-
www.ahrq.gov/sites/default/files/2025-04/castro-report.pdf
January 01, 2025 - , and experts from the fields of nursing, patient safety, risk management, patient engagement,
laboratory … Key Words: diagnostic error, diagnostic safety, diagnostic excellence, patient engagement, patient safety … of patients/patient
advocates to ensure that we direct our efforts toward outcomes that mater to patients … In addition
to presenting the Patient Summit, patients serve as members of the Conference Planning … on the national quality and patient safety agenda:
• $20 million approved to improve diagnostic safety
-
psnet.ahrq.gov/web-mm/its-sarah-not-stephen
January 01, 2015 - Delineate patient safety issues associated with transgender health. … Transgender health raises a number of patient safety issues: lack of access to health care, increased … The clearest and most troubling patient safety issue for transgender individuals is refusal of medical … Transitioning transgender individuals face a number of patient safety issues. … Analysis of incident reports from a patient safety organization.
-
psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - Effect of a 19-item surgical safety checklist during urgent operations in a global patient population … Effect of a comprehensive surgical safety system on patient outcomes. … Safe Surgery Saves Lives: The Second Global Patient Safety Challenge. September 2009. … November 16, 2022
Patient-led training on patient safety: a pilot study to test the feasibility … September 4, 2013
Optimizing Pediatric Patient Safety in the Emergency Care Setting.
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs022894-pratt-final-report-2020.pdf
January 01, 2020 - Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety … patients from engaging with
their safety. … :
Understanding How the Clinician-Patient Relationship Influences Patient
Engagement in Safety. … The Value of Patient-Peer
Support in Improving Hospital Safety. … Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety
-
digital.ahrq.gov/sites/default/files/docs/page/08-1094.pdf
January 02, 2025 - health
systems to adopt and deploy the needed
infrastructure to attain the expected
financial and safety … approaches that maximize
net benefits (including potential
economic, environmental, public health
and safety … safety. … safety. … , and clinical treatments, and
improved patient outcomes.
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/BwAo_shwmJLSRguyWxaXpP
July 01, 2007 - Efficacy and safety of cholestyramine
therapy in peripubertal and prepubertal children with familial … Efficacy and safety of lowering dietary intake of fat and
cholesterol in children with elevated low-density … The USPSTF strongly recommends that clinicians provide [the service] to eligible patients. … The USPSTF recommends that clinicians provide [the service] to eligible patients. … The USPSTF recommends against routinely providing [the service] to asymptomatic patients.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/depression-pregnancy-postpartum_executive.pdf
July 01, 2014 - are often concerned about the safety of
pharmacological treatment during pregnancy and the
postpartum … effective in pregnancy, but the
developing fetus and changes in maternal physiology
raise questions about safety … For safety of the fetus, the FDA Pregnancy Category of
antidepressant medications taken during pregnancy … Patient comorbidities (e.g., anxiety diagnoses)?
c. … Efficacy
and Safety of Screening for Postpartum Depression.
Comparative Effectiveness Review 106.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-notes.docx
April 01, 2022 - Using Data To Drive Change and Improve Patient Safety Facilitator Notes
CUSP Module: Using Data To … Drive Change and Improve Patient Safety
Facilitator Guide
Slide Number and Image
This module, “Using … Data To Drive Change and Improve Patient Safety” is part of the Agency for Healthcare Research and Quality … This module will discuss data to drive change and improve patient safety, and will review the ICU assessment … Keeping that in mind, one of the most common patient safety survey tools is the Hospital Survey on Patient
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/167-hospital-level-gap-analysis.pdf
June 02, 2025 - Does the infection preventionist participate in their unit's patient safety/quality improvement
meetings … Yes, all patients
Yes, patients in selected units
No
N/A
Question 24. … ]
Yes, all patients
Yes, patients in all ICUs
Yes, patients in select ICUs
Yes, patients … Yes, all patients
Yes, patients in select units
No
N/A
AHRQ Safety Program for MRSA Prevention … : Off
Yes, all patients_2: Off
Yes, patients in all ICUs: Off
Yes, patients in select ICUs: Off
-
psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - Of course, EHR-related patient safety exists as a subset of an organization's overall safety programs … Identification and Prioritization of HIT Patient Safety Measures. … Measuring and improving patient safety through health information technology: The
Health IT Safety Framework … Health IT and patient safety: a paradigm shift to shared responsibility. … Patient safety goals for the proposed Federal Health Information
Technology Safety Center.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
July 01, 2016 - Individual Patient/Resident Level
Facility Level
Advancing Excellence Pressure Ulcer Tracking Tool … repositioning procedures
s. √ Treatment changes per frequency designated by protocol or provider
t. √ Indicators … Department heads
Rehab Department internal review
Department team weekly review of rehab patients … We also can discuss adding some briefs or huddles to better discuss these patients’ care needs. … AHRQ’s Safety Program for Nursing Homes: On-Time Prevention 34
image1.jpeg
-
psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - Opioid Overdose as a Patient Safety Problem
Irene Berita Murimi, PhD, MA, and G. … Opioid Overdose as a Patient Safety Problem. PSNet [internet]. … Opioid Overdose as a Patient Safety Problem. PSNet [internet]. … Rethinking opioid prescribing to protect patient safety and public health. … Opioid Overdose as a Patient Safety Problem. PSNet [internet].
-
hcup-us.ahrq.gov/db/nation/neds/NEDS2014Introduction.pdf
December 12, 2016 - There is no uniform patient identifier available that would allow a
patient-level analysis to identify … National Center for
Injury Prevention and Control (NCIPC)
of the DHHS’ CDC and the US
Consumer Product Safety … 2,051,283 1.5
ED visit in which the patient died
in the ED 190,374 0.1
ED visit in which patient … of discharge records for patients with HIV
diagnoses … the patient died in the ED, (98) ED
visits in which patient was not admitted, destination
unknown,
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
July 01, 2023 - A sample process and forms for a committee review are available at the Council on Patient Safety in Women … Because only 5 to 10 percent of obstetric hemorrhages occur in patients with risks for hemorrhages, 1 … care teams should maintain situational awareness for all patients. … ACOG Patient Safety and Quality Improvement Committee. … Patient Safety Checklist No. 10: postpartum hemorrhage from vaginal delivery.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Alexander_10.pdf
January 20, 2008 - IT development has the potential to improve the safety, quality, and efficiency of health care in
the … United States.9 Increasing attention to errors in health care and concern for patient safety
have prompted … clinical decisionmaking, enhance adherence to clinical
guidelines, and provide increased focus on patients … sophisticated IT lies in its ability to transform and achieve certain foundational
aims, including safety … Improving safety with
information technology. N Engl J Med 2003; 348:
2526-2534.
28.
-
digital.ahrq.gov/ahrq-funded-projects/enhancing-self-management-t2dm-automated-reminder-and-feedback-system/annual-summary/2011
January 01, 2011 - Organization
Medical College of Wisconsin
Funding Mechanism
RFA: HS07-007: Ambulatory Safety … and Quality Program: Enabling Patient-Centered Care Through Health Information Technology (PCC) … The ASMM reminded patients to self-monitor their blood glucose (SMBG), prompted them to take medications … The patient was then randomized into either the intervention or usual care group. … Patients who did not regularly dock the ASMM did not receive feedback from the system.
-
hcup-us.ahrq.gov/reports/statbriefs/sb136.jsp
June 01, 2012 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … in low income communities than it was among patients residing in all other communities. … The income quartile is missing for homeless and foreign patients. … Medicaid includes fee-for-service and managed care Medicaid patients. … Center for Injury Prevention and Control, CDC; NEISS All Injury Program operated by the Consumer Product Safety
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-careassociated-infections_research-protocol.pdf
August 26, 2011 - Improving patient safety through infection control: a new healthcare
imperative. … Michigan Health and Hospital Association Keystone Center for Patient Safety and
Quality. … Shekelle PG, Pronovost PJ, Wachter RM, et al, and the Patient Safety Practices Technical Expert
Panel … Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety
Practices: Developing … RECOMMENDED ELEMENTS FOR REPORTING ON PATIENT
SAFETY PRACTICES
(Source: Shekelle et al. 2010)
-
www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0315-minutes.html
July 01, 2015 - Safety
J. … Skolnik, Citizens for Patient Safety
Jed Weissberg, M.D., Institute for Clinical and Economic Review … AHRQ released a funding announcement for patient safety learning laboratories that identify threats to … patient safety. … What do patients want? Dr.
-
psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - revealed multiple metallic foreign bodies throughout the gastrointestinal tract including an open safety … and family.
24,25
Approaches to Improving Patient Safety
Clear communication among staff
The physician … Put an “NPO” or “Nothing by Mouth” wristband on the patient
When patients are mobile, they often move … Christian Bohringer, MBBS
Consulting Editor, AHRQ, Patient Safety Network (PSNet)
Professor of Anesthesiology … Impact of the communication and patient hand-off tool SBAR
on patient safety: a systematic review.