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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.
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psnet.ahrq.gov/continuing-education
February 26, 2025 - commentary describes the appropriate evaluation for acute abdominal pain, the importance of imaging in patients … The commentary highlights the importance of thorough neurological investigation of patients presenting … adult, and the limitations of non-contrast brain CT for identifying TIA or early ischemic strokes in patients … safety during spine surgery. … can enable care team members to voice concerns about patient safety.
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - Approach to Improving Safety & Patient Safety Target
Given the importance of communication between … safety. … should be incorporated into a systems-level model for improving patient safety. … the patient and the referring clinician, and between the patient and the radiologist. 12
Take-Home … Available at: https://www.jointcommission.org/resources/patient-safety-topics/sentinel-event/ .
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
August 03, 2020 - Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
PATIENT … SAFETY
e
Issue Brief
Telediagnosis for Acute Care:
Implications for the Quality
and Safety of … Despite its importance to diagnostic safety, little attention has been paid to the impact of patient … engagement
and patient participation in telediagnosis,17,18 beyond patient satisfaction. … Diagnostic Safety • Safety may be enhanced by improved
access, a better sense of the patient’s
home environment
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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.
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hcup-us.ahrq.gov/reports/statbriefs/sb234-Adverse-Drug-Events.pdf
June 01, 2016 - Introduction
An adverse drug event (ADE) involves harms to patients
caused by medication use. … Pharmacoepidemiology and Drug Safety. 2017;26(6):635–41.
3 Ibid.
4 National Center for Health Statistics … Examination of the Coding of Present-on-Admission Indicators in Healthcare Cost and
Utilization Project … The income quartile is missing for patients who are homeless or foreign. … For More Information
For other information on adverse events and patient safety in U.S. hospitals
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psnet.ahrq.gov/web-mm/outbreak
January 29, 2015 - One reality that is difficult to avoid is the ED patient–provider interaction, which is critical to patient … disseminating information to providers while allowing EDs and infection control experts to implement new safety … dedicated departments and teams, such as Hospital Epidemiology and Infection Control or Occupational Safety … safety measures for daily infectious exposures (e.g., handwashing) as well as unanticipated infectious … See More About The Topic
Emergency Departments
Health Care Providers
Quality and Safety
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-fullreport.pdf
July 01, 2018 - Measure Topic – patient safety: No.
k. Measure Topic – family experience with care: No.
l. … adherence; experts in patient safety, quality measurement and improvement, and public
health … We have not specifically tested the understandability of this measure with patients. … safety and
continuity of care. … Modifiable factors associated with severe asthma
exacerbations in urban patients.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/vv5kXtX5QDg2948gog66pd
December 07, 2021 - 2192. doi:10.1001/jama.2021.15658
Editorial page 2139
Multimedia
Related article page 2172 and
JAMA Patient … Data Extraction and Quality Assessment
One investigator abstracted details about the study design, patient … the key questions
that the review will address to allow
the USPSTF to evaluate the
effectiveness and safety … the key questions that the review will
address to allow the USPSTF to evaluate the effectiveness and safety … Oral health prevention and
toddler well-child care: routine integration in a
safety net system.
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www.ahrq.gov/data/apcd/envscan/findings.html
July 01, 2022 - ratio, and safety net status. … experience
Patient safety
Hospital
APR-DRG-based cost measures, using APCD data. … HEDIS measures and CAHPS measures of patient experience.
Accepting new patients. … and Patient Safety Indicators; ED: emergency department; URI: upper respiratory infection; APR-DRG: … experience, and safety.
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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.
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effectivehealthcare.ahrq.gov/sites/default/files/methods_guide_atkins.pdf
January 01, 2011 - • Reviewers should assess whether benefits or harms vary along with differences in patient
or intervention … Finally, intervention features may affect the ability to generalize the effectiveness or
safety of the … in each trial, can be prone to bias (the “ecological fallacy”).37 Meta-analysis based on
individual-patient … features, inspect whether this variation is
associated with differences in measures of effectiveness or safety … systematic reviews which address relatively broad clinical or policy questions in representative
patient
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-applicability_methods.pdf
January 01, 2011 - • Reviewers should assess whether benefits or harms vary along with differences in patient
or intervention … Finally, intervention features may affect the ability to generalize the effectiveness or
safety of the … in each trial, can be prone to bias (the “ecological fallacy”).37 Meta-analysis based on
individual-patient … features, inspect whether this variation is
associated with differences in measures of effectiveness or safety … systematic reviews which address relatively broad clinical or policy questions in representative
patient
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www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
January 01, 2024 - Final Progress Report: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration … in Outpatients
FINAL REPORT
Title: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing … safety problem. … Carayon’s Systems Engineering Initiative for
Patient Safety (SEIPS) 3.0 model re-imagines patient care … AHRQ Patient Safety Learning Laboratories Annual Meeting. September 14 & 15, 2023.
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psnet.ahrq.gov/node/865454/psn-pdf
March 27, 2024 - In addition to
specific health outcomes, patients report having better experiences with their care when … the culture of
patient safety is strong. … , it can
improve behaviors related to patient safety. … National Steering Committee for Patient Safety. Declaration to
advance patient safety. … https://www.ihi.org/initiatives/national-steering-committee-patient-safety/declaration-advance-patient-safety
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-14-attach-1.pdf
January 01, 2011 - American Board of Pediatrics
American Medical Association (AMA)
Chicago Pediatric Quality and Safety … The testing was completed within the Chicago Pediatric Quality and Safety Consortium, a testing network … 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
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-14-attachment-1.pdf
January 01, 2011 - American Board of Pediatrics
American Medical Association (AMA)
Chicago Pediatric Quality and Safety … The testing was completed within the Chicago Pediatric Quality and Safety Consortium, a testing network … of Chicago-area hospitals with pediatric services seeking to understand and improve the
quality and safety … Jensen, et al also point out that both medication and educational services for 24 and 36 months
were indicators … Exceptions are used to remove patients from the denominator of a performance measure when a patient
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effectivehealthcare.ahrq.gov/sites/default/files/11_peptic_ulcer_potential_high_impact_2012-12-111.pdf
January 01, 2012 - POEM is performed with the patient under general anesthesia. … Additional scrutiny of teduglutide’s safety and its
impact on cost of care is likely going forward … TSO’s impact is perceived to be dependent on
further demonstration of safety and efficacy and the extent … During the followup period (up to 25 months) no
patient reported dysphagia recurrence, but some patients … These malignancies were reviewed by an independent safety review
board that requested no changes to
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017270-fricton-final-report-2011.pdf
January 01, 2011 - quality and safety of care and can do so with health information technology. … It is also possible that in the patient activation group, some patients may not
have reminded their … rate at which providers reviewed care guidelines for all patients in the
clinics even if the patient … Because of the
anticipated connection between safety and quality of dental care in patients with chronic … Personal Health Records to Improve Health Information Exchange and Patient
Safety in Advances in Patient
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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