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5561. Case 2. Central Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
      November 01, 2014 - , nosocomial infections, perioperative safety, Joint Commission national patient safety goals, and adverse … safety as part of the coalition for patient safety. … Clinical Processes or Outcomes Assessment and Patient Safety  One finding regarding patient safety … Some staff felt patient safety could be compromised by the Lean process. … The department leaders stopped the process because of concerns for patient safety.

5562. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
      January 01, 2024 - safety initiatives.28 Specific hospitals have seen significant improvements in patient safety. … SAFETY CULTURE AHRQ Patient safety culture survey54 Item A15. … We assessed patient safety culture using the AHRQ Patient Safety Culture Survey, in which all items have … Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing … Quality improvement initiative to reduce serious safety events and improve patient safety culture.

5563. Optimizing Medication History Value in Clinical Encounters with Elderly Patients | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/optimizing-medication-history-value-clinical-encounters-elderly-patients
      January 01, 2023 - Completed Grant Number R18 HS017150 Funding Mechanism(s) Ambulatory Safety … around regimens that a patient is more likely to adhere to. … ) modules to educate clinicians about the use of medication information when prescribing to improve safety … and patient-provider communication. … patient-physician communication.

5564. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
      September 01, 2005 - According to the patient, his only medication was Glucophage. … Adverse events among medical patients after discharge from hospital. … Improving Medication Safety in the Elderly “Start low and go slow” Anticipate confusion from sound-alike … Transitions Program at University of Colorado at Denver and Health Sciences Center ISMP and Safety … ISMP Medication Safety Alert! Institute for Safe Medication Practices Web site.

5565. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49602/psn-pdf
      April 01, 2010 - Safety Goals (NPSGs).(18) The NPSG includes eight specific elements of performance, including using … approved protocols for the management of anticoagulant therapy and evaluating the safety of anticoagulation … Application of these requirements and patient safety principles to bridging therapy is essential but … safety. … Accreditation Program: Hospital. 2009 National Patient Safety Goals.

5566. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73146/psn-pdf
      April 28, 2021 - Patient Safety in Home Dialysis April 28, 2021 Morfín JA, Fitall E, Hall KK, et al. … Patient Safety in Home Dialysis. PSNet [internet]. 2021. … https://psnet.ahrq.gov/perspective/patient-safety-home-dialysis Dialysis Care and Patient Safety Concerns … Training of Patients and Care Partners https://psnet.ahrq.gov/perspective/patient-safety-home-dialysis … Experiences of safety among patients receiving home dialysis therapies.

5567. Final Progress Report: Optimizing OTC labels for older adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/becker-bix-report.pdf
      January 01, 2024 - Invited Speakers, Center for Quality and Innovation and Patient Safety (CQuIPS) Meeting, Quantifying … Drug Safety. 2013;36:1159-68. 5. … Drug Safety. 2014;37:225-35. 6. … Drug Healthcare and Patient Safety. 2012;4:75-80. 12. Chan M, Nicklason F, Vial J. … National Council on Patient Information and Education.

5568. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50613/psn-pdf
      October 30, 2019 - We spoke with him about his insights regarding patient safety in obstetrics, maternal mortality, the … Neel Shah: I was in medical school during an era where patient safety was very much on everyone's mind … But if that somehow got better, what would remain as a key patient safety issue in OB? … with a really high or a really low C-Section rate, it tells you something about the other quality indicators … A lot of patient safety and quality improvement work is like this where it's not just about the systems

5569. Section 5, Appendix 1, Tables 1-5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-section-5-appendix-1-tables-1-5.pdf
      October 22, 2013 - use of atypical antipsychotic medications in children and adolescents.1 “The acute and long-term safety … (Recommendation 12) Clinical Standard Clinical Guideline “In those patients with significant weight … monitoring as indicated….The American Diabetes Association’s recommendations for managing weight gain for patients … adolescents with schizophrenia.2 CAMESA (2011) Canadian Alliance for Monitoring Effectiveness and Safety … Evidence-based recommendations for monitoring safety of second generation antipsychotics in children

5570. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. | PSNet
      psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
      May 01, 2005 - with impaired exercise capacity. 5 Approach to Improving Safety & Patient Safety Target When approaching … Lastly, ED patient volumes have been steadily increasing, motivating the demand for faster patient triage … Shift-to-shift handoff effects on patient safety and outcomes. … Engagement and Patient Safety February 1, 2013 WebM&M Cases … March 10, 2011 Leapfrog safety grades in California hospitals: a data analysis.

5571. PREGNANCY, INCLUDING PRETERM BIRTH #12 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pregnancy-horizon-scan-high-impact-1312.pdf
      December 01, 2013 - They were especially concerned about patient motivation to use this system and thought the patients … Despite the safety and efficacy of emergency contraception (EC), its use remains low. … Despite its safety and efficacy, EC use remains low.4 Barriers to use include lack of knowledge or … Overall, experts concluded that despite these obstacles, the potential for adoption by both patients … for this intervention to disrupt care processes and patient management.

5572. Enhancing self-management of T2DM with an Automated Reminder and Feedback System (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017276-burns-final-report-2011.pdf
      January 01, 2011 - Based upon a lifetime experience of acute symptoms as indicators of illness, they often revert to using … symptoms as indicators of disease control, rather than using objective blood glucose measures. … 7 Unfortunately, as with many chronic conditions, symptoms are often unreliable as indicators of … These beliefs can be accurate indicators of illness and health. … For measures above a predefined safety level of 450 mg/dl, they are asked to repeat the measure in 1

5573. Patient Safety and Adherence to Self-Administered Medications | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
      September 29, 2011 - Patient Safety and Adherence to Self-Administered Medications Citation Text: Spall H, Van-Spall … Patient Safety and Adherence to Self-Administered Medications. PSNet [internet]. … Patient Safety and Adherence to Self-Administered Medications. PSNet [internet]. … Patient Safety and Adherence to Self-Administered Medications. PSNet [internet]. … September 29, 2011 Near-misses are an opportunity to improve patient safety: adapting

5574. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33713/psn-pdf
      June 01, 2011 - The Safety of Medical Devices June 1, 2011 Nemeth CP. The Safety of Medical Devices. … The back of a patient chair on a tomography system bent and broke off, allowing a patient to fall. … While the team adjusted the table, it swung loose and the patient fell to the floor but sustained no … Too few clinicians question the effect a new technology may have on the patient. … U.S. inaction lets look-alike tubes kill patients. New York Times. August 21, 2010:A1. 6.

5575. Bacterial Pneumonia in Long-Term Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-bacterial-pneumonia.pdf
      June 01, 2021 - Bacterial Pneumonia in Long-Term Care AHRQ Safety … Various radiological findings in patients with COVID-19: A case series. … Predictors of viral pneumonia: the need for viral testing in all patients hospitalized for nursing

5576. An Evaluation of an Interactive Social Media Web site for Parents who are Concerned about Immunizing their Children | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/evaluation-interactive-social-media-web-site-parents-who-are-concerned-about
      January 01, 2023 - vaccine-preventable diseases has declined, public concern has shifted from disease transmission to vaccine safety … Decision for their Child Description: This is a questionnaire designed to be completed by caregivers in a patient … : Questionnaire/Survey Research Method: Attitude Assessment Population: Caregiver Care Setting: Patient

5577. PC CDS Planning, Implementation, and Reporting User Guide (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-09/Final_MO%20PC%20CDS%20User%20Guide%20(1)_0_0.pdf
      January 01, 2024 - of cost, (e.g., dollar amounts), other qualitative and quantitative indicators may be relevant, such … outcomes, users should report changes in clinical (e.g., health outcomes, patient safety), health … of health or determinants of health, indicators of social status, and “methods for comparing health … ☒ Not Applicable ☐ Task Description • Changes in clinical (e.g., health outcomes, patient safety … Work system design for patient safety: the SEIPS model.

5578. PC CDS Planning, Implementation, and Reporting User Guide (pdf file)
      digital.ahrq.gov/sites/default/files/Final_MO%20PC%20CDS%20User%20Guide%20(1)_0_0.pdf
      September 01, 2024 - of cost, (e.g., dollar amounts), other qualitative and quantitative indicators may be relevant, such … outcomes, users should report changes in clinical (e.g., health outcomes, patient safety), health … of health or determinants of health, indicators of social status, and “methods for comparing health … ☒ Not Applicable ☐ Task Description • Changes in clinical (e.g., health outcomes, patient safety … Work system design for patient safety: the SEIPS model.

5579. TransforMN Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-solberg.pdf
      April 01, 2015 - standards focused on five key areas: • Continuous access and communication between the HCH and the patient … Electronic registries to identify gaps in care and manage services • Care coordination for improved patient … families • Continuous improvement in patient experience, health outcomes, and cost effectiveness … Transformational Elements • Accessible Services • Coordinated Care • Health Information Technology • Patient-Centered … Care • Quality & Safety Results of Transformation Efforts Shortly after HCH certification, each

5580. #06 Developmental Delays ADHD, and Autism (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/developmental-delays-horizon-scan-high-impact-1406.pdf
      June 01, 2014 - medications for this indication, the ease of oxytocin administration, and its favorable cost and safety … with ASDs.10-13 Research in both healthy patients and patients diagnosed with ASDs has determined … including at least one with headquarters in the United States (ABC Nutriceuticals, Boise, ID), but safety … Experts also remarked that additional data supporting oxytocin’s efficacy would also increase patient … A review of safety, side-effects and subjective reactions to intranasal oxytocin in human research