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psnet.ahrq.gov/node/73334/psn-pdf
August 01, 2024 - More research into this patient safety issue should be conducted. … Pennsylvania Patient Safety
Advisory. 2014;11(1):1-7.
25. Westbrook JI, Rob MI, Woods A, Parry D. … BMJ quality & safety. 2017 Feb
1;26(2):131-40.
27. … BMJ Quality & Safety.
2005 Apr 1;14(2):80-6.
28. … BMJ quality & safety. 2018 Nov 1;27(11):892-901.
29.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pressure-ulcer-treatment_disposition-comments.pdf
May 08, 2013 - (younger,
spinal cord patient and older, frail
nursing home or hospitalized
patients). … However, I think that
the outcome measures other than
complete wound healing that were
used as indicators … appropriately and
explicitly stated: To summarize the
available evidence comparing the
effectiveness and safety … We did not find studies on patient position/off-
loading. … While the reviewed studies
did not indicate harms with NPWT,
the FDA has issued warnings about
the safety
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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
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-pancreas_disposition-comments.pdf
September 23, 2014 - Adoption of these standards benefits patient dose. … MITA’s
approach builds upon existing manufacturer safety measures – including
equipment safety standards … , protocol development, quality and safety
checks, provider education programs and physician-developed … FNA saves 5% of patients from having un-needed Whipples 4. … AHRQ is a leading authority on research, reports, and other tools
that examine the quality, safety,
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www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
January 01, 2024 - Patient acuity was measured by the Optilink
Healthcare Management© patient acuity system (The Advisory … The
principal investigator (PI) verified that the patient acuity recorded by the RNs on the daily patient … Patient acuity is
recognized as an important quality and safety indicator because, as patient acuity … Other heterogeneities of the patients on the two units, including variables such as CVC
type, patient … Using patient acuity data to manage patient care outcomes and patient care
costs.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-v-a.pdf
June 25, 2014 - Jensen, et al also point out that both medication and educational services for 24 and 36 months
were indicators … Measure Exclusions and Exceptions
Exclusions arise when patients who are included in the initial patient … Exceptions are used to remove patients from the denominator of a performance measure when a patient … , or patient preferences. … Overdiagnosis and influence of client gender on diagnosis.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-health-mobile-apps-disposition-of-comments.pdf
May 20, 2022 - There is also
no informed consent process to ensure that the client on the other end of the
application … This isn't
just in Remote patient monitoring apps. … This can ultimately lead to harm of the patient. … vs. harm to patients. … of
application to the patient, the safety for phi privacy and safety away from hacking,
there is nothing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
December 01, 2017 - SAY:
Sometimes getting executives involved in a patient safety project is one of the most challenging … These complications can take a toll on patients' health and safety and can extend postoperative hospital … the list of safety issues your team has compiled based on a PSSA—asking how will the next patient be … Rounds Kickoff
SAY:
Step 1: Hospital Survey on Patient Safety Culture or HSOPS assessment composite … not patient safety issues observed during safety rounds.
-
hcup-us.ahrq.gov/db/nation/neds/NEDS2020Introduction.pdf
September 01, 2022 - There is no uniform patient identifier available that would allow a patient-
level analysis to identify … Consumer Product Safety
Commission. … 2,359,079 1.9
ED visit in which the patient died in the ED 231,626 0.2
ED visit in which patient … patient died in the ED, (98) ED visits in which
patient was not admitted, destination unknown, (99) … ED visit
in which patient was discharged alive, destination unknown
(but not admitted)
Sex of patient
-
hcup-us.ahrq.gov/db/nation/neds/NEDSIntroduction2021.pdf
March 01, 2024 - There is no uniform patient identifier available that would allow a patient-
level analysis to identify … Consumer Product Safety
Commission. … 1.8
ED visit in which the patient died in the ED 218,068 0.2
ED visit in which patient was not admitted … patient died in the ED, (98) ED visits in which
patient was not admitted, destination unknown,
(99 … ) ED visit in which patient was discharged alive,
destination unknown (but not admitted)
Sex of patient
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/coronary-artery-stenting_disposition-comments.pdf
February 26, 2013 - ) with Figures 3
and 4 which for patient level data are shown for 6 RCT’s and 6
non-randomized studies … This is consistent with
patients included in the various FFR trials – all patients were
assessed by … Improved
patient-centered outcomes from FFR have been demonstrated
in a wide variety of patient subsets … of all cause death, documented MI, unplanned
hospitalization leading to urgent revascularization), safety … Enrollment in FAME II
was recently halted early by the DSMB (data safety and
monitoring board) due
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-fullreport.pdf
November 01, 2017 - In addition to closing gaps in safety and/or
quality, implementation of appropriate measurements in … 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 met the denominator
criteria: … When
looking at the patient level, 82 percent of patients met the measure. … Reliability Testing
Chart abstractions were performed for five patient charts for patient-level data
-
psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
November 18, 2016 - , within the limits of state law and patient safety; normalization of the topic as a routine component … safety events and harms during medical and surgical hospitalizations for persons with serious mental … November 18, 2016
Patient, provider, and system factors contributing to patient safety … November 30, 2016
Nurses' perceived skills and attitudes about updated safety concepts … February 1, 2023
Patient identification of diagnostic safety blindspots and participation
-
www.ahrq.gov/news/events/nac/2018-07-nac/nacmtg0718-minutes.html
July 01, 2021 - Fain, J.D., M.P.P., Betsy Lehman Center for Patient Safety
Tina M. … In many cases, people do not know how to think about patient safety. … Metrics don’t support many of the questions about patient safety. … Calamaro urged AHRQ to look at pediatric patients differently. … Understanding user client needs is important.
-
psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - Successful patient education is an interactive process in which patients and caregiver participate by … February 19, 2013
A case for safety leadership team training of hospital managers. … February 15, 2017
Transforming concepts in patient safety: a progress report. … safety infrastructure. … Safety Innovations
Preventing Falls Through Patient and Family Engagement to Create
-
psnet.ahrq.gov/node/865412/psn-pdf
March 27, 2024 - The
psychiatric prodromal concept also may lack predictive value, in that many patients (eventually) … Approaches to Improving Patient Safety
The tragedy in this case is that there was clinical suspicion … James Bourgeois, OD, MD
Consulting Editor, AHRQ, Patient Safety Network (PSNet)
Professor of Psychiatry … https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
https … Neuropsychiatric lupus in late- and early-onset systemic lupus
erythematosus patients: a systematic
-
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
December 01, 2017 - Say:
Sometimes getting executives involved in a patient safety project is one of the most challenging … These complications can take a toll on patients' health and safety and can extend postoperative hospital … Consider sharing the following at the meeting:
Patient safety culture survey results. … Slide 19: Executive Safety Rounds Kickoff
Say:
Step 1: Hospital Survey on Patient Safety Culture … not patient safety issues observed during safety rounds.
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015123-cebul-final-report-2008.pdf
January 01, 2008 - safety and care for co-morbid
illnesses. … Our primary dependent variables addressed issues of patient
quality/safety of care (Aim 1 and secondary … Patient Safety and Health IT
Conference, June 4th-7th
RD Cebul. … EMR-Catalyzed Nurse Case Management:
Early Results from Patient Safety and Health IT
Conference, June … Presentation at AHRQ HIT Annual Meeting Panel on
Improving Patient Safety Using Health IT.”
-
psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - safety incidents do occur, and given the volume of patients receiving care in office-based settings, … safety hazards because patients may be prescribed medications from many different providers, and these … Notably, better communication between clinicians and patients may reduce patient-reported non-routine … , especially the culture of patient safety. … Patient Safety in Primary Care: Conceptual Meanings to the Health Care Team and Patients.
-
hcup-us.ahrq.gov/reports/statbriefs/sb134.jsp
May 01, 2012 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … who were injured by an animal, by type of injury
Tables 6 and 7 provide information on patient … Rates of animal-related treat-and-release ED visits per 100,000 population, by type of injury and patient … Rates of animal-related inpatient stays per 100,000 population, by patient characteristics, 2009 … Journal of Safety Research. 2008. 39: 351-363.
2 Langley R.L.