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Showing results for "patient safety indicators".
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  1. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
    July 01, 2017 - We spoke with her about legal issues in patient safety. Dr. Robert M. … How did the dynamic of that relationship change when the patient safety field became a thing 15 years … We're going to continue to take care of patients." … Then there's the possibility that plaintiffs' attorneys and their clients will come to expect that when … Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023

  2. Factors that Impact Perinatal Care Experience and Outcomes: Slide Presentation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/perinatal-care-experience-slides.pdf
    March 06, 2025 - Safety and Respect? … Chronic Disease in Pregnancy 0% 10% 20% 30% 40% 2016 2017 2018 2019 2020 2021 2022 % of Pregnant Patients … like the postpartum months • Interventions designed to make it easier for pregnant and postpartum patients … took just a few minutes for most • Given PCP supply constraints, should be targeted toward high-need patients … with Safety and Respect? 

  3. Examination of the Use of Electronic Health Record Data for Measuring Performance in Diabetes Care - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r36hs020165-hirsch-final-report-2012.pdf
    January 01, 2012 - First, clinicians explained that many of their patients access their EHR via a patient portal. … Patient Anxiety That’s huge because now, with patients having access to the problem list because they … that the patient have two encounters associated with diabetes (definition 1) identified all but 3 patients … Methods to identify the target population: implications for prescribing quality indicators. … Computerization can create safety hazards: A bar-coding near miss.

  4. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
    December 01, 2017 - 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. … Patient safety is a property of the system, not just individuals.

  5. 047-Evidence-Behind-Decolonization-Strategies-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention The Evidence Behind Decolonization Strategies for MRSA ICU & … and almost 283,000 ICU patient days. … The intervention period included 339,902 patients and over 1.3 million patient-days. … Following this framework, a team can carry out patient safety initiatives and focus on changes through … The execute phase refers to the implementation of the patient safety interventions and putting the plan

  6. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. | PSNet

    psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
    August 21, 2005 - The surgical consultant arrived and told the patient that amputation of the limb might be needed. … The patient safety issues center on confirming the aortic valve-associated thrombosis, providing appropriate … Approach to Improving Safety and Patient Safety Target Although we do not know this patient’s INR value … safety. … Related Resources Annual Perspective Improving Diagnostic Safety

  7. Strategy 1: Working with Patients & Families as Advisors (Tool 9) (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.docx
    March 06, 2013 - Information about how patient and family advisors help us improve hospital quality and safety Section … Ways to learn more about health care quality, patient safety, and being a patient and family advisor … Patients get care that is patient- and family-centered. … Web site: http://www.ahrq.gov Consumers Advancing Patient Safety Consumers Advancing Patient Safety … Web site: http://www.nfcacares.org/ National Patient Safety Foundation The National Patient Safety Foundation

  8. Disposition of Comments for CER 159 Insomnia (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/insomnia_disposition-comments.pdf
    December 30, 2015 - We included patient-centered outcomes which are not exclusive to patient-reported outcomes. … Providers use history and patient report to diagnose insomnia disorder and assess patient opinion regarding … Snavely Kenneth Liu Christopher Lines Thomas Roth and David Michelson Safety and efficacy of suvorexant … Both enroll healthy patients. … Patient-centered outcomes include outcomes that are noticeable to patients and do not include only patient

  9. After-Visit Confusion | PSNet

    psnet.ahrq.gov/web-mm/after-visit-confusion
    August 21, 2007 - Patient portals are secure Web-based platforms that allow patients to view information about their ongoing … The impact of eHealth on the quality and safety of health care: a systematic overview. … Safety Research December 1, 2003 WebM&M Cases … Related Resources Annual Perspective Improving Diagnostic Safety … Emergency Departments Ambulatory Clinic or Office Health Care Providers Quality and Safety

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49678/psn-pdf
    March 01, 2013 - safety is at risk. … Although there is obvious safety benefit of taking these complex weight-based treatment calculations … of reaching patients. … How can information technology improve patient safety and reduce medication errors in children's health … Weighing pediatric patients in kilograms. Position statement. [Available at] 15.

  11. Mixed MethodsReview -Integrating Palliative Care with Chronic Disease Management in Ambulatory Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/palliative-care-research-amended-protocol.pdf
    November 21, 2019 - or illness characteristics, recent hospitalizations, indicators of serious illness or worsening of … This must include patient-reported symptom measurement (or caregiver-reported for patients unable to … What context features might be important determinants of the effectiveness of patient safety practice … BMJ quality & safety. 2011 Jul;20(7):611-7. doi: 10.1136/bmjqs.2010.049379. PMID: 21617166. 21. … treatment options and preferences for future care.32 Triggers: Also known as screening criteria; indicators

  12. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
    January 01, 2017 - Slide 2 [Type text] [Type text] [Type text] AHRQ Safety Program for Mechanically Ventilated … Slide 42 Address Variability in Practice SAY: We want to use principles of patient safety and quality … One of the biggest issues we face in patient safety and quality is variability in practice. … Trying to reduce variability in practice is a crucial element to improving patient safety. … Review that data and input it to your Comprehensive Unit-based Safety Program (CUSP) graphs and tables

  13. Evaluation of a Computerized Clinical Decision Support System and EHR-Linked Registry to Improve the Management of Hypertension in a Community Health Center (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017167-kopal-final-report-2011.pdf
    January 01, 2011 - Almost three-quarters (73%) of Open Door’s patients are at less than 100% poverty and nearly all patients … This was analyzed at the patient level and the encounter level. … stakeholders, the more likely the success of the implementation and use of health IT for quality and safety … Are patients able to access quality and safety reports for their providers? … Ambulatory Safety and Quality Program: Improving Quality Through Clinician Use of Health IT (R18).

  14. Antiplatelet-Treatment Executive (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/antiplatelet-treatment_executive.pdf
    September 01, 2013 - However, patient response to clopidogrel-based antiplatelet therapy is variable both between patients … and across multiple measurements within a patient, with some patients showing no or minimal platelet … GRAVITAS multicenter trial (Gauging Responsiveness with a VerifyNow Assay—Impact on Thrombosis and Safety … studies compared the effect of alternative treatment strategies, stratified by CYP2C19 genotype, on safety … Efficacy and safety of clopidogrel pretreatment before percutaneous coronary intervention with and

  15. Total Parenteral Nutrition, Multifarious Errors | PSNet

    psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
    January 23, 2017 - Patient safety is worth the time it takes to verify the order. … Providers should take the opportunity to enhance patient safety and reduce PN-related medication errors … ISMP Medication Safety Alert! Acute Care Edition. … ISMP Medication Safety Alert! Acute Care Edition. … ISMP Medication Safety Alert! Acute Care Edition.

  16. Discharge Instructions in the PACU: Who Remembers? | PSNet

    psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
    August 05, 2009 - For verbal communication with patients, it is important to limit the quantity of information that patients … this case highlights the importance of pursuing innovative approaches that can enhance the quality and safety … May 16, 2012 Improving departmental psychological safety through a medical school-wide … Health system redesign of cardiac monitoring oversight to optimize alarm management, safety … More See More About The Topic Hospitals Health Care Providers Quality and Safety

  17. Measuring and Improving Ambulatory Patient Safety with an Electronic Dashboard - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs021322-sarkar-final-report-2015.pdf
    January 01, 2015 - KEY WORDS: health information technologies (HIT), patient safety, ambulatory, safety-net, quality … Patient safety dashboards can have a significant impact on ambulatory patient safety across a health … Is ambulatory patient safety just like hospital safety, only without the "stat"? … World Alliance for Patient Safety, Patient safety research: an overview of the global evidence. … and Patient Safety, . 2009 July, 2009;35(7):377-83. 28.

  18. Cardio-HIT Phase II - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017160-kmetik-final-report-2009.pdf
    January 01, 2009 - Key Words: exception reporting, performance measures, quality indicators, electronic health record … Cases (patients) were sampled randomly. Abstraction Tool. … documentation of patient reasons for exception. … reported to the data warehouse that included patients with multiple exceptions and patients who met … safety.

  19. 001-Ss-Antimicrobial-Prophylaxis-1-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/001-ss-antimicrobial-prophylaxis-1-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Antimicrobial Prophylaxis: Part 1 Surgical Services … NHSN is the National Healthcare Safety Network, a healthcare-associated infection tracking system from … Slide 17 Vancomycin Safety SAY: The administration of IV vancomycin is associated with some reactions … In light of these known safety concerns, the benefit of including vancomycin as part of antimicrobial … Patients can be identified as colonized with MRSA if active pre-op MRSA surveillance of patients is being

  20. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/high-cholestorol-medications_disposition-comments.pdf
    March 10, 2010 - statin therapy with another lipid-modifying agent could be an alternative provided short and long-term safety … b) "…safety and efficacy are established with evidence." … (54%) reported an AE (39 patients on ezetimibe, 34 patients on fluvastatin XL, and 34 patients on fluvastatin … Safety of aggressive lipid management. J Am Coll Cardiol, 2007; 49(17):1753-62). … Every patient?s last observed value will be used in the primary analysis."
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