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www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
January 01, 2024 - Final Progress Report: Mining complex clinical data for patient safety research
Principal Investigator … Promoting patient safety and enabling evidence-based practice through
informatics. … Mining complex clinical data for patient safety research: a
framework for event discovery. … Detecting adverse events for patient safety research: a review
of current methodologies. … Enabling patient safety and evidence-based practice through informatics.
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psnet.ahrq.gov/web-mm/comanagement-whos-charge
July 01, 2011 - However, as illustrated by this case, it can also pose patient safety risks. … A key strategy for improving patient safety with comanagement is the creation of a carefully considered … Who is responsible for routine patient safety measures, such as deep venous thrombosis prophylaxis? … June 28, 2017
Factors influencing witnesses' perception of patient safety during pre-hospital … August 9, 2023
COVID-19: the dark side and the sunny side for patient safety.
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psnet.ahrq.gov/node/33741/psn-pdf
November 01, 2012 - The Evidence-Based Physical Examination as a Patient
Safety Practice
November 1, 2012
McGee S. … The Evidence-Based Physical Examination as a Patient Safety Practice. PSNet [internet]. 2012. … https://psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
Perspective … https://psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
https: … It is up to our teaching programs, clinical
leaders, and, perhaps, the patient safety movement to change
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-guide.docx
September 01, 2022 - This includes prescribers, nurses who triage patients, medical assistants who room patients, pharmacists … Vague communication is a threat to patient safety, as is procrastination or avoidance. … safety. … Legitimate patient safety concerns can be raised without attacking the prescriber and by focusing on … satisfaction, and improve patient safety.
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
June 01, 2020 - addressing a large majority of personal health care needs, developing a sustained partnership with patients … safety, patient experience, health-related quality of life and mortality. … Two categories— Patient Safety (e.g., medical errors, harms produced by health care) and Definitive … safety, disparities, pediatrics, and other areas). … or “scan”) was to catalog a data set of federally sponsored HSR and PCR projects, collect and derive indicators
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www.ahrq.gov/patient-safety/reports/hotline/intro1.html
May 01, 2016 - Value of Patient Reporting
In recognition of the fact that some patients have the capacity to serve … Two-thirds of the adverse events were detected by patient interview alone, demonstrating that patients … reported that 20 percent of patients identified a concern about safety. 32 , 37
These researchers … succeeded in eliciting patient safety reports through patient interviews; however, patient reports frequently … , patient safety experts, health IT experts, physicians, patient and consumer reporting experts, and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
November 30, 2013 - Transfer and intake notes collect a standard set of data
elements about patient transfers, admissions … The location the patient is being transferred to b. … The reason the patient is being transferred c.
The name of the patient d. … The treatments the patient received in the nursing home f.
prior to transfer
The providers who saw … The report displays the name of each
primary care provider who has had a patient with at least one
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - Patient Safety Opioids and benzodiazepines are commonly used medications in the acute care setting. … ensure safety and to avoid medication dose stacking . … Classifying safety events related to diagnostic imaging from a safety reporting system using a human … Road Map to a Medication Safety Program. … September 20, 2023
Radiographers' experience of preventing patient safety incidents in
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/health-careassociated-infections_executive.pdf
November 01, 2012 - safety practices:8
• Theory behind patient safety practice
• Existing patient safety infrastructure … patient safety culture and teamwork at the unit level. … Safety Practice 9 3 4 0 16
Existing Patient Safety Infrastructure 8 6 2 4 20
External Factors 9 7 … Assessing the Evidence
for Context-Sensitive Effectiveness and Safety of Patient
Safety Practices: … Advancing
the science of patient safety. Ann Intern Med. 2011 May
17;154(10):693-6.
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs018538-gesteland-final-report-2014.pdf
January 01, 2014 - safety (unnecessary antibiotics, adverse drug
events) and satisfaction (complaints relating not getting … harm and maximize patient benefit. … The process we followed was to gather user requirements (clinicians and
patients/parents of patients … Our analysis led to
development of a set of dashboard elements presenting pathogen-specific indicators … previous season/years activity and by swiping the graph, they can view regional activity and severity
indicators
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-screening-for-women-and-elderly-adults/intimate-partner-violence-and-elderly-abuse-screening-2004
March 08, 2004 - Outcomes included indicators of physical abuse, neglect, emotional abuse, and/or sexual abuse and any … Validation of the Indicators of Abuse (IOA) screen. Gerontologist 1998;38(4):471-80.
60. … During an argument at home, have you ever worried about your safety or the safety of your children? … the Elderly (BASE) 59
Please respond to every question (as well as you can estimate) concerning all clients … Yes___ No___
Is the client a caregiver of an older person?
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www.ahrq.gov/hai/tools/mvp/modules/cusp/engaging-sr-exec-fac-guide.html
February 01, 2017 - Safety Program for Mechanically Ventilated Patients
Slide 1: Engaging Senior Executives in Care of … Say:
Sometimes getting executives involved in a patient safety project is one of the most challenging … Consider sharing the following at the meeting:
Patient safety culture survey results. … Slide 13: Executive Safety Rounds Kickoff
Say:
Step 1—Hospital Survey on Patient Safety Culture … note patient safety issues observed during safety rounds.
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psnet.ahrq.gov/node/49808/psn-pdf
October 01, 2017 - Once the patient was stabilized, a pharmacist was consulted, and the patient was
restarted on a lower … However, the medication issue could be a proxy for any
number of patient safety issues that can arise … safety information. … Interdisciplinary communication should be expanded to include critical patient safety information. … Health information technology should be enhanced so that it supports communication about patient
safety
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Approach to Improving Patient Safety: Communication
March 10, 2021
Schnipper JL, Fitall E, Hall KK, … Approach to Improving Patient Safety: Communication . PSNet
[internet]. 2021. … or family caregivers represents an unwelcome opportunity for a patient safety event. … https://psnet.ahrq.gov/issue/design-safety-dashboard-patients
https://psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis … The first is the need for better tools and approaches for communicating
medication safety with patients
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
June 01, 2021 - Patients with cellulitis associated with longstanding diabetic foot ulcers or pressure ulcers may require … with goals of care.2,3
Duration
· 5–7 days if clincial response by day 31-3,8,9
References
AHRQ Safety
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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 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
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psnet.ahrq.gov/node/865376/psn-pdf
March 27, 2024 - The Commentary
By Caitlin Loseth, MD
The management of severely injured patients requires complex … Patients with cirrhosis exist in a delicate physiologic homeostasis where
https://psnet.ahrq.gov//#4 … There was no mention of abdominal wall varices, but this is
a common pitfall in operating on patients … When such patients are hypotensive at presentation, and progress to require CPR in
the field or in the … CPR often needs to be paused in the setting of acute ATLS procedures in order to ensure safety.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/miller-rh-et-al-2004
January 01, 2004 - messages and increased completeness of documentation, thus potentially reducing "dropped balls" and safety … (to improve patient satisfaction and, potentially, patient self-care and compliance)." … For example, some practices generated reports to physicians on diabetic patients with hemoglobin A1C … levels greater than 8 percent and on the percentage of a physician's patients having such levels." … "Interviewees reported that most physicians using EMRs spent more time per patient for a period of months
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-updates_methods.pdf
July 01, 2011 - They provide syntheses of
relevant evidence to inform real-world health care decisions for patients, … /evidence-based-policy-
center/derp/index.cfm), has conducted SRs of comparative effectiveness and safety … questions for potential modifications are assessed to accommodate
new evidence (e.g., new drugs, safety … more effective intervention(s)
is introduced, or existing (or new) interventions are extended to new patient … Cumulative meta-analysis: a
consideration of indicators of
sufficiency and stability.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-214-afib-disposition-comments.pdf
October 30, 2019 - Efficacy and safety of dabigatran
compared to warfarin in patients with paroxysmal,
persistent, and … Recommendation: Based on the evidence, all
DOACS have shown safety and efficacy in patients
who are … The safety population is used, which is the same
population used in other DOAC trials to assess
safety … Efficacy and safety
of rivaroxaban compared with warfarin in patients
with peripheral artery disease … Efficacy and safety of
rivaroxaban compared with warfarin in patients with
carotid artery disease and