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psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthesis
January 23, 2017 - presents nurses' strategies to overcome challenges such as incorporating informal teaching into every patient … September 25, 2024
Status of patient safety culture in community pharmacy settings: a … August 23, 2023
Effect of genetic diagnosis on patients with previously undiagnosed disease … March 8, 2023
The impact of health care strikes on patient mortality: a systematic review
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - https://psnet.ahrq.gov/primer/maternal-safety
Patient Safety Bundles. … project, and her team at the National Birth Equity Collaborative, is a difference between frameworks and indicators … on Safety
Patient Safety in Home Dialysis
April 28, 2021 … Perspective
Patient Safety Events and the Role of Patient Safety … safety, quality improvement, and implementation of a patient safety bundle.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
January 01, 2004 - Advances in Patient Safety: Vol. 2
200
Drugs, such as oral anticoagulants, that have a narrow therapeutic … Advances in Patient Safety: Vol. 2
202
We obtained patients’ indications for chronic anticoagulation … Among English and Spanish speakers, the visual
Advances in Patient Safety: Vol. 2
206
concordance … Advances in Patient Safety: Vol. 2
210
Acknowledgments
This research was supported through grants … Advances in Patient Safety: Vol. 2
212
46. Smedley BD, Stith AY, Nelson AR.
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www.ahrq.gov/news/newsletters/e-newsletter/944.html
January 01, 2025 - Highlights From AHRQ’s Patient Safety Network . … Study Highlights Gaps in Questions That Could Enhance Diagnostic Safety Most patient question guides … They called for new, easy-to-use tools to help patients engage in their care and improve safety during … Highlights From AHRQ’s Patient Safety Network AHRQ’s Patient Safety Network (PSNet) highlights journal … articles, books and tools related to patient safety.
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digital.ahrq.gov/ahrq-funded-projects/effective-use-e-prescribing-physician-practices-and-pharmacies
January 01, 2023 - a central focus of efforts to promote health information technology due to its potential to improve patient … safety by reducing medication errors. … suggests that the availability of e-prescribing system capabilities that have the potential to improve patient … safety and provider efficiency vary. … manual prescription entry, staff frequently had to edit or complete fields, particularly fields for patient
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017261-schillinger-final-report-2011.pdf
January 01, 2011 - that can pose a threat to patient safety in the context of chronic
disease management6,9-13. … Diabetes also provides a useful model to explore patient safety issues
in the outpatient setting. … known about patient safety in patients’ most frequent environment - at home, between
clinical encounters … In IDEALL, the lack of improvements in cardiometabolic
indicators was attributed to lack of impact on … Is ambulatory patient safety just like
hospital safety, only without the "stat"?
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digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-cancer-survivorship-care-through-survivorlink/annual-summary/2010
January 01, 2010 - Ann
Organization
Emory University
Funding Mechanism
RFA: HS08-002: Ambulatory Safety … information before the patient visit. … The portal highlights tailored information for individual patients based on their risks. … As an added security measure, patient and parents are able to monitor who looks at their patient information … In 2011, patient and parent recruitment will begin at the other clinics. Dr.
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - Case Objectives Understand the safety risks associated with patients being discharged against medical … From the perspective of patient safety, this case emphasizes how important it is to focus on our competencies … Outreach workers spend months trying to develop trusting relationships with homeless clients and even … Patients whom staff find difficult to like, or care for, are vulnerable to safety risks created by reduced … November 5, 2014
Nurse judgements of hospitalized patients' safety concerns are affected
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-improving-quality-through-clinician-use-of-health-it.pdf
January 28, 2014 - • Ambulatory Care Patient Safety Proactive Risk
Assessment (FOA HS-07-003), which supported
research … the development and deployment of
intervention strategies to reduce threats to patient
safety in ambulatory … safety, and both
clinician- and patient-reported experiences, as well
as ways to implement health … and patients make decisions that
enhance patient care (Osheroff et al., 2005). … in the course of care delivery or self-management.
3 Intermediate outcomes are indicators that are
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www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
January 01, 2024 - For patients who
agreed, a pharmacist would provide patient counseling while referencing a safety tips … tips on the handout to discuss with the patient and then encourage the patient to read
the safety tips … Patients who
declined speaking with the pharmacist still received the safety tips handout. … All but six patients (2%) received a safety tips handout during the pharmacy visit. … Assessing risk: the role of probabilistic risk assessment (PRA) in patient safety
improvement.
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - Safety
February 26, 2025
Perspective
Learning … Health Systems for Patient Safety
February 26, 2025
Estimating breast cancer … September 2, 2020
Why is safety in intrapartum electronic fetal monitoring so hard? … February 7, 2024
Patient safety and the COVID-19 pandemic: a qualitative study of perspectives … May 15, 2024
View More
Related Resources
Patient Safety
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hcup-us.ahrq.gov/reports/statbriefs/sb130.jsp
May 01, 2012 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … The Consumer Product Safety Commission estimates that there were 10.2 million 4-wheel ATVs in use in … Patients who visit EDs for ATV-related injuries are less likely to be insured than other injured ED patients … Rate of ED visits for ATV-related injuries by patient residence, 2009. … "All-Terrain Vehicle Safety in Florida: Is Legislation Really the Answer?"
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015447-gunter-final-report-2008.pdf
January 01, 2008 - Cross/Blue Shield Payer 8
Don Chalmers Ford Business Partner 3
First Choice Community Healthcare (safety … 1
NM Hospital & Health System Association Professional Group 8
NM Primary Care Association (rural safety … net provider
association)
Professional Group & Safety
Net Provider
1
NM Retiree Health Care … The planned summative (quantitative impact) evaluation would have included such
indicators as who was … using the HIE and how, technical evaluation of the operation of the HIE,
outcome/impact indicators,
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2025 - Patient survey. 8. Educate the patient about his or her diagnosis. … Patient survey. 9. Review with the patient what to do if a problem arises. … Patient survey. 11. … If you want to try to capture your patients' postdischarge use of other hospitals, you can use patient … Reviews of other key quality indicators (e.g., hospital board meetings, quality committees).
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digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-ivr-enhanced-care-transition-support/annual-summary/2012
January 01, 2012 - Organization
University of Alabama at Birmingham
Funding Mechanism
RFA: HS08-002: Ambulatory Safety … complex medical conditions, the transition from hospital to home-based care is a period during which the patient … Patient red flags were identified in the IVR system when patients noted problems with medications, inability … status, listen to patient messages, and record responses. … (Achieved)
Evaluate the impact of e-Coach versus comparison on patient outcomes, including community
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psnet.ahrq.gov/issue/interprofessional-training-and-communication-practices-among-clinicians-postoperative-icu
February 06, 2019 - Jt Comm J Qual Patient Saf . 2021; 47 (4) :242-249 . … October 28, 2020
Communication with patients and families regarding health care-associated … harm during operating room to intensive care unit patient handoffs. … March 12, 2025
Beyond the surgical safety checklist: using intraoperative handoff to … April 6, 2022
Care transition of trauma patients: processes with articulation work before
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digital.ahrq.gov/ahrq-funded-projects/conversational-information-technology-it-better-safer-pediatric-primary-care
January 01, 2023 - Patient-Centered Care
Patient Engagement
Throughout the health care system there are … and depression, tuberculosis screening, developmental screening, and home safety. … safety situations, and enhance patients’ experience and engagement with care. … Technology (IT) for Better, Safer Pediatric Primary Care
The Personal Health Partner Brochure for Patients … Link:
The Personal Health Partner Brochure for Patients
Project Name: Conversational Information
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digital.ahrq.gov/ahrq-funded-projects/improving-medication-management-practices-and-care-transitions-through/annual-summary/2011
January 01, 2011 - Organization
Visiting Nurse Service of New York
Funding Mechanism
RFA: HS08-002: Ambulatory Safety … project developed a medication management system intended to improve clinician practice and enhance patient … The patient receives educational materials as part of the intervention. … Patient outcome interviews were conducted among a randomly-selected subset of patients on a one-to-one … intervention nurses' use of the electronic decision support tool and the effect of the intervention on patient
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psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - Identifying Risks to Patient Safety
In the presented case, there were undoubtedly multiple failures … Burnout
affects not only the physician experience, but also patient safety and outcomes. … Physician burnout demands attention both as an underlying cause of decreased patient safety as
well … Patient Safety Network. https://psnet.ahrq.gov/primer/burnout. Updated September, 2019. … Understanding Patient Safety. Third Edition: McGraw-Hill Education, China;
2018.
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hcup-us.ahrq.gov/news/awards_archive.jsp
November 01, 2024 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … Improving Hospital Performance Rankings Using Discrete Patient Diagnoses for Risk Adjustment of Outcomes … The quality of care delivered to patients within the same hospital varies by insurance type . … The Effects of Safety Net Hospital Closures and Conversions on Patient Travel Distance to Hospital Services … Incident stroke and mortality associated with new-onset atrial fibrillation in patients hospitalized