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5841. Learning from Errors in Ambulatory Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
      February 01, 2004 - Prior patient safety studies in ambulatory and in-patient adult populations have demonstrated that … (one pediatrician and two patient safety researchers). … (Problem type: Communication) Advances in Patient Safety: Vol. 1 364 Table 5. … Pediatric patient safety in the ambulatory setting. Ambul Pediatr 2004;4:47–54. 8. … Patient safety problems in children’s medical care: a Critical Incident Analysis.

5842. Transforming Primary Care Practice in North Carolina (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-donahue.pdf
      April 01, 2015 - helped set goals for practice improvement, trained staff on QI methodology, and assisted in creating patient … to track implementation and use of disease registries, planned care templates, care protocols, and patient … Location North Carolina (49% rural) Transformational Elements • Health Information Technology • Patient-Centered … Care • Quality & Safety Results of Transformation Efforts Practice coaches used the Key Driver … Greater use of patient registries and protocols was associated with more patients achieving the cholesterol

5843. Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
      January 01, 2024 - To strengthen the evidence base for patient safety interventions in this clinical area and to contribute … to a broader understanding of the strategies that are most effective in improving patient-safety practices … Purpose This project addressed the critical patient safety challenge of safe management of behavioral … This patient safety challenge prompted multiple calls for action, including an HHS Inspector General … These results highlight that patient safety improvement is a social process, not simply a series of

5844. The Chronic Care Technology Project - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-project/annual-summary/2010
      January 01, 2010 - phase of this project focused on two components of the Planned Care Model: 1) health practices, and 2) patients … specifically addressing facilitation of the transfer of information among providers and between providers and patients … Impact of Technology Adoption on Practice Efficiency and Patient Safety: For most organizations, the … safety. … These improvements to practice efficiency and patient safety would not have been achieved without The

5845. Patient Readiness to Use Internet Health Resources - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/patient-readiness-use-internet-health-resources/annual-summary/2010
      January 01, 2010 - Patient Readiness to Use Internet Health Resources - 2010 Project Name Patient Readiness … It emphasizes patient self-activation because activated patients are prepared to take a collaborative … However, Web-based resources for chronically ill patients are only valuable if patients have the computer … Clinical Scientist Research Career Development Award, has an overarching goal to improve the quality and safety … of patient care for those with chronic conditions.

5846. Family-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Discussing Infection Concerns About Residents With … Another doctor said: “… I just happened to have had some patients recently of whom I thought in retrospect … Twenty-five percent of hospice patients receive antibiotics during their final weeks of life. … comfort at the end of life at the forefront of treatment goals when this is the expressed goal of the patient … benefit balance at the end of life of all medical treatments, including antibiotics, differs for each patient

5847. Premature or Overdue? | PSNet
      psnet.ahrq.gov/web-mm/premature-or-overdue
      December 23, 2020 - The patient also was not compliant with attempts to begin fetal surveillance. … Coordination of Disease Treatment and Palliative Care November 30, 2021 Patients … 21, 2014 Moving toward improved teamwork in cancer care: the role of psychological safety … Related Resources Annual Perspective Improving Diagnostic Safety … Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety

5848. THE HCUP NATIONWIDE EMERGENCY DEPARTMENT SAMPLE (NEDS), 2012
      hcup-us.ahrq.gov/db/nation/neds/NEDS_Introduction_2012.jsp
      January 01, 2012 - Variables for Revisit Analyses American Hospital Association (AHA) Linkage Files AHRQ Quality Indicators … There is no uniform patient identifier available that would allow a patient-level analysis with the NEDS … National Center for Injury Prevention and Control (NCIPC) of the DHHS' CDC and the US Consumer Product Safety … of discharge records for patients with HIV diagnoses. … patient died in the ED, (98) ED visits in which patient was not admitted, destination unknown, (99) ED

5849. Standard Work Observation Component Kit | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-comp-kit.html
      June 01, 2017 - As you’ve adapted a surgical safety checklist for your site, the AHRQ Safety Program for Ambulatory Surgery … We propose that you regularly observe surgical safety checklist use and apply the coaching recommendations … gives a supervisor or manager— Direct evidence of how well people are able to use the surgical safety … start, before patient leaves the room) may be feasible in high-volume centers; at least one observation … AHRQ Safety Program for Ambulatory Surgery .

5850. Next Steps | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi8.html
      January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention Next Steps … Previous Page   Table of Contents Eliminating CLABSI, A National Patient Safety Imperative … These plans highlight a continued desire to monitor and report out on rate data and focus on safety culture … partnerships through quality improvement organizations, hospital engagement networks, insurers, family and patient

5851. Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
      January 01, 2003 - in Patient Safety: Vol. 1 174 and pharmacoeconomics in the form of cost-avoidance. … In January 2002, medication safety parameters focusing on prescribing errors and subsequent patient … Advances in Patient Safety: Vol. 1 176 They disseminated baseline results and discussed medication … CHD Multiple RF Before After P < 0.001; paired t-test Advances in Patient Safety: Vol. 1 178 … Air Force Office of Patient Safety, and Karen Swisher, Virginia Commonwealth University, for their assistance

5852. Final Progress Report: Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
      January 01, 2025 - systematic redesign to improve patient safety. … safety research focuses on hospitalized patients. … safety, informatics, and patient care. … safety research focuses on hospitalized patients. … Pediatric Patient Safety Learning Lab.

5853. Manage-Resident-Uti-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Management of the Resident With a Suspected Urinary … Note that if the patient reported a non-hives rash that was self-limited, then use of cephalexin could … It should only be used if the patient has cystitis and not pyelonephritis and the organism is resistant … The goal is to choose the narrowest antibiotic with the fewest potential side effects for the patient … No. 17(21)-0029 June 2021 UTI Management AHRQ Safety Program for Improving Antibiotic Use – Long-Term

5854. Hospital Survey on Patient Safety Culture Database: Hospital-Identifiable Research Abstract Form (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-hsops-identifiable-conf-agreement.pdf
      January 01, 2024 - Hospital Survey on Patient Safety Culture Database: Hospital-Identifiable Research Abstract Form … Agreement – April 2024 Page 1 of 4 Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient … Safety Culture Database CONFIDENTIALITY AGREEMENT FOR DATA REQUESTERS FOR RESEARCH PURPOSES 1. … Safety Culture® (SOPS®) Hospital Survey Version 1.0 and/or Version 2.0 (“SOPS Hospital Survey”) Database … Safety Culture Database Data Use Agreement.

5855. Developing a Community-Wide Electronic Shared Medication List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
      June 15, 2005 - Patient Satisfaction Survey Using a patient satisfaction telephone survey, 486 patients receiving care … care setting are critical to improving patient safety. … Safety culture assessment: A tool for improving patient safety in healthcare organizations. … Psychometric analysis of the Hospital Survey on Patient Safety. … Austin, TX: The University of Texas Center of Excellence for Patient Safety Research and Practice;

5856. Harnessing Health Information Technology to Prevent Medication-Induced Birth Defects - Final report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs017093-schwarz-final-report-2011.pdf
      January 01, 2011 - safety and quality improvement. … UPMC began offering patients access to their personal health information in 2008 through a patient portal … new patient visit (Y/N). 3) Patient survey data: Female patients visiting study PCPs during the … ­‐Induced Birth Defects Final Report Page 18 of 20 incorporate information about the safety … Overriding of drug safety alerts in computerized physician order entry.

5857. Improving Pediatric Cancer Survivorship Care Through SurvivorLink - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-cancer-survivorship-care-through-survivorlink/annual-summary/2011
      January 01, 2011 - Ann Organization Emory University Funding Mechanism RFA: HS08-002: Ambulatory Safety … The project is using a 1-year no-cost extension to allow additional time for patient recruitment. … The focus groups indicated that providers want a system that allows efficient access to patient health … information before the patient visit. … The patient-parent portal was designed with special attention to security and privacy.

5858. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
      January 01, 2024 - As has been found in these other industries, we suggest that NRE are early indicators of potential failure … The NRE construct offers a number of advantages for patient safety research. … and furthers our understanding of specific patient safety issues. … safety before serious patient harm occurs is provided. 7. … Rose DK, Cohen MM: The airway: Problems and predictions in 18,500 patients.

5859. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/phenylketonuria_research-protocol.pdf
      March 29, 2011 - dopamine in the brain.16,17 Despite potential benefits, there is uncertainty about the efficacy and safety … of the long-term use of LNAAs and the target patient population, including the appropriateness of … with PKU that merit further study.5 Like pregnant women, safety and efficacy of the use of sapropterin … Primary outcomes in patient 1. … Primary outcomes in patient 1. Decreasing Phe levels in the blood 2.

5860. Primary Care Workforce | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-primary-care-workforce.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 … : Improving Clinical-Community Linkages in Primary Care for Patients with Multiple Chronic Conditions … satisfaction, and decreased patient safety. 47 - 49 Low physician well-being, professional satisfaction