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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-234-fullreport.pdf
June 17, 2014 - • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public
and private … In order to fulfill these obligations, it is imperative that providers
are available to treat patients … Measure Topic – patient safety: No.
l. Measure Topic – family experience with care: Yes.
m. … Selected oral health indicators in the United States, 2005-
2008. NCHS Data Brief No. 96. … Appointment-keeping behavior of Medicaid-enrolled pediatric
dental patients in eastern Iowa.
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psnet.ahrq.gov/node/33822/psn-pdf
January 01, 2017 - He also has a strong interest in patient safety. … We spoke with
him about workplace safety and its relationship to patient safety and organizational excellence … RW: Once you started getting interested in health care, what were your thoughts about patient safety … It's about the patient, and such a focus might be a distraction from patient safety. … PO: It would be such a blessing if we could raise our game in both worker safety and patient safety in
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
June 01, 2011 - ), he acted chaotically, driven by fear
*
*
Safety in the Digital Hospital
Technology can lead … time of medication administration
In most hospitals, only the medical records department can provide patients … Effect of bar-code technology on the safety of medication administration. … is in caring for the patient”
Physicians must balance too little love with too much—a difficult balance … The care of the patient. JAMA. 1927;88:877-882.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/infantile-hemangioma_executive.pdf
January 01, 2016 - current state of evidence, and
assesses the quality of studies that aim to determine the
outcomes and safety … levels of adverse effects,
which may suggest that improvements can be achieved in
the propranolol safety … size and few adverse effects, which may suggest that
improvements can be achieved in the propranolol safety … mechanisms
of growth of IH will promote our understanding of
response to treatments and treatment safety … Treatment of superficial infantile
hemangiomas with timolol: Evaluation of short-term efficacy and
safety
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digital.ahrq.gov/sites/default/files/docs/lesson/09-0012-ef-telehealth.pdf
December 01, 2008 - Using Telehealth to Improve Quality and Safety
Using Telehealth to Improve
Quality and Safety
Findings … Health Care www.ahrq.gov Health IT
http://www.ahrq.gov
Using Telehealth to Improve
Quality and Safety … Using Telehealth to Improve Quality and
Safety: Findings from the AHRQ Portfolio (Prepared by the AHRQ … Members of the practice team received distance education
and training about patient safety and electronic … typically involved feedback on safety concerns
and performance.
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effectivehealthcare.ahrq.gov/sites/default/files/ch_11-user-guide-to-ocer_130129.pdf
January 03, 2012 - in some populations due
to the different polymorphisms that are present
in these persons, though indicators … Complex patients. These are patients who suffer
from multiple disease states at once. … Treatment of these complex
patients is of great concern to clinicians, and these
patients should be … A basic study design for expedited
safety signal evaluation based on electronic
healthcare data. … Instrumental variable methods in
comparative safety and effectiveness research.
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-clinical-decision-support-demonstration-projects.pdf
June 01, 2014 - and
patients make decisions that enhance patient
care (Osheroff, Pifer, Teich, et al., 2005). … • Enables multiple clients to share one logical/physical CDS service. … The failure to keep up with such
alerts can have huge implications for patient safety. … To what extent are there unintended consequences of CDS that may affect patient safety
or the quality … safety.
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - by overcrowded EDs
necessitates having a proactive, systems-based approach grounded in a culture of safety … operational
resiliency in the face of a myriad of stressors.(7) In addition to a robust event reporting and safety … of pool nurses to the ED when inpatients are boarding there substantially
enhances the quality and safety … When high acuity and patient volume requires that admitted patients be held in the ED for prolonged … The long road to patient safety: a status report on the patient
safety systems.
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Such strategies, like many others in patient safety, were originally developed outside health care—largely … safety. … Critical role of the surgeon–anesthesiologist relationship for patient safety. … Culture of safety: a foundation for patient care. Semin Pediatr Surg. 2015;24:283-287. … TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety.
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - We certainly agree that improving system design and process flow will enhance patient safety, but our … The long road to patient safety: a status report on patient safety systems. … Understanding Patient Safety. New York, NY: McGraw-Hill Professional; 2008.
5. Rosenstein AH. … A survey of the impact of disruptive behaviors and communication defects on patient safety. … June 16, 2011
Improving patient safety: the comparative views of patient-safety specialists
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting
307
The Impact of a Patient Safety … What resulted is
a patient safety program known as Medical Team Management (MTM). … Advances in Patient Safety: Vol. 1
316
References
1. … Patient safety curriculum. Acad Med
2000;75(5):551–2.
8. Jay G, Risser DT. … The patient safety mandate—
rebuilding the trust and creating a reporting system.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - Presentation: Science of Improving Patient Safety and Identifying Defects
The Science of Improving Patient … Despite these advances, instruments and sponges are still left inside patients undergoing elective surgery … Hundreds of thousands of patients develop healthcare-associated infections that can prolong their stay … Doctors
Patients
Residents
Nurses
Science of
Improving Patient Safety ‹#›
AHRQ Safety … input from a variety of viewpoints including unit providers, colleagues, patients, and family members
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - President for Patient Safety at Inova Health System. … Kathy Helak: With both, the aim is to improve patient safety and reduce harm. … patients with behavioral health needs on medical-surgical units. … concern, such as patient falls, or patient identification. … This includes the words we use to talk about safety,
how we talk to patients differently around safety
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/about/measures-hp50-2109.pdf
September 08, 2017 - Patient Experience Measures from the CAHPS Health Plan Survey
Patient Experience Measures from … Plan Survey
CAHPS® Health Plan Survey and Instructions
Document No. 2109
Updated 9/8/2017
Patient … indicate that composite measures from the core
items in the survey are reliable and valid measures of patients … Patient Experience Measures from the CAHPS Health Plan Survey
Document No. 2109
Page 3
CAHPS … https://www.ahrq.gov/cahps/consumer-reporting/index.html
http://www.ahrq.gov/professionals/quality-patient-safety
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psnet.ahrq.gov/web-mm/easily-forgotten-tube
June 01, 2016 - Safety—A Registered Nurse's Perspective
June 1, 2016
Perspective … —An OR Fire
April 1, 2015
Improving departmental psychological safety through … school-wide initiative
August 14, 2024
Strategies for Improving Clinician Psychological Safety … safety' to educate junior doctors about patient safety and the importance of reporting safety concerns … See More About The Topic
Intensive Care Units
Health Care Providers
Quality and Safety
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6f.pdf
March 01, 2017 - Many of these
patients—particularly those used to receiving “on-demand” service in other sectors of … The system incorporates hundreds of built-in safety risk factors that
automatically trigger a referral … pulmonary disease was found to reduce hospital visits without
causing any safety risks to patients.7 … The value of telephone triage for patients with appendicitis. … Patient Educ Couns 2012 May;87(2):135-42.
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psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - Patient 1, who was the more critical of the two patients, was mistakenly booked for emergent trauma surgery … Safety in the Emergency Care Setting. … October 19, 2022
Patient safety after implementation of a coproduced family centered … the technological revolution help address patient safety? … June 14, 2019
Transfusion safety: the nature and outcomes of errors in patient registration
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www.ahrq.gov/hai/tools/mvp/modules/technical/head-bed-elevation-lit-review.html
January 01, 2017 - Head of Bed Elevation or Semirecumbent Positioning Literature Review
AHRQ Safety … Study findings conclude that the supine position and length of time the patient is kept in this position … Jt Comm J Qual Patient Saf 2005 May;31(5):243-8. PMID: 15960014. … bleeding, and aspiration of subglottic secretions and oscillating beds in select patient populations … Semirecumbent patient positioning should be considered in all eligible patients.
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - SPOTLIGHT CASE
Patient Safety Events Involving Opioid Dose Stacking
Citation Text … Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. … Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. … sophisticated types of patient monitoring should be considered, specifically for patients with coexisting … Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet].
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - Getting Into Patient Safety: A Personal Story
Jeffrey B. … Getting Into Patient Safety: A Personal Story. PSNet [internet]. … Getting Into Patient Safety: A Personal Story. PSNet [internet]. … This focus on safety led to significant decreases in risks to patients. … relationship for patient safety.