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Showing results for "patient safety indicators".
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4921. Crossed Coverage | PSNet
      psnet.ahrq.gov/web-mm/crossed-coverage
      September 01, 2015 - Efforts to improve the quality and safety of warfarin administration include publishing standardized … common errors were missed or extra doses.( 1 ) One alternative strategy to enhance the quality and safety … Use of specific indicators to detect warfarin-related adverse events. … Asian patients     3. Hepatic insufficiency     4. … Safety Practice November 1, 2012 WebM&M Cases

4922. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
      October 01, 2014 - The National Database of Nursing Quality Indicators (NDNQI) uses a similar approach, with assessments … Even if a patient has four Stage II ulcers, he or she is only counted once. … Even if a patient has four Stage II ulcers, he or she is only counted once. … Example: 21 patients with a new pressure ulcer ÷ 227 patients = .093 X 100 = 9.3 percent … Therefore, they may not be first noticed until after the patient has left your unit.

4923. 153-Cusp-Tip-Sheet-Engaging-Staff (doc file)
      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

4924. 143-Cusp-Tip-Sheet-Engaging-Staff (doc file)
      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

4925. AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
      January 01, 2024 - Safety Net)  Hospital Survey on Patient Safety Culture: staff survey responses to the AHRQ-developed … between teamwork, communication, and patient safety. … in our Patient Safety Net system. … Improving Patient Safety through Provider Communication Strategy Enhancements. … Qual Saf Health Care 2004; 13:85-90. 4. 2005 National Patient Safety Goals.

4926. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/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

4927. Availability of Outpatient Maternal Fetal Medicine and Specialty Care for Women with High-Risk Pregnancies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-fullreport.pdf
      January 01, 2019 - for patients (Antony, Dildy III, 2013). … Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care: No. l. … The last sub- measure raises concerns about patient safety. … In this regard, they address five of the six characteristics (Timeliness, Equity, Safety, Patient-Centeredness … These measures are important for quality and patient safety.

4928. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33665/psn-pdf
      March 01, 2008 - Creation of a Medical Procedure Service to Improve Patient Safety March 1, 2008 Smith CC, CHuang G … Creation of a Medical Procedure Service to Improve Patient Safety. PSNet [internet]. 2008. … https://psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety Perspective … Configuration https://psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety … In addition to enhancing education and patient safety, the direct supervision and assessment provided

4929. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74691/psn-pdf
      January 01, 2021 - feedback, and patient safety research. … safety program with patient safety specialists or risk managers. … https://www.ahrq.gov/patient-safety/diagnostic-error-grants/index.html https://www.ahrq.gov/patient-safety … Toolkit for Engaging Patients To Improve Diagnostic Safety . Content last reviewed November 2021. … https://www.ahrq.gov/patient-safety/diagnostic-error-grants/index.html https://www.ahrq.gov/patient-safety

4930. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
      January 01, 2025 - Patient safety: Achieving a new standard for care. … Standardizing a patient safety taxonomy. … Making health care safer: A critical analysis of patient safety practices. … Report from a workshop on assembling the scientific basis for progress on patient safety. … Using incident reporting to improve patient safety: a conceptual model.

4931. Beeline to Spine | PSNet
      psnet.ahrq.gov/web-mm/beeline-spine
      March 01, 2014 - February 14, 2017 Speaking up about traditional and professionalism-related patient safety … July 10, 2019 View More Related Resources Patient Safety … Primers Patient Safety 101 June 15, 2024 Perspective … Patient Safety in Office-Based Care Settings January 31, 2024 … Safety January 31, 2024 WebM&M Cases The Risks

4932. Hypertension-Pulmonary-Arterial Research-Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/hypertension-pulmonary-arterial_research-protocol.pdf
      January 30, 2013 - For patients with suspected pulmonary arterial hypertension (PAH) and asymptomatic patients at high … For patients with PAH, what is the comparative effectiveness and safety of (a) echocardiography plus … outcomes (patient outcome efficacy)? … For patients with PAH, what is the comparative effectiveness and safety of monotherapy or combination … Safety of biomarkers and echocardiography (bleeding, bruising, infection) o KQ 2 1.

4933. Improving Hospital Inpatient Nursing Care: A Case Study of One Hospital's Intervention to Improve the Patient's Care Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/compare/WR_751_AHRQ_Quigley_08_26_10.pdf
      April 01, 2010 - issue and a safety issue. … Take-Away Lessons • Continuously monitor indicators such as CAHPS and other patient experience … Safety Committee. … The patient safety committee is the clearinghouse of QI projects and progress reporting and includes … issue and a safety issue.

4934. Clinical reasoning education at US medical schools: results from a national survey of internal medicine clerkship directors. | PSNet
      psnet.ahrq.gov/issue/clinical-reasoning-education-us-medical-schools-results-national-survey-internal-medicine
      October 12, 2022 - In recent years , diagnostic error has gained widespread attention as a major patient safety issue … September 21, 2022 Advancing diagnostic safety research: results of a systematic research … Related Resources Annual Perspective Improving Diagnostic Safety … July 2, 2014 Patient safety stories: a project utilizing narratives in resident training … Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety

4935. In Conversation With… Alison Holmes, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
      March 01, 2014 - We spoke with her about infection prevention and patient safety. Dr. … Alison Holmes : Yes, I do think the energy around the patient safety movement could have really been … Globally the patient safety agenda may be slightly patchier in some places than infection prevention. … What could be more appropriate than applying the patient safety agenda to infection prevention? … RW : Infection prevention has been around much longer than the patient safety field.

4936. Reconciling Doses | PSNet
      psnet.ahrq.gov/web-mm/reconciling-doses
      August 14, 2017 - safety initiative. … National Patient Safety Goals for 2006 and 2005. … Available at: http://www.jcaho.org/accredited+organizations/patient+safety/npsg.htm . … OSF Healthcare’s journey in patient safety. … Effectiveness of a pharmacist-acquired medication history in promoting patient safety.

4937. On-Time Pressure Ulcer Healing: Introduction to Pressure Ulcer Healing Reports Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/erepguide.html
      December 01, 2016 - Introduction to Pressure Ulcer Healing Reports Facilitator Training Instructor's Guide AHRQ’s Safety … The criteria capture indicators of possible infection as well as delayed healing, as any sign of infection … vitamin and supplement information with date ordered, average weekly meal intake for the report week), indicators … Indicators of a decline in activities of daily living (ADLs), such as bed mobility, transfer, or toileting

4938. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout | PSNet
      psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
      January 22, 2020 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout … Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. … Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. … 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

4939. S116 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/s116.pdf
      October 01, 2007 - pharmacoepidemiology, prescribing (Med Care 2007;45: S116–S122) Observational studies are necessary to evaluate the safety … For the IV to be defined for each patient, we excluded each physician’s first patient from the cohort … Characteristics of Cohort Patient Characteristics N % Female patient 12,545 81.5 Age �80 10,750 70.0 … Indeed, in a comparative safety study of APMs in a population of seniors in British Columbia, Canada, … 0.78 �0.58, 1.02� 0.07 Patient of PCPs 0.98 �0.70, 1.39� 0.93 Long-acting benzodiazepines All patients

4940. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet
      psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
      November 13, 2024 - a patient safety event within the past year that caused personal problems such as anxiety, depression … J Patient Saf. 2007;3:107-119. [Available at] 17. Surveys on Patient Safety Culture. … December 21, 2016 Patient safety culture and the second victim phenomenon: connecting … Organization (HRO) Principles and Patient Safety February 26, 2025 … behavior: a persistent threat to patient safety.