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Showing results for "patient safety indicators".
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6481. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
      January 01, 2004 - Advances in Patient Safety: Vol. 3 200 This represents an average annual increase of 545 occurrence … by the patient safety center and hospital leadership, there are three plausible explanations for the … Immediate steps towards patient safety. Healthc Finance Manage 2004;February:58(2):56–61. … IT, patient safety, and quality care. J Healthc Inf Manag 2002;16(1):28–33. 16. Matthews P. … Patient safety with information technology. N Engl J Med 2003;348(25): 2526–34. 23.

6482. Telehealth | Digital Healthcare Research
      digital.ahrq.gov/telehealth
      January 01, 2023 - the U.S. to implement telehealth projects in order to explore their effects on health care quality, safety … AHRQ-funded grantees said technical support must be available around the clock to ensure patient safety … safety and mission-critical patient services. … These grantees reported that telehealth can improve an organization's work and safety culture. … AHRQ -funded projects listed below are seeking to measure the impact of telehealth on the quality, safety

6483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841468/psn-pdf
      December 14, 2022 - The patient was placed under general anesthesia and intubated. … This surgeon recommended taking the patient back to the operating room so that her tongue laceration … /issue/can-we-make-airway-management-even-safer-lessons-national-audit https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national … Improving Patient Safety The most widely recommended approach to prevent intraoperative bite injuries … Safety of intraoperative transcranial electrical stimulation motor evoked potential monitoring. 

6484. Don’t Bite Your Tongue. | PSNet
      psnet.ahrq.gov/web-mm/dont-bite-your-tongue
      September 18, 2024 - The patient was placed under general anesthesia and intubated. … Improving Patient Safety The most widely recommended approach to prevent intraoperative bite injuries … Lastly, patients who will undergo this type of monitoring should be educated regarding potential risks … While incidence of bite injuries is low, a small number of patients will require further interventions … Safety of intraoperative transcranial electrical stimulation motor evoked potential monitoring. 

6485. PCIP Evaluation Provider Survey (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/pcip-evaluation-provider-survey.pdf
      June 16, 2021 - Assisting patients in self- management activities (e.g., goal setting, patient diaries, patient educational … Monitoring medication safety at the point of prescribing (e.g., drug-allergy, drug-drug interactions … Making a list of patients based on diagnosis or history      II. … Using an EHR will decrease the amount of time I can spend talking to my patients      29. … In a typical week, how many patients do you see per hour at this practice? ______________ 54.

6486. Evidence Summary: Iron Deficiency and Iron Deficiency Anemia During Pregnancy: Screening and Supplementation | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/iron-deficiency-anemia-in-pregnant-women-screening-and-supplementation
      August 20, 2024 - and Quality Rating A single investigator abstracted details from each study including study design, patient … persons with iron deficiency (with or without anemia) and risk of preeclampsia or preterm delivery. 27 Patients … database were classified as anemic (n = 7416) or nonanemic (reference group; n = 13,274), with anemic patients … Effects and safety of preventive oral iron or iron + folic acid supplementation for women during pregnancy … questions (KQs) that the review will address to allow the USPSTF to evaluate the effectiveness and safety

6487. Hcupmalnutritionhospreport 083018 (pdf file)
      hcup-us.ahrq.gov/reports/ataglance/HCUPMalnutritionHospReport_083018.pdf
      August 01, 2018 - Addressing disease-related malnutrition in hospitalized patients: a call for a national goal. … Joint Commission Journal on Quality and Patient Safety. 2015;41(10):469–73. 6 White JV, Guenter P, … All-Cause Readmissions Following Hospital Stays for Patients With Malnutrition, 2013. … That is, when patients are discharged from the hospital, they are followed for 30 days in the data. … The database includes discharges for patients with and without repeat hospital visits in a year and

6488. Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
      January 01, 2025 - Key Words: laboratory results, patient safety PURPOSE Introduction Failure to respond to abnormal laboratory … Because these patients are no longer in the care of the ED, the clinicians in the ED may not remember … We chose these three tests because their results sometimes or always return after patients have been … No form of treatment was initiated for these six patients, despite the fact that all of these lead levels … The ED has a volume of approximately 50,000 patient visits per year.

6489. AHRQ Individual Research Career Development (K) Award Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
      August 01, 2016 - Use of venous access devices in hospitalized patients. … Approximately a quarter of proposals included studies on patient safety. … Research skills transferred readily into operational work driving quality and patient safety improvements … There is a tremendous need for more researchers with expertise in patient safety and health services … Safety Joint Commission Journal on Quality and Safety Journal of Acquired Immune Deficiency Syndromes

6490. Archived: Carotid Artery Stenosis: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/carotid-artery-stenosis-screening-july-2014
      July 08, 2014 - Clinicians should understand the evidence but individualize decision making to the specific patient or … The USPSTF reviewed studies using Medicare data that reported the relationship between patient volume … Safety of stenting and endarterectomy by symptomatic status in the Carotid Revascularization Endarterectomy … Carotid endarterectomy in Oklahoma Medicare beneficiaries: patient characteristics and outcomes. … Accessed at www.aafp.org/patient-care/clinical-recommendations/cps.html on 10 June 2014.

6491. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/gastro-slides.pptx
      November 01, 2019 - Program for Improving Antibiotic Use – Acute Care The Four Moments of Antibiotic Decision Making Does my patient … 4 The Four Moments of Antibiotic Decision Making Does my patient have an infection that requires antibiotics … for Improving Antibiotic Use – Acute Care 6 The Four Moments of Antibiotic Decision Making Does my patient … )* Fever (80% of patients)* Jaundice (60% of patients)* Hypotension Altered mental status Nausea and … 28 Moment 4: Duration of Therapy Acute cholangitis Biliary drainage achieved and patient improving

6492. Pharmacologic and Nonpharmacologic Treatments of Posttraumatic Stress Disorder (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-repository-expanded-protocol.pdf
      October 24, 2019 - apply: • Population(s): o Adults (≥18 years old) diagnosed with PTSD by a clinician or through patient … PTSD diagnosed by a clinician or through the administration of a validated clinician-administered or patient … meditation or "mind body" or mindfulness or music or "prolonged exposure" or relaxation or "seeking safety … Indicate if patients with suicidality were excluded (Y/N) r. Participants’ trauma type(s) s. … Were patients masked? g. Was overall attrition 20% or higher? h.

6493. Healthcare Systems and Infrastructure | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-systems.html
      May 01, 2024 - Building Center and Laboratory Infrastructure to Improve Patient Safety Three studies focus on building … centers and laboratory infrastructure to improve patient safety. … Re-engineering Patient and Family Communication to Improve Diagnostic  Safety Resilience (R18) PIs: … Learning Lab (PROMIS Lab) which promotes patient safety in primary care. … experience, shared decision-making, care coordination, patient engagement, and patient safety.

6494. Evidence Summary: Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/statin-use-in-adults-preventive-medication
      August 23, 2022 - Second, the reviewers did not have access to individual patient data; findings were based on analyses … Efficacy and safety of atorvastatin in the prevention of cardiovascular end points in subjects with type … systematic review of randomized placebo-controlled trials to aid individual patient choice. … Statin safety and associated adverse events: a scientific statement from the American Heart Association … the key questions that the review will address to allow the USPSTF to evaluate the effectiveness and safety

6495. Executive Summary: Comparative Effectiveness Review No. 256_Effectiveness of Telehealth for Women's Preventive Services (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-256-telehealth-women-preventive-services-executive-summary.pdf
      June 01, 2022 - depression, fear of partner, coercive control, self- efficacy, post-traumatic stress disorder, and safety … For IPV interventions, patients were slightly older (mean age of 33 years). … of Evidence Harms Interactive online tool Noninteractive online tool 1 RCT (231) No difference in patient … reported anxiety using a tailored, online safety tool vs. a static version. … marker for publication bias) due to small numbers of trials and heterogeneity in study design methods, patient

6496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49396/psn-pdf
      April 01, 2003 - The patient took the medication for about 2 weeks, with no adverse sequelae. … psychiatrists and allergists), and pharmacists must be alert to the possibility of confusion when patients … chance of drug name confusion by adhering to the prescribing practices above and also by educating patients … Patients should be aware of potential for mix-ups, especially with problem name pairs. … ISMP Medication Safety Alert! Institute for Safe Medication Practices.

6497. Not a Miscarriage | PSNet
      psnet.ahrq.gov/web-mm/not-miscarriage
      June 01, 2005 - of her bicornuate uterus, several important safety nets also failed. … Pre-anesthesia checklists to improve patient safety. … Making health care safer: a critical analysis of patient safety practices. … Agreement September 24, 2024 Predictors of likelihood of speaking up about safety … Related Resources Annual Perspective Improving Diagnostic Safety

6498. An Automatic Notification System for Test Results Finalized after Discharge | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/automatic-notification-system-test-results-finalized-after-discharge
      January 01, 2023 - Health Care Theme Transitions in Care When results of tests are finalized after a patient … These finalized results of tests pending at discharge (TPADs) represent a significant patient safety … these results can lead to delayed diagnosis, delayed treatment, redundant test ordering, and harm to patients … The system was implemented for patients who were discharged from the inpatient general medicine and cardiology … primary care provider (PCP) were randomized to either receive an email notification or usual care for all patients

6499. Putoolssect7 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
      February 16, 2011 - Leadership Support Assessment Yes No Patient safety is clearly articulated in the organization’s … strategic plan Someone in senior management is in charge of patient safety The facility has … implemented a shared leadership model There is a dedicated budget allocated for patient safety … activities The budget includes funding for education and training on patient safety issues such … Daily, when patient bathes. B. Every time the patients asks me to look. C. Every 8 hours. D.

6500. The Effectiveness of an HIT-based Care Transition Information Transfer System to Improve Outpatient Post-Hospital Care for Medically Complex Patients - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017864-ciemins-final-report-2012.pdf
      January 01, 2012 - safety, and efficient use of health care services. 4. … and family; and patient health status may be at a new level, posing challenges to patients, families … While the interview process included patients collecting their medications, it also relied on patient … Project activities included patient “teach 13 back” (having patients repeat discharge instructions … safety and continuity of care.