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www.ahrq.gov/research/findings/final-reports/stpra/stpraref.html
April 01, 2018 - Assessing patient safety risk before the injury occurs: An introduction to sociotechnical probabilistic … Red blood cell transfusion safety: Probabilistic risk assessment and cost/benefits of risk reduction
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
January 17, 2025 - • Contract To Implement and Evaluate Measure Dx, Calibrate Dx, and
the Toolkit for Engaging Patients … • AHRQ Blog
o We posted a blog for World Patient Safety Day that discussed
AHRQ’s diagnostic safety … /diagnostic-safety/resources/issue-briefs/dxsafety-patient-role.html
https://www.ahrq.gov/diagnostic-safety … /dxsafety-rural-healthcare.html
https://www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day-2024 … This release is a
significant step toward enhancing patient safety.
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digital.ahrq.gov/ahrq-funded-projects/improving-rural-health-care-implementing-innovative-integration-solutions/annual-summary/2008
January 01, 2008 - community hospital with five locations and approximately 500 employees serving a population of 30,000 patients … safety and care, and provide required reporting data to internal and external entities. … the patient to be registered and have their information verified at each encounter to accommodate the … information prior to or during a patient encounter. ( Achieved )
Facilitate efficient reporting of … The CIS will provide information on chronic disease patients for provider decision support.
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www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
January 01, 2024 - known about the adverse impact of these agents in the elderly with depression, a highly vulnerable patient … The total anticholinergic burden score for each
patient was calculated by summing the ACB scores of … all the individual drugs taken by the patient. … Given the safety concerns, there
is a strong need to minimize anticholinergic use in this vulnerable … Comparative Safety Of Paroxetine And Other
Ssris For The Risk Of Hip Fracture In Elderly Nursing Home
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-future-research-steps-framework_research.pdf
June 01, 2011 - HER2 testing to manage patients with
breast cancer or other solid tumors. … Agency for Health Technology Assessment in Poland
ALT Alanine Transaminase
ASERNIP-S Australian Safety … Safety of the Ministry Health of Chile
FDA Food and Drug Administration
FinOHTA Finnish Office for … Policy IECS HTA
2 Australia Adelaide Health Technology Assessment AHTA HTA
3 Australia Australian Safety … HSAC Yes 2007
scoping protocols are referred back to the
clients (those who requested the specific
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
August 01, 2022 - /family, and an effort to learn about patient safety. … Patient safety process and outcome measures. … safety experts, 3 patients, one frontline clinician, and 10 members of the multidisciplinary research … that had an adverse event; AHRQ Patient Safety Indicators (PSI) 17–birth trauma, a measure of a potential … safety problems, willingness to report mistakes, and feeling rushed while caring for patients.
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psnet.ahrq.gov/web-mm/chemotherapy-extravasation
September 24, 2010 - The patient arrived for her first day of treatment. … The patient immediately began complaining of pain at the infusion site. … Safety in Medical, Nursing, and Other Clinical Education
March 16, 2020 … March 22, 2006
Patient misidentification in oncology care. … A model of chemotherapy education for novice oncology nurses that supports a culture of safety
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psnet.ahrq.gov/node/49479/psn-pdf
April 01, 2005 - Three days later, a physician evaluated the patient and reviewed her progress. … Four days later, the patient became unresponsive. … failure to recognize
discordant orders, this case presents an opportunity to systematically improve safety … CPOE is undoubtedly among our most powerful tools to enhance patient safety, but
its optimal implementation … Computerized provider order entry (CPOE) is a powerful tool to address a range of patient safety
issues
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/7-things.pdf
March 01, 2017 - http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/cauti-
ltc/index.html … safety. … Safe Practices in Patient Care
Newsletter 2010;4(1):1-8. … Nosocomial urinary tract infection: a prospective
evaluation of 108 catheterized patients. … A versatile range of leg bags for use in community patients. JCN. 2014;28(2):64-68.
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-health-equity.html
May 01, 2024 - Safety
5. … Medical Homes
P8: Do Telemedicine Visits Provide Similar Quality and Safety as In-Person Visits? … P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes
P10 … seen in safety net primary care clinics who are predominantly uninsured and often have low incomes. … Quality is described in six categories in the report: patient safety, patient-centered care, care coordination
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
January 01, 2000 - Selker
Abstract
Information Technology (IT) solutions to patient safety/medical error problems
are … Many current IT applications for patient safety are focused on
hospital processes, such as physician … was sent home who met criteria for patient safety alerts. … Advances in Patient Safety: Vol. 3
14
Figure 5. … for quickly
compiling data into one system for use in a patient safety system.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pptx
June 16, 2016 - Patient Safety, Person-Centered Care, and Healthy Living measures have improved overall, but many disparities … These rates were similar to those for hospitals with low shares of Black patients.
23
Low Black Patient … and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators … Improving communication is a key aspect of decreasing medication errors and improving patient safety … Percent
Use of Electronic Health Records
Electronic health records (EHRs) can improve the quality and safety
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effectivehealthcare.ahrq.gov/sites/default/files/arthritis-horizon-scan-high-impact-1506.pdf
June 01, 2015 - Novartis Pharmaceuticals. 16 week efficacy
and 2 year long term safety and efficacy of
secukinumab … Novartis Pharmaceuticals. 16 week efficacy
and 5 year long term efficacy, safety and
tolerability … anti-interleukin-17a
monoclonal antibody, improves active
psoriatic arthritis: 24-week efficacy and safety … antibody, improves active
psoriatic arthritis and inhibits radiographic
progression: efficacy and safety … 17a-monoclonal-antibody-improves-active-psoriatic-arthritis-and-inhibits-radiographic-progression-efficacy-and-safety-data-from-a-phase
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www.ahrq.gov/sites/default/files/2024-02/ornstein-report.pdf
January 01, 2024 - of patient medication lists, increasing use
of EHR decision support, adopting medication refill protocols … • Folic acid use in patients on methotrexate. … Medication Lists
• Implement a process for patient review of EHR medication list … Utilize Medication Safety Practice Performance Reports
• Design and execute case management for patients … Journal of
Patient Safety 2010, 6(4): 238-243.
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www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
January 01, 2024 - certified practicing EMT-Ps can be found to impair judgment and/or performance in such a way
that patients … the results will serve to temper concerns that typical levels of fatigue and
alcohol hangover raise patient … Wiese, Shlipak, and Browner (2000) note that the patient
with hangover is at risk for increased injury … Challenges to fidelity in prehospital care: Patient safety research and
training. … National Highway Traffic Safety Administration.
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psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - Building a POCUS program that optimizes patient safety and patient-centered outcomes requires judgment … Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … These patients can go to the OR. … to the National Patient Safety Agency and recommendations for hospital practice. … November 25, 2020
Patient safety in otolaryngology: a descriptive review.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
December 01, 2017 - evidence in a checklist
Identify local barriers to implementation
Measure performance
Ensure all patients … consent
Site
Procedure
Patient
N = 64 cases
Briefings & Debriefings ‹#›
AHRQ Safety Program for … positioning Prep application 8 8 7 6 9 0 4 2 2 1 1 10 4 10 3 3 1 2 0 No Patient Procedure Site Patient … Sometimes patients were positioned supine when the procedure required prone. … Surgeons and teams got upset as patients remained under anesthesia longer.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
February 01, 2015 - 2
Hospital staff provide ongoing support and expertise (r/t CAUTI prevention, catheter use and safety … hour blocks of time
January 29 – June 30, 2014
Observation, checklists, field notes
5
Results
65 patients … Patients move from the ED to other units, and there is no systematic process to let ED staff know of … by considering patient and contextual factors. … Healthcare Research and Quality through the contract, “National Implementation of Comprehensive Unit-based Safety
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-bmi-parent-full-report.pdf
February 01, 2020 - Measure Topic – patient safety: No.
k. Measure Topic – family experience with care: Yes.
l. … Special Health Care Needs
The survey data accessed for this study did not include indicators of special … English Proficiency (LEP) Populations
The medical record data abstracted for this study did not include indicators … on specific patient parameters. … been shown to improve provider completeness, communication legibility,
transmission turnaround times, safety
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hcup-us.ahrq.gov/db/nation/neds/NEDS_Introduction_2018.jsp
January 01, 2018 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … There is no uniform patient identifier available that would allow a patient-level analysis to identify … Consumer Product Safety Commission. … visit in which the patient is transferred to another short-term hospital, (9) ED visit in which the patient … in which patient was discharged alive, destination unknown (but not admitted)
Sex of patient