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Showing results for "patient safety indicators".
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7081. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/cad-women-treatment_research-protocol.pdf
      September 29, 2011 - What are the significant safety concerns associated with each treatment strategy (i.e., adverse drug … What are the significant safety concerns associated with each treatment strategy (i.e., adverse drug … What are the significant safety concerns associated with each treatment strategy (i.e., adverse drug … volume, setting, guideline-based treatment protocols) Safety and adverse effects, including … The safety outcomes will be framed to help identify adverse events, including adverse drug reactions

7082. Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
      January 01, 2024 - Key Words: handoffs, patient safety Word count: 199 3. … Scope The patient handoff, or the temporary transition of care of patients between healthcare providers … at the conclusion of their shift, is a time that is recognized as a threat to patient safety due to … In 2006, The Joint Commission made handoffs a “National Patient Safety Goal” and highlighted that “a … Finally, the Handoff CEX may be a useful tool to assist hospitals in improving patient safety.

7083. In Conversation with...Atul Gawande, MD, MA, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
      September 01, 2007 - We asked him to speak with us about professionalism, training, patient safety, and the writing process … We have patients who die. We have patients in pain. … safety officers that this conference can be transformed into a vibrant patient safety curriculum. … Critical issues of patient safety are discussed. … This culture—the culture of medicine—never canonized patient safety. Until now.

7084. Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
      January 01, 2002 - Teamwork, a powerful patient safety tool, can achieve this goal. Lessons learned within the U.S. … Advances in Patient Safety: Vol. 3 428 Figure 2. … or population of patients. … Air Force Patient Safety Program, Bolling Air Force Base (BK). … DoD Patient Safety Award Application, 2003– 04. 8. Kotter JP, Cohen DS.

7085. Breast-Cancer-Imaging Technical-Brief (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/breast-cancer-imaging_technical-brief.pdf
      October 01, 2014 - We describe the accuracy, potential benefits, and potential risks of each modality, including safety … • What are the advantages, disadvantages, safety issues and relative costs of each modality? … Both Key Informant patient advocates reported that patients receive intangible value from receiving … Both patient advocates also reported that breast cancer patients are generally not concerned about the … The most commonly used radiotracer for bone scans is technetium-99m.26 Safety issues pertaining to bone

7086. Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
      January 01, 2025 - Patient-reported quality of life was affected as early as 30 days after acute PE. … deterioration, risk assessment 2 PURPOSE Our long-range goal was to improve the quality and safety … prediction models.5–7 Although newer anticoagulants offer an improved efficacy, convenience, and safety … Clinical algorithms, checklists, and prognostic models are being developed and updated to optimize the safety … bleeding risk, compliance with treatment), which would influence disposition decisions and need for safety

7087. Value of Technology to Transfer Discharge Information (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs015084-graumlich-final-report-2007.pdf
      January 01, 2007 - , patient discharge, health care surveys, patient satisfaction The authors of this report are responsible … unused by the patient.(4) Poor communication also occurs between healthcare providers and patients … was at the patient level. … safety and continuity of care. … Effects of computerized physician order entry and clinical decision support systems on medication safety

7088. Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/anesthesiology-control-tower-feedback-alerts-supplement-treatment-actfast
      January 01, 2023 - Safety Technology Usability Most patients undergo surgery to cure a condition or improve … Supplement Treatments or ACTFAST study applied data mining and machine learning to forecast adverse patient … Exploring patient perspectives on telemedicine monitoring within the operating room. … Michael Avidan looked to another high-risk industry—aviation—that has significantly increased flying safety … 5-year NINR-funded R01, the Telemedicine Control Tower for the OR Navigating Information, Care, and Safety

7089. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
      December 01, 2017 - A strong liaison with management shows frontline providers that patient safety efforts are valued. … Patient safety and quality historically have often suffered from poor metrics. … SAY: Often in patient safety and quality, we focus on the practitioners and forget to ask the patients … Leverage everything at your disposal to improve patient safety. … to two patients a year.

7090. AHRQ Summit to Address Emergency Department Boarding (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
      March 01, 2025 - The proposed measure addresses patients who board for longer than four hours, among other indicators … • Patients and patient advocacy groups, who bring a unique perspective on the experiences patients … The standard would need to be 1) appropriate for promoting patient safety and quality of care and 2) … President Certification Board for Professionals in Patient Safety Institute for Healthcare Improvement … Patients Impact on ED Staff Impact on Cost Impact on Public Safety What Drives ED Boarding?

7091. Disposition of Comments Report for Treatment of Atrial Fibrillation (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation_disposition-comments.pdf
      June 28, 2013 - Response TEP #7 General Although I agree in principle that evidence gaps are present and are compare to safety … cardioversion is clearly more effective; the real key question is the comparative effectiveness and safety … Out recommendation is that Key Question 5 includes an emphasis on patient centered outcomes. … Specifically we recommend the following specific text: What are the comparative safety and effectiveness … Does the comparative safety and effectiveness of these therapies differ among specific patient subgroups

7092. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
      May 13, 2014 - , again, just because they were a sick ICU patient. … And this is medical ICU patients. … Similarly, this is looking at mechanically-ventilated and then ALI/ARDS patients and patients with vasopressors … We did a safety survey that gave us a baseline data of where we stood on our unit, and just kind of looked … C-suite to the bedside and kind of help efforts on that end, because this is about a comprehensive safety

7093. Angina-Heart-Attack-Treatments Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/angina-heart-attack-treatments_executive.pdf
      January 01, 2014 - effectiveness and safety differ? … and safety differ? … and safety differ? … and anticoagulant therapies in UA/NSTEMI patients, we had to broaden our eligible patient population … acute coronary syndrome: a meta-analysis of individual patient data.

7094. Effect of Electronic Health Record Use on Preventive Screening for Comorbid Medicaid Adults - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r03hs022559-corser-final-report-2015.pdf
      January 01, 2015 - Results Final within group (i.e. same patient-provider dyads during both pre and post-EHR periods … The stated goal of related Medicaid EHR Incentive Programs in all states is to improve the quality, safety … Receipt of diabetes preventive care among safety net patients associated with differing levels of insurance … A patient centered care plan in the EHR: improving collaboration and engagement. … Jnt Comm J Qual Pt Safety. 2011; 37: 418-24, 385. 44.

7095. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
      January 01, 2020 - should be able to: Appreciate that primary care doctors (PCPs) may be caring for an increasing number of patients … The safety committee felt if these components of the exam had been performed, the providers might have … are likely to be increasingly managing neurologic conditions Limited data exist to suggest how often patients … —The diagnosis made in 3781 new patients. … Bringing diagnosis into the quality and safety equations.

7096. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
      January 01, 2020 - Ginsberg has broad-based experience in patient experience, patient safety and public health. … within an organization as it relates to patient safety. … over time, evaluating the impact of patient safety initiatives. … could and should be made to improve quality in patient safety. … We all want to improve patient safety and patient care and stop errors from happening, and focused on

7097. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
      March 13, 2013 - to help hospitals improve quality and safety by engaging patients and family members. … , patients, and families work together as partners to improve the quality and safety of care. [2: The … and family advisory councils, and including patients and families on various quality and safety committees … with patients and families not only in direct patient care but also in quality and safety initiatives … Milne, Judy, Patient Safety Officer at Duke University Hospital.

7098. Final Recommendation Statement: Cervical Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/cervical-cancer-screening
      August 21, 2018 - Clinicians should understand the evidence but individualize decision making to the specific patient or … Safety of extending screening intervals beyond five years in cervical screening programmes with testing … Effect of several negative rounds of human papillomavirus and cytology co-testing on safety against cervical … Disease detection and resource use in the safety and control arms of the HPV FOCAL cervical cancer screening … https://www.aafp.org/patient-care/clinical-recommendations/all/cervical-cancer.html . 2018.

7099. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
      psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
      July 01, 2017 - Still, in day-to-day counseling of patients regarding the risks of a red blood cell transfusion, most … Flow Management November 1, 2011 Patient Safety Primers … Safety Initiatives July 10, 2024 Perspectives on Safety … Health Plan Patient Safety Initiatives July 10, 2024 … Perspective Patient Safety in Office-Based Care Settings January 31, 2024

7100. Right? Left? Neither! | PSNet
      psnet.ahrq.gov/web-mm/right-left-neither
      November 16, 2022 - Examples of such defenses include training programs; safety protocols, policies, and procedures; and … Many defenses failed to protect this patient. … Safety March 27, 2024 Patient Safety Innovations … Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023 … Annual Perspective Improving Diagnostic Safety and Quality