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5361. Sustaining Change Webinar Transcript | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
      December 01, 2017 - This is a patient that I just took care of within the last month here in Boulder. … They received a patient that had a Foley catheter from another facility. … If your organization really has a culture of safety and is looking at hospital acquired conditions, and … Also, our patients, they weren't going to put them in the unit, but they needed accurate INO or acute … renal failure, but the patient was on, I can't remember.

5362. Sustaining-Change-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
      April 14, 2015 - This is a patient that I just took care of within the last month here in Boulder. … They received a patient that had a Foley catheter from another facility. … If your organization really has a culture of safety and is looking at hospital acquired conditions, and … Also, our patients, they weren't going to put them in the unit, but they needed accurate INO or acute … renal failure, but the patient was on, I can't remember.

5363. Appendix A: Draft Key Informant Interview Protocol | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyapa.html
      July 01, 2018 - [FOR PATIENTS] How did you come to be involved in patient safety and quality issues? … How do you think patients and families think about patient safety? What about quality? … Do you think patients and families view themselves as having a role in patient safety and quality? … How can patients and families contribute to patient safety and quality at an individual level (i.e., … What are the best ways to engage patients and families in patient safety and quality?

5364. Findings and Lessons From the Enabling Patient-Centered Care Through Health IT Grant Initiative (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-enabling-patient-centered-care-through-health-it.pdf
      January 01, 2013 - Ambulatory Safety and Quality Findings and Lessons From the Enabling Patient-Centered Care Through … • Ambulatory Care Patient Safety Proactive Risk Assessment (FOA HS-07-003), which supported research … safety, and patients’ reported experiences with care, and are summarized in this report across four … , and other indicators; and other educa- tional resources that can promote self-management. … in the course of care delivery or self-management. 4 Intermediate outcomes are indicators that are impacted

5365. Improving Direct Notification of Abnormal Test Results via Patient Portals | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-direct-notification-abnormal-test-results-patient-portals
      January 01, 2023 - It can also prevent test results from being overlooked, a common patient safety concern, and help coordinate … Patient engagement and follow up was increased with portal use, as patients who received abnormal results … Portal Population: Adults Improving diagnostic safety in primary care by unlocking digital data … Improving diagnostic safety in primary care by unlocking digital data. … Releasing test results directly to patients: A multisite survey of physician perspectives.

5366. Chapter-3 - Sepsis Recognition (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
      March 01, 2020 - The indicators and thresholds used to determine if a patient screens positive for sepsis also differed … the qSOFA, MEWS (Modified Early Warning Score), and the SIRS criteria, but some studies tested other indicators … safety practice is to improve the patient outcomes. … ://www.mnhospitals.org/quality-patient-safety/quality-patient-safety-initiatives/sepsis-and-septic-shock … #/videos/list https://www.mnhospitals.org/quality-patient-safety/quality-patient-safety-initiatives/sepsis-and-septic-shock

5367. New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Yount (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-new_sops_diagnostic_safety-yount.pdf
      October 20, 2021 - Overall Perceptions of Patient Safety and Quality 6. Owner/Managing Partner/Leadership Support 7. … Work Pressure and Pace • Information exchange with other settings • List of patient safety and quality … issues • Overall ratings on quality and patient safety 43 What areas of diagnostic safety are assessed … Testing and Referrals Results Average % Positive Response All test results are communicated to patients … on pending referrals and that is frustrating 55 Open-ended Comments Time Availability For patients

5368. Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes | PSNet
      psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
      July 23, 2024 - Innovation Patient Safety Focus This innovation uses core patient safety communication and teamwork … births. 10   Improved task completion, medication administration, and response times for eclampsia patients … : A randomized controlled trial (RCT) focused on the care of patients with eclampsia found that PROMPT … Patient Safety Innovations Risk Mitigation Using the … August 16, 2023 Psychological intervention to improve communication and patient safety

5369. Spotlight: Mistaken Attribution, Diagnostic Misstep | PSNet
      psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
      July 01, 2011 - List the patient safety interventions that inpatient psychiatry units can implement to improve safety … Even though patient safety events are common in psychiatry and can harm patients, much of the foundational … Fortunately, the vast majority (95%) of patient safety events caused minimal or no harm. … The time is ripe for psychiatry to fully embrace the patient safety movement. … Defining patient safety events in inpatient psychiatry.

5370. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
      January 01, 2024 - patient safety. … that include drug/dose calculations, programmable volume and time calculations, improved alarms and indicators … instrument that characterizes staff attitudes about patient safety … multiple dimensions of patient safety. … “The Impact of Clinical Decision Support Tools on Patient Safety.”

5371. Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart | PSNet
      psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
      October 30, 2024 - Innovation Patient Safety Focus Patient verification at the time of order entry helps to improve patient … safety by ensuring the right patient receives the right treatment. … Patient Safety Goal. 2 Orders entered into wrong chart:  Although multiple factors contribute to patient … National patient safety goals: hospital accreditation program. … Summary July 23, 2024 Patient Safety Innovations

5372. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
      January 01, 2024 - Key Words: operating room, systems engineering, patient safety, simulation 3 2. … that together could effectively address patient safety issues in the OR. … , equipment, information) that impact patient safety outcomes, such as surgical site infections and … There was a unique opportunity not only to conduct research related to patient safety and workflow for … , avoiding flow disruptions in these areas, such as bumps, trips, and related safety risks for patients

5373. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861738/psn-pdf
      January 31, 2024 - Flexor tendons are more difficult to visualize during wound exploration.3 Approach to Patient Safety … However, there are several important management considerations that will improve patient safety and … Optimizing working conditions is critical to patient safety, and in this case may include adequate clinician … Barnes, MD, FACEP Consulting Editor, AHRQ, Patient Safety Network Health Sciences Clinical Professor … Safety of epinephrine in digital nerve blocks: a literature review.

5374. Using Social Knowledge Networking (SKN) Technology To Enable Meaningful Use of EHR Technology - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs024335-rangachari-final-report-2018.pdf
      January 01, 2018 - and their next providers of care across the continuum, to promote patient safety and quality of care … safety. … safety; and 2) the EHR MedRec workflow, including the responsibilities of each provider group across … Data for this measure was collected at the patient level, quarterly, for 6 quarters, for all patients … safety.”

5375. Experiences From the Frontline: Case Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
      May 01, 2015 - a time when they experienced an increase in patient load and higher risk patients. … We expanded our patient volume and are caring for more high-risk patients than ever before, so it is … The unit increased its overall patient safety score on the AHRQ Hospital Survey on Patient Safety Culture … related to documentation and data capture and to help the team identify how to capture key performance indicators … patient safety issues without fear of repercussions.

5376. In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
      October 06, 2021 - project, and her team at the National Birth Equity Collaborative, is a difference between frameworks and indicators … By integrating these frameworks, we can optimally support equity and safety in patient care. … and family needs; strengthening of services for patients with limited English proficiency; patient-centered … https://psnet.ahrq.gov/primer/maternal-safety Patient Safety Bundles. … safety, quality improvement, and implementation of a patient safety bundle.

5377. #05 DEPRESSION (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/depression-horizon-scan-high-impact-1506.pdf
      June 01, 2015 - A significant unmet need exists for fast-acting treatments for this patient population. … questioned whether adoption would be dampened by potential out-of-pocket patient costs and shifts … Accordingly, IV scopolamine’s anticipated per-patient and per-treatment costs are unknown. … Multiple experts also opined that direct cost to patients, unresolved dosing protocols, and safety … , although unsettled safety and long-term efficacy data led three experts to state that ketamine and

5378. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33812/psn-pdf
      August 01, 2016 - In our Spanish Observatory for Dental Patient Safety database, we have five cases of patients dying, … RW: You have been a leader in dental education in patient safety. … I think we have a reasonable level of patient safety. … And we have more work to do here in Spain on dental patient safety. … Now we have begun to convince dentists that patient safety is important for their patients and also

5379. An Electronic Personal Health Record for Mental Health Consumers | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/electronic-personal-health-record-mental-health-consumers
      January 01, 2023 - Completed Grant Number R18 HS017829 Funding Mechanism(s) Ambulatory Safety … MH-PHR on patient self-activation and provider effectiveness in mental health management. … Document Type: Journal Publication Research Method: Randomized Controlled Trial (RCT) Technology: Patient … An Electronic Personal Health Record for Mental Health Consumers Document Type: Report Technology: Patient … Personal Health Record for Mental Health Consumers Document Type: Conference Proceeding Technology: Patient

5380. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33664/psn-pdf
      March 01, 2008 - safety. … RW: What data do you have that demonstrate that in fact this improves patient safety? … safety? … Not necessarily from a patient safety standpoint, but we have found that the decision of whether a line … In the real world I think that we have to find ways to maximize patient safety while taking into account