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Showing results for "patient safety indicators".
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4961. Measure: Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (PICU) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-2-ef.pdf
      May 01, 2016 - testing was performed at one Chicago-area children’s hospital in the Chicago Pediatric Quality and Safety … ● The patient sample was identified using a reporting period of January 1 – March 31, 2015. … charts for patient-level data included in the electronic output. … in the electronic report; however, one of the orders was cancelled and only noted as such in the patient … ● The safety of red blood cell transfusion is an important aspect of PICU care, and this measure is

4962. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
      January 01, 2024 - SAFETY 13 Approach to Improving Patient Safety (1) • Failure to perform a thorough hand examination … • However, there are several important management considerations that will improve patient safety … safety, and in this case may include adequate clinician rest, sufficient lighting, patient comfort … Safety of Epinephrine in Digital Nerve Blocks: A Literature Review. … safety Approach to Improving Patient Safety (1) Approach to Improving Patient Safety (2) Hand Examination

4963. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
      February 01, 2010 - The Role of Graduate Medical Education (GME) in Improving Patient Safety Arpana R. … The Role of Graduate Medical Education (GME) in Improving Patient Safety. PSNet [internet]. … Residency training is an extraordinarily important area for patient safety. … We asked him to speak with us about the role of the ACGME in patient safety. Dr. … We have dual responsibilities not only for the safety of patients in the training environment, but also

4964. One Bronchoscopy, Two Errors | PSNet
      psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
      December 09, 2020 - safety culture? … July 14, 2021 Clinical efficacy of combined surgical patient safety system and the World … April 12, 2019 Development of patient safety measures to identify inappropriate diagnosis … residents based on experiential knowledge related to patient safety culture at the nursing home front … of patients in intensive care units.

4965. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848108/psn-pdf
      April 26, 2023 - & Patient Safety Target Procedural sedation is ubiquitous in modern clinical medicine. … events and unfavorable patient outcomes Two-person technique The adage that there is safety in numbers … safety hazard. … https://psnet.ahrq.gov//#20 https://psnet.ahrq.gov/issue/impact-world-health-organization-surgical-safety-checklist-patient-safety … Look-Alike, Sound-Alike Medication Names: Patient Safety Solutions, Volume 1, Solution 1, May 2007.

4966. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/866100
      August 30, 2023 - Safety Curated Library Foundations Keeping Patients Safe: Transforming the Work Environment of Nurses … patient safety risks such as misdiagnosis. … patient safety risks such as misdiagnosis. … https://psnet.ahrq.gov/issue/magnet-support-patient-safety https://psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-work-environments-been-transformed … Keeping Patients Safe: Transforming the Work Environment of Nurses.

4967. Medication Reconciliation to Improve Quality of Transitional Care - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2012
      January 01, 2012 - error can cause injury or even fatalities and happens in all types of health care settings, including patient … Recent studies have shown that electronic medication reconciliation (MR) for hospitalized patients can … The project is taking place within Wishard Health Services, a safety-net provider for residents of Marion … Participants included patients and their inpatient and ambulatory care providers. … Target Population: Adults, Safety Net Strategic Goal: Develop and disseminate health IT evidence

4968. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49835/psn-pdf
      January 01, 2020 - The patient was discharged and completed 6 weeks of antibiotics and wound care, with healing of the … Dialysis access planning was initiated, but unfortunately, when the patient was evaluated by a vascular … Safety and efficacy of outpatient parenteral antibiotic therapy in an academic infectious disease clinic … Inpatient venous access practices: PICC culture and the kidney patient. … Evaluating safety of tunneled small bore central venous catheters in chronic kidney disease population

4969. Comprehensive Information Technology (IT) Solution for Quality and Patient Safety - 2009 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/comprehensive-information-technology-it-solution-quality-and-patient-safety/annual-summary/2009
      January 01, 2009 - Comprehensive Information Technology (IT) Solution for Quality and Patient Safety - 2009 … Project Name Comprehensive Information Technology (IT) Solution for Quality and Patient Safety … Specific Aims Improve pediatric patient safety by reducing medication errors. ( Achieved ) Improve … Approximately 160 patient charts were examined for each time period: 40 patients from each general care … Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital

4970. When "Psychiatric" Symptoms Are Not | PSNet
      psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
      September 20, 2011 - The patient had been seen for many years through a local HMO and his records indicated no psychiatric … A friend of the patient’s reported the patient had believed for the past 5 to 7 years that the “shockers … In the 2 weeks prior to hospitalization, the patient reported they had somehow “upped the current.” … The patient used a walker for ambulation “because of pain.” … September 20, 2011 Perspective Patient Safety: A Perspective

4971. HCUPnet What’s New – HCUPnet Data Tools
      datatools.ahrq.gov/hcupnet/whats-new/
      October 30, 2020 - Workshops About IC Technical Notes Survey Questionnaires Glossary Publications Safety … Workshops About IC Technical Notes Survey Questionnaires Glossary Publications Safety … Component (HC) Medical Expenditure Panel Survey (MEPS) Insurance Component (IC) National Healthcare Safety … Dashboard (Safety) Search Across Data Tools Search … Statute prohibits the use of AHRQ HCUP data to identify any person (including, but not limited to, patients

4972. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
      June 01, 2018 - The American Medical Association recently launched a National Patient Safety Foundation with broad support … Its mission is to "enhance the safety of the U.S. health care system" by (1) promoting research on human … and organizational error and its prevention; (2) increasing awareness and communication in patient safety … and errors; and (3) encouraging the application of knowledge in this field ( National Patient Safety … This VA effort has taken lessons from the Aviation Safety Reporting System.

4973. Final Progress Report: Disseminating a Web-Enabled Safety Risk Assessment (SRA) Toolkit for Designing Safer Healthcare Facilities (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
      January 01, 2025 - Scope: The SRA toolkit covers six safety areas – infection control, medication safety, falls, patient … by, the client/owner. … Patient and staff safety was explained to be at the forefront of their decision-making process. … National Healthcare Quality and Disparities Report: Chartbook on Patient Safety [Internet]. … Using usability heuristics to evaluate patient safety of medical devices.

4974. Use of the revised second victim experience and support tool to examine second victim experiences of respiratory therapists. | PSNet
      psnet.ahrq.gov/issue/use-revised-second-victim-experience-and-support-tool-examine-second-victim-experiences
      November 03, 2021 - victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient … April 20, 2022 How and when organization identification promotes safety voice among healthcare … October 6, 2021 Developing a patient safety culture in primary dental care. … 3, 2021 View More See More About The Topic Hospitals Quality and Safety

4975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49739/psn-pdf
      August 21, 2015 - For many patients, a tracheostomy doesn't preclude the ability to communicate. … These valves may only be used in patients with patent upper airways. … Presentation may be subtle in a stable patient. … Each institution should develop standard tracheostomy management protocols to enhance patient safety … : a pilot patient safety initiative.

4976. Unertl KM et al. 2007 "Variation in use of informatics tools among providers in a diabetes clinic." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/unertl-km-et-al-2007
      January 01, 2007 - A goal of health information technology (HIT) is to help eliminate variation when it may compromise safety … safety and user satisfaction improved." … All providers used the patient portal to communicate with patients. … Only nurse practitioners used non-secure email for patient communication, because in the patient portal … "[The patient] portal allows patients to exchange secure messages with their provider and to retrieve

4977. Missed Opportunities for Suicide Risk Assessment | PSNet
      psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
      September 27, 2023 - In situations such as these, suicide risk—and its impact on patient safety—may not be the highest initial … To ensure patient safety, protocols for further assessment and referral to treatment must be linked to … National Patient Safety Goal for suicide prevention, R3 Report, Requirement, Rationale, Reference. (2019 … Safety at Academic Medical Centers August 1, 2010 Patient Safety … Primers Nursing and Patient Safety April 21, 2021 CancelRx

4978. Timely Antibiotics for Children With Severe Sepsis or Septic Shock (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-fullreport.pdf
      April 02, 2018 - Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … Special Health Care Needs The medical records data abstracted for this study did not include indicators … Socioeconomic Status The medical records data abstracted for this study did not include indicators of … Rurality/Urbanicity The medical records data abstracted for this study did not include indicators of … English Proficiency (LEP) Populations The medical records data abstracted for this study did not include indicators

4979. Ambulatory Care Compact to Organize Risk and Decisionmaking (ACCORD) - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/ambulatory-care-compact-organize-risk-and-decisionmaking-accord/annual-summary/2010
      January 01, 2010 - Organization Massachusetts General Hospital Funding Mechanism RFA: HS07-007: Ambulatory Safety … With greater access to health information via the Internet and other media, patients are increasingly … and patients by presenting care plans as explicit “compacts” or agreements between provider and patient … The project team is working to ensure that patients and providers are comfortable proposing the care … engagement, patient knowledge, patient-provider communication, patient and clinician satisfaction, and

4980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73874/psn-pdf
      September 29, 2021 - generalizability-medication-administration-discrepancy-detection-system-quantitative Medication administration errors are a common source of patient … Phenotyping for patient safety: algorithm development for electronic health record based automated adverse … computerized-dose-range-checking-using-hard-and-soft-stop-alerts-reduces-prescribing-errors https://psnet.ahrq.gov/issue/are-verbal-orders-threat-patient-safety