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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
November 01, 2017 - Patient safety events in hospital care of individuals with
epilepsy. … Measuring patient safety: The Medicare Patient Safety
Monitoring System (past, present, and future). … J Patient Safety. 2016; preview online. … New system aims to improve patient safety monitoring. … Validity of the Agency for Health Care Research and
Quality Patient Safety Indicators and the Centers
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www.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.html
December 01, 2020 - Management
Prior to the iCARE trial, the largest multi-site trial of diabetes care improvement in the safety … Patient Experience Survey (random samples of patients with 2+ visits) (2012 RR= 45%, n=907; 2013 RR= … Patient and clinic random effects are used to account for the clustering of time within patients and … Patient and clinic random effects are used to account for the clustering of time within patients and … Slide 29
Should We Be Spreading These Team-Based Approaches in the Safety Net?
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psnet.ahrq.gov/primer/computerized-provider-order-entry
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 … 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 … safety.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p001-3-ef.pdf
April 01, 2016 - All patients aged 6 months to
36 months who received a
referral for developmental delay
follow-up … Validity of the Measure
● Pilot reliability testing of the eMeasure was conducted in 20 randomly sampled patient … Feasibility testing was conducted in
the primary care networks of the Chicago Pediatric Quality and Safety … ● Reasons that patient records did not meet the measure included: no documentation of referral feedback … assistants, Early Intervention, Head
Start, child/adolescent psychologists, ABCD programs, neurologists, patient-family
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hcup-us.ahrq.gov/reports/statbriefs/sb56.pdf
July 01, 2008 - hospital bill
for children’s stays was $83.7 billion, about 9 percent of the total
hospital bill for all patients … – Medicaid includes fee-for-service and managed care Medicaid patients. … Patients covered by the State
Children's Health Insurance Program (SCHIP) may be included here. … Because most state data do not
identify SCHIP patients specifically, it is not possible to present this … safety, and the impact of health policy changes.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/asthma-immunotherapy-2010_research-protocol.pdf
January 01, 2010 - KQ 2
What is the evidence for safety of SIT in patients with allergic rhinoconjunctivitis and/or … products, based
on AgE content, but this was never implemented.
4.CBER provides two US standard reagents … only "change in skin test reactivity" (in-vivo) and "change in antibody" (in-vitro) are accepted
indicators … Not all patients with asthma are allergic. … The activity domain contains 5 ‘patient-specific’ questions.
-
psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - medical doctors to provide infection prophylaxis patients prior to dental visits, such as for patients … and Patient Safety During the COVID-19 Response
May 14, 2020
Perspective … Safe Care
February 23, 2022
Developing a patient safety culture in primary … Suda, PharmD, MS
December 7, 2020
Are dental patients concerned about safety … May 6, 2020
Factors affecting patient safety culture among dental healthcare workers:
-
www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
January 01, 2024 - safety. … safety. … (Aim 3): To
advance simulation science, team leadership, and patient safety, this project piloted patient … Safety. … Indicators of the quality of trauma care and the performance of trauma
systems. Br. J. Surg.
-
psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
January 01, 2021 - & Patient
Safety Target
15
Approach to Improving Safety & Patient Safety Target (1)
• The American … Available at: https://www.jointcommission.org/resources/patient-safety-topics/sentinel-
event/. … & Patient Safety Target
Approach to Improving Safety & Patient Safety Target (1)
Approach to Improving … Safety & Patient Safety Target (2)
Approach to Improving Safety & Patient Safety Target (3)
Approach … to Improving Safety & Patient Safety Target (4)
Approach to Improving Safety & Patient Safety Target
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
December 01, 2015 - physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients … physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients … as a National Patient Safety Goal in 2014
17
A siren call to action: priority issues from the medical … Safety Goal. … to avoid excessive alarms and alarm fatigue
Alarm safety is a National Patient Safety Goal, highlighting
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - patient safety in L&D units. … a time when
they experienced an increase in patient load and higher
risk patients. … The unit increased its overall patient safety score on the
AHRQ Hospital Survey on Patient Safety Culture … ONSLOW MEMORIAL HOSPITAL—Case Study
Overall Patient Safety Score on Hospital Survey on Patient Safety … related to documentation and data capture and to help the
team identify how to capture key performance indicators
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - patient safety in L&D units. … a time when
they experienced an increase in patient load and higher
risk patients. … The unit increased its overall patient safety score on the
AHRQ Hospital Survey on Patient Safety Culture … ONSLOW MEMORIAL HOSPITAL—Case Study
Overall Patient Safety Score on Hospital Survey on Patient Safety … related to documentation and data capture and to help the
team identify how to capture key performance indicators
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/renal-artery-stenosis_surveillance.pdf
June 01, 2012 - the
majority of conclusions for KQ1-KQ2 were not still valid
• No FDA, Health Canada, and MHRA safety … magnitude/direction of
changes in estimates, potential changes in practice or therapy preference, safety … evidence does
not support statements on whether
other clinical features (such as
demographics or indicators … NR;
(n=76)
Two years Primary:
20% or
greater
decrease in
creatinine
clearance;
Secondary:
safety … evidence does not support statements on
whether other clinical features (such as demographics or
indicators
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4a.html
October 01, 2014 - Given limited resources and potential benefit to patients, States generally choose to give more intense … At Level Three, patients are provided with all Level One and Level Two services plus in-person visits … Develop a system for providers to refer patients for care management. … Station care managers in safety-net hospitals during peak Medicaid use times. … and making patient referrals.
-
psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
February 01, 2019 - safety, interprofessional education) and GME (e.g., quality improvement, patient safety) curricula. … safety issues across the continuum for individual patients and populations of patients are critical … Boston, MA: National Patient Safety Foundation; 2015. [Available at]
5. … Create centralized and coordinated oversight of patient safety
3. … Increase funding for research in patient safety and implementation science
5.
-
digital.ahrq.gov/sites/default/files/docs/citation/AppendixC_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - For example, when the user indicated that
patient harm did not occur, the patient harm scale in the … selection possible)
End User 57.8%
(n=268)
Local IT 13.2%
(n=61)
Medical Records 1.9%
(n=9)
Safety … 18.7%
(n=26)
Reached patient but caused no harm 32.4%
(n=45)
Harmed patient 10.1%
(n=14)
Unknown … Records 10.8%
(n=45)
Informatics/Human Factors 11.1%
(n=46)
Engineering 1.0%
(n=4)
Quality/Safety … Medical Records 9.3%
(n=39)
Informatics/Human Factors 10%
(n=42)
Engineering 0.7%
(n=3)
Quality/Safety
-
psnet.ahrq.gov/node/49399/psn-pdf
May 01, 2003 - The patient was then offered surgical management of her
ectopic pregnancy. … Second, should this patient have been treated for an ectopic when she first presented? … However, the level should be used during
counseling of the patient. … In summary, several patient safety issues must be addressed when caring for patients with ectopic
pregnancies … has contraindications to its use and for counseling the patient.
-
psnet.ahrq.gov/node/33850/psn-pdf
January 01, 2018 - EHR Copy and Paste and Patient Safety
January 1, 2018
Dean SM. … EHR Copy and Paste and Patient Safety. PSNet [internet]. 2018. … https://psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
Perspective
Although the ability … review of published studies identified 13
https://psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety … Partnership for Health IT Patient
Safety. Plymouth Meeting, PA: ECRI; February 2016.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.docx
January 01, 2012 - Patient and family engagement improves multiple aspects of hospital performance, including quality, safety … The Guide to Patient and Family Engagement in Hospital Quality and Safety is an evidence-based resource … Care, Consumers Advancing Patient Safety, the Joint Commission, and the Health Research and Educational … Other organizations contributing to the project included Planetree, the Maryland Patient Safety Center … in quality and safety
When your approach to care centers on patients and families, they become allies
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/careaffordability/qdr2015-chartbook-careaffordability.pptx
August 01, 2016 - Patient Safety, Person-Centered Care, and Healthy Living measures have improved overall, but many disparities … workingforquality/index.html), "Achieving optimal results every time requires an unyielding focus on eliminating patient … families having problems paying medical bills in the past year
High health care costs can prevent some patients