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Showing results for "patient safety indicators".
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6121. Improving Medication Management Practices and Care Transitions through Technology - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017837-feldman-final-report-2012.pdf
      January 01, 2012 - Medications are the most common health care intervention, and virtually all studies of patient safety … We found that patients with MRCI scores in the top 2 deciles (20% of the patients; n= 17,806) were at … Data on Patient Characteristics and Patient Outcomes. … Patient Outcomes. … Only 10% of the patients’ records indicated that the nurse advised the patient to discuss medication

6122. Daily-Care-Processes-Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-tool.docx
      January 01, 2017 - AHRQ Safety Program for Mechanically Ventilated Patients Daily Care Processes Data Collection Tool … AHRQ Safety Program for Mechanically Ventilated Patients Daily Care Data Tool … Enter Y if the patient has an SSD-ETT. Enter N if the patient does not have an SSD-ETT. … Patient becomes agitated 2. Patient is awake and able to follow three of four commands 3. … Evaluated daily for patients receiving mechanical ventilation. Enter Y if the patient had an SBT.

6123. Tool: SSA (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
      January 01, 2017 - prevention of healthcare-associated pneumonia, including VAP4 [Type text] [Type text] [Type text] AHRQ Safety … Study findings conclude that the supine position and length of time the patient is kept in this position … the use of semirecumbent position based on findings of three RCTs. 9 HOB Literature Review AHRQ Safety … Jt Comm J Qual Patient Saf. 2005 May;31(5):243-8. PMID: 15960014. … Semirecumbent patient positioning should be considered in all eligible patients.

6124. Santa Cruz County Diabetes Mellitus Registry | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/santa-cruz-county-diabetes-mellitus-registry
      January 01, 2023 - physicians and their clinical teams -- will be able to access the data from any location to review patient-specific … levels or which patients are overdue for a retinal exam. … The registry software will also integrate diabetes care measures with clinical guidelines and patient-specific … project, which include two competing private medical groups, the regional MediCal managed care plan, safety … "All of us can do better," he says, "and because performance makes a huge difference in our patients'

6125. 124-Cusp-Science-Safety-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
      April 01, 2025 - Finally, this presentation will explain how diverse teams foster a safety culture and protect patients … Slide 2 Patient Safety and Preventable Harm SAY: Healthcare has focused on safety since the Institute … the improvement of patient safety. … The characteristics of patients, providers, care team, and the environment all impact safety. … Patient safety is not about blaming.

6126. Finding the Safer Way: Novel Interaction Design Approaches to Health IT Safety - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs023708-senathirajah-final-report-2021.pdf
      January 01, 2021 - safety. … Usability and Safety. … The impact of health information technology on patient safety. … Health IT and Patient Safety: Building Safer Systems for Better Care. … Enhancing patient safety and quality of care by improving the usability of electronic health record

6127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33688/psn-pdf
      October 01, 2009 - We asked him to speak with us about the role of the media in patient safety. … I'm most passionate about patient safety and medical errors. … CO: The second thing that had us interested in the hospitals was less to do with direct patient care. … RW: What did you learn about patient safety and medical errors from covering King/Drew that you didn't … I understood about safety problems. I understood about system problems.

6128. Enhanced Medical Histories: A Guide to Implementation in a Health Information Exchange (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/EnhancedMedHistoriesImplementationGuide.pdf
      November 01, 2011 - Randomized Controlled Trial is under way to determine how the EMHP affects health care quality and safety … Medication Histories are printed for Intervention patients, but not for Control patients. … hypothesis is that, gradually, the use of Medication Histories will improve health care quality and safety … Therefore, patients are randomized to intervention or control status (currently, 80 percent of patients … However, not all patients are new: patients may have already been randomized during a previous visit

6129. 170-Cusp-Science-Safety-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
      October 01, 2024 - safety risks that patients face in healthcare environments. … And explain how diverse teams foster a safety culture and protect patients from safety defects. … the improvement of patient safety. … “Patient safety culture is the extent to which an organization's culture supports and promotes patient … Patient safety is not about finger pointing.

6130. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare: March 2024 Meeting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2024.pdf
      July 26, 2024 - • AHRQ Blog o We will post a blog during Patient Safety Awareness Week about the results of four … HRSA • Risk Management and Patient Safety Resources o On behalf of HRSA, ECRI is providing free risk … management and patient safety resources, including email newsletters. … This year’s Patient Safety Awareness Week program will explore how providers and staff can get to the … Providers and Patients: Reducing the Risk for Heart Disease.”

6131. Best Practices in the Diagnosis and Treatment Hospital-Acquired Pneumonia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-facilitator-guide.pdf
      November 01, 2019 - Best Practices in the Diagnosis and Treatment Hospital-Acquired Pneumonia AHRQ Safety Program … As a reminder, Moment 1 asks: Does my patient have an infection that requires antibiotics? … An early-morning sputum specimen is preferred if the patient is upright most of the day. … For severely ill patients, patients who recently received either cefepime or piperacillin-tazobactam … If the patient is severely ill, consider adding an aminoglycoside to these agents.

6132. DEcIDE 32: The Incident User Design in Comparative Effectiveness Research (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/incident-user-design_research.pdf
      May 01, 2012 - about the outcomes, clinical effectiveness, safety, and appropriateness of health care items and services … When investigators know that a patient has used the intervention before the window chosen to define … Pharmacoepidemiol Drug Safety 2007;16:329-36. 4. Ray WA. … Pharmacoepidemiol Drug Safety 2006;15:81-92. 15. UKPDS Group. … Pharmacoepidemiol Drug Safety 2004;13:695-702. 19. Hippisley-Cox J, Coupland C.

6133. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49522/psn-pdf
      November 01, 2006 - Later that day, the patient complained of pain over her right upper arm. … For example, patient safety indicators derived from administrative data sources can be valuable https … about where to seek care or direct patients. … First, the current immunization measures apply only to patients with pneumonia, so while this patient … Safety of intramuscular influenza immunization among patients receiving long-term warfarin anticoagulation

6134. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/crane.html
      August 01, 2017 - patient safety and address patient expectations regarding disclosure of medical errors, both factors … patient safety. … Being open: communicating patient safety incidents with patients, their families and carers . … How surgeons disclose medical errors to patients: a study using standardized patients. … Patient safety in the ambulatory setting. J Gen Intern Med  2004;19:719-25. 15.

6135. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50697/psn-pdf
      November 27, 2019 - metoclopramide, are commonly used in seriously ill patients. … The pharmacy department should regularly review and update this list as part of its patient safety efforts … Drug-drug interactions are common, but some are especially dangerous and increase patients’ risk for … In patients who are already receiving QTc prolonging medications, an electrocardiogram should be obtained … Patient Safety Primer: Alert Fatigue. Patient Safety Network 2019. 

6136. Characteristics of Adverse Drug Events Originating During the Hospital Stay, 2011 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb164.pdf
      October 01, 2013 - Introduction An adverse drug event (ADE) involves patient injury resulting from medication use. … These events pose a serious patient safety concern. … patients in any other region. … insured patients. … Medicaid-covered patients had 24 to 48 percent lower rates of ADEs than did privately insured patients

6137. What Makes a Good Checklist | PSNet
      psnet.ahrq.gov/perspective/what-makes-good-checklist
      October 01, 2010 - University of Calgary, Canadian Patient Safety Institute, Calgary, Canada; 2009. … large academic medical center, focused on patient safety. … So if the nurses see them not doing something that they should be doing for patient safety, then they … I think patients deserve better than that. … August 7, 2024 Development of patient safety measures to identify inappropriate diagnosis

6138. INTRODUCTION TO THE HCUP KIDS' INPATIENT DATABASE (KID), 2006
      hcup-us.ahrq.gov/db/nation/kid/kid_2006_introduction.jsp
      January 01, 2006 - Variables for Revisit Analyses American Hospital Association (AHA) Linkage Files AHRQ Quality Indicators … safety, and the impact of health policy changes. … There is no uniform patient identifier available that allows a patient-level analysis with the KID. … tables on commonly requested information — as well as national statistics based on the AHRQ Quality Indicators … Texas Restriction on AGE for General Patient Population other than HIV or Drug/Alcohol Use Patients

6139. SOPS™ ASC Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-ad.pdf
      February 01, 2019 - Ginsberg has broad based experience in patient experience, patient safety, and public health. … Ginsberg, Slide 8 I'd like to just review our patient safety priorities. … patient safety culture as the beliefs and values and norms that support and promote patient safety within … We want to note that patient safety culture can exist on different levels. … safety culture and patient safety.

6140. Two Wrongs Don't Make a Right (Kidney) | PSNet
      psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
      April 01, 2010 - patient. … safety experts would maintain that even one wrong-site surgery is too many. … the patient. … Wrong Patient A misidentification of the patient leading to a procedure performed on the wrong patient … Cost-effectiveness of a computerized provider order entry system in improving medication safety