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digital.ahrq.gov/ahrq-funded-projects/evaluation-computerized-clinical-decision-support-system-and-electronic-health/annual-summary/2011
January 01, 2011 - Organization
Primary Care Development Corporation
Funding Mechanism
RFA: HS07-006: Ambulatory Safety … than a standard-care electronic health record (EHR) in CHCs that serve low-income, primarily Latino patients … The large number of minority and low-income patients served by Open Door CHCs, as well as the existing … Impact and Findings: Patients had an average of 8.84 (SD=6.62) clinic visits during the 36-month study … rigorous implementation process, provider engagement, and the health care setting's ability to process patient
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psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
October 01, 2013 - (EHR) are common and pose a significant risk to patient safety. … have fewer wrong-patient errors as compared to hospital or emergency department patients. … Wrong-patient errors are a serious threat to patient safety. … a significant risk to patient safety. … Are patients with similar names at greater risk for wrong-patient orders?
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017190-chueh-final-report-2011.pdf
January 01, 2011 - The patient focus groups
explored how patients currently work with their physicians to make decisions … As a
Web-based client user interface, this application is generated by the ACCORD Server and in
presented … and safety for their providers, so we will not be reporting these data. … Similarly, this project is not in a low-resourced rural and urban safety net setting where health IT … Thirty-nine PCPs responded to
the initial emailed patient list and indicated 85 patients who should
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www.ahrq.gov/patient-safety/reports/hotline/implement3.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient … Hotline: A Prototype Consumer Reporting System for Patient Safety Events
Preface
Summary
I. … and caregivers about the opportunity to report patient safety problems they observe in their own care … We identified 18 health care delivery organizations that had a history of patient safety work in a PSO … Reach out to patients who are known to have experienced safety concerns.
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hcup-us.ahrq.gov/reports/SOI.jsp
June 01, 2016 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … The psychometric literature describes the use of questionnaires, client interviews, and scales for diagnosing … chosen for the study based on the availability of unique, encrypted, and reliably coded person-level indicators … safety and well-being improved. … 1.255
1.150
..Private, For-Profit
0.464
1.318
0.413
1.141
0.368*
1.842
Safety
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/child_hcaps_measures_909.pdf
May 11, 2016 - inform hospital
administrators, physicians, and other staff and support their efforts to improve
patients … http://www.ahrq.gov/cahps/consumer-reporting/index.html
http://www.ahrq.gov/professionals/quality-patient-safety … /talkingquality/index.html
http://www.ahrq.gov/professionals/quality-patient-safety/talkingquality/index.html … • Adjust for the case-mix of the patients who evaluated each hospital to
allow comparison of scores … which involves reporting only
the score for the most positive categories (e.g., the proportion of patients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
June 02, 2025 - A Just Culture provides a comprehensive process to investigate events or patient safety concerns and … The team:
· Understands patient safety culture is local,
· Comprises engaged frontline providers who … hold themselves responsible for patient safety,
· Includes staff members who have different levels of … Remember to appeal to the senior executive’s interest in maintaining patient safety, as well as the hospital … This unit-wide interest in patient safety will improve the likelihood of senior executive participation
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-267-adhd-executive-summary.pdf
March 01, 2024 - Commissioned by the Patient-Centered Outcomes Research Institute (PCORI), this
review assesses evidence … concerns about treatment strategies, including over- and under-treatment; and
how to best monitor ADHD patients … • Despite the large body of research, comparative effectiveness and safety
information is limited … Despite the large body of research, comparative effectiveness and safety information
is limited. … Studies did not provide information on key comparative effectiveness
and safety outcomes, and SoE is
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
June 02, 2025 - PowerPoint slide presentation
Additional Related Training Resources
Toolkit for Using the AHRQ Quality Indicators … : How To Improve Hospital Quality and Safety https://www.ahrq.gov/professionals/systems/hospital/qitoolkit … This will help ensure there is a budget allocated for patient safety activities and help create a hospital … culture whereby patient safety is a priority. … assessment and will walk us through Tool 2E, which assesses screening practices for pressure injury risk in patients
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digital.ahrq.gov/sites/default/files/docs/page/iavr_executivesummary.html
December 29, 2006 - and that patients should expect their information to be
routinely used for purposes of treatment, … in a timely fashion);
provide better-quality care, avoid medical errors, and improve patient safety … The variability in methods across organizations to match patients to
their records and the lack of … ,
enrollees, clients, and consumers. … consent and patient authorization procedures.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-081-fullreport.pdf
April 01, 2019 - Measure Topic – patient safety: Yes.
k. Measure Topic – family experience with care: No.
l. … Medicaid patients were significantly more disabled than privately insured patients; severe
disease was … Assessment of Healthcare Providers and Systems
(CAHPS) to obtain performance feedback regarding Medicaid clients … It could be included in a new PQMP
survey module that would assess multiple quality indicators. … The use of patient
portals as a mechanism for engaging patients and collecting important information
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psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - The Commentary
Patients who present to the emergency department (ED) are highly vulnerable to medication … Clinicians also need to be cognizant of the safety features of automated pharmacy dispensing systems. … Many of the steps and techniques described above fall under the field of medication safety engineering … through active listening and engagement is crucial for
effective interactions between clinicians, patients … Patient safety—the role of human factors and systems engineering.
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www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
January 01, 2024 - Best Practices for Patient Safety by video task analysis. … Video as research data for patient safety, 2003, Plenary Presentation,
Annenberg IV National Patient … Patient Safety. … Implementing research to Improve Patient Safety. AHRQ, Jul. 22, 2003.
15. … Video as Research Data for Patient Safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-component-kit.docx
May 01, 2017 - As you’ve adapted a surgical safety checklist for your site, the AHRQ Safety Program for Ambulatory Surgery … Direct evidence of how well people are able to use the surgical safety checklist; Figure 1. … AHRQ Safety Program for Ambulatory Surgery. http://www.ahrq.gov/HAIambsurgery. … start, before patient leaves the room) may be feasible in high-volume centers; at least one observation … and Integration
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub.
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psnet.ahrq.gov/node/50842/psn-pdf
January 29, 2020 - care hospital; all cases were reported to the hospital’s patient safety committee within a 4-week period … Nevertheless, even these minor misidentifications can be taxing on
patients and jeopardize their safety … Are patients with similar names at
greater risk for wrong-patient orders? … Interruptions of nurses' activities and patient safety: an
integrative literature review. … WHO Collaborating Centre on Patient Safety Solutions: Patient Identification. May 2007.
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psnet.ahrq.gov/node/49838/psn-pdf
August 01, 2018 - safety in the ICU. … End of Life Care: A Patient Safety Issue. Quick Safety. July 2015;(15):1-4.
5. … Keeping patients safe.
7. … Preventing harm in the
ICU—building a culture of safety and engaging patients and families. … Safety and Quality Committee.
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psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - Trauma patients are those who have sustained a physical injury. … Hemorrhagic shock is by far the most common type of shock seen in trauma patients. … In fact, survival rates in modern urban trauma centers for patients with stab wounds to the heart who … Safety Primers
COVID-19 and Dentistry: Challenges and Opportunities for Providing … July 2, 2014
Optimizing Pediatric Patient Safety in the Emergency Care Setting.
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - Discuss poor communication as a potential underlying cause of safety risks, including missed nursing … , ambulating patients, repositioning patients, and bathing patients. … in all aspects of their care so patients and staff work together to ensure patient safety. … September 29, 2017
Patient safety and collaboration of the intensive care unit team. … October 10, 2015
Leveraging patient safety research: efforts made fifteen years since
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/screening-depression-suicide-risk-adults
June 20, 2023 - Key Substance Use and Mental Health Indicators in the United States: Results From the 2019 National Survey … Item-based analysis of the effects of duloxetine in depression: a patient-level post hoc study. … Psychological treatment of depression in people aged 65 years and over: a systematic review of efficacy, safety … the key questions that the review will address to allow the USPSTF to evaluate the effectiveness and safety … groups
A separate review among older adults reported that none of the 14 included trials reported safety
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psnet.ahrq.gov/web-mm/raise-bar
May 29, 2024 - of perianesthesia nursing practice as it relates to patient safety. … Dropping off and leaving patients unattended—and without fall precautions—is a safety risk and can disrupt … Jim Stotts, RN, MS, CNS Patient Safety Manager Patient Safety and Quality Services University … Patient safety and office-based anesthesia. Curr Opin Anaesthesiol. 2012;25:648-653. … Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the