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psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
July 31, 2023 - 4
Pain is the most frequent and sensitive finding in esophageal perforation, occurring in 70% of patients … Workflow for improving patient safety and communication after endoscopic perforation
Procedural complications … Management and outcomes of esophageal perforation: a national study of 2,564 patients in england. … January 8, 2020
Assessing the effectiveness of engaging patients and their families in … Related Resources
Patient Safety Innovations
Rescue Improvement
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-fullreport.pdf
November 01, 2017 - The PICU is where lapses or gaps in safety or
quality potentially are the most devastating, but it can … In addition to closing gaps in safety and/or
quality, implementation of appropriate measures in the … Measure Topic – patient safety: Yes.
k. Measure Topic – family experience with care: No.
l. … Evaluate the charts in the patient sample to see whether the patients meet the denominator
criteria … feasibility of the construction of this measure was assessed in the Chicago Pediatric Quality
and Safety
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - As DVT prevention is one of the top safety priorities of the Agency for Healthcare Research and Quality … Orthopedic surgery patients are a special focus of most guidelines, since such patients are at extremely … safety and quality culture--a scoping review. … April 24, 2024
Authentic leadership at the Cleveland Clinic: psychological safety in … November 15, 2023
Safety culture and workforce well-being associations with Positive
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psnet.ahrq.gov/node/33772/psn-pdf
September 01, 2014 - We spoke with her about overuse of medical
care and its effect on patient safety.
Dr. … The patient is exposed to risks of the procedure. … Overuse is a patient safety concern, not just a financial burden. … RW: How about patient-driven demand? … At a National Patient Safety Foundation meeting, 80% of people raised
their hand indicating that they
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psnet.ahrq.gov/web-mm/weighty-mistake
September 01, 2016 - How can information technology improve patient safety and reduce medication errors in children's health … in patient safety transformation. … May 1, 2015
Telehealth safety framework: addressing a new frontier in patient safety. … July 17, 2024
Development and evaluation of patient safety interventions: perspectives … of operational safety leaders and patient safety organizations.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/high-cholesterol-other-lipid-abnormalities-screening-1996
January 01, 1996 - Laboratory assays are subject to random errors, due to variation in sample collection, handling, and reagents … and Helsinki studies 91 A single trial (the WHO clofibrate study) accounts for nearly half of all patient-years … This assessment should take into account the age of the patient (higher risk in men over 45 and women … Safety of treatment, changes in risk factors, and incidence of coronary heart disease. … The Helsinki Heart Study: an 8. 5 year safety and mortality follow-up.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
November 11, 2019 - Insulin, hospitals and harm: a review of patient safety incidents
reported to the National Patient Safety … The Joint Comission. 2019 Patient Safety Goals. … 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
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/7-things.html
March 01, 2017 - Infographic: 7 Things You Should Know About Urinary Leg Bags
AHRQ Safety Program … AHRQ Safety Program for Long-Term Care: Preventing CAUTI and Other HAIs . … safety. … Nosocomial urinary tract infection: a prospective evaluation of 108 catheterized patients. … A versatile range of leg bags for use in community patients. JCN . 2014;28(2):64-68.
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool1.html
March 01, 2013 - One readmission or ED visit was prevented for every seven patients receiving the RED. … patients who did not receive the RED. … Meets Safety Standards and Improves Documentation
Accepted as NQF Safe Practice and endorsed by Institute … for Healthcare Improvement, The Leapfrog Group for Patient Safety, and CMS
Meets Joint Commission … May reduce diversion and creates greater capacity for higher revenue patients.
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1.html
March 01, 2013 - One readmission or ED visit was prevented for every seven patients receiving the RED. … patients who did not receive the RED. … Meets Safety Standards and Improves Documentation
Accepted as NQF Safe Practice and endorsed by Institute … for Healthcare Improvement, The Leapfrog Group for Patient Safety, and CMS
Meets Joint Commission … May reduce diversion and creates greater capacity for higher revenue patients.
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cdsic.ahrq.gov/sites/default/files/2025-09/Quartz%20Assessment%20Report_To%20DTP_09.05.25.pdf
January 01, 2025 - patients (40%) needed at least one medication dosage
adjustment, with one patient experiencing six … the safety of the app in terms of changes in patient BP readings
and subsequent clinical interventions … ”
– Patient Informant
30
Patient System Usability Survey
Four patients completed the SUS … process measures related to BP and medication adherence were examined as intermediate
indicators of … Have they reported any unintended consequences of the app, such as escalated patient
safety risks,
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digital.ahrq.gov/sites/default/files/Quartz%20Assessment%20Report_To%20DTP_09.05.25.pdf
January 17, 2025 - patients (40%) needed at least one medication dosage
adjustment, with one patient experiencing six … the safety of the app in terms of changes in patient BP readings
and subsequent clinical interventions … ”
– Patient Informant
30
Patient System Usability Survey
Four patients completed the SUS … process measures related to BP and medication adherence were examined as intermediate
indicators of … Have they reported any unintended consequences of the app, such as escalated patient
safety risks,
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psnet.ahrq.gov/node/49446/psn-pdf
August 30, 2021 - (including the one presented here)
must place a premium on safety. … to distinguish between
patient harm in a clinical trial vs. … "practical safety"—that which can be expected in real world practice. … Safety in clinical trials differs from safety in practice. … Improving medication safety across a multihospital system.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-238-fullreport.pdf
October 01, 2019 - versus privately insured patients to specialists. … Measure Topic – patient safety: No.
k. Measure Topic – family experience with care: Yes.
l. … Available at https://www.ahrq.gov/professionals/quality-patient-safety/quality-
resources/tools/chtoolbx … http://www.cahps.ahrq.gov/
https://www.ahrq.gov/professionals/quality-patient-safety/quality-resources … /tools/chtoolbx/measures/index.html
https://www.ahrq.gov/professionals/quality-patient-safety/quality-resources
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cdsic.ahrq.gov/sites/default/files/2023-08/Final%20TPC%20P3_Source%20Credibility%20to%20AHRQ%208.2.23_508c%20Version.pdf
January 01, 2023 - ) and patient-
facing PC CDS (i.e., where patients receive and factor PC CDS recommendations into clinical … patients and clinicians (e.g., during clinical encounters, via patient portals). … of the Quality of Online Health Information:
Systematic Literature Review of Relevant Criteria and Indicators … Medication safety alert fatigue may be reduced via interaction design and
clinical role tailoring: a … Data Challenges With Real-Time Safety Event
Detection And Clinical Decision Support.
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digital.ahrq.gov/sites/default/files/Final%20TPC%20P3_Source%20Credibility%20to%20AHRQ%208.2.23_508c%20Version.pdf
July 01, 2023 - ) and patient-
facing PC CDS (i.e., where patients receive and factor PC CDS recommendations into clinical … patients and clinicians (e.g., during clinical encounters, via patient portals). … of the Quality of Online Health Information:
Systematic Literature Review of Relevant Criteria and Indicators … Medication safety alert fatigue may be reduced via interaction design and
clinical role tailoring: a … Data Challenges With Real-Time Safety Event
Detection And Clinical Decision Support.
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hcup-us.ahrq.gov/db/nation/neds/NEDS_Introduction_2007.jsp
January 01, 2007 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … The NEDS contains event -level records, not patient -level records. … There is no uniform patient identifier available that allows a patient-level analysis with the NEDS. … National Center for Injury Prevention and Control (NCIPC) of the DHHS' CDC and US Consumer Product Safety … patient died in the ED, (98) ED visits in which patient was not admitted, destination unknown, (99) ED
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hcup-us.ahrq.gov/db/nation/neds/NEDS_Introduction_2006.jsp
January 01, 2006 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … The NEDS contains event -level records, not patient -level records. … There is no uniform patient identifier available that allows a patient-level analysis with the NEDS. … National Center for Injury Prevention and Control (NCIPC) of the DHHS’ CDC and US Consumer Product Safety … patient died in the ED, (98) ED visits in which patient was not admitted, destination unknown, (99) ED
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-pain-opioid-treatment_disposition-comments.pdf
September 29, 2014 - It provides an update
on previous systematic reviews on the efficacy and safety of long-term opioids … , the extensive long-term use of opioids is not supported by good quality
studies concerning their safety … of patients). … opioid
therapy for chronic non-cancer pain: A systematic review and meta-analysis of
efficacy and safety … It would also be consistent with the
approach the authors used in presenting a similar FDA safety warning
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www.ahrq.gov/sites/default/files/2024-01/baker-report.pdf
January 01, 2024 - Key Words: Teamwork, TeamSTEPPS, training, patient safety, care coordination. … Safety) as a public domain
resource to improve team performance and coordination of care within the … The concept of patient-
centered care and the growing implementation of patient-centered medical homes … Studies have shown increases in patient satisfaction
and self-efficacy when patients/families are included … Combined, inclusion of patients and patient family members in the care team and
preparation through