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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - Less research exists on the relationship between scheduling issues or competency and patient safety. … Keeping Patients Safe: Transforming the Work Environment of Nurses. … Available at: /perspective/unfinished-patient-safety-agenda . Accessed October 18, 2005.
6. … Patient Safety and the “Just Culture”: A Primer for Health Care Executives. … Keeping Patients Safe: Transforming the Work Environment of Nurses.
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digital.ahrq.gov/ahrq-funded-projects/bringing-high-performing-systems-small-practices/annual-summary/2010
January 01, 2010 - Target Population: Adults, Inner City * , Medicaid, Medically Underserved, Safety … , such as the Kaiser Permanente system, there is less evidence of the effectiveness of health IT on patient … Practice characteristics, such as number of providers, ancillary staff, and patient demographics, are
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www.ahrq.gov/sites/default/files/publications/files/clabsineonatal.pdf
October 01, 2012 - Eliminating CLABSI, A National Patient Safety Imperative: A Progress Report on the National 'On the CUSP … : Stop BSI' Project, Neonatal CLABSI Prevention
Eliminating CLABSI,
A National Patient Safety
Imperative … Education on CUSP was provided by the Missouri Center for Patient Safety, not Johns
Hopkins University … The Missouri Center for Patient Safety (MOCPS) was selected to lead this effort. … Safety
8.
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psnet.ahrq.gov/web-mm/liposuction-gone-awry
July 01, 2003 - Accreditation tells the potential patient that a certain standard of patient safety has been achieved … In view of this, the ASPS convened a task force on patient safety in office-based facilities. … Patient safety in accredited office surgical facilities. … Iverson R, Lynch D, and the American Society of Plastic Surgeons Committee on Patient Safety. … Surgical Patient Safety: Essential Information for Surgeons in Today's Environment.
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hcup-us.ahrq.gov/db/nation/neds/NEDS_Introduction_2009.pdf
January 01, 2009 - These important resources
help the client understand the structure and content of the NEDS and aid in … The NEDS contains event-level records, not patient-level records. … There is no uniform patient identifier available that would allow a
patient-level analysis with the … National Center for
Injury Prevention and Control (NCIPC)
of the DHHS’ CDC and the US
Consumer Product Safety … the patient died in the ED, (98) ED
visits in which patient was not admitted, destination
unknown,
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hcup-us.ahrq.gov/db/nation/neds/NEDS2009Introductionv3.pdf
September 01, 2011 - These important resources
help the client understand the structure and content of the NEDS and aid in … • The NEDS contains event-level records, not patient-level records. … There is no uniform patient identifier available that would allow a
patient-level analysis with the … National Center for
Injury Prevention and Control (NCIPC)
of the DHHS’ CDC and the US
Consumer Product Safety … the patient died in the ED, (98) ED
visits in which patient was not admitted, destination
unknown,
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-selection-harms-systematic-reviews.pdf
February 01, 2018 - 2016. http://www.fda.gov/Safety/MedWatch/HowToReport/ucm053087.htm (accessed October 2, 2017)
1. … Eliciting patient perspective in patient-centered outcomes research: a meta narrative systematic review … Eliciting patient perspective in patient-centered outcomes research: a meta narrative systematic review … EPC reviews should focus on indicators of more severe harms as it is more difficult to interpret the … Eliciting patient perspective
in patient-centered outcomes research: a meta narrative systematic
review
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025785-turvey-final-report-2021.pdf
January 01, 2021 - As a former outreach social worker going to visit homeless people, I have
omitted words that I felt client … would find offensive such as "delusion" for my own
safety in subsequent visits, did not omit the fact … I think providers who are outside the
safety of a medical facility should have special consideration … Patient Experience of Patient Portals and Access to Mental Health Treatment
Information
Patients with … Effects of physician communication style on client
medication beliefs and adherence with antidepressant
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digital.ahrq.gov/sites/default/files/docs/medicaid/us_chs_states-role-in-hie.pdf
September 25, 2006 - safety, quality of care, and patient outcomes
• Provides capabilities of multiple agencies for network … index) to
help move toward a single health data view of the client. … self-sustaining
model
• Manage care
and referrals
with shared
information
• Set
performance
indicators … In the public sector, Deloitte Consulting has assisted clients to plan
and develop leading technology … ’s largest companies, as well as large national enterprises, public institutions, locally important clients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/infotransMOSOPS.pdf
January 01, 2010 - Medical Office Survey on Patient Safety Culture: Background and Information for Translators
Agency … What is “patient safety culture”? Patient safety is a critical component
of health care quality. … the impact of patient safety improvement initiatives, to
examine trends in patient safety culture change … Medical Office Survey on Patient Safety Culture are
grouped according to the safety culture dimensions … Owner/Managing Partner/Leadership Support for Patient Safety
EA.
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psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
April 24, 2024 - The incorrect patient documentation on the EKG caused EKG results to be uploaded to the wrong patients … Fortunately, there were no adverse effects on any of the patients involved in the cases of mentioned … Effect of Bar-Code Technology on the Safety of Medication Administration. … January 15, 2020
Inappropriate prescribing of opioids for patients undergoing surgery … September 27, 2023
Patient Safety Innovations
Remote
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/type-2-diabetes-medications-update_surveillance.pdf
December 31, 2013 - Efficacy and safety of treatment
with sitagliptin or glimepiride in
patients with type 2 diabetes … Safety and
efficacy of linagliptin as add-on
therapy to metformin in patients with
type 2 diabetes … Efficacy and safety of alogliptin
added to metformin in Japanese
patients with type 2 diabetes: a … Efficacy and safety of initial
combination therapy with sitagliptin
and pioglitazone in patients with … . 1 patient, 1.8%) and pretibial edema (0 patients, 0% vs.
39 patients, 68.4%, p < 0.001) were observed
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
March 01, 2020 - Insulin, hospitals and harm: a review of patient safety incidents
reported to the National Patient Safety … START includes a set of 34 evidence-based and validated prescribing indicators for
common diseases for … Author, Year Description of Patient
Safety Practice
Study Design;
Sample Size;
Patient Population … Author, Year
Description of
Patient Safety
Practice
Study Design;
Sample Size;
Patient Population … Patient Safety
Practice
Study Design;
Sample Size;
Patient Population
Setting Outcomes:
Benefits
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psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - , and worsening of symptoms, leading to suboptimal patient care quality and safety. … sign out AMA.In balancing patient autonomy and safety, health professionals must ensure that a patient … Patient Safety Primers
Simulation Training
March 1, 2023 … Patient Safety Primers
Debriefing for Clinical Learning
November … Safety?
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psnet.ahrq.gov/node/857258/psn-pdf
November 30, 2023 - Approaches to Improving Patient Safety
Educate patients about the dangers of super obesity
https:// … Older patients and
patients with impaired renal and hepatic function are at particular risk for persistent … Christian Bohringer, MBBS
Consulting Editor, AHRQ, Patient Safety Network (PSNet)
Professor
Department … Patient
Safety and Quality Healthcare. December 2019. Accessed November 29, 2023. … Safety of sugammadex for reversal of neuromuscular block.
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hcup-us.ahrq.gov/db/quality.pdf
January 31, 2025 - data processing, the decision was
made to exclude V447 and V557 from the female screen because these
patients … TRICARE edits are available online at https://health.mil/Military-Health-
Topics/Access-Cost-Quality-and-Safety … , G0027, G0102 to G0103; G0416,
https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety … Rates-and-Reimbursement/Age-and-Gender-Restrictions
https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety … Rates-and-Reimbursement/Age-and-Gender-Restrictions
https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/rural-telehealth-amended-protocol.pdf
February 25, 2021 - • Population(s):
o Rural individual patients, patient families/care partners, and patient populations … behavior, and decisions such as choice of treatment
or antibiotic stewardship; Access measure and indicators … including but not limited to
time to diagnosis or time to treatment
o KQ2: Indicators and measures … KQ2:
a) Indicators and measures of uptake of telehealth
(e.g., rates of use, timing to implementation … The Rural Health Safety Net Under Pressure: Rural Hospital
Vulnerability. 2020.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/latent-tuberculosis-infection-screening-september-2016
September 06, 2016 - initiating anti-tumor necrosis factor treatment, patients receiving dialysis, patients preparing for … Occupational Safety and Health Administration. … Washington, DC: Occupational Safety and Health Administration; 2015. Directive No. … Occupational Safety and Health Administration, U.S. Department of Labor. … http://www.aafp.org/patient-care/browse/type.tag-clinical-practice-guidelines.html . 2016.
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psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - whose care involves anesthesiology. 8 The Wake Up Safe Patient Safety Organization, a quality improvement … Safety and Quality of Patient Care
Efforts to mitigate the risks associated with intrahospital transport … that both the safety climate (measured using the short form of the “Patient Safety Climate in Healthcare … https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/ … safety threats.
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - No nurse was assigned to the patient in the hallway, and the patient was given a multitude of small carbohydrate-containing … Approach to Improving Safety
Both the cases described above present opportunities for system improvements … safety culture at 4 VHA Hospitals. … February 6, 2013
Innovative patient safety curriculum using iPad game (PASSED) improved … patient safety concepts in undergraduate medical students.