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Showing results for "patient safety indicators".
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7001. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60168/psn-pdf
      March 25, 2020 - The incorrect patient documentation on the EKG caused EKG results to be uploaded to the wrong patients … private health analytics firm, which has logged over 15,000 electronic health record (EHR) related safety … Fortunately, there were no adverse effects on any of the patients involved in the cases of mentioned … Effect of Bar-Code Technology on the Safety of Medication Administration. … An observational study of how patients are identified before medication administrations in medical and

7002. Medication Use for the Risk Reduction of Primary Breast Cancer in Women: Updated Evidence Report and Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/-TsBkyewVoFpC7htRmzWJa
      September 03, 2019 - Risk stratification methods to identify patients with increased breast cancer risk demonstrated low accuracy … Clinician and Patient Attitudes and Practices Factors associated with adherence and nonadherence in patient … Risk stratification methods to identify patients with in- creased breast cancer risk demonstrated low … Safety and adverse effects associated with raloxifene: multiple outcomes of raloxifene evaluation. … Safety assessment of raloxifene over eight years in a clinical trial setting.

7003. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33838/psn-pdf
      July 01, 2017 - about the medicolegal histories of their affiliated physicians would help improve the quality and safety … Alternatively, the may signal a much larger quality problem that afflicts many of the patients that … medicolegal event–proneness correlates with other, more sensitive physician-level measures of quality and safety … But prediction will have limited impact on quality and safety unless it can be linked to effective interventions … Physician–patient communication.

7004. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! | PSNet
      psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
      February 01, 2023 - & Patient Safety Target Studies have shown that patients with diabetes mellitus on any SGLT2i have an … safety, including soliciting feedback from patients about the clarity of medication management instructions … Endocr Pract . 2022;28(9):884-888. [ Free full text ] Drug Safety Communication. … March 21, 2018 A mixed methods study exploring patient safety culture at 4 VHA Hospitals … Safety August 1, 2019 WebM&M Cases Primary

7005. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/insulin-blood-sugar-2010_research-protocol.pdf
      January 01, 2010 - Evidence-based Practice Center Systematic Review Protocol Project Title: Comparative Effectiveness and Safety … However, the relative contribution of each of these factors to the disease course varies by patient … rt-CGM differs from retrospective CGM in that it provides blood glucose feedback data to the patient … In addition, several other factors appear to be especially relevant, including the age of the patient … information about device use (e.g., analyses based on adherence to wearing the device, training of patient

7006. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
      April 01, 2018 - Denver Health and Vail hospitals followed National Healthcare Safety Network (NHSN) guidelines and performed … Vail was noted to have the lowest risk patients and a very low SSI rate. … Ideally (for statistics, but not for patients), there would be enough events, so that the rate could … Some adjustments can be made if patient-case mix is considered. … Acquiring the data for and developing valid models that adjust for patient-case mix is a large endeavor

7007. Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: Updated Evidence Report and Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/MzHhsgTBL37rRvvJfkfgMZ
      August 20, 2019 - Prevalence of BRCA1 and BRCA2 gene mutations in patients with early-onset breast cancer. … Patients’ resistance to risk information in genetic counseling for BRCA1/2. … Psychological support needs for women at high genetic risk of breast cancer: some preliminary indicators … Impact of panel gene testing for hereditary breast and ovarian cancer on patients. … Short-term surgical outcome and safety of risk reducing salpingo-oophorectomy in BRCA1/2 mutation carriers

7008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846770/psn-pdf
      March 29, 2023 - esophagus.4 Pain is the most frequent and sensitive finding in esophageal perforation, occurring in 70% of patients … second most common presenting sign or symptom of esophageal perforation after pain was fever (44% 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. … Diagnostic endoscopic ultrasonography: assessment of safety and prevention of complications.

7009. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/hacrate2013-refs.html
      October 01, 2015 - Pennsylvania Patient Safety Authority 2009 Annual Report. … Advancing patient safety in the U.S. Department of Veterans Affairs. … Patient safety and quality: an evidence-based handbook for nurses. … Eisenberg Patient Safety and Quality Awards. … http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/index.html

7010. Final Progress Report: Improving quality of postoperative pain care through innovative use of electronic health records (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
      January 01, 2024 - allows us to quickly and accurately generate evidence on pain management practices and associated patient … Patients were excluded if they had less than two clinical visits, as these patients were likely patients … Certain patient cohorts were also analyzed in the Veterans Health Administration (VHA). … To help improve healthcare quality and safety, quality measures/indicators have been used for monitoring … Diverse Patient Trajectories during Cytotoxic Chemotherapy: Capturing Longitudinal Patient Reported

7011. Evidence Summary: High Body Mass Index in Children and Adolescents: Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/obesity-in-children-and-adolescents-screening
      June 18, 2024 - that they have overweight or obesity may have unintended negative consequences for some patients and … adolescent population with obesity: a randomized, double-blind, placebo-controlled 5-week trial to assess safety … population with obesity: a randomized, double-blind, placebo-controlled, short-term trial to assess safety … Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. … questions that the review will address in order to allow the USPSTF to evaluate the effectiveness and safety

7012. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49432/psn-pdf
      February 09, 2004 - and manage patients. … safety. … safety. … We now have monthly patient safety discussions at residents' report. … Importantly, the vice president for hospital quality and patient safety moderates these sessions.

7013. Establishing a Program of In Situ Simulations: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
      July 01, 2023 - Describe how in situ simulation supports perinatal safety. … These teamwork skills are useful for regular, day-to-day care of labor and delivery patients, but are … safety. … is in two locations: https://youtu.be/UhIuGgZB60g https://www.ahrq.gov/professionals/quality-patient-safety … patient advocacy groups, if possible.

7014. Automating Assessment of Asthma Care Quality - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/automating-assessment-asthma-care-quality/activity/automating-assessment-asthma/annual-summary/2010
      January 01, 2010 - Organization Kaiser Foundation Research Institute Funding Mechanism RFA HS07-002: Ambulatory and Safety … Validation of the ACQ measures was based on chart reviews at the patient level. … and 95-percent confidence intervals (CIs) were computed for each measure based on the review of 900 patient … In addition, patient-level summary ACQ scores were analyzed. … Flu vaccination was documented in about 40 percent of patients.

7015. Delay in Initiating Antibiotics Results in Fatal Error | PSNet
      psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
      August 02, 2015 - and manage patients. … safety. … safety. … We now have monthly patient safety discussions at residents' report. … Importantly, the vice president for hospital quality and patient safety moderates these sessions.

7016. Spotlight
      psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
      January 01, 2025 - with severe abdominal pain and in patients with peritoneal tenderness. … The patient was discharged home with a diagnosis of “cholelithiasis”, prescriptions for ondansetron and … The patient was taken to the operating room for lysis of adhesions but died 3 days later. … Unfortunately, the patient was given an inadequate diagnosis and was discharged while still in pain. … SAFETY 29 Imaging in High-Risk Abdominal Pain (1) Patients presenting to the ED with abdominal pain

7017. Evidence Report on the (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/antidepressants-update_research-protocol.pdf
      July 13, 2011 - If a patient has responded to one agent in the past, is that agent better than current pharmacologic … KQ4a: For adults with a depressive syndrome, do second-generation antidepressants differ in safety, … b: Are there any differences in safety, adverse events, or adherence between immediate release and … symptoms (anxiety, insomnia, melancholia, pain, psychomotor changes, and somatization), KQ4 focuses on safety … Because we do not have access to individual patient data, we will not conduct any subgroup analyses.

7018. 6_StakeholderMeetingDiscussionGuide (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/6_StakeholderMeetingDiscussionGuide_1.pdf
      June 16, 2021 - readily shared, health care processes would improve with respect to a number of indicators, including … safety, quality, and cost. … safety officer. … client X to a primary care facility for a suspected medical problem. … safety officer.

7019. 6_StakeholderMeetingDiscussionGuide (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/6_StakeholderMeetingDiscussionGuide_0.pdf
      June 16, 2021 - readily shared, health care processes would improve with respect to a number of indicators, including … safety, quality, and cost. … safety officer. … client X to a primary care facility for a suspected medical problem. … safety officer.

7020. TeamSTEPPS® Diagnosis Improvement: Module 4 Leadership - Facilitator’s Notes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-presenters-notes.pdf
      January 05, 2022 - ) ‒ Patients and Families • Variation by site size/parameters • Variation by patient characteristics … /Quality-And-Safety-of-Healthcare/Patient-Safety/Patient- Safety-Products-And-Services/Toolkits/Briefs-and-Huddles-Toolkit … /Quality-And-Safety-of-Healthcare/Patient-Safety/Patient-Safety-Products-And-Services/Toolkits/Briefs-and-Huddles-Toolkit … /Quality-And-Safety-of-Healthcare/Patient-Safety/Patient-Safety-Products-And-Services/Toolkits/Briefs-and-Huddles-Toolkit … • Did everything happen for a patient or patients that was intended?