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5101. The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/bettering-lives-utilizing-electronic-systems-blues-project-improving-diabetes/annual-summary/2011
      January 01, 2011 - Funding Mechanism RFA: HS07-006: Ambulatory Safety and Quality Program: Improving Quality through Clinician … EHR projects as well as necessary steps for improving health care and health outcomes for diabetes patients … Findings in this study indicate that simply deploying EHRs does not improve health care for diabetic patients … safety, and reduced care-related costs. … and care coordination in conjunction with the implementation of health IT improve health outcomes for patients

5102. Using medication containers during pharmacist transitional care visits and impact on medication discrepancies identified and hospital readmission risk. | PSNet
      psnet.ahrq.gov/issue/using-medication-containers-during-pharmacist-transitional-care-visits-and-impact-medication
      March 08, 2023 - compared with patients who did not. … December 2, 2020 Surgeon burnout, impact on patient safety and professionalism: a systematic … March 16, 2022 Patient errors in use of injectable antidiabetic medications: a need for … Interdisciplinary collaboration across secondary and primary care to improve medication safety … November 30, 2022 Understanding factors that could influence patient acceptability of

5103. Health Information Technology Center for Education and Research on Therapeutics - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/annual-summary/2012
      January 01, 2012 - The HIT-CERT will address therapeutics issues related to appropriateness, safety, and efficacy in the … e-Pharmacovigilance II: Surveillance for Safety and Effectiveness. … The e-Pharmacovigilance system will interface with patients by an interactive voice response (IVR) system … A set of recommendations for improving decision support system safety and efficiency will be based on … There was a much lower rate for duplicate suggestions, formulary substitutions, and patient allergies

5104. Improving Quality through Decision Support for Evidence-Based Pharmacotherapy - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-decision-support-evidence-based-pharmacotherapy/annual-summary/2011
      January 01, 2011 - David Organization Duke University Funding Mechanism RFA: HS07-006: Ambulatory Safety … Patient-specific reports were sent to primary care clinics a day before a scheduled appointment. … The population-oriented intervention sent weekly notices to care managers assigned to patients who appeared … generally positive regarding how the reports uncovered non-adherence and fostered discussions with patients … Goal: Develop and disseminate health IT evidence and evidence-based tools to improve the quality and safety

5105. Overriding Considerations | PSNet
      psnet.ahrq.gov/web-mm/overriding-considerations
      March 09, 2009 - Once patients are adequately informed, how can we document that patient consent has or has not been obtained … reasonable people may have doubts about its safety or effectiveness, should receive priority. … reproductive and family issues arise and when the safety and effectiveness of the interventions that … July 29, 2020 Trends and patterns in reporting of patient safety situations in transplantation … Related Resources Annual Perspective Improving Diagnostic Safety

5106. Evidence Summary: Anxiety Disorders in Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/anxiety-adults-screening
      June 20, 2023 - Latino Patient Population. … https://www.fda.gov/drugs/drug-safety-and-availability/fda-requiring-boxed-warning-updated-improve-safe-use-benzodiazepine-drug-class … FDA Drug Safety Communication: FDA warns about serious risks and death when combining opioid pain or … the key questions that the review will address to allow the USPSTF to evaluate the effectiveness and safety … PHQ-PD indicates Patient Health Questionnaire–Panic Disorder.

5107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60242/psn-pdf
      March 01, 2021 - 1994 and 1996 found that they received indicated care less than two-thirds of the time for 16 of 40 indicators … In addition, the team performs a home safety evaluation. … what impact the program had on Assessing Care of Vulnerable Elders quality indicators, which have been … Innovation Patient Safety Focus The GRACE program provides services to low-income seniors to help ensure … A review of key quality indicators showed an improvement in falls, depression, medication management

5108. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
      March 11, 2005 - Similar response rates were tallied for questions regarding practical value, patient safety content, … Cases are selected carefully to illustrate a compelling array of patient safety issues and clinical … Balance between patient safety lessons and desire to recruit a nonexpert readership. … Recruit a broad audience interested, but not expert, in patient safety. … of patients.

5109. Unintended Consequences of CPOE | PSNet
      psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
      September 01, 2004 - desired, retracts it, and then optionally enters a new but closely related order, and they are useful indicators … Discourses about patient safety tend to involve a good deal of talk about systems thinking, but actually … Leapfrog initiatives to drive great leaps in patient safety. 2. Ranji S, Wachter RM, Hartman EE. … Patient Safety Primer: Computerized Provider Order Entry. AHRQ Patient Safety Network. … Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed.

5110. Appendix D: Additional Readings | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/appendix-d.html
      April 01, 2020 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Appendix D … : Additional Readings Previous Page   Table of Contents Improving Patient Flow and … Forming a Patient Flow Team Section 3. Measuring Emergency Department Performance Section 4. … The report describes 17 key performance indicators that the hospitals used to evaluate their performance … flow improvement strategies, and the impact of the strategies on measures of patient flow.

5111. Dissemination and Implementation of QT Risk Clinical Decision Support | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/dissemination-and-implementation-qt-risk-clinical-decision-support
      January 01, 2023 - Type of Care Acute Care Health Care Theme Clinical Decision Making Patient … Safety Torsades des Pointes (TdP) is a life-threatening, uncommon cardiac arrhythmia, characterized … The use of a clinical decision support (CDS) tool could help providers identify those patients at risk … that the advisory appeared too often, and one third indicated the advisory had not applied to their patient … J Patient Saf. 2022 Mar 2. doi: 10.1097/PTS.0000000000000996. Epub ahead of print. PMID: 35238815.

5112. SOPS Workplace Safety Supplemental Items for Hospitals (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-for-Hospitals-12-15-22.docx
      December 01, 2022 - SOPS Workplace Safety Supplemental Items for Hospitals SOPS® Workplace Safety Supplemental Item Set … Development, Pilot Study, and Psychometric Analysis of the AHRQ Surveys on Patient Safety Culture™ (SOPS … (3 items) (Cronbach’s alpha = 0.83) · Addressing Workplace Aggression From Patients or Visitors (2 items … Last updated: December 2022 Workplace Safety The following questions ask about workplace safety … Equipment or assistive devices are available when needed to help move, transfer, or lift patients in

5113. Maryland Guides Prescribers on Use of Atypical Antipsychotic Medications | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/coe1304.html
      April 01, 2013 - This report reviewed the scientific evidence on the safety, efficacy, and effectiveness of off-label … psychosocial services, or the use of an alternative form of treatment that might be better suited for the patient … "When indicated, the review helps prescribers identify additional resources for their patients. … In addition, the program supports prescribers in obtaining appropriate safety monitoring while the child

5114. Appendixfmhaahqrkick-Off (pdf file)
      hcup-us.ahrq.gov/datainnovations/clinicaldata/AppendixFMHAAHQRKick-Off.pdf
      January 15, 2008 - for hospitals participating in the project will be enhanced comparative reporting for quality and patient … safety performance analyses and also additional tools in identifying the accuracy of medical coding … IT staff, particularly those involved with clinical lab systems; medical record experts, quality and patient … safety professionals.

5115. Understand the Science of Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
      July 01, 2018 - By analyzing patient safety as a science, frontline providers will provide a higher quality of patient-centered … Life expectancy has increased 10 years since the 1950s However, sponges are still found inside patients … Systems do not catch mistakes before they reach the patient. … show the layered system-level factors that affect patient safety: institutional factors, hospital factors … safety.

5116. Inpatient Computerized Provider Order Entry (CPOE) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/lesson/09-0031-ef-inpatient-cpoe.pdf
      January 01, 2009 - Rather, CPOE should be viewed as a solution to a recurring patient safety problem. 8 … safety error. … and revised how patient allergies were entered into the EHR and CPOE systems. … Patient safety: adverse drug events in ambulatory care. N Engl J Med 2003; 348:1556-64. 5. … A computerized reminder system to increase the use of preventive care for hospitalized patients.

5117. Inpatient Computerized Provider Order Entry (CPOE) | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
      January 01, 2023 - Rather, CPOE should be viewed as a solution to a recurring patient safety problem. … safety error. … and revised how patient allergies were entered into the EHR and CPOE systems. … Patient safety: adverse drug events in ambulatory care. N Engl J Med 2003; 348:1556-64. 5. … A computerized reminder system to increase the use of preventive care for hospitalized patients.

5118. Layout 1 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/09-0031-EF_cpoe.pdf
      January 01, 2009 - Rather, CPOE should be viewed as a solution to a recurring patient safety problem. 8 Projects mapped … safety error. … and revised how patient allergies were entered into the EHR and CPOE systems. … Patient safety: adverse drug events in ambulatory care. N Engl J Med 2003; 348:1556-64. 5. … A computerized reminder system to increase the use of preventive care for hospitalized patients.

5119. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49677/psn-pdf
      February 01, 2013 - has been shown to increase trainees' level of comfort and perceived readiness for attempts on real patients … Making Health Care Safer: a Critical Analysis of Patient Safety Practices: Summary. … Phase I of the Procedural Patient Safety Initiative. J Gen Intern Med. 2006;21:514-517. … Phase II of the Procedural Patient Safety Initiative (PPSI-II). J Hosp Med. 2009;4:423-429. … Proceduralists—leading patient safety initiatives. N Engl J Med. 2007;356:1789- 1790.

5120. Chartbook on Care Affordability: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/careaffordability-slides.html
      September 01, 2018 - Patient Safety, Person-Centered Care, and Healthy Living measures have improved overall, but many disparities … in Health Care , “Achieving optimal results every time requires an unyielding focus on eliminating patient … Note: High health care costs can prevent some patients from receiving the care that they need.