-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/prevention-of-human-immunodeficiency-virus-hiv-infection-pre-exposure-prophylaxis
August 22, 2023 - Data Abstraction and Quality Rating
One investigator abstracted details about the study design, patient … What is the diagnostic accuracy of provider or patient risk assessment tools in identifying persons at … Otherwise, risk prediction instruments were based on information obtained from patient interviews, health … All adverse events were grade 1 except in 1 patient with grade 2 symptoms. … AIDS Patient Care STDS . 2021;35(1):5-8. doi:10.1089/apc.2020.0231 58.
-
psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - Approach to Improving Safety & Patient Safety Target
Protocol-based management of medical problems … are key points of potential intervention for ensuring patient safety. … Shift-to-shift handoff effects on patient safety and outcomes. … Management of Sepsis
May 31, 2023
Patient Safety Innovations … and Quality
April 26, 2023
Patient Safety Innovations
-
psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - safety.11
Approaches to Improving Safety
Optimize Human Factors Engineering
Clinicians in both the … Reported medication events in a paediatric emergency
research network: sharing to improve patient safety … Racial/ethnic disparities and patient safety. Pediatr Clin North Am.
2006;53(6):1197-1215. … Human factors engineering and patient safety. … Minimizing medication errors in pediatric patients. US Pharm. 2018;44(4):20-23.
-
psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - Joan Stanley about The Role of
Undergraduate Nursing Education in Patient Safety
November 27, 2023 … Joan Stanley about The Role of Undergraduate Nursing Education in
Patient Safety . … safety into classroom and clinical instruction, and how this affects patient safety as a whole. … harm to patients and providers through system and
individual performance.” … https://www.ihi.org/Engage/Initiatives/National-Steering-Committee-Patient-Safety/Pages/National-Action-Plan-to-Advance-Patient-Safety.aspx
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-132-fullreport.pdf
January 23, 2017 - death can be reduced through
early diagnosis, treatment of complications, systematic follow-up, and patient … Kauf, Coates, Huazhi,
5
et al. (2009) estimate the lifetime cost of health care per patient with … treatment of complications, practices that are supported, in large part, by extensive follow-up and
patient … Measure Topic – patient safety: No.
k. Measure Topic – family experience with care: No.
l. … the States in which Q-METRIC conducted testing, newborn screening data for infants
did not include indicators
-
psnet.ahrq.gov/node/49697/psn-pdf
December 01, 2013 - The anesthesiologist then injected 2 mg of midazolam to sedate the patient. … The patient did not experience any obvious harm from the uncontrolled inhalation
induction. … while overdoses of inhalational anesthetics could be administered in other
ways, thus bypassing such a safety … etiology is multifactorial and includes a distracting environment and production
pressure that limit safety … Patient injuries from anesthesia gas delivery
equipment: a closed claims update.
-
www.ahrq.gov/patient-safety/reports/engage/appf.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Appendix … describing how patients can be better partners to improve patient safety. … National agenda for action: patients and families in patient safety: nothing about me, without me … Yes
Yes
Moderate
Evidence-based framework for improving patient safety with patients … Trust, temporality and systems: how do patients understand patient safety in primary care?
-
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/diabetes-horizon-scan-high-impact-1506.pdf
June 01, 2015 - Investigators observed no new safety concerns for the
implant. … Investigators observed no new
safety concerns beyond what is known for the GLP-1 receptor agonist class … Summary of safety and
effectiveness data (SSED) for MiniMed 530G
system. P120010. … Summary of safety and effectiveness data
(SSED). MiniMed 530G system. P120010. … A study of the safety and efficacy of a
new treatment for diabetic macular edema.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-fullreport.pdf
May 01, 2018 - , and society
(unrelated to cost)
• Fiscal burden of measure focus (e.g., clinical condition) on patients … safety, we have proposed
two measures that adopt a slightly different approach. … We consider this a safety measure, as missed hypothermia may lead to shock and
death. … Measure Topic – patient safety: Yes.
k. Measure Topic – family experience with care: No.
l. … safety, and
public health)
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-118-fullreport.pdf
October 01, 2016 - , and society
(unrelated to cost)
• Fiscal burden of measure focus (e.g., clinical condition) on patients … safety, we have proposed two measures that adopt a slightly different approach. … We consider this a safety measure, as
missed hypothermia may lead to shock and death. … Measure Topic – patient safety: Yes.
k. Measure Topic – family experience with care: No.
l. … safety, and
public health)
-
hcup-us.ahrq.gov/reports/ataglance/HCUPanalysisCdiff2022.pdf
December 08, 2022 - safety and have become the most common
complication of modern health care. … and Human Services (HHS)
identified key actions needed to achieve and sustain progress in protecting patients … Tables 4 and 5 provide the overall rates for C. diff for select patient characteristics (Table 4) and … is included in a typical discharge
abstract, with safeguards to protect the privacy of individual patients … Examination of the Coding of Present-on-Admission Indicators in
Healthcare Cost and Utilization Project
-
psnet.ahrq.gov/web-mm/obstructed-view
August 07, 2019 - 28, 2023
Investigating workplace support and the importance of psychological safety … March 13, 2024
National survey of patient safety experiences in hospital medicine during … January 10, 2024
Patients' perspectives on quality and patient safety failures: lessons … May 8, 2024
View More
Related Resources
Patient Safety … Innovations
The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and
-
psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
May 01, 2018 - against the physician's admission, transfer, and/or discharge orders.( 14 ) Given the patient safety … risk posed by medication discrepancies during transitions of care, leading patient safety organizations … Patient-physician communication at hospital discharge and patients' understanding of the postdischarge … Joint Commission. 2006 Critical access hospital and hospital national patient safety goals. … OSF healthcare's journey in patient safety. Qual Manag Health Care. 2004;13:53-59.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-slides.pptx
January 01, 2017 - the SAT Safety Screen
The patient must meet the following criteria to PASS the SAT safety screen:
No … PASSES the safety screen, proceed to the SAT trial
If the patient FAILS the SAT safety screen, they … for Mechanically Ventilated Patients
Passing the SAT Trial
The patient passes the SAT trial if they … Patients
14
Passing the SAT Trial
If patient tolerates the SAT trial:
Proceed to the SBT safety screen … Program for Mechanically Ventilated Patients
Passing the SBT Safety Screen
The patient must have the
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/supportive.html
June 01, 2018 - Child Health Care: Effectiveness Measures
Maternal and Child Health Care: Person-Centered Care & Patient … Safety
Maternal and Child Health Care: Care Coordination Measures
Maternal and Child Health Care … Focuses on enhancing patient comfort and quality of life and preventing and relieving symptoms and complications … Starting January 1, 2010, the patient assessment instrument for home health agencies was changed to OASIS-C … Overall Rate: In 2013, 65% of home health care patients had less shortness of breath.
-
digital.ahrq.gov/sites/default/files/docs/page/length-of-stay-quick-reference-guide.pdf
March 01, 2009 - Measure Category: Clinical Outcomes
Quality Domain: Patient Safety; Efficiency
Current Findings in … the Literature: Patients may
experience extensions in hospitalizations due to
delays in decisionmaking … Computer Severity Index (CSI)
score on admission to the unit, medical service, and
mortality) in patients … Another study
implementing computerized decision support for
prescribing drugs for patients with renal … Potential Risks: External issues (e.g., financial
pressures to discharge patients early, other concurrent
-
psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - Examples of tools in the toolkit include: the daily Safety Huddles Tool,22 weekly Patient Safety Leadership … increase patient safety awareness, improve the identification of patient safety issues, and reduce … of patient safety events.
… Patient Safety Essentials Toolkit. Boston, MA: Institute for
Healthcare Improvement. … The
Joint Commission Journal on Quality and Patient Safety. 2016;42(12):545-AP3.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - Applied to CAUTI Prevention:
Enhances patient-centered, compassionate care
Improves patient safety … /family anxiety
Slide 33
Summary: Health Literacy and Patient Safety
Barriers to … Slide 40
How to Engage Patients & Families
When you first assess the patient:
Ask how the patient … Slide 56
References
Guide to Patient and Family Engagement in Hospital Quality and Safety. … Patient participation: Current knowledge and applicability to patient safety.
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs026188-gong-final-report-2022.pdf
January 01, 2022 - This study was set up at the 3
hospitals in the Montefiore Healthcare System, a safety-net medical system … The most important features in discriminating patients with and
without ARDS or high mortality are indicators … What was important in the model for discrimination was
indicators of how sick the patient is (lactate … BMJ quality &
safety 2013;22 Suppl 2:ii58-ii64. (In eng). DOI: 10.1136/bmjqs-2012-001712.
7. … BMJ quality
& safety 2013;22 Suppl 2:ii65-ii72. (In eng). DOI: 10.1136/bmjqs-2012-001713.
8.