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Showing results for "patient safety indicators".
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  1. digital.ahrq.gov/sites/default/files/docs/page/impact-of-hit-on-nurses-quick-reference-guide.pdf
    May 01, 2009 - safety, much less is known about its impact on clinical staff efficiency. … It may be necessary to adjust for patient care unit, time­of­day, or patient volume to account for … Advances in patient safety: New directions and alternative approaches. Vol. 4. … Technology and medication safety. AHRQ Publication No. 08­ 0034­4. … Handbook of human factors and ergonomics in health care and patient safety.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
    January 01, 2013 - safety concepts Evaluate effectiveness of patient safety interventions over time Conduct internal and … Supervisor/manager expectations and actions promoting patient safety Organizational learning-continuous … Hospital management support for patient safety Teamwork across hospital units (i.e. … Each person thinks they no best about the patient. 22 Scenario #2 Hospital management Support for Patient … What is the common interest here- patient safety? What about the nurse manager?
  3. psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors
    June 19, 2024 - November 9, 2022 Effect of contextual factors on the prevalence of diagnostic errors among patients … March 28, 2018 Culture of safety: impact on improvement in infection prevention process
  4. hcup-us.ahrq.gov/nisoverview.jsp
    September 01, 2025 - Variables for Revisit Analyses American Hospital Association (AHA) Linkage Files AHRQ Quality Indicators … The NIS protects patient confidentiality because State and hospital identifiers are no longer provided … that is included in a typical discharge abstract, with safeguards to protect the privacy of individual patients … 10-CM/PCS) diagnosis, procedures, and external cause of morbidity codes beginning October 1, 2015 Patientsafety Impact of health policy changes The NIS is used in a variety of publications and online
  5. hcup-us.ahrq.gov/reports/ataglance/HCUPanalysisCdiff.pdf
    April 12, 2021 - Inpatient Trends for C. diff, 2011-2019 OVERVIEW Health care-associated infections are a threat to patientsafety and have become the most common complication of modern health care. … Human Services (HHS) identified key actions needed to achieve and sustain progress in protecting patients … is included in a typical discharge abstract, with safeguards to protect the privacy of individual patients … Examination of the Coding of Present-on-Admission Indicators in Healthcare Cost and Utilization Project
  6. digital.ahrq.gov/ahrq-funded-projects/feedback-treatment-intensification-data-reduce-cardiovascular-disease-risk/annual-summary/2010
    January 01, 2010 - Organization Kaiser Foundation Research Institute Funding Mechanism RFA: HS07-002: Ambulatory Safety … At intervention facilities, patient-level information was obtained from the EMR on the need for treatment … proportions in control for each risk factor; treatment intensification and risk-factor improvements in patient … subgroups defined by prior adherence to prescribed medications; efficiency of the intervention in terms of patient … impact of the intervention, compared to current population management practice, on total numbers of patient
  7. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-1-ef.pdf
    May 01, 2016 - development.1,2,3,4 A pressure ulcer assessment tool should be applied in a standardized manner for each patient … was performed at three children’s hospitals in the Chicago area in the Chicago Pediatric Quality and Safety … sites assessed this measure as a chart review measure, providing complete chart reviews—that is, the patient … met the denominator criteria—for 325 patients. … Predicting pressure ulcer risk in pediatric patients. Nurs Res 2003; 52(1):22-31. 6Gray M.
  8. hcup-us.ahrq.gov/reports/statbriefs/sb158.pdf
    August 11, 2013 - medications is to help cure disease or alleviate symptoms; however, sometimes the drugs can cause patient … Adverse Drug Events Among Hospitalized Medicare Patients: Epidemiology and National Estimates from … The Joint Comm.J. on Quality and Patient Safety. 2010, 36:1, 12-21. … Adverse drug events in hospitalized patients. … Quality and Safety in Health Care. 2008;17;216–23. 11 Levinson DR.
  9. hcup-us.ahrq.gov/reports/statbriefs/sb234-Adverse-Drug-Events.jsp
    January 01, 2018 - Variables for Revisit Analyses American Hospital Association (AHA) Linkage Files AHRQ Quality Indicators … The income quartile is missing for patients who are homeless or foreign. … For More Information For other information on adverse events and patient safety in U.S. hospitals … Pharmacoepidemiology and Drug Safety. 2017;26(6):635-41. 3 Ibid. 4 National Center for Health Statistics … Examination of the Coding of Present-on-Admission Indicators in Healthcare Cost and Utilization Project
  10. effectivehealthcare.ahrq.gov/sites/default/files/related_files/juvenile-arthritis-dmards_disposition-comments.pdf
    September 01, 2011 - As a clinician, I want to know how best to treat an individual patient with a defined subtype of JIA … One patient experiences a hematoma occurring on day 108 which was deemed unrelated to the study drug … Acute infusional adverse events were reported in one (2%) patient in the abatacept group and two (3% … All studies of safety were addressed in KQ3. … Of the 14 patients enrolled in the infliximab arm, 5 patients failed to complete 12 months – 4 because
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49506/psn-pdf
    March 01, 2006 - The patient was admitted for pain control with intravenous morphine and started on patient-controlled … radiology residents have traditionally provided preliminary interpretations during off- hours for patients … To provide the safety net for these resident preliminary readings while protecting the residents' training … Around-the-clock attending radiology coverage is essential to avoid mistakes in the care of trauma patients … improper bolus timing (which may obscure PE or, occasionally, simulate PE), mottle (seen in large patients
  12. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE.pdf
    January 01, 2023 - D-5 Patient Safety Quality Measures by Setting of Care ............................................. … Note: Patient safety measures include measures related to nursing home resident safety. … • From 2002 to 2021, 57% of patient safety measures improved and 4% of patient safety measure worsened … • From 2002 to 2021, 100% of patient safety measures in the ambulatory setting, 25% of patient safety … of patient safety measures in the nursing home setting improved
  13. digital.ahrq.gov/ahrq-funded-projects/enhancing-self-management-t2dm-automated-reminder-and-feedback-system/annual-summary/2010
    January 01, 2010 - Organization Medical College of Wisconsin Funding Mechanism RFA: HS07-007: Ambulatory Safety … and Quality Program: Enabling Patient-Centered Care Through Health Information Technology (PCC) … behaviors such as SMBG frequency, nutritional choices, physical activity, medication adherence, and patient … While some patients decided that they did not want to keep the ASMM system, other patients kept the system … Analyses of patient characteristics and glycemic control identified a statistically significant correlation
  14. www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/aspirin-use-prevent-cardiovascular-disease-colorectal-cancer-preventive-medication-2002
    January 15, 2002 - Aspirin reduced the incidence of MIs in men (2.9/1,000 patient-years in the aspirin group vs 5/1,000 … patient-years in controls; RR, 0.58; 95 percent CI, 0.41 to 0.81). … the aspirin group vs 2.1/1,000 patient years in controls; RR, 0.81; 95 percent CI, 0.49 to 1.31). … Efficacy and safety of different aspirin dosages on vascular disease in high-risk patients: A metaregression … Aspirin for primary prevention of coronary heart disease: Safety and absolute benefit related to coronary
  15. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
    January 01, 2023 - D-5 Patient Safety Quality Measures by Setting of Care ............................................. … Note: Patient safety measures include measures related to nursing home resident safety. … • From 2002 to 2021, 57% of patient safety measures improved and 4% of patient safety measure worsened … • From 2002 to 2021, 100% of patient safety measures in the ambulatory setting, 25% of patient safety … of patient safety measures in the nursing home setting improved
  16. psnet.ahrq.gov/web-mm/cups-error
    January 12, 2011 - Take-Home Points To promote safety as new trainees carry out patient care procedures, schools and health … sound investment for quality and safety of patient care in the future; and Modeling the best practices … Blegen, RN, PhD Professor in Community Health System Director of the Center for Patient Safety University … January 3, 2017 AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses … November 25, 2009 Competence and certification of registered nurses and safety of patients
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853772/psn-pdf
    September 27, 2023 - for all parties involved .9 This patient’s case highlights a patient safety issue that can arise during … In this patient’s case, a patient safety event was avoided due to the inpatient discharge medication … Systems Change Needed Patient safety is an inherent responsibility of the clinical microsystem. … Improving patient safety within clinical microsystems begins with raising the work unit’s understanding … https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication https://psnet.ahrq.gov
  18. www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html
    December 01, 2017 - Things at the bottom of the slide are patient procedure insight. … Comments sometimes relate to labeling specimens properly, checking accuracy of procedure name, identifying patients … Sometimes patients were positioned supine when the procedure required prone. … bed to gurney or adjust a patient from prone to supine position. … Surgeons and teams got upset as patients remained under anesthesia longer.
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-fullreport.pdf
    January 01, 2020 - Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care: Yes. l. … Physician Assessment of Patient Charts. … Access to subspecialty care for patients with mobility impairment: A survey. … Patient Protection and Affordable Care Act. Pub. L. No. 111-152, 124 Stat. 1029; 2010. … Public coverage provides vital safety net for children with special health care needs.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60167/psn-pdf
    April 12, 2024 - Patient-physician communication at hospital discharge and patients' understanding of the postdischarge … https://www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/index.html https://psnet.ahrq.gov/ … Patient Engagement and Safety. https://psnet.ahrq.gov/primer/patient-engagement-and-safety 13. … http://www.ncbi.nlm.nih.gov/pmc/articles/pmc5497308/ https://psnet.ahrq.gov/primer/patient-engagement-and-safety … /resources/improve-discharge/index.html https://www.ahrq.gov/patient-safety/resources/improve-discharge