 1. … A Advances in Patient Safety: Vol. 2 82 Figure 3. … Advances in Patient Safety: Vol. 2 86 Author affiliations Departments of Medical Physics, Human
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
    April 07, 2008 - Joint Comisssion perspectives on patient safety. Using FMEA to assess risk and reduce error. … Advances in patient safety: From research to implementation. … Incidence of adverse events and negligence in hospitalized patients. … Organizing patient safety research to identify risks and hazards. … Sensemaking of patient safety risks and hazards.
  8. effectivehealthcare.ahrq.gov/sites/default/files/ch_6-user-guide-to-ocer_130129.pdf
    October 30, 2012 - alternatives Clinical Outcomes: Medical events that occur as a result of disease or treatment Clinical Indicators … thrombosis (ST)], and two relating to both safety and effectiveness [composite of death, MI, ST, … The safety-only definition of MACE yielded a hazard ratio of 1.75 (p<0.05), indicating that patients … This construct comprises outcomes from the patient perspective and are measured by asking the patient … using clozapine may appear to have a worse safety profile with respect to this outcome.
  9. Slide 1 (pdf file)

    pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
    May 24, 2016 - Slide 1 Patient Safety and Quality Improvement Act of 2005—HHS Guidance Regarding Patient Safety Work … . “ • “The Patient Safety Act promotes the goal of improving patient safety and reducing medical errors … 2005) Senator Enzi • "Nor does this bill alter any existing rights or remedies available to injured patientsPatient Safety Act Does Not Relieve a Provider From Its External Obligations (1) The Patient SafetyPatient Safety Act Does Not Relieve a Provider From Its External Obligations (2) The Patient Safety
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
    January 01, 2004 - safety is fundamental to high-quality patient care. … safety is fundamental to high-quality patient care. … Advances in Patient Safety: Vol. 2 484 system is aware of its errors. … Advances in Patient Safety: Vol. 2 488 Table 1. … UCLA Healthcare Center for Patient Safety (LH) and Ethics Center (NW).
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33711/psn-pdf
    May 01, 2011 - a patient safety event within the past year that caused personal problems such as anxiety, depression … , length of professional relationships, cases that involved pediatric patients, and the clinician's … One person provides peer support while a different individual (either patient safety expert or https … Scott, RN, MSNCoordinator, Patient Safety, University of Missouri Health Care Doctoral Student, University … J Patient Saf. 2007;3:107-119. [Available at] 17. Surveys on Patient Safety Culture.
  12. digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes/annual-summary/2011
    January 01, 2011 - This study evaluated the use of alerts and drug history, and the impact of e-prescribing on workflow, patientsafety, and patient adherence. … The project linked patients' e-prescriptions with pharmacy claims and generated a comprehensive dataset … Specific Aims: Measure physician use of two safety-related e-prescribing functions: safety alerts … research to assess whether the adoption of e-prescribing is associated with improved clinical outcomes for patients
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
    March 01, 2008 - insertion of the line, assists with supplies and equipment, and is expected to stop the procedure for any safety … High Risk Patients 1. Patients with a history of previous difficulty in placing a line. 2. … Module #2 Central Venous Access Training: Insertion and Safety Considerations (includes required test … Performs discharge planning for patients with home infusion needs for the non-oncology patients Adult … The Central Line Insertion Care Team Checklist (see Appendix C) shall be used to monitor for safety.
  14. www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
    January 01, 2025 - Final Progress Report: Improving Patient Safety by Examining Pathology Errors Improving Patient Safety … and Patient Safety. … Clinical laboratory specimen rejection: Association with the site of patient care and patients' characteristics … Patient safety in pathology. … Update of patient safety.
  15. effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-anemia-update_disposition-comments.pdf
    April 25, 2013 - or specific patient populations since there is evidence that certain groups of patients may not necessarily … However, that group was part of the patient population defined for the review. … more in this manuscript because it is relevant to clinical practice and it is the reason for ongoing safety … measures in accordance with the AHRQ Methods Guide, these data are clinically important to consider for safety … Since the 2008 ODAC meeting, there have been no new safety signals that would warrant the conclusion
  16. www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
    January 01, 2024 - Purpose: To examine patient risk perceptions of medical errors in order to anticipate how patients will … safety,” whereas the media talks about medical errors. … Yet, it is not clear that the public even understands what the term “patient safety” means. … Factor 2 ,labeled Preventability, is patient oriented; patients can observe and prevent the error. … Promoting patient safety by preventing medical error.
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/153-cusp-tip-sheet-engaging-staff.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention CUSP Tip Sheet: Engaging Unit Personnel in MRSA Prevention ICU … & Non-ICU Purpose Unit-based teams are the cornerstone for Comprehensive Unit-based Safety Program ( … safety and quality improvement initiatives. · Invite personnel who are not on the CUSP team to attend … stories and the impact that MRSA and healthcare-associated infections had on them, their patients, and … patients’ families. · Be transparent, give useful and timely feedback, and be open to suggestions and
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/143-cusp-tip-sheet-engaging-staff.docx
    April 01, 2025 - Comprehensive Unit-based Safety Program (CUSP) Tip Sheet: Engaging Staff in MRSA Prevention Surgical … safety and quality improvement initiatives. · Invite personnel who are not on the CUSP team to attend … stories and the impact that MRSA and healthcare-associated infections had on them, their patients, and … patients’ families. · Be transparent, give useful and timely feedback, and be open to suggestions and … | 1 CUSP Tip Sheet: Engaging Staff AHRQ Safety Program for MRSA Prevention | Surgical Services
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72739/psn-pdf
    February 10, 2021 - safety https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism … safety, ACR places shared responsibility on ordering physicians for timely follow-up of diagnostic … 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 indicatorssafety and minimize diagnostic error.
  20. digital.ahrq.gov/sites/default/files/docs/publication/r01hs015413-samore-final-report-2008.pdf
    January 01, 2008 - 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 … The target enrollment was 75-100 patients from the first sampling frame and 175 patients from the second