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5681. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
      January 01, 2014 - Patient Safety Organizations: A Summary of 2014 Profiles Patient Safety Organizations: A Summary of … 2014 Profiles The safety of patients in health care settings remains a national priority and an important … The Patient Safety Organization (PSO) program, which was authorized by the Patient Safety and Quality … than the patient safety dimension. … Network of Patient Safety Databases Brief.

5682. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/match.pdf
      August 01, 2012 - Patient safety risks of documenting “resume home meds” not understated. … safety in every facility is at the forefront of national patient safety goals and initiatives. … care and patient safety outcomes. 63 References 1. … National Patient Safety Goals Effective July 1, 2011. … Thank you for your support of this patient safety effort.

5683. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865698/psn-pdf
      April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges April 24, 2024 Leary KB, Lee M, Mossburg S. … Patient Safety Amid Nursing Workforce Challenges . PSNet [internet]. 2024. … Specifically, having fewer nurses caring for patients is associated with higher patient mortality. … Addressing Workforce Challenges Nurses are essential to patient care and patient safety, as they are … safety—namely, that more effective teamwork and communication mitigate patient safety risks.

5684. Untitled (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/field-triage-glascow_research-protocol.pdf
      February 25, 2016 - severity score ≥16, head AIS score >2 or >3, presence of intracranial hemorrhage, and utilization indicators … •   KQ1: Predictive utility for mortality, morbidity, injury severity score ≥16,25 or utilization indicators … score  of  Glasgow   Coma  Scale Intermediate   outcomes Over-­  or  under-­ triage   Utilization  indicators … National Highway Traffic Safety Administration. Washington, DC. … patients.

5685. 023-Ss-Cusp-Learning-From-Defects-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Surgical Services For: Cardiac … to another patient. … One powerful CUSP method is to use the Staff Safety Assessment. … To prevent patient harm and to protect patients from preventable pathogens such as MRSA or an SSI, it … Stressing the importance of patient actions to help prevent infection engages the patient in their care

5686. Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
      January 01, 2024 - Patient Safety Network. Glossary. Available at: http://psnet.ahrq.gov/glossary-0. … The Top Patient Safety Strategies That Can Be Encouraged for Adoption Now. … Partners in safety: implementing a community-based patient safety advisory council. … HRET patient safety leadership fellowship: the role of "community" in patient safety. … Journal of Patient Safety. December 2010 2010;6(4):238-243. PMID: 21500611. 21.

5687. Data and Analytics | Agency for Healthcare Research and Quality
      www.ahrq.gov/coronavirus/data-analytics.html
      August 01, 2023 - the Initial Period of the COVID-19 Pandemic (April−December 2020), 29 States , Statistical Brief #298 Patient … Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency  (PDF, 2.6 … 2020 , HCUP Statistical Brief #274 (PDF, 552 KB) COVID-19-Related Hospitalizations in 13 States, by Patient … 2020 , HCUP Statistical Brief #275 (PDF, 355 KB) COVID-19-Related Hospitalizations in 13 States, by Patient

5688. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
      psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
      July 19, 2023 - plan, experience more patient safety-related issues, and visit emergency departments more often. 21   … Martin, MSN, RN, CIC, CNL, NEA-BC, FACHE Executive Director Patient Care Services, Quality & Safety, … Cultural Competence and Patient Safety. PSNet Patient Safety Network. Published December 27, 2019. … safety. … Safety Innovations Preventing Falls Through Patient and Family Engagement to Create

5689. Section 8: The Care Management Evidence Base (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8b.html
      October 01, 2014 - Patient education (1 article). Provider education (2 articles). … The investigators concluded that patient mortality rates decreased and, consequently, patients gained … Patient and Provider Education. … The activation measures identified in this literature review include patient satisfaction and patient … : evidence from a randomized trial in community-dwelling patients.

5690. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49497/psn-pdf
      December 01, 2005 - Does it make sense to “practice” patient care in the real environment where real consequences (to patients … Or should practice occur in a medical simulator on simulated patients with the threat of only simulated … Patient safety is an important issue at every health care institution in our country. … safety organizations will be necessary to fully realize the potential of this methodology. … safety competencies.

5691. Executive summary_Comparative Effectiveness Review No. 250_Living Systematic Review on Cannabis and Other Plant-Based Treatments for Chronic Pain: 2025 Update (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-250-cannabis-2025-surv-rep-update-executive-sum.pdf
      January 01, 2025 - observational studies evaluated various (low, comparable, or high THC to CBD ratio) products.4-6 In patients … prescribed cannabis (5) Whole-plant cannabis, “certified 12.5% THC” (CBD NR) route determined by patient … final mean dose 16.6/15.4 mg THC/CBD/day vs. 17.2 mg THC/day None specified; based on individual patient … a Patients could choose any medicinal product they preferred in these studies. … Efficacy and Safety of Transdermal Medical Cannabis (THC:CBD:CBN formula) to Treat Painful Diabetic

5692. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50756/psn-pdf
      December 18, 2019 - not provide any naloxone education to the patient.  … A root cause analysis was performed by the hospital's safety committee, which revealed that pharmacists … Use of video-assisted patient educational materials may benefit patients and their caregivers in some … While policies such as the requirement of co-prescribing naloxone are intended to improve public safety … Opioid Safety and How to Use Naloxone. California Board of Pharmacy. 

5693. Department of Health and Human Services National Institutes of Health - National Institute for Research on Safety and Quality (NIRSQ) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
      January 01, 2021 - Safety) and the Surveys on Patient Safety Culture. … important to patient safety. … of 2005 (Patient Safety Act) to create and maintain a Network of Patient Safety Databases (NPSD) to … The Patient Safety Act promotes increased voluntary patient safety event reporting and analysis, as … to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families; • Medications

5694. Making It Work Tip Sheet: Chlorhexidine Bathing and Perineal Cleaning (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/chlorhexidine-bathing.pdf
      April 01, 2022 - Making It Work Tip Sheet: Chlorhexidine Bathing and Perineal Cleaning AHRQ Safety Program for … performing the procedure due to lack of staff knowledge, beliefs/perceptions around CHG bathing, and patient … • Develop a process for a patient not feeling comfortable with the CHG treatment. … We interviewed some staff and patients and discovered staff concerns that the patient didn’t seem like … Veterans Health Administration (VHA) National Center for Patient Safety, Patient Safety Center of Inquiry

5695. Toxic Tachycardia | PSNet
      psnet.ahrq.gov/web-mm/toxic-tachycardia
      March 01, 2005 - The patient had no evidence of thyroid storm. … In patients with systemic illness, the T3 is uniformly low due to inhibition of conversion of T4. … Perioperative management of patients with hypothyroidism. … March 1, 2005 Perspective Update on Safety Culture … November 8, 2023 Safety culture and workforce well-being associations with Positive Leadership

5696. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33757/psn-pdf
      October 01, 2013 - Safety in Radiology October 1, 2013 Pinto A. Safety in Radiology. PSNet [internet]. 2013. … Many imaging modalities deploy ionizing radiation, and, as a consequence, the exposure of patients to … , bringing radiation safety under the broad umbrella of the patient safety field. … Instead, the patient needs to be informed. … safety, radiologists must function as both gatekeepers and imaging experts.

5697. The ECG Is Not Normal | PSNet
      psnet.ahrq.gov/web-mm/ecg-not-normal
      November 10, 2015 - violation to send a copy of a patient evaluation to the patient themselves. … revealed to third parties that some hospitals specify that only the medical records department may provide patients … Peabody that "the secret of the care of the patient is in caring for the patient. … Effect of bar-code technology on the safety of medication administration. … September 2, 2020 Keeping patients at risk for self-harm safe in the emergency department

5698. Stewardship-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Sustaining Your Antibiotic Stewardship Program Long-Term … Slide 2 Evidence Review SAY: In order to guide the content included in the AHRQ Safety Program … The vertical axis measures the rates of urine cultures sent per 1,000 patient bed-days, and the two vertical … Displaying Antibiotic Commitment posters that are available in the Safety Program Toolkit and training … Supporting materials for the activities are listed on the slide and are available in the Safety Program

5699. Simulation study of rested versus sleep-deprived anesthesiologists. | PSNet
      psnet.ahrq.gov/issue/simulation-study-rested-versus-sleep-deprived-anesthesiologists
      September 13, 2017 - September 13, 2017 Effects of nurse-to-patient ratio legislation on nurse staffing and … patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals. … September 23, 2020 Evaluation of communication and safety behaviors during hospital-wide

5700. HCUP Overview Presentation
      hcup-us.ahrq.gov/news/exhibit_booth/hcup_90_min_pres.jsp
      December 01, 2022 - are available: Value-added variables (supplemental variables for revisit analyses, injury indicators … , indicators for observation and ED services) Hospital characteristics (teaching status, ownership/ … safety, etc. … safety, etc. … safety, etc.