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5161. July 17 Webinar: Empower Patients Through Digital Healthcare Tools | Agency for Healthcare Research and Quality
      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 .

5162. Teach-Back | Agency for Healthcare Research and Quality
      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.

5163. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49723/psn-pdf
      January 01, 2015 - Appreciate the importance of safety culture on labor and delivery units. … They compromise safety and can result in fatalities. … Labor and delivery is a busy environment, which involves patient transitions from triage to a labor … This complicated patient flow requires dedicated specialized teams with strong commitment to safety. … Problems with intrapartum fetal heart rate monitoring interpretation and patient management.

5164. Psn-Pdf (pdf file)
      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

5165. The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis | PSNet
      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

5166. Measure Inventory for Use with All-Payer Claims Databases (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
      January 01, 2020 - captured for each patient regardless of provider or payer. … patients; • Tricare or Veterans Affairs data; • Federal Employees Health Benefits Program patients … safety, supplies) (n=124) … LinkIdentifier=id&ItemID=68238 https://www.healthypeople.gov/2020/leading-health-indicators/2020-LHI-Topics … https://www.healthypeople.gov/2020/leading-health-indicators/2020-LHI-Topics http://www.qualityforum.org

5167. Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
      January 01, 2024 - addressed, and obtain (g) a photocopy of the clinical note for brief assessment of specific quality indicators … The clinical note was assessed for quality indicators around blood pressure and tobacco use. … patients. … Nurse staffing models, nursing hours, and patient safety outcomes. … Event reporting to a primary care patient safety reporting system: a report from the ASIPS collaborative

5168. HCUPnet FAQ – HCUPnet Data Tools
      datatools.ahrq.gov/hcupnet/faq/
      January 01, 2023 - Note that these counts are presented for all discharges or visits and not stratified by any patient characteristics … In the old HCUPnet, statistics for children were also based on the KID, but limited to patients aged … Statistics are based on discharges for patients aged 0-20 years from the KID. … This is different from the old HCUPnet site where statistics were limited to patients aged 0-17 years … Options to limit results to non-maternal or non-neonatal discharges or patients with the highest severity

5169. Evidence Report on the (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/preterm-birth-terbutaline-pump_research-protocol.pdf
      October 18, 2010 - Terbutaline sulfate is commonly used in selected patients as a maintenance therapy to inhibit uterine … Further, as the level of care offered to patients and the level of activity of patients on continuous … subcutaneous terbutaline might differ from that of patients on comparative treatments, we will explore … Therefore, in addition to conducting heterogeneity analyses by other indicators of true preterm labour … to ensure only one event is recorded per patient, in the case the same patient experiences multiple

5170. Engaging the Nurse, Physician, Patient/Family, CUSP- Learn From Defects | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
      August 01, 2018 - "Patient and family engagment is defined as patients, families and their representatives, and health … of patient safety, especially CAUTI prevention? … Slide 52 Selected Resources For Engaging Patients and Families as Partners in Safety AHRQ CUSP … Patient safety resources for consumers. … Retrieved from http://www.apic.org/For-Consumers/Patient-safety-resources .

5171. Eliminating CLABSI, A National Patient Safety Imperative: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
      October 01, 2012 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Eliminating CLABSI, A … National Patient Safety Imperative Final Report on the National On the CUSP: Stop BSI Project … Safety and Quality Michigan Health & Hospital Association Keystone Center for Patient Safety & Quality … Center for Patient Safety & Quality (MHA Keystone). … How many FTEs are working on all patient safety initiatives in your State? 3.

5172. CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-5.8.pdf
      January 01, 2014 - a survey to investigate the role of patient safety perceptions in overall patient satisfaction. … Beyond service quality: the mediating role of patient safety perceptions in the patient experience … Patients who reported more positive safety experiences were more satisfied with their care. … Positive associations between patient experience and patient safety and clinical effectiveness outnumbered … Safety Indicators (year 2006), respectively.

5173. Epidemiology of Invasive Devices and Complications | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/phys-championsgd/section2.html
      October 01, 2015 - Infections Preamble and Summary Epidemiology of Invasive Devices and Complications Examples of Patient … Harm Related to Invasive Devices Preventing Device-Associated Infections Resident Physicians as Safety … As soon as the patient enters the hospital, he or she is evaluated for venous access need. … Finally, those patients with respiratory failure may require support through mechanical ventilation. … rarely unnecessary; however, continued mechanical ventilation requires close evaluation to reduce the patient

5174. Using Information Technology for Patient-Centered Communication and Decisionmaking about Medications-2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking/annual-summary/2010
      January 01, 2010 - Organization Northwestern University Funding Mechanism RFA: HS07-007: Ambulatory Safety … list, the patient’s functional understanding of their medication regimen, questions on adherence and safety … current medications immediately before a patient sees the doctor. … The previous protocol had patients obtain this folder when they checked in for their visit and many patients … A total of 163 patients were recruited; 88 control and 75 intervention.

5175. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
      December 01, 2017 - Review how the LFD tool can be used to drive patient safety and quality improvement efforts. … , but does not reduce risks for future patients. … Slide 5: Problem Solving Goal: Long-Term Solution What is the long-term impact on patient safety … Slide 17: Principles of Safe Design Patient safety is a property of systems. … Patient safety team members. Invite new team members as defects evolve.

5176. Adverse Events, Near Misses, and Errors | PSNet
      psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
      March 30, 2022 - safety field. … As the science of patient safety advances, these judgments can change over time, such that more adverse … Safety Primers Strategies and Approaches for Investigating Patient Safety Events March 30, 2022 … Safety Primers Patient Safety 101 June 15, 2024 … Patient Safety Primers Strategies to Improve Organizational Health Literacy.

5177. Layout 1 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-radiation_executive.pdf
      November 01, 2009 - Each of four reviewers extracted study, patient, and treatment characteristics; clinical outcomes; and … CS=cancer-specific survival; GI=gastrointestinal; OvS=overall survival. 3 Most studies reported patient … This Technical Brief did not intend to assess outcomes or evaluate the validity of claims on the safety … focused systematic reviews will not be able to provide a definitive answer on the effectiveness and safety … studies (preferably randomized) are likely necessary to provide meaningful answers on the relative safety

5178. Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
      January 01, 2024 - Key Words: Medical devices and technologies, Medical Alarms, Audition, Patient safety, Psychophysical … safety and health. … safety. … Pennsyl- vania Patient Safety Authority. 2009; 6(3):79–83. … Fewer but better auditory alarms will improve patient safety.

5179. Improving Patient Safety/Quality with HIT Implementation (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
      January 01, 2008 - Deaths of patients in restraints vi. Patient falls. … Safe by design – patient safety in hospitals: a serious issue. … Safety culture and organizational issues: creating a culture of patient safety through innovative hospital … In: Advances in Patient Safety: From Research to Implementation. … Patient safety and quality: an evidence-based handbook for nurses.

5180. HCUP Frequently Asked Questions
      hcup-us.ahrq.gov/tech_assist/faq.jsp
      September 01, 2025 - For questions about using the AHRQ Quality Indicators (QIs), visit the AHRQualityIndicators™ … The patient linkage numbers ( NRD_VisitLink ) do not track the same patient across years of the … My administrative data do not include indicators that a diagnosis was POA, which is required for 18 of … Therefore, your data must include indicators that a diagnosis was present on admission (POA). … safety Differences in outcomes between hospital type National estimates of hospital readmissions