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Showing results for "patient safety indicators".
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6001. In Conversation With...Donald A. Norman, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
      November 01, 2006 - These revelations create the elusive "teachable moments," and the patient safety world should do its … To illuminate your own mindset, quickly think of remedies to the following two patient safety events. … In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … Using Human Factors Engineering to Improve Patient Safety. … SEIPS: Systems Engineering Initiative for Patient Safety.

6002. Using Health IT: Eight Quality Improvement Stories (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/EightSuccessStories_092810.pdf
      September 01, 2010 - to make the care process more efficient and higher in quality.12 TABLE 4.1: OVERALL HEALTH SYSTEM INDICATORS … DURING YEARS OF ELECTRONIC HEALTH RECORD IMPLEMENTATION Indicators 2004 2005 2006 2007 2008 2009 … • Review clients’ eligibility to help them keep the coverage they already have. … In response to this issue and to increase patient safety, two health plans in Massachusetts helped physicians … Grant Title: E-Prescribing Impact on Patient Safety, Use and Cost Principal Investigator: Joel S.

6003. Impact of Meaningful Use on Clinical Workflow in Emergency Departments | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/impact-meaningful-use-clinical-workflow-emergency-departments
      January 01, 2023 - Poorly designed EHRs can lead to errors in care that risk patient safety. … emergency departments (EDs) using different EHRs and developed recommendations to improve EHRs and patient … safety. … To develop contextually plausible and relevant patient safety and quality guidelines for EHR improvement … At the academic health centers, providers saw several patients concurrently, resulting in a more chaotic

6004. Shared Decisionmaking To Improve Patient Safety, Education, and Empowerment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-1.pdf
      September 08, 2016 - Shared Decisionmaking To Improve Patient Safety, Education, and Empowerment Case Study Problem Addressed … to maximize their health Shared Decisionmaking To Improve Patient Safety, Education, and Empowerment … outcomes and patient safety consists of systematic reviews, randomized clinical control studies, and … It also may reduce patient safety.10–12 ■ Limited understanding of diagnosis and treatment affects … Teach-back is an evidence- based health literacy tool that promotes patient engagement, patient safety

6005. Implement Teamwork and Communication Alternative Text | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/implement/alt-text.html
      April 01, 2013 - The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected … and are aimed at improving patient safety. … What are patients’ greatest safety risks? Team members walking. … This is a SAFETY ISSUE! … J oint Commission Journal of Quality and Patient Safety . 2007 Jan;33(1):34–47.

6006. Patient Experience Measures from the CAHPS American Indian Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/measures-american-indian-809.pdf
      December 11, 2017 - Psychometric analyses also indicate that composite measures are reliable and valid measures of patients … ’ rating of the provider (single item) • Patients’ rating of the clinic (single item) * The CAHPS … Survey results are typically reported along with other measures of quality and safety. … Learn more about improving patients' experiences with primary and specialty care. … http://www.ahrq.gov/cahps/consumer-reporting/index.html http://www.ahrq.gov/professionals/quality-patient-safety

6007. Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
      January 01, 2024 - Customized patient intervention Patients assigned to Patient Intervention groups (Groups A and C) received … In the two groups that received the patient intervention, older patients tended to have lower A1c … relative to the control (M=100) and patient (M=97) intervention groups; patients not using insulin … In Advances in Patient Safety: From Research to Implementation. K. Henriksen, J. Battles, D. … In Advances in Patient Safety: From Research to Implementation. K. Henriksen, J. Battles, D.

6008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49804/psn-pdf
      September 01, 2017 - On the third day of hospitalization, the patient developed bloody ostomy output. … to exclude an upper GI source.(11) In patients with GIB, it is important to identify high-risk patients … Several hours later, the patient passed even more blood through his ostomy. … Electronic health records provide templates for care and play a significant role in patient safety. … Does this patient have a severe upper gastrointestinal bleed? JAMA. 2012;307:1072-1079.

6009. Statistical Brief #95: Public Hospitals in the United States, 2008 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb95.pdf
      September 01, 2010 - Surveys of metropolitan public safety net hospitals suggest that these institutions provide care for … In addition, hospitals are compared on patient characteristics including age, patient complexity, median … http://www.naph.org/Main-Menu-Category/Publications/Safety-Net- Financing/Characteristics-2008.aspx … , metropolitan public hospitals had the lowest patient-to-nurse ratio (0.8 patients per nurse), micropolitan … is immunosuppressed than in a patient with a fractured arm.

6010. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. | PSNet
      psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
      September 27, 2023 - The PES staff member stated that other patients needed to be seen first and that the patient would be … For safety purposes, restrained patients must have constant 1:1 watch; therefore, “q15min” checks are … An MHW completes a safety check on each assigned patient every 15-20 minutes. … Bourgeois, OD, MD Consulting Editor, AHRQ, Patient Safety Network (PSNet) Clinical Professor, Department … Barnes, MD Consulting Editor, AHRQ, Patient Safety Network (PSNet) Health Sciences Clinical Professor

6011. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
      December 01, 2017 - The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes AHRQ Safety … Program for Surgery Slide 1: The Science of Improving Patient Safety and Identifying Defects Say … : The topic of this module is the science of patient safety. … Frontline staff members are the eyes and ears of patient safety. … issue of patient safety in their clinical area.

6012. Statistical Brief #68: Hospitalizations for Brain Cancer, 2006 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb68.pdf
      March 01, 2009 - Furthermore, brain cancer patients were more likely to die in the hospital than the average patient … Admission from another hospital indicates the patient was admitted to this hospital from another short … Admission from long-term care facility indicates the patient was admitted from a long-term facility … Pediatric discharges are defined as all discharges where the patient was age 20 or less at admission … safety, and the impact of health policy changes.

6013. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit | PSNet
      psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
      December 01, 2012 - passed safety criteria; (iii) Sedatives were not restarted for patients that passed the SAT and no longer … RW : Let's turn to delirium as a patient safety issue. … It seems to me it's entered the patient safety world over the last 3 or 4 years. … And that is not necessarily practical for these large-scale patient safety initiatives. … Now that it is on the patient safety radar screen, one would want to take advantage of that light and

6014. Final Progress Report: Patient Advocacy Summit: Patients at the Center of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/earp-report.pdf
      January 01, 2024 - Final Progress Report: Patient Advocacy Summit: Patients at the Center of Care Agency for Healthcare … Research and Quality Final Progress Report Title: Patient Advocacy Summit: Patients at the Center … In order to address patient safety, medical error, and healthcare quality, we must also examine larger … Finally, some chapters address different topics within advocacy, such as communication, patient safety … centered; and (4) improving healthcare quality, particularly in regard to patient safety and access

6015. Final Progress Report: Epidemiology, Exploration, and Evaluation: Addressing potentially dangerous medications in children on Medicaid with a mental health diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/kleinman-report.pdf
      January 01, 2024 - safety in ambulatory care settings, focusing on medication safety in children with mental health diagnoses … Medication safety is an ongoing concern for children, with an evident interest in the safety of mental … AIMS 1 and 2 Methodology Aim 1 Intention: Describe in detail the epidemiology of patient safety in ambulatory … Within- Medicaid socioeconomic status is represented by the indicators for cash assistance and supplemental … Pharmacoepidemiology and drug safety 28 (3), 275-287. 2019 6.

6016. In Conversation With... Katie J. Suda, PharmD, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
      December 07, 2020 - medical doctors to provide infection prophylaxis patients prior to dental visits, such as for patients … KH : Has anybody looked at what the safety culture is within dental practices and how that correlates … Safe Care February 23, 2022 Developing a patient safety culture in primary … concerned about safety? … May 6, 2020 Factors affecting patient safety culture among dental healthcare workers:

6017. Evaluating the Impact of an ACPOE/CDS System on Outcomes (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
      January 01, 2007 - A patient identification number was assigned for patients for whom these prescriptions were written, … Safety compendium, entitled, “Advances in Patient Safety: New Directions and Alternative Approaches … Patient safety: Achieving a new standard for care. … Safety Congress of the National Patient Safety Foundation. … CPOE and Patient Safety. Healthcare IT News.

6018. 4. Defining Language Need and Categories for Collection | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4.html
      May 01, 2018 - (e.g., encounters with physician, informed consent, teaching, patient discharge). … Effect of Language on Health Status, Access to Care, Health Outcomes, and Patient Safety It is well … One survey of care provided mainly in safety net hospitals found that the experiences of uninsured patients … engage patients in joint patient-provider decision-making on treatment, and limit patients' ability to … Effect of Language on Patient Safety Systematic literature reviews find that use of ad hoc interpreters

6019. Ch-7-User-Guide-To-Ocer 130129 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/ch-7-user-guide-to-ocer_130129.pdf
      March 29, 2012 - sources of confounding in observational comparative effectiveness studies include provider actions, patient … than for uncomplicated hypertension.1 Any attempt to compare the safety or effectiveness between CCBs … status in their causal models.11, 13 96 Developing an Observational CER Protocol: A User’s Guide Patient … We now live in an era where every interaction between the patient and the health care system produces … the strengths and weaknesses of the data source (e.g., administrative claims, EMRs, chart review, patient

6020. Acute Sinusitis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-one-pager.pdf
      September 01, 2022 - Followup • Patients should expect to have sinusitis symptoms improve over a week to 10 days. … • Patients should return to medical care if they have no improvement after 10 days, develop fever … • Patients should present to the emergency department if they develop severe headaches, emesis, … Acute Sinusitis AHRQ Safety Program for Improving Antibiotic