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5721. Final Progress Report: RESPOND Pharmacy Education Toolkit: AHRQ Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hartung-report.pdf
      January 01, 2024 - Pharmacists, opioid safety, educational toolkit Purpose The purpose of this study was to increase patient … The EAC was composed of representatives from a patient safety organization, state and local public health … for patients. … I have insufficient training to screen opioid prescriptions for potential patient safety issues. 1 = … The patient is wearing sunglasses in the pharmacy e. All are potential safety triggers 2.

5722. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33775/psn-pdf
      December 01, 2014 - Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients … National patient safety policy 2. Knowledge and learning in patient safety 3. … Patient safety awareness 4. Health services for patient safety 5. … Medication safety 10. Partnerships (patients, family, health professionals, and policymakers) 11. … Patient safety funding 12.

5723. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33564/psn-pdf
      March 15, 2025 - widespread implementation of CPOE into electronic health systems (EHR) has benefited clinicians and patients … In hospitalized patients, nurses are generally responsible for this step, but in the outpatient setting … /psnet.ahrq.gov/primer/clinical-decision-support-systems https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem … Yet even as CPOE improves some aspects of patient safety, there is growing recognition that it can also … Alert fatigue is now a recognized safety threat in itself and is discussed in detail in a related Patient

5724. Final Progress Report: Preventing Opioid Misuse Through Safe Opioid Use Agreements Between Patients and Surgical Providers (PROMISE-ME) (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/stulberg-report.pdf
      January 01, 2024 - Patients were interviewed using three different patient-reported outcome surveys: PROMIS Pain Interference … Baseline demographics and patient characteristics of all randomized patients are shown in Table 1. … American College of Surgeons (ACS) Quality and Safety Conference. Virtual, July 2021. … Key Substance Use and Mental Health Indicators in the United States: Results from the 2016 National … Key substance use and mental health indicators in the United States: Results from the 2017 National

5725. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/hip-fracture-pain_research-protocol.pdf
      December 09, 2009 - It may be patient defined or proxy reported. … For the questions on safety and adverse effects, in addition to the above databases, we will search … Does functional recovery in elderly hip fracture patients differ between patients admitted from long-term … Pain management after total joint replacement and its impact on patient outcomes. … Evidence for safety of pharmacologic and nonpharmacologic pain management interventions K3:

5726. Anxiety Screening: Evidence Report and Systematic Review for the US Preventive Services Task Force (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/CXDusYW7s2xdypXMpnW9sw
      June 20, 2023 - the key questions that the review will address to allow the USPSTF to evaluate the effectiveness and safety … PHQ-PD indicates Patient Health Questionnaire–Panic Disorder. … Latino Patient Population. … FDA Drug Safety Communication: FDA warns about serious risks and death when combining opioid pain or … Accessed August 31, 2021. https://www.fda.gov/drugs/drug-safety-and- availability/fda-drug-safety-communication-fda

5727. Making Healthcare Safer IV Rapid Response_Active Surveillance Culturing of Clostridioides difficile and Multidrug-Resistant Organisms: Methicillin-Resistant Staphylococcus aureus, Carbapenem-Resistant Enterobacterales, and Candida auris (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-active-infection-rapid-response.pdf
      May 01, 2024 - What patient safety measures or indicators have been used to examine the downstream harms associated … safety measures or indicators, in addition to findings identified in Review Question 5 relevant to … What Patient Safety Measures or Indicators Have Been Used To Examine the Downstream Harms Associated … National Healthcare Safety Network (NHSN) patient safety component manual. … Director, General Patient Safety Program Center for Quality Improvement and Patient Safety Agency for

5728. Best Practices in the Management of Patients With Antibiotic Allergies – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-guide.docx
      September 01, 2022 - Best Practices in the Management of Patients With Antibiotic Allergies – Facilitator Guide AHRQ Safety … Slide 14 Allergy History: Defining the Rash SAY: If the patient reports a rash, ask the patient … Slide 28 Case 2: The Same 50-Year-Old Patient SAY: Suppose you asked that same 50-year-old patient … The Patient Handout explains allergic reactions to the patient, as well as the importance of sharing … No. 17(22)-0030 September 2022 21 Antibiotic Allergies AHRQ Safety Program for Improving Antibiotic

5729. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838197/psn-pdf
      September 28, 2022 - plan, experience more patient safety-related issues, and visit emergency departments more often.21 … or seek immediate medical attention22 https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety … https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety https://psnet.ahrq.gov//#23 … 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.

5730. Final Progress Report: Improving the safety of pediatric tracheal intubation in ICUs with apneic oxygenation and video laryngoscopes (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/nishisaki3-report.pdf
      January 01, 2025 - Final Progress Report: Improving the safety of pediatric tracheal intubation in ICUs with apneic oxygenation … and video laryngoscopes Title: Improving the safety of pediatric tracheal intubation in ICUs with … Given the clinical impact of the adverse TIAE on patient outcomes, specifically duration of mechanical … Measures Quantitative data in TI safety process and outcomes The TI safety process and outcome data were … It is also possible that the reduction of the adverse TIAEs may be simply due to patient, provider,

5731. THE HCUP NATIONWIDE EMERGENCY DEPARTMENT SAMPLE (NEDS), 2009
      hcup-us.ahrq.gov/db/nation/neds/NEDS_Introduction_2009.jsp
      January 01, 2009 - Variables for Revisit Analyses American Hospital Association (AHA) Linkage Files AHRQ Quality Indicators … These important resources help the client understand the structure and content of the NEDS and aid in … There is no uniform patient identifier available that would allow a patient-level analysis with the NEDS … Consumer Product Safety Commission (CPSC). … patient died in the ED, (98) ED visits in which patient was not admitted, destination unknown, (99) ED

5732. Failure to Latch | PSNet
      psnet.ahrq.gov/web-mm/failure-latch
      November 27, 2012 - The Case The patient is a full-term, 8.5-pound, healthy infant whose parents were strongly committed … Newborn wet and soiled diaper counts and timing of onset of lactation as indicators of breastfeeding … Perspective Accreditation and Regulation: Can They Help Improve Patient … Safety? … safety.

5733. Chapter 7. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter7.html
      August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 7. … Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient … Safety Events Executive Summary Chapter 1. … Patient safety: Achieving a new standard for care. Aspden P, Corrigan JM, Wolcott J, et al., eds. … Temporal trends in rates of patient harm resulting from medical care.

5734. The Magnetic Deflection | PSNet
      psnet.ahrq.gov/web-mm/magnetic-deflection
      November 18, 2016 - Typically the patient completes a pre-MRI screening questionnaire that helps clarify if the patient has … Technologists may stop patients or clinicians prior to their entering the MRI room and insist on prescreening … For the safety of patients and any attendant health care workers, it is critically important to cooperate … Strong MRI safety programs prevent safety events. Quick Safety. March 2017;(31):1-3. … WebM&M Cases Supervision and Entrustment in Clinical Training: Protecting Patients

5735. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49636/psn-pdf
      October 01, 2011 - Describe potential exercises and activities for a patient in the ICU. … While not every patient admitted to a hospital requires a physical therapy evaluation, patients most … abilities, the discharge environment (e.g., availability of assistance and accessibility of the home), safety … , and the types of services the patient will require. … patient mobility is required.

5736. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33581/psn-pdf
      December 15, 2024 - in elderly patients. … The Joint Commission has named improving medication safety as a National Patient Safety Goal for both … of its key goals for improving patient safety. … https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge https … ://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge

5737. Errors and Near Misses: What Health Care Could Learn From Aviation | PSNet
      psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
      September 01, 2006 - risks cause harm to patients. … It makes our patients safer, but it doesn't directly impinge on what we do for patient safety. … Because if we're wasting money taking care of fewer patients that means there are other patients who … JB: Every one of our hospitals has a patient safety manager whose job is to run the patient safety program … I will say though—and this might sound strange—that most of the benefit to the patients for patient safety

5738. Public-Reporting-Cost-Measures Technical-Brief (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/public-reporting-cost-measures_technical-brief.pdf
      March 01, 2015 - organization that provides online information about health care quality and patient safety for consumers … http://www.cthosp.org/advocacy/quality-and-patient-safety/hospital-quality- reporting-website/ RWJF … a=3132&q=388090 http://www.cthosp.org/advocacy/quality-and-patient-safety/hospital-quality-reporting-website … / http://www.cthosp.org/advocacy/quality-and-patient-safety/hospital-quality-reporting-website/ http: … http://www.sts.org/quality-research-patient-safety/sts-public-reporting-online RWJF Excluded 214.

5739. Exhibit 12. Involving Patients and Family Members at the Hospital Level | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex12.html
      July 01, 2018 - Guide to Patient and Family Engagement Exhibit 12. … Involving Patients and Family Members at the Hospital Level Previous Page Next Page Table … to be involved in key organizational decisions and to participate in safety policies, facility planning … , 213 , 215 , 217 Participating on committees (e.g., patient safety, quality improvement teams … patient and family member feedback 167 , 218 Patient satisfaction surveys or patient focus groups

5740. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
      January 01, 2025 - Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) Title of Project: … Failure to Rescue-Patient Safety Learning Lab (FTR-PSLL) Principal Investigator and Team Members: … days 418,620 Patient Safety Rescue Events Life safety consult 3082 HERT 520 Code Blue 322 … Miller MR, Elixhauser A, Zhan C, Meyer GS: Patient Safety Indicators: using administrative data to identify … potential patient safety concerns.