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Showing results for "patient safety indicators".
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5241. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836841/psn-pdf
      June 01, 2020 - Interviews with 44 participating patients and providers highlighted lack of patient understanding about … Innovation Patient Safety Focus The focus of the HRTIC program is to reduce preventable 30-day hospital … https://www.ahrq.gov/patient-safety/resources/improve-discharge/index.html Footnotes 1. … Health Aff (Millwood). 2017;36(3):425-432. doi:10.1377/hlthaff.2016.1305 https://www.ahrq.gov/patient-safety … Indicators of intensive care unit capacity strain: a systematic review. Crit Care. 2018;22(1):86.

5242. THE HCUP NATIONWIDE EMERGENCY DEPARTMENT SAMPLE (NEDS), 2015
      hcup-us.ahrq.gov/db/nation/neds/NEDS_Introduction_2015.jsp
      January 01, 2015 - Variables for Revisit Analyses American Hospital Association (AHA) Linkage Files AHRQ Quality Indicators … There is no uniform patient identifier available that would allow a patient-level analysis to identify … National Center for Injury Prevention and Control (NCIPC) of the DHHS' CDC and the US Consumer Product Safety … patient died in the ED, (98) ED visits in which patient was not admitted, destination unknown, (99) ED … visit in which patient was discharged alive, destination unknown (but not admitted) Sex of patient

5243. Final Progress Report: Engaging Families in Bedside Rounds To Promote Pediatric Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/cox-carayon-report.pdf
      January 01, 2024 - ; patient safety 2. … Patient Safety Culture Survey,36 adapting it to reflect domains that were visible to hospitalized patients … National Patient Safety Foundation. National Patient Safety Foundation homepage. … Surveys on patient safety culture. http://www.ahrq.gov/ professionals/quality-patient-safety/patientsafetyculture … Chemotherapy patients' perceptions of drug administration safety.

5244. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-ltvv-facguide.docx
      January 01, 2017 - Slide 2 [Type text] [Type text] [Type text] AHRQ Safety Program for Mechanically Ventilated … Patients Measure Descriptions for Low Tidal Volume Ventilation Facilitator Guide AHRQ Pub. … safety. … Select the ventilator mode for all patients receiving mechanical ventilation. … outcome measures in your unit using data gathered from the data collection tools provided for this safety

5245. Verbal Orders and Medication Overrides: A Dangerous Combination | PSNet
      psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
      September 27, 2023 - For the patient’s own safety and the safety of ED staff, physical and chemical restraint were deemed … However, patients are often uncooperative and/or violent or agitated, as illustrated here, precluding … Bourgeois, OD, MD Consulting Editor, AHRQ, Patient Safety Network (PSNet) Vice Chair, Hospital Service … Are verbal orders a threat to patient safety?. … department patients with acute agitation.

5246. The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department | PSNet
      psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
      October 30, 2024 - Innovation Patient Safety Focus This patient safety innovation addresses the problem of longer ICU … the ED also stresses the ED system which can impact safety for all patients. 8 Description of the Innovative … August 7, 2024 The influence of personality on psychological safety, the presence of … June 21, 2023 Patient Safety Innovations Remote Response … Safety Innovations Journal Article Study

5247. Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder. | PSNet
      psnet.ahrq.gov/issue/timing-diagnosis-attention-deficithyperactivity-disorder-and-autism-spectrum-disorder
      February 03, 2016 - Same Author(s) Impact of pharmacist involvement in the transitional care of high-risk patients … February 5, 2020 Using incident reports to assess communication failures and patient … June 18, 2019 Learning to overcome hierarchical pressures to achieve safer patient care … September 11, 2024 Failure to rescue as a patient safety indicator for neurosurgical … patients: are we there yet?

5248. Presentation: Building Your SSI Prevention Bundle
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
      December 01, 2017 - Especially in colon surgery cases, patient with infections stay in the hospital longer, are more likely … ask staff, how do you think the next patient will be harmed, how will the patient develop a surgical-site … Hyperglycemia is common in hospitalized patients, even patients who are not diabetic. … , and this is a SCIP measure in this patient population. … In: NHSN Patient Safety Component Manual.

5249. Improving Safety and Quality with Outpatient Order Entry - 2008 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-outpatient-order-entry/annual-summary/2008
      January 01, 2008 - Impact and Findings: Before ACPOE implementation, 15 clinicians were observed, treating 193 patients … ; after ACPOE implementation, 15 clinicians were observed, treating 137 patients. … did not significantly impact the duration of time spent in clinic and time spent face-to-face with patients … analysis is under way to examine the impact on specific clinician clinic activities that occur between patient … communication among clinicians improved, and a decreasing proportion reported a worsening in the quality of patient-physician

5250. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49778/psn-pdf
      December 01, 2016 - However, the resident had been caring for both patients, and he mistakenly entered the amphotericin … The patient safety movement has taught us that all manner of errors—including entering errors on the … safety is for hospitals to establish and support a culture of continuous improvement and patient safety … Leadership, safety climate, and continuous quality improvement: impact on process quality and patient … safety.

5251. Steele AW et al. 2005 "The effect of automated alerts on provider ordering behavior in an outpatient setting." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience-research/steele-aw-et
      January 01, 2023 - Methods and Findings: A primary-care clinic in an integrated safety net institution was the setting … All patients seen in the clinic during the study period were eligible for the intervention. … Conclusion: Providers will adhere to alerts and will use this information to improve patient care. … Other Information The study took place at a large outpatient clinic of Denver Health, the primary safety … of an adverse drug event], an alert screen was presented to the provider with a message containing patient

5252. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
      January 01, 2005 - AHRQ Patient Safety Indicators directly measures failure to diagnose.33 Nonetheless, for each of AHRQ … Advances in Patient Safety: Vol. 2 264 Figure 1. … Advances in Patient Safety: Vol. 2 272 T ab le 4 . … How the public perceives patient safety. … Advances in Patient Safety: Vol. 2 278 82. McDonald J.

5253. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
      August 01, 2022 - Department of Health and Human Services (HHS) to authorize demonstration projects to put “patient safety … In response, the Secretary launched the HHS Patient Safety and Medical Liability (PSML) initiative in … Funding was intended to address four goals: (1) putting patient safety first by reducing preventable … Longitudinal data suggest significant impact of the intervention on both patient safety and malpractice … A new 51-item survey was developed to examine the relationship between patient safety culture and error

5254. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33753/psn-pdf
      August 22, 2013 - Recent evidence shows that roughly one in three hospitalized patients experiences an adverse event, and … culture deliver better care because they are able to do the basics every time, like turning patients … The Essential Guide for Patient Safety Officers, 2nd edition. … Committee on Patient Safety and Health Information Technology, Board on Health Care Services, Institute … Health IT and Patient Safety: Building Safer Systems for Better Care.

5255. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
      January 01, 2023 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 PATIENT SAFETY … the quality and safety of care patients receive in the hospital. … https://www.ahrq.gov/patient-safety/settings/hospital/index.html https://www.ahrq.gov/patient-safety/ … https://www.ahrq.gov/patient-safety/quality-measures/qsrs/sampling-design.html https://www.ahrq.gov/patient-safety … https://www.ahrq.gov/patient-safety/quality-measures/qsrs/sampling-design.html https://www.ahrq.gov/patient-safety

5256. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      datatools.ahrq.gov/action-alliance/wp-content/uploads/sites/8/2025/09/qsrs-2021-2023-adverse-event-data-report.pdf
      January 01, 2025 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 PATIENT SAFETY … the quality and safety of care patients receive in the hospital. … https://www.ahrq.gov/patient-safety/settings/hospital/index.html https://www.ahrq.gov/patient-safety/ … https://www.ahrq.gov/patient-safety/quality-measures/qsrs/sampling-design.html https://www.ahrq.gov/patient-safety … https://www.ahrq.gov/patient-safety/quality-measures/qsrs/sampling-design.html https://www.ahrq.gov/patient-safety

5257. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33748/psn-pdf
      April 01, 2013 - His research on strategies to mitigate fatigue to improve patient safety has influenced the Accreditation … Robert Wachter, Editor, AHRQ WebM&M: Tell us how your thinking about duty hours and patient safety has … CL: My suspicion is that we might be seeing the beginnings of improvement now, as the patient safety … to other realms within the hospital, where we see a host of patient safety problems that have not yet … Improving patient safety throughout the hospital is entirely possible, but it will require a sustained

5258. Half-Day Training Content | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/intro/teach/half-day.html
      August 01, 2023 - Stress that reaching the goal of using TeamSTEPPS to create a culture of safety that protects all patients … safety movement was in its infancy and the groundbreaking IOM (now NAM) report To Err Is Human had only … recently been released. 1  Today, TeamSTEPPS is part of the ongoing patient safety movement and the … training builds on lessons and research about the key role teams play in preserving patient safety. … and for every patient.

5259. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
      January 01, 2025 - None of the 20 evidence-based AHRQ Patient Safety Indicators directly measures failure to diagnose. … Patient Safety: A curriculum for teaching patient safety in emergency medicine. … Chicago Patient Safety Forum, 2003 Showcase of patient safety Improvement. … Chicago Patient Safety Forum, Chicago, IL; 2003. McNutt RA, Patient Safety Committee. … Chicago Patient Safety Forum, Chicago, IL; 2003. McNutt RA, Patient Safety Committee.

5260. AHRQ Slide Template-Widescreen
      effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-child-adolesc-mental-health-grand-rounds.pptx
      May 22, 2025 - ; that all scientific research used in support or justification of a patient care recommendation will … The Patient-Centered Outcomes Research Institute® (PCORI®) funded the report. … The Patient-Centered Outcomes Research Institute® (PCORI®) funded the report. … family-expressed emotion or family criticism, familial hostility, or familial overinvolvement directed towards the patient … latency age and young adults, externalizing disorders, neurodiversity, diverse populations Collect patient