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www.ahrq.gov/sites/default/files/wysiwyg/nqstoolkit2016.pdf
July 01, 2015 - safety,
community health, and affordability. … Patient
Safety
Person- and
Family-Centered
Care
Effective
Communication
and Care
Coordination … in
March 2011 and is updated annually, is to promote quality health care and improved health
for patients … Promotes quality health care that is focused on the needs of patients, families, and
communities
3. … evidence-based implementation efforts drawn from
Federal and State agencies, local communities, providers, patients
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psnet.ahrq.gov/node/33619/psn-pdf
September 01, 2005 - Robert Wachter, Editor, AHRQ WebM&M: How do you think the nation is doing in patient safety 5
years … One is building the evidence base
about patient safety in settings beyond the hospital. … A second great area
is health information technology [HIT] to improve patient safety. … We don't just struggle with this in patient safety, we struggle with it on the
U.S. … https://psnet.ahrq.gov/issue/surveys-patient-safety-culture
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - Current Applications for Patient Safety Most uses of AI to increase patient safety are still in the research … Risks to Patient Safety While the potential for improving patient safety is high, AI also comes with … safety goals, such as identifying patient decompensation. … How have those uses intersected with patient safety? … Safety
Potential Contributions to Patient Safety
Risks to Patient Safety
Implementation Best Practices
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/personcentered/qdr2015-chartbook-personcenteredcare.pptx
September 01, 2016 - Patient Safety, Person-Centered Care, and Healthy Living measures have improved overall, but many disparities … , family, and caregiver experience of care related to quality, safety, and access across settings. … About 60% of measures of Effective Treatment, Healthy Living, and Patient Safety improved. … Safety (n=31) Healthy Living (n=58) Effective Treatment (n=37) Care Coordination (n=37) 110 16 19 35 … 21 18 No Change
Total (n=189) Person-Centered Care (n=18) Patient Safety (n=31) Healthy Living (n=58
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
November 29, 2004 - Advances in Patient Safety: Vol. 1
372
Automated pharmacy data was used to ascertain names, dates … Advances in Patient Safety: Vol. 1
374
Table 2. … of normal+
0.2% < 0.1%
Advances in Patient Safety: Vol. 1
376
Table 4. … Advances in Patient Safety: Vol. 1
378
Diabetes care in the study setting was substantially better … Advances in Patient Safety: Vol. 1
380
16. O’Connor P, Rush W, Pronk N, et al.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/nephropathy-contrast-induced_executive-2016.pdf
January 01, 2016 - How do benefits or harms of contrast media differ by
patient characteristics (known risk factors such … definitive evidence
of a difference in CIN incidence between IOCM and
LOCM that varied according to patient … A prospective, double-blind,
randomized, controlled trial on the efficacy and cardiorenal safety
of … The relative renal safety of
iodixanol compared with low-osmolar contrast media: a meta-
analysis of … Effect of administration route on
the renal safety of contrast agents: a meta-analysis of randomized
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psnet.ahrq.gov/node/49518/psn-pdf
August 01, 2006 - Clinicians certainly cannot abdicate
responsibility for patient safety.(13) Nevertheless, patients and … Weingart, MD, PhD Vice President for Patient Safety and Director of the Center for Patient Safety,
Dana-Farber … USP Patient Safety CAPSLink. July 2003. … PA-
PSRS Patient Safety Advisory. October 24, 2004. … Advising patients about patient safety: current initiatives risk
shifting responsibility.
-
psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - safety, and promote communication among all providers caring for a patient. … Approach to Improving Patient Safety Multiple practices can help reduce the risk of a similar medical … August 30, 2023
Perioperative patient safety recommendations: systematic review … Safety Primers
Inpatient Transitions of Care: Challenges and Safety Practices … January 17, 2024
Patient Safety Primers
Retained Surgical
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - Nevertheless, even these minor misidentifications can be taxing on patients and jeopardize their safety … patient information may result in mislabeling patients with the wrong wristbands. … Are patients with similar names at greater risk for wrong-patient orders? … Interruptions of nurses' activities and patient safety: an integrative literature review. … Safety Solutions: Patient Identification.
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www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
January 01, 2024 - Organization patient safety campaign. … interventions to improve patient safety in
ambulatory settings. … in medication safety.
5
Final Progress Report of “Patient-Centric Risk Model for Medication Safety … achieving these goals
Patient concerns
about safety
Patient concerns about safety
documented in the … Patient-centric risk model of medication safety among elderly patients:
Transitioning from hospital
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
September 29, 2014 - /patient-
safety-resources/resources/esrd/index.html); the other two will be available after project … Safety Culture (HSOPS) and 1 question about patient-provider
relations. … Senior leaders are engaged in patient safety 34, 92% 3, 8% 0, 0%
Frontline staff raises the need … HD patient count in 2013(2 categories): above or below 70 HD patients in 2013
4. … Patients and their families are in the ideal position to evaluate the culture of safety and provide
-
psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - The clozapine REMS program requires both prescribers and patients to be registered in an online database … The clozapine REMS was developed to reduce the likelihood of patients experiencing severe neutropenia … to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety … September 4, 2024
Towards understanding and improving medication safety for patients … February 14, 2024
Patients' and doctors' views and experiences of the patient safety
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015280-hsu-final-report-2008.pdf
January 01, 2008 - Purpose: We evaluate the effects of ambulatory health information technology (HIT) on quality,
safety … In fact, there has never been a large-scale evaluation of
HIT effects on patient quality and safety … We focus on measures of quality, safety, and resource use in
patients receiving care for any of five … Clinical Management and Physiologic Outcomes for Patients
with Diabetes, Patient, Clinical, and System … Clinical Management and Physiologic Outcomes for Patients with Diabetes, Patient, Clinical, and System
-
digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-spotlight
January 01, 2021 - These studies span patient populations, care settings, and critical moments in care. … Clinical tools that collect patient-reported outcomes (PROs) have also gained traction with patients, … systems and clinicians can make informed technology choices; and patients, caregivers, and patient advocates … As we pursue advancements in healthcare safety and quality for all Americans, AHRQ will continue to champion … patient-centered study at a time.
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - From its earliest days, the patient safety field identified transitions of care as an important latent … AHRQ Patient Safety Network. … July 2, 2014
AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. … November 25, 2009
Quality improvement and patient safety activities in academic departments … safety.
-
www.ahrq.gov/sites/default/files/2025-05/blocker-report.pdf
January 01, 2025 - Key Words:
Resilience Engineering, Healthcare, Patient Safety, Methods
2
Purpose (Objectives of the … The traditional culture of patient safety focused on
blame and shame failed to change patient outcomes … ; thus, in the early 2000s, an alternative systems
safety paradigm and patient safety culture became … These together improved safety and
patient outcomes and gave rise to the field of resilience engineering … Understanding patient safety performance
and educational needs using the ‘Safety-II’ approach for complex
-
hcup-us.ahrq.gov/tech_assist/trends/508/508course_2019.jsp
January 01, 2019 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … It can be used to generate national and regional estimates of quality of care, patient safety, and more … The data element TRAN_IN indicates that the patient was transferred into the hospital and is defined
-
psnet.ahrq.gov/node/49656/psn-pdf
June 01, 2012 - When the hospitalist next saw the patient (postoperative day 3), the patient was even more hypoxic. … However, as illustrated by this case, it can also pose patient
safety risks. … safety. … Who is responsible for routine patient safety measures, such as deep venous thrombosis
prophylaxis? … Potential safety risks of comanagement arise from fragmentation of care and inadequate
communication
-
psnet.ahrq.gov/node/33859/psn-pdf
June 01, 2018 - safety and quality of care. … Take for
example pediatric safety and quality around appendicitis—if a patient comes in with physical … These patients can go to the OR. … safety. … care in point-of-care ultrasound will be a huge benefit for both patient safety and quality of care
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - His research focuses on enhancing patient safety and preventing healthcare associated infection and translating … She is interested in research about how patient care and patient safety are impacted by medical education … This is actually a CAUTI prevention guide to patient safety. … The purpose behind this CAUTI guide to patient safety is to provide a brief troubleshooting guide to … safety issues.