-
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/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
-
digital.ahrq.gov/ahrq-funded-projects/implementation-outcomes-health-it-program-vulnerable-diabetes-patients/annual-summary/2011
January 01, 2011 - The research team is evaluating SMART-Steps Program's effect on patient-centered outcomes, safety events … frequency of supplemental self-management support, call duration, adherence to protocols, and creation of patient … action plans, for a diverse sample of patient triggers. … the health plan, care managers were required to contact a designated "point person" in clinic if the patient … Spanish-speaking
Strategic Goal: Develop and disseminate health IT evidence and evidence-based tools to support patient-centered
-
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
-
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
-
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.
-
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
-
psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - Gerald Hickson: Our early studies simply affirmed what all good risk managers already knew: patients … we feel so
strongly that early sharing of risk status is one element needed to promote a culture of safety … The second is the involvement
of The Joint Commission and the National Patient Safety Goal around disruptive … The Joint Commission sentinel event alert, Behaviors
That Undermine a Culture of Safety, helped focus … /behaviors-undermine-culture-safety
https://psnet.ahrq.gov/issue/behaviors-undermine-culture-safety
-
digital.ahrq.gov/2018-year-review/research-dissemination/conference-proceedings
January 01, 2018 - Patient Engagement Research
Dr. … affect quality and safety. … notes well after a patient visit, even hours later, including into the evenings and on weekends. … This system allows clinicians to dictate notes while they are with patients or walking around. … David Vawdrey , who is researching use of patient portals by inpatients.
-
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.
-
digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange
January 01, 2023 - Reliance on communication by telephone thus creates safety vulnerabilities, delays in time to treatment … clinical, operational, and legal considerations important in creating such an exchange in support of patient … concluded that the current telephone-based process of communication contains inefficiencies and potential safety
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/juvenile-arthritis-dmards_overview.pdf
March 27, 2014 - How do the efficacy, effectiveness, safety, and adverse effects of
treatment with DMARDs differ among … Antirheumatic Drugs (DMARDs) in Children with Juvenile Idiopathic Arthritis (JIA) indicated there were
new safety … activity:
Active joint count (AJC)
Physician global assessment of disease activity (PGA)
Parent/patient
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
January 28, 2011 - Guide for developing a community-based patient safety advisory council. … Available at: http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources … for all patients
Help hospital staff carry out changes to improve hospital safety and quality
As an … may also be helpful to suggest a trial period for advisor involvement accompanied by predetermined indicators … Available at: http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-sops-deidentified-data-release-agreement.pdf
January 01, 2024 - the release and use of
data from the Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient … Safety
Culture®(SOPS®) Database (“Data”). … these data that the source of the data is the SOPS
Database, using the following:
“The Surveys on Patient … Safety Culture® SOPS® data used in this analysis were
provided by the SOPS Database. … Safety Culture Research Databases
Westat
Phone: 1-855-959-2740
Email: SOPSResearchData@westat.com
-
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
-
psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - Two days later, the patient called the hospital and spoke with a patient safety officer speaking her … She asked the patient safety officer if that was a Foley and wanted to know why it was inside her. … Approach to Improving Patient Safety
The design of system remedies to prevent retained vaginal … safety. … February 1, 2003
Patient Safety Primers
Retained
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/TkWNoq6KQb3SoZ54gscLCQ
July 25, 2016 - Data Abstraction and Quality Rating
One investigator abstracted details about the study design, patient … the key questions that the review will address to allow the USPSTF to evaluate
the effectiveness and safety … Efficacy and
safety of entecavir versus lamivudine over 5 years
of treatment: a randomized controlled … Efficacy and safety of entecavir compared to
lamivudine in nucleoside-naïve patients with
chronic hepatitis … Safety,
efficacy, and pharmacokinetics of adefovir dipivoxil
in children and adolescents (age 2 to <18
-
psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - A neurologist examined the patient and diagnosed migraine headaches. … Approach to Improving Safety
https://psnet.ahrq.gov/issue/measuring-and-improving-diagnostic-safety-primary-care-addressing-twin-pandemics-diagnostic … psnet.ahrq.gov//#1
Diagnostic excellence is an emerging idea in the field of diagnostic quality and safety … , timely, efficient, and equitable.”3 This means identifying strategies that improve
diagnostic safety … Measuring and Improving Diagnostic Safety in Primary Care:
Addressing the “Twin” Pandemics of Diagnostic
-
psnet.ahrq.gov/node/49390/psn-pdf
February 01, 2003 - The scissors
hit a patient causing a cut on the patient’s head.” … The patient
received injuries requiring sutures.” … and gowns for patients). … MRI safety: everyone's job. Radiol Manage. 2001;23:36-9.[ go to PubMed ]
6. … American College of Radiology White Paper on MR Safety.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/type-2-diabetes-insulin_executive.pdf
September 01, 2008 - However,
the addition of insulin to treatment
Comparative Effectiveness, Safety, and
Indications of … A number of patient-related factors have been
identified that may help physicians to select patients … Insulin lispro 75/25 was associated with a higher rate of
overall hypoglycemia measured as episode/patient … Key Question 4: Effect of premixed insulin
analogues based on patient characteristics
Comparison of … injection patterns and glucose testing
depending on the type of medication regimen
prescribed, evaluating patient