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www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
June 01, 2020 - safety measures that look at all aspects of patient safety, including overuse or misuse of medical care … Further, although patient-reported measures (patient-reported outcome measures and patient-reported experience … safety or other health service topics for agencies like AHRQ. … The IOM definition of quality —with its six dimensions of safety, effectiveness, patient-centeredness … Involvement of patients and families was seen as extremely important, as voiced by the patient/consumer
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3.html
February 01, 2023 - X, a patient on a ventilator, no longer required a urinary catheter. … When conducting her patient rounds, she found Ms. X was incontinent. … But, would you agree that patient safety is our highest priority? … In our scenario, Molly raised valid concerns regarding patient dignity. … safety.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-1.html
July 01, 2022 - Making the connection to other ongoing patient safety initiatives, regulatory/accreditation requirements … Medication Reconciliation as a Patient Safety Issue
A review of the literature notes several decades … The MATCH toolkit can help facilities work toward meeting this patient safety goal. … Achieving improved access to patient information.
Empowering patients. … The Partnership for Patients initiative has challenged hospitals to improve the quality, safety, and
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-1.html
July 01, 2022 - Making the connection to other ongoing patient safety initiatives, regulatory/accreditation requirements … Medication Reconciliation as a Patient Safety Issue
A review of the literature notes several decades … The MATCH toolkit can help facilities work toward meeting this patient safety goal. … Achieving improved access to patient information.
Empowering patients. … The Partnership for Patients initiative has challenged hospitals to improve the quality, safety, and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
May 01, 2017 - Care
In Situ Simulations
24
Participants
All disciplines involved in providing services or care to patients … : https://www.ahrq.gov/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ.html … The use of standardized patients (“actors”) may replace simulators in many cases.
29
AHRQ Safety Program … real supplies—
May prevent simulated drugs/medication/equipment from accidentally being used with real patients … Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools)
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digital.ahrq.gov/sites/default/files/docs/publication/r36hs018272-barrette-final-report-2011.pdf
January 01, 2011 - McCullough et al. (2010)
found adoption of EMR and CPOE led to improvements in 2 of the 6 process quality indicators … McCullough and
Parente (2009) found small but positive effects of EMR on patient safety but there was … safety features.
5
Market Level Analysis. … CPOE systems are most likely implemented as a
means of improving patient safety. … Health Information
Technology And Patient Safety: Evidence From Panel
Data.
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www.ahrq.gov/data/apcd/envscan/summary.html
June 01, 2017 - leverage the unique aspects of APCD data, including longitudinal data from multiple sources that allow patients … be tracked across time and settings, pharmacy data, and data on dollar amounts paid by insurers and patients … which speak to the objectives of the report, were:
What measures or outcomes (quality, utilization, safety … then a cost measure that only shows the average insurance reimbursement rate without including the patient … Difficulty with data linkage and aggregation
Establish master patient index and master provider
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-guide.docx
September 01, 2022 - Communicating With Patients and Families About Antibiotic Decisions – Facilitator Guide
AHRQ Safety … Additionally, they should summarize and repeat back to patients the information the patient provides … Slide 5
Addressing Patient Concerns
SAY:
We will discuss two scenarios that focus on concerns patients … No. 17(22)-0030
September 2022
Communicating With Patients and Families
11
AHRQ Safety Program for Improving … and Families AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care References 1.
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psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
January 01, 2024 - safety risks inherent to wounds contaminated by foreign material. … antibiotic treatment (termed “prophylactic” by the authors) for patients with non-bite wounds. … For some patients, probably including the one in this case, even delayed closure is not feasible or may … Alternatively, patients should be instructed to return to the index ED for re-evaluation.
49
49 … Take Home Points
50
Take-Home Points (1)
51
Evaluate all patients for their risk of wound infection
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - Slide 5
Say:
Event reporting should be a component of a larger patient safety system. … Notification of the event to the appropriate professional responsible for patient safety events. … to Patient and Family Engagement in Hospital Quality and Safety, which focuses on four primary strategies … for promoting patient/family engagement in hospital safety and quality of care. … Support of the patient and family—providing patients and families with honest and transparent information
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/qdr-blackhealth-slides.html
November 01, 2020 - Among the NQS priorities, quality of care for Blacks:
Improved for 74% (17 of 23) of Patient Safety … Blacks received worse care for about 40% of measures of Patient Safety and Effective Treatment and almost … Safety
Note:
Patient Safety is the first of six National Quality Strategy (NQS) Priorities to … Although patient safety initiatives focus mainly on inpatient hospital events, adverse effects of medical … Importance: Communication between providers and patients is an important element of patient outcomes
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022701-ornstein-final-report-2014.pdf
January 01, 2014 - Those patient records were then joined with vital sign data to
determine the patients with most recent … Safety, Efficient Use of Healthcare Resources, Care
Coordination or Patient/Family Engagement domains … The evidence supporting several
measures included in the Patient Safety domain was questioned. … Safety
Use of High-Risk
Medications in the
Elderly
Percentage of patients 66 years of age and older … Using a summary measure for
multiple quality indicators in primary care: the Summary QUality InDex (
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusForm.pdf
February 06, 2012 - The delivery of sexuality-related patient education to adolescent patients: A preliminary
study of family … Measure Topic – clinical quality Yes
k.Measure Topic – patient safety No
l. … monitoring and guidance patterns for the family,
personal goals, informed sexual decision making, and safety … In 2001, the IOM defined quality as having six aims: Safety, Timeliness, Effectiveness,
Equity, Efficiency … , and Patient-Centeredness.
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - Innovation Patient Safety Focus
The patient safety focus of this innovation is to prevent avoidable … 31, 2024
Patient Safety Innovations
Patient and … Safety Innovations
Enhancing Support for Patients’ Social Needs to Reduce Hospital … of Stay
August 25, 2021
Patient Safety Innovations … Safety Innovations
Transition Coaches® Reduce Readmissions for Medicare Patients With
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psnet.ahrq.gov/node/33694/psn-pdf
April 01, 2010 - the Institute of Medicine, where
she had a major hand in crafting the IOM's reports on quality and safety … functioning, and very few measures of patient engagement in decision making. … In the community, the patient may receive rehabilitative care or home health care. … All of those
providers and health care professionals contribute to the patient outcomes. … disincentives in our current payment programs that make it difficult to coordinate care for chronically ill
patients
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psnet.ahrq.gov/node/49754/psn-pdf
February 01, 2016 - The
physicians caring for the patient assumed the PICC was safe to use, and the patient began receiving … How best to use PICCs is an important clinical and safety question. … Safety Enhancement Program and
Center for Clinical Management Research of the VA Ann Arbor Health System … J Patient Saf. 2015 Nov 10; [Epub ahead of print].
[go to PubMed]
4. … Do clinicians know which of their patients have central venous
catheters?
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cdsic.ahrq.gov/cdsic/AI-viewpoint
February 25, 2025 - PC CDS can be delivered to patients and caregivers—for example, through mobile apps and patient portals—or … care, synthesize patient-generated health data to help inform care decisions, engage with patients and … healthcare continues to grow, there is increasing awareness of the need to ensure the trustworthiness and safety … Strategies to ensure patient safety and privacy focus on addressing ethical principles, addressing differences … safety (e.g., by reducing AI confabulations and errors), gathering patient and caregiver perspectives
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/expanding-cardiac-rehab-implementation-guide.pdf
December 01, 2022 - How is
HYCR provided to ensure patient safety? … operational onboarding steps can be
established to address any patient inquiries
about safety and … Safety Plans
Before you launch your services, develop a safety plan to support patients undergoing … Monitoring
The need, extent, and type of monitoring conducted by a CR program depends on patient safety … Patients may not be safe Present data suggests no greater safety issues when comparing
FBCR to HYCR.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/zk8YxjaQxLGUTtt__nBQB_
September 09, 2021 - Several instruments demonstrated
adequate test accuracy (eg, for the 9-item Patient Health Questionnaire … the key questions that the review will
address to allow the USPSTF to evaluate the effectiveness and safety … control groups
A separate review among older adults reported that
none of the 14 included trials reported safety … Key Substance Use and Mental
Health Indicators in the United States: Results From
the 2019 National Survey … Psychological treatment of depression in people
aged 65 years and over: a systematic review of
efficacy, safety
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - safety. … 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. … University of Calgary, Canadian Patient Safety Institute, Calgary, Canada; 2009.