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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-public-health.html
May 01, 2024 - Safety
5. … Medical Homes
P8: Do Telemedicine Visits Provide Similar Quality and Safety as In-Person Visits? … P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes
P10 … education and income levels), neighborhood and built environment, social and family support, and community safety … Social needs are what a patient perceives as what they need to address the negative SDOH they face.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021733-sheehan-final-report-2014.pdf
January 01, 2014 - On the beta test, one
PT and three patients found the IBEHR to be easy to use. … Scope: The problem we address is that of poor patient adherence when patients are asked to exercise at … Most, 69%, were injuries that might be prevented through better safety training -- ergonomic
injuries … e.g, by PTs working with private companies and state and
local governments to teach workers better safety … Kingsland) evaluated patients’ ability to operate the IBEHR
using a checklist: all three patients
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-using-pqms.pdf
January 01, 2016 - researchers included children with at least one visit
recorded in the electronic medical record from a safety … For a pilot
program, the state had health
plans create a patient-level data
flag linking patients … These authors also noted
that, while many quality measures are based on
medication dispensing indicators … These authors noted that—particularly for condition-
specific indicators—a given physician or practice … Attribution of
patients across
levels
•CEPQM: attribution/assignment of patients from the hospital
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psnet.ahrq.gov/issue/initiative-reduce-insulin-related-adverse-drug-events-childrens-hospital
March 24, 2021 - Insulin is a high-risk medication and can contribute to adverse events in pediatric patients. … The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients … March 10, 2021
Predictors of serious opioid-related adverse drug events in hospitalized patients … with Type 1 Diabetes and Home Insulin Pump
October 28, 2020
Is one-pen, one-patient … More
See More About The Topic
Children's Hospitals
Nurse Managers
Quality and Safety
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
December 01, 2023 - to
ensure their safety…
…has not been explored
or is not possible with
existing data systems. … …are available for all
patients but not
specifically for older
adults. … …is done occasionally,
when prompted by
patient history. … …is done frequently but
on an ad hoc basis, based
on patient history. … …are available and
occasionally used during
or after patient
encounters.
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effectivehealthcare.ahrq.gov/sites/default/files/pepticulcer_hi_impact.pdf
January 01, 2012 - the safety of teduglutide is likely
to be required going forward … patient does not
improve after 3 to 5 days, colectomy (i.e., surgical removal of the colon) can be … ) and should not require
any major training or learning curve on the part of the patient.
5 … for treatment of short bowel syndrome
These malignancies have been reviewed by an independent safety … A reduction in PN might significantly improve
patient outcomes and quality of life.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hsops2.0-webcast-transcript.pdf
January 01, 2020 - Ginsberg has broad-based experience in patient experience, patient safety and public health. … Sorra, Slide 15
What is patient safety culture? … within an organization as it relates to patient safety. … , and to evaluate the impact of patient safety initiatives. … Overall Perceptions of Patient Safety was dropped because the patient safety
rating question was deemed
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/treatment-resistant-depression_surveillance.pdf
April 01, 2016 - 5 subject matter experts,
and concluded that all conclusions related to comparative efficacy and safety … Key Question 4:
For adults with TRD, do nonpharmacologic interventions differ in their safety, adverse … headache, scalp pain, dizziness, a combination of a foul taste
and smell sensation, seizures in a patient … (SOE: Low)
of seizures in a patient with seizure history,
and six cases of suicidal ideation (in … patients
with history of suicidal ideation).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
May 01, 2017 - Because only 5 to 10 percent of obstetric hemorrhages occur in patients with risks for hemorrhages,1 … care teams should maintain situational awareness for all patients. … Patient and Family Engagement (CUSP Module)
Key Perinatal Safety Elements
Examples
Communicate with … ACOG Patient Safety and Quality Improvement Committee. … Patient Safety Checklist No. 10: postpartum hemorrhage from vaginal delivery.
-
www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5c.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Readiness Assessment … Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety … Least frequently reported was the routine bathing of patients in clinical areas with chlorhexidine (20.7 … 20.5%
23.4%
0.009
20.8%
23.1%
0.210
2
Partnership' with a Senior Executive for patient … safety
49.4%
26.6%
22.8%
0.760
24.9%
24.6%
0.749
3
Systematic analysis and proactive
-
psnet.ahrq.gov/node/33765/psn-pdf
April 01, 2014 - Our
staff is in the weeds every day on issues around patient safety and quality issues and measurement … That gives us a different space in the world of advocacy around patient safety,
simply because we're … For instance, we're still seeing persistent problems with patient
safety. … We have not seen the kind of progress in patient safety that we would have expected to see in 10
years … if they hear it from
their patients.
-
psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
September 01, 2016 - Telemedicine and Patient Safety. PSNet [internet]. … Telemedicine and Patient Safety. PSNet [internet]. … Suggestions to increase patient safety in telemedicine include: (i) patient safety awareness should permeate … We spoke with him about telemedicine and patient safety.
Dr. Robert M. … Telemedicine and Patient Safety. PSNet [internet].
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
September 26, 2023 - Cox, MD, MHA
Assistant Under Secretary for Health for Quality & Patient Safety
Edward E. … Yackel, DNP, FNP-C, FAANP
Executive Director, VHA National Center for Patient Safety
Presenters:
VHA … Health care organizations, including VHA’s National Center for Patient Safety (NCPS), led the way in … The effort resulted in an improved patient safety culture, improved reporting of Patient Safety Events … Journal of Patient Safety.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - Safety Goals
100K Lives Campaign. … National Patient Safety Goals for 2006 and 2005. JCAHO Web site.
4. 100K Lives Campaign. … National Patient Safety Goals for 2006 and 2005. … Available at: http://www.jcaho.org/accredited+organizations/patient+safety/npsg.htm. … Effectiveness of a pharmacist-acquired medication history in promoting patient safety.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-one-pager.pdf
September 01, 2022 - Influenza
Diagnosis
• Influenza should be suspected during influenza season in patients with new … Beyond 48 hours from symptom
onset, consider antivirals for patients with immunocompromise or severe … ≥7 years of age
o Baloxavir as a single dose for patients ≥12 years of age
• Antibiotics are not … o Inhaled zanamivir for 7 days for patients ≥5 years
o Oral baloxavir as a single dose for patients … summary-clinicians.htm
https://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm
AHRQ Safety
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017248-adams-final-report-2011.pdf
January 01, 2011 - safety situations, and enhance patients experience and engagement with care. … multiple health outcomes, detect concerning patient safety
situations, and enhance patients’ experience … Parental Activation and Patient-Centered Health IT
There is general agreement that engaging patients … The safety
assessment was based on the Framingham Safety Assessment. … A list of potentially eligible
patients was extracted from the EHR.
-
www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module3-speaker-notes.html
February 01, 2023 - X, a patient on a ventilator, no longer required a urinary catheter. … When conducting her patient rounds, she found Ms. X was incontinent. … But, would you agree that patient safety is our highest priority? … In our scenario, Molly raised valid concerns regarding patient dignity. … safety.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
February 12, 2004 - The system has helped to identify patterns of patient safety
errors and areas where patient safety events … patient safety newsletters (available on
the DoD patient safety Web site), patient safety hot topic … Safety Center
MHSPSR: Military Health System Patient Safety Registry
Advances in Patient Safety … Safety Center
PSO/M: Patient Safety Officer /Manager
PSR: Patient Safety Registry
PSWG: Department … safety database
Patient safety data collection
Patient safety data analysis
Conclusion
Acknowledgments
-
psnet.ahrq.gov/perspective/safety-dentistry
August 01, 2016 - patient safety practices; (iii) teaching, disseminating, and implementing effective patient safety practices … safety events (e.g., wrong site or wrong patient), creating a severity scale for dental patient safety … Is ambulatory patient safety just like hospital safety, only without the "stat"? … In our Spanish Observatory for Dental Patient Safety database, we have five cases of patients dying … Now we have begun to convince dentists that patient safety is important for their patients and also for
-
digital.ahrq.gov/sites/default/files/docs/citation/k08hs021271-melnick-final-report-2018.pdf
January 01, 2018 - experience, clinician experience, health care
utilization, and patient safety.
3. … EHRs promised to improve patient
safety and outcomes by reducing errors. … experience, health care utilization, and patient safety. … Health Care Utilization and Patient Safety
In the 41 encounters in which the app was used, 7 patients … experience, clinician experience, health care utilization, and patient safety.