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Showing results for "patient safety indicators".
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6721. Delayed Diagnosis of Kidney Transplant Complications | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
      January 29, 2020 - Approach to Improving Safety Safety in management of kidney transplant patients in the early post-transplant … This patient’s case demonstrated potential areas for improvement in safety, as earlier transplant kidney … Saline to Treat Hyponatremia January 29, 2020 Perspectives on Safety … Patient Safety in Home Dialysis April 28, 2021 … May 22, 2024 View More Related Resources Patient Safety

6722. Characteristics of Frequent Users of Three Hospital Emergency Departments | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/emergency-dept/frequent-use.html
      July 01, 2017 - Screening for the first five risk factors was achieved through a combination of patient interviews and … Attention to lack of patient comprehension of discharge instructions could have real value . … The need to improve patient comprehension in all settings is well documented and there have been many … patients do not necessarily use ED services more frequently than insured patients. … and Safety Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge Planning .

6723. Ncinqtobaccousehelpform (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelpForm.pdf
      August 01, 2012 - Measure Topic – patient safety No l. Measure Topic – family experience with care No m. … Past smoking/tobacco use status reported by patient Yes "Record smoking status for patients 13 years … Smoking status as defined by Meaningful Use reported by patient Yes* "Record smoking status for patients … In 2001, the IOM defined quality as having six aims: Safety, Timeliness, Effectiveness, Equity, Efficiency … , and Patient-Centeredness.

6724. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
      July 18, 2008 - Quality and Safety Problems Experienced by Providers and Patients in the Ambulatory Care Setting … Ambulatory patient safety: What we know and need to know. … Patient safety: The other side of the quality equation. … Integrating patient safety into the clinical microsystem. … Tampa, FL: VISN 8 Patient Safety Center of Inquiry; 2008.

6725. Spotlight Case September 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
      September 01, 2003 - If so, did deviation have potential to cause patient harm? … Factors Patient condition Clinician–patient communication Availability/accuracy of test results … Organization/Management Financial resources Goals, policies, and standards Safety culture and priorities … : The 5 “C’s” Communication Team members communicate effectively/efficiently with each other, the patient … critical units Communication failures contributed to 16% (20/98) operating room events in anesthesia safety

6726. Disposition of Comments: Technical Brief No. 38_Automated Entry Patient Generated Health Data for Chronic Conditions: The Evidence on Health Outcomes (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/tech-brief-38-chronic-conditions-comments.pdf
      March 01, 2021 - this area enormously, the AHRQ can perform an important service by evaluating the effectiveness and safety … The definition of how safety was determined needs more explanation so that such discrepancies are better … Patient portals (my chart) are increasingly used but again, they often do not allow patients to upload … While disease indicators, such as blood pressure, weight change, or blood sugar levels, seem to have … Yes, disease indicators are surrogate outcomes.

6727. Effective Treatment Trends and Measures | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/trends.html
      June 01, 2018 - 10                 Septicemia   8 9           9 9 10 Patient … Safety Chartbook Homicide   3 4 5 3 3 3 5         Perinatal conditions … 1 Effective Treatment (n=37) 21 13 3 Healthy Living (n=58) 35 18 5 Patient … Safety (n=31) 19 10 2 Care Coordination (n=37) 18 13 6 Key: n = number of … Treatment measure that was removed was reintroduced in 2015 because it fell under 95%: Eligible HIV patients

6728. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/executive-summary.html
      July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Executive … Forming a Patient Flow Team Section 3. Measuring Emergency Department Performance Section 4. … ED crowding can be mitigated by improving patient flow throughout the hospital. … Forming a Patient Flow Team The importance of creating a patient flow improvement team—and giving careful … Safety, Journal of Emergency Medicine, Journal of Emergency Nursing ), and professional societies (e.g

6729. An Overview of the CANDOR Process
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
      September 10, 2015 - Notification of the event to the appropriate professional responsible for patient safety events. … Resources available to help your organization engage patients and families include: AHRQ’s Guide to Patient … 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 … Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD.

6730. The Wrongful Resuscitation | PSNet
      psnet.ahrq.gov/web-mm/wrongful-resuscitation
      October 12, 2012 - Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023 … Nursing Education in Patient Safety November 27, 2023 Association of current … and patients in a national sample. … March 6, 2005 Improving patient safety by repeating (read-back) telephone reports of … December 23, 2008 Crew resource management improved perception of patient safety in the

6731. Strategy 6C: OpenNotes | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6c-opennotes.html
      March 01, 2020 - care and patient engagement. … From the patient perspective, perhaps the biggest barrier to realizing the potential benefits of patient … When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation … errors, safety opportunities and the patient-doctor relationship. … Fostering Patient Engagement. Peterson Center on Healthcare.

6732. Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
      January 01, 2024 - safety. … For many proximal errors, a long string of events would lead to the error occurring with no safety checks … safety. … Using fault tree analysis and probabilistic risk assessment to improve medication safety in ambulatory … Laboratory safety monitoring of chronic medications in ambulatory care settings. J Gen Intern Med.

6733. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60857/psn-pdf
      August 26, 2020 - Many processes and procedures to promote patient safety in the operating room setting may be applied … Beware of finger tourniquets: a case report and update by the National Patient Safety Agency. … the National Patient Safety Agency. … National Patient Safety Agency rapid response report: reducing the risk of tourniquets left on after … National Patient Safety Agency, 2009a. https://marmed.com/wp- content/uploads/2019/08/NRLS-1153A-RRR-Tourniquet-mation

6734. The Hidden Danger of Unseen Intravenous Catheters | PSNet
      psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
      October 04, 2023 - A Systematic Approach to Improving Patient Safety This case illustrates how failure to adhere to patient … classification level III or higher. 7 Pediatric anesthesiologists are uniquely qualified to care for patients … saline, may be useful in determining the intravascular position of intravenous catheters in pediatric patients … In the operating room, patients receive greater volumes of fluids at higher administration rates. … catheter insertion is preferable to internal jugular central venous catheter insertion in pediatric patients

6735. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49474/psn-pdf
      March 01, 2005 - Upon transfer, the patient was febrile with stable vital signs. … research, experienced personnel, and technological and mechanical aides—must be applied to ensure safety … Surgery in the obese patient presents special challenges. … What Can Be Done to Improve Quality and Safety in the Care of the Obese Patient? … Management of the obese critically ill patient.

6736. EPC Methods: An Exploration of Methods and Context for the Production of Rapid Reviews (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/rapid-review-production_white-paper.pdf
      February 01, 2015 - The information in this report is intended to help health care decisionmakers—patients and clinicians … One study comprised only patients with schizophrenia or schizoaffective disorder. … Compared with ziprasidone, patients taking olanzapine had a greater length of hospital stay. … and value of patient care. … Patient submitted appeal for single technology or intervention. Search TRIP, PubMed, Cochrane.

6737. Disposition of Comments: CER 228, Nonopioid Pharmacologic Treatments for Chronic Pain (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/cer-228-nonopioid-pharm-chronic-pain-comments.pdf
      April 16, 2020 - subgroups of such patients. … Public Reviewer 2 Tom Supinka, National Safety Council Question 9 Given the complexity of treating … chronic pain and concerns regarding the safety and long-term effectiveness of opioids, there is a need … audiences for disseminating and promoting this work because of our vast spectrum of interactions with clients … /patients in pain, both chronic and acute.

6738. Strategies for Improving Patient Experience with Ambulatory Care: Service Recovery Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
      November 02, 2017 - 6: Strategies for Improving Patient Experience with Ambulatory Care 6.P. … Service recovery can range from listening to an upset patient to giving free parking to patients who … Service recovery programs ensure that patients never hear, “I can’t help you with this. … From the patient safety movement, we know that a critical component of resolution in these kinds of … Many staff know immediately which situations or patients will end up in the CEO’s office.

6739. Transfusion Overload | PSNet
      psnet.ahrq.gov/web-mm/transfusion-overload
      September 23, 2020 - At the time, the patient remained weak but had no new symptoms. … The patient was given the blood and the diuretics. … If the patient is stable, blood may not be needed. … Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety … transfusion safety.

6740. Retained Surgical Items: Definition and Epidemiology. | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
      September 15, 2024 - An RFO or RFB is not the result of medical error, whereas an RSI is a multi-stakeholder patient safety … Safety Organizations (PSOs), collaborations authorized under the Patient Safety and Quality Improvement … February 1, 2003 Patient Safety Primers Retained … Death November 30, 2023 Patient Safety Primers … December 14, 2022 Thinking in three's: changing surgical patient safety practices