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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - The Brigham and Women’s Hospital’s (BWH) Patient Safety Collaborative, which included Ambulatory Patient … a colonoscopy following safety net team outreach to the patient and (2) the proportion of patients for … 56.9% when accounting for the proportion of patients who were effectively caught by the safety net by … outreach via a clinic-determined method (hard copy letters, phone calls to client, or outreach to patient … Identify drivers of change to ensure patient safety and to minimize patient harm.
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyref.html
April 01, 2020 - Patients for patient safety [programme]. … How can nurses help patients work more effectively with nurses to improve the safety of patient care? … Advising patients about patient safety: current initiatives risk shifting responsibility. … The LVHHN patient safety video: patients as partners in safe care delivery. … Preparing for National Patient Safety Awareness Week: one hospital's efforts in educating patients on
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psnet.ahrq.gov/node/33606/psn-pdf
December 15, 2024 - This
Primer will describe the nature of the opioid epidemic as a patient safety problem, discuss the … epidemiology
of opioid prescribing and its resultant effects on patient safety and mortality, and review … research-topics/trends-statistics/overdose-death-rates#Fig3
https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem … The patient safety field was slow to recognize the burgeoning epidemic. … national-surveillance-emergency-department-visits-outpatient-adverse-drug-events
https://psnet.ahrq.gov/primer/measurement-patient-safety
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - We spoke with her about legal issues in patient safety.
Dr. Robert M. … How did the dynamic of that relationship change when the patient safety field became a thing 15 years … safety. … at the Intersection of Patient Safety and Medical Liability. … October 4, 2017
The association between patient safety indicators and medical malpractice
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www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf
January 01, 2024 - -
value care in this high-risk group of patients. … in a high-risk patient population and disseminate this mHealth-enabled program
across multiple patient … Transplant MD agrees that patient is eligible to participate
Exclusion Criteria
1. … Patient is incapable of:
a. Measuring their own blood pressure
b. … Improving
Transplant Medication Safety Through a Pharmacist-Empowered, Patient-Centered,
mHealth-Based
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www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
October 01, 2014 - Project Overview: Designing Consumer Reporting Systems for Patient Safety Events … However, patients and their family members are in a unique position to identify gaps in care that may … safety, and systems that include patients' reports of patient safety events will complement information … safety events that may be useful in a patient safety reporting system? … How would consumer reporting of patient safety events be linked to quality and patient safety improvement
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - safety include the small number of mistakes and near misses that led to
adverse patient outcomes, the … rounds had a tendency to
Advances in Patient Safety: Vol. 1
32
be more abbreviated. … Advances in Patient Safety: Vol. 1
36
Table 4. … Structural and organizational issues in
patient safety. Calif Manage Rev 2000 43(1):83–101.
5. … Advances in Patient Safety: Vol. 1
38
14. Argyris C.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/crohns-disease_disposition-comments.pdf
February 25, 2014 - centered outcomes, and observational studies along with RCT
for safety. … All patients in global safety summary
were Crohn’s Disease patients. … Please consider inclusion of this safety data. … According to our analytic
framework, patient-reported
outcomes are relevant. … questions
in terms of final patient important outcomes.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - PowerPoint Presentation
Changing the System To Improve Patient Safety
Long-Term Care
AHRQ Safety Program … List factors that may compromise patient safety. … labels Increased staffing/reduce workload Tangible involvement and action by leadership in support of patient … Review the Staff Safety Assessments to identify common problems, themes, or ideas. … Human factors and behavioral safety. Butterworth-Heinemann. 2007; 130–1.
Kamoun G, Nicho M.
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psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
August 31, 2020 - Approach to Improving Patient Safety: Communication . PSNet [internet]. … Approach to Improving Patient Safety: Communication . PSNet [internet]. … The first is the need for better tools and approaches for communicating medication safety with patients … Approach to Improving Patient Safety: Communication . PSNet [internet]. … Safety in Frail Older Patients
November 26, 2019
View More
Related
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psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
February 24, 2021 - SPOTLIGHT CASE
Is the "Surgical Personality" a Threat to Patient Safety? … Is the "Surgical Personality" a Threat to Patient Safety?. PSNet [internet]. … Is the "Surgical Personality" a Threat to Patient Safety?. PSNet [internet]. … “True surgeons” will not allow what they feel is in their patients’ best interest to be compromised by … Is the "Surgical Personality" a Threat to Patient Safety?. PSNet [internet].
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hcup-us.ahrq.gov/db/nation/kid/kid_2009_introduction.jsp
January 01, 2009 - (DRG_NoPOA) and MDC in use on discharge date, calculated without POA indicators (MDC_NoPOA). … safety, and the impact of health policy changes. … There is no uniform patient identifier available that allows a patient-level analysis with the KID. … lengths of stay than patients in other community hospitals. … Texas Restriction on AGE for General Patient Population other than HIV or Drug/Alcohol Use Patients
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www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
January 01, 2024 - Significance
Inspired by the success of various measures of patient safety culture, ours is the first … safety culture,
these improvements should lead to improvements in patient outcomes related to drug … We would
welcome input from AHRQ staff who have been involved with the patient safety culture project … Descriptive analyses
were performed to characterize anticoagulant use, patient safety, compliance with … Drug, Healthcare, and Patient Safety. 3:47-52.
Solem, C.T., Lee, T. A., Joo, M. J., Lambert, B.
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psnet.ahrq.gov/node/33781/psn-pdf
March 01, 2015 - him about the development of hospital standardized mortality ratios, and their role
in monitoring safety … The regulators also received complaints from patients that also drew attention to the problems at Mid … They increased patients' satisfaction, and they reduced the mortality. … Another thing Bruce said, and I agree, was that monitoring patient
and staff complaints and surveys … report-mid-staffordshire-nhs-foundation-trust-public-inquiry
https://psnet.ahrq.gov/issue/promise-learn-commitment-act-improving-safety-patients-england
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-mch.html
May 01, 2018 - Hispanic Health Care
Acknowledgments
Health Care For Hispanics
National Quality Strategy Priorities: Patient … Safety
National Quality Strategy Priority: Healthy Living
Part 1: Overviews of the Report and the … Utilization Project, State Inpatient Databases, 2004‐2012 disparities analysis files and AHRQ Quality Indicators
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - Dialysis access planning was initiated, but unfortunately, when the patient was evaluated by a vascular … Instead of a fistula, the patient had an arteriovenous graft placed, and dialysis was initiated 3 months … 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
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
June 01, 2023 - It is suitable for use by teams supporting acutely ill patients in a hospital (e.g., an ICU patient the … STEP encourages the monitoring of all key elements required to support patients:
Recognizing which … safety. … When assessing acute care patient status , consider the following:
Patient history
Vital signs … When assessing progress , team members need to consider the following:
Status of the team’s patients
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psnet.ahrq.gov/issue/methicillin-resistant-staphylococcus-aureus-disease-three-communities
July 03, 2014 - November 14, 2018
Vital signs: improving antibiotic use among hospitalized patients. … intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients … November 30, 2023
Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions … September 21, 2016
Patient notification for bloodborne pathogen testing due to unsafe … October 21, 2010
Active surveillance of vaccine safety: a system to detect early signs
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psnet.ahrq.gov/issue/safe-chemotherapy-administration-using-failure-mode-and-effects-analysis-computerized
October 19, 2022 - Citation
Related Resources From the Same Author(s)
Optimizing Pediatric Patient … Safety in the Emergency Care Setting. … an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients … October 10, 2012
Talking with patients about other clinicians' errors. … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient
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psnet.ahrq.gov/issue/opportunities-enhance-laboratory-professionals-role-diagnostic-team
April 13, 2022 - Diagnostic error represents a significant source of patient harm. … Download Citation
Related Resources From the Same Author(s)
Inviting patients … July 29, 2020
Signs and symptoms to determine if a patient presenting in primary care … September 18, 2013
Operational rounds: a practical administrative process to improve safety … November 26, 2008
Missed injuries in trauma patients: a literature review.