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psnet.ahrq.gov/node/73905/psn-pdf
October 06, 2021 - and family needs; strengthening
of services for patients with limited English proficiency; patient-centered … Primers: Maternal Safety. Patient Safety Network (PSNet). … September 7, 2019. https://psnet.ahrq.gov/primer/maternal-safety
2. Patient Safety Bundles. … Overview of Patient Safety Learning Laboratory (PSLL) Projects. … https://psnet.ahrq.gov/primer/maternal-safety
https://saferbirth.org/patient-safety-bundles/
https://
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cds.ahrq.gov/sites/default/files/cds/artifact/18/2024_CDS_Connect_IG_Statin_CVD_Clinician_Facing.pdf
January 01, 2024 - Clinicians who identify patients with that risk
profile should consider, in consultation with the patient … safety. … safety per the Cholesterol Management WG, is as follows:
Inclusion logic:
Patient is ≥40 and ≤75 … safety reasons. … safety reasons.
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hcup-us.ahrq.gov/reports/statbriefs/sb164.jsp
October 01, 2013 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … These events pose a serious patient safety concern. … Compared to privately insured patients, Medicare-covered patients had higher rates and Medicaid-covered … Patients in the Midwest had higher in-hospital ADE rates for all four ADE causes compared to patients … insured patients.
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www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
January 01, 2024 - Final Progress Report: Midcoast Maine Patient Safety and IT Integration
Title: Midcoast Maine Patient … Patient Safety, Clinical Outcomes and Quality Assessment
Dr. … • The effectiveness of patient safety programs is not audited or measured.
• Leadership in patient … more core measures to assess patient safety. … Medications are stored in patients’
rooms, and floor stock is minimal.
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psnet.ahrq.gov/node/60241/psn-pdf
February 24, 2022 - Various factors associated with COVID-19 that negatively
impacted patient safety and resulted in poor … Most NHs accept post-acute patients from the hospital requiring highly skilled
nursing care that is … Professional organizations have
also supported higher NH staffing to improve patient safety and quality … of care, a topic that may gain
greater momentum because of the patient safety and quality issues associated … #12
https://psnet.ahrq.gov//#13
https://psnet.ahrq.gov//#9
https://psnet.ahrq.gov/primer/nursing-and-patient-safety
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
October 01, 2017 - Additional Related Training Resources
Toolkit for Using the AHRQ Quality Indicators: How To Improve … Hospital Quality and Safety https://www.ahrq.gov/professionals/systems/hospital/qitoolkit/index.html … This will help ensure there is a budget allocated for patient safety activities and help create a hospital … culture whereby patient safety is a priority. … assessment and will walk us through Tool 2E, which assesses screening practices for pressure injury risk in patients
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psnet.ahrq.gov/node/72737/psn-pdf
February 09, 2021 - information to
be seen by providers across the health system, for the abstraction of key performance indicators … for access by all
patients. … Data has stabilized at 9-deaths per
1,000 engaged patient-months.
Increased patient engagement. … categories of patient-program objectives has increased patient engagement
in the program from 130 days … Innovation Patient Safety Focus
The program has succeeded in reducing mortality among individuals suffering
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psnet.ahrq.gov/node/49679/psn-pdf
March 01, 2013 - safety when using CVCs. … Swayze, RN, MA Senior Project Manager for Communications Patient Safety Staff
Partnerships/MedSun … Evidence-based practice: improving outcomes for patients with a central venous access
device. … An organizational approach to understanding patient safety and medical errors. … Patient Safety and Quality: An Evidenced-based Handbook for Nurses.
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effectivehealthcare.ahrq.gov/sites/default/files/s143.pdf
October 01, 2007 - Chief among them is the indication for the
drug—a patient must have the condition for which the drug … In addition, a collection of less explicit character-
istics of both the patient and prescriber influence … the choice of
a particular drug for a particular patient at a particular time. … complete (it in-
cludes all variables that actually went into the prescribing
From the *Ingenix i3 Drug Safety … Seeger, PharmD, DrPH, Ingenix i3 Drug Safety, 950
Winter Street, Suite 3800, Waltham, MA 02451.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-malone.html
September 01, 2023 - Malone studied the most commonly overridden DDI warnings and identified specific patient and drug attributes … providers and is helping to reduce the occurrence of irrelevant alerts while simultaneously improving patient … safety. … With a continued focus on improving medication safety, Dr. … Grant: Various
Related AHRQ Resources
Medication Errors and Adverse Drug Events
Medication Safety
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psnet.ahrq.gov/issue/do-physicians-clean-their-hands-insights-covert-observational-study
July 02, 2019 - June 21, 2017
Computerized prescriber order entry–related patient safety reports: analysis … August 31, 2016
Staying silent about safety issues: conceptualizing and measuring safety
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psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - 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. … Safety?
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6r.html
June 01, 2014 - Age: Not Age Specific
Patient Condition : General Population/Not Condition Specific
Setting: Not … The Cronbach's alpha coefficient results for each category were: specific indicators of mental health … global assessment of mental health system integration with primary care physicians (0.75), specific indicators … Country: United States
Past or Validated Applications*:
Patient Age: Adults
Patient Condition … of patients hospitalized with a primary diagnosis of an acute myocardial infarction (MI) or chronic
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www.ahrq.gov/news/newsletters/e-newsletter/963.html
June 01, 2025 - Implementing the Patient Safety Structural Measure: Webinar Recording Now Available . … safety briefs, just culture policies, and the incorporation of patient-reported safety events are a … few of the strategies that support implementation of the five Patient Safety Structural Measure (PSSM … from Patients for Patient Safety US, ECRI, and Barton Health. … ET: Understanding the CMS Patient Safety Structural Measure Requirements for Hospitals .
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal1.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Report Organization … Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative … safety model called the Comprehensive Unit-based Safety Program (CUSP) to prevent central line-associated … safety culture on hospital units. … Hospital Engagement Network have expressed interest in applying the CUSP model to their Partnership for Patients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
April 04, 2008 - A tale of two stories: Contrasting views of
patient safety. … Geneva,
Switzerland: World Alliance for Patient Safety; 2005.
6. … House of Commons Committee of Public Accounts, A
safer place for patients: Learning to improve patient … Patient
safety: Achieving a new standard for care. … Beyond Babel: Prospects for a universal
patient safety taxonomy.
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www.ahrq.gov/patient-safety/reports/engage/interventions/teachback-slides.html
May 01, 2017 - to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. … Patient Safety in Primary Care Settings by Engaging Patients and Families
kelly.m.smith@medstar.net … to engage patients and families to improve safety. … Describe the role and value of teach-back in improving patient safety. … A 10-year journey engaging patients in patient safety education, research and improvement.
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www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
January 01, 2024 - Key Words: Obesity,
Nursing Homes, Quality of Care, Long-term Care, Patient Safety
2. Purpose. … The overarching goal of the study was to describe and compare patient safety
(henceforth, resident safety … Preplanning with protocols for
skin and wound care in obese patients. … Care of the morbidly obese patient in a long-term care facility. … The paradox of obesity in pressure ulcers of
critically ill patients.
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psnet.ahrq.gov/node/72618/psn-pdf
December 23, 2020 - In implementing patient safety interventions,
requiring a provider or patient to deviate from a previous … safety. … Safety Focus
The framework for nudge projects, like The Nudge Unit at Penn Medicine, is to guide patient … safety. … Examples of Nudge Unit projects with a patient safety component include:
Using default options to decrease
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psnet.ahrq.gov/innovation/generalizability-medication-administration-discrepancy-detection-system-quantitative
November 04, 2020 - Phenotyping for patient safety: algorithm development for electronic health record based automated adverse … different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients … December 4, 2019
View More
Related Resources
Patient … Patient Safety Innovations
Remote Response Team and Customized … 2023
Journal Article
Study
Patient