-
digital.ahrq.gov/sites/default/files/docs/citation/09-10-0091-1-EF.pdf
October 01, 2009 - (including patient-facing views for self care) are
important to the quality, safety, and efficiency … EHRs, however, hold the
potential to blend information received from multiple sources, masking indicators … (including patient-facing views for self care) are important to the quality, safety, and
efficiency … Protocol and
Patient
Populatio
n
Analysis of
Patient
Population
Interactions
with Patients … Consumers and patients. Determine which population the patient belongs in.
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014965-schmidt-final-report-2007.pdf
January 01, 2007 - Improve patient safety in participating Critical Access Hospitals by utilizing health
information technology … that, “The requirement for a prospective review of
the medication orders by a pharmacist is a key safety … trains their order-entry pharmacists
8
on numerous pharmacy information systems in use at remote client … drug therapy problems for patients in rural hospitals. … Joint Commission pharmacy standards
for Critical Access Hospitals and National Patient
Safety Goals
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-fullreport.pdf
May 01, 2018 - , and society
(unrelated to cost)
• Fiscal burden of measure focus (e.g., clinical condition) on patients … Measure Topic – patient safety: Yes.
k. Measure Topic – family experience with care: No.
l. … NCINQ’s stakeholders
include patients and families, clinicians, and State Medicaid officials, as well … Broadened use of atypical antipsychotics: Safety,
effectiveness, and policy challenges. 2009; Health … Racial disparities in antipsychotic prescription patterns for patients with
schizophrenia.
-
hcup-us.ahrq.gov/reports/statbriefs/sb135.jsp
June 01, 2012 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … Age, patient residence, and utilization characteristics are explored, as well as the most common injuries … The income quartile is missing for homeless and foreign patients. … Medicaid: includes fee-for-service and managed care Medicaid patients. … Journal of Safety Research. 2010;41:375-380.
7 HCUP Clinical Classifications Software (CCS).
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/psychiatric-readmissions_disposition-comments.pdf
May 21, 2015 - Predicting readmission to the psychiatric hospital in a managed
care environment: implications for quality indicators … Might proove useful to collect information from clients
regarding what works. … to client. … KIs noted that in many
cases, patients are discharged from psychiatric hospitals as soon as the
safety … Patient- and practice-related
determinants of emergency department length of stay for patients with
-
www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
April 01, 2018 - infection that might suggest opportunities for process improvement/reengineering to enhance quality and safety … sampled in ways that induce differential misclassification between diagnoses of SSI and our measured indicators … an algorithm entirely in the VA and applying it to other hospitals include the fact that the veteran patient … postoperative days 4 and 30 because pre- or perioperative data might indicate risks for SSI or that the patient … than 3mg/dL
Or postoperative antibiotics given
Or the presence of a postoperative culture, or the patient
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/bariatric-surgery_research.pdf
June 01, 2010 - about the outcomes, clinical effectiveness, safety, and appropriateness of health care items and … We tabulated the number of unique therapeutic classes of drug that the patient had ―on
hand‖ at the … If this supply would result in the patient having sufficient drug
―on hand‖ to overlap with a seven … day window surrounding the time point of interest, the patient
was considered to have been on this … utilization variables (hospitalizations, outpatient visits,
medical and pharmacy payments) and other indicators
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
February 01, 2013 - safety issue
Appreciate that failing to contact a patient about abnormal test results is a source of … Health care systems are increasingly providing test results directly to patients
Some EMRs allow patients … CLIA program and HIPAA privacy rule; patients’ access to test reports. … Should patients get direct access to their laboratory test results? An answer with many questions. … Two steps that could reduce the harm from failure to contact patients about abnormal test results are
-
psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - but
recommendations differ:
– The Anesthesia Patient Safety Foundation (APSF) recommends continuous … Safety Issues with Patient Controlled Analgesia Part II - How To Prevent Errors ISMP Medication Safety … Safety and patient-controlled analgesia: part 2: how to prevent errors. P T. 2008;33(1):8-9.
17. … San Diego Patient Safety Council. … Capnography monitoring enhances safety of postoperative patient-controlled analgesia.
-
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
-
psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
April 24, 2018 - April 24, 2018
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … LP or Not LP
October 1, 2003
Perspective
The Safety … and Safety-II Frameworks
December 14, 2022
Association between parent comfort … November 11, 2020
Patient centred diagnosis: sharing diagnostic decisions with patients … Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-behavioral-health.html
May 01, 2024 - Safety
5. … Medical Homes
P8: Do Telemedicine Visits Provide Similar Quality and Safety as In-Person Visits? … P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes
P10 … : Improving Clinical-Community Linkages in Primary Care for Patients with Multiple Chronic Conditions … the 2021 and 2022 period that look at opioids—many of which focused on chronic pain and medication safety
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
January 01, 2004 - Advances in Patient Safety: Vol. 2
360
F
ig
u
re
1
. … Human factors
in healthcare: benefiting worker/patient safety and
quality. … Making health care safer: a critical
analysis of patient safety practices. … Technology and patient safety:
a two-edged sword. … Reducing
workload and increasing patient safety through work
and workspace design.
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
April 01, 2018 - Multiple procedures for the same patient will be included
Updated master risk factor list … IH has completed provisional analyses of ~ 20,000 patients
Denver has begun collection of data … show applicability in VAs nationwide�Mike will explore a connection with the VA National Center for Patient … Safety as suggested by Kendalll
Lucy will connect with the AHRQ Health Care Innovations Exchange to
-
psnet.ahrq.gov/node/49580/psn-pdf
March 21, 2009 - Safety Goals (NPSG) to reduce the impact of medication errors on patient safety.(4) This case
identifies … patients take medications that should always be avoided.(3,9) A study
evaluating medication use in … Glintborg and colleagues found that patients admitted to a hospital in Denmark failed to
report 27% … filled by the
patient. … [go to
PubMed]
4. 2009 Hospitals' National Patient Safety Goals.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-litreview.docx
January 01, 2017 - [Type text] [Type text] [Type text]
AHRQ Safety Program for
Mechanically Ventilated Patients
Spontaneous … Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated … SAT safety screens were performed on only 20 percent of pre-quality improvement (QI) patient-days versus … 97 percent of during-QI patient-days (p<0.001) and 100% of post-QI patient-days (p=0.25). … Sedation and analgesia in the mechanically ventilated patient.
-
psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - 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. … Human factors engineering and patient safety. … safety event investigations.
-
hcup-us.ahrq.gov/reports/ED_MHSA_SOIpaper.pdf
June 10, 2011 - The psychometric literature describes the use of questionnaires, client interviews, and scales
for diagnosing … chosen for the study based on the availability of unique, encrypted, and reliably coded
person-level indicators … Serious” consequences of people with specific DSM-IV diagnoses were associated in the
Kessler study with indicators … safety and well-being
improved. … Not-for-Profit 0.575 1.019 1.029 0.888 1.255 1.150
..Private, For-Profit 0.464 1.318 0.413 1.141 0.368* 1.842
Safety
-
psnet.ahrq.gov/web-mm/autopsy-revelation
December 01, 2007 - and inpatient records for ambulatory patients) "Premature closure"—Failure to alter initial … Safety Signals? … Computerized Provider Order Entry and Patient Safety
January 1, 2015 … November 20, 2015
The top patient safety strategies that can be encouraged for adoption … March 13, 2013
Advancing the science of patient safety.
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-leveraging-data-enhance-cr-program.pdf
November 12, 2020 - • To explore how CR programs are effectively accessing, monitoring and using
data to benefit their patients … Data should be readily accessible about both individual patients and patient
groups. … Reports should allow you to track the status of individual patients from eligibility
determination to … was taking patients to start CR. … the location of the falls, can allow for improvement to facility conditions and safety in order to