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Showing results for "patient safety indicators".
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  1. Unexpected Drawbacks of Electronic Order Sets | PSNet

    psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
    December 01, 2017 - accompany potassium replacement, and that, by separating out the order sets electronically, an important safety … As an example, in patients with congestive heart failure and chronic kidney disease taking diuretic therapy … ISMP Medication Safety Alert! Acute Care Edition. ISMP develops guidelines for standard order sets. … Mixed results in the safety performance of computerized physician order entry. … December 16, 2020 Computerized prescriber order entry–related patient safety reports:

  2. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
    January 01, 2024 - Describe some of the considerations for and against administering prophylactic anticoagulation to patients … Patient Safety Over Power Hierarchy: A Scoping Review of Healthcare Professionals' Speaking-up Skills … AHRQ Patient Safety Network (PSNet). October 31, 2023. Accessed July 15, 2024. … Patient Safety Issues From Information Overload in Electronic Medical Records.  … [Free full text] Advancing safety with closed-loop communication of test results. Quick Safety.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865984/psn-pdf
    May 29, 2024 - The patient passed away at home two days later. … with impaired exercise capacity.5 Approach to Improving Safety & Patient Safety Target When approaching … psnet.ahrq.gov//#6 https://psnet.ahrq.gov//#7 https://psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review … Lastly, ED patient volumes have been steadily increasing, motivating the demand for faster patient triage … Shift-to-shift handoff effects on patient safety and outcomes. Am J Med Qual. 2017;32:34-42.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33864/psn-pdf
    January 01, 2019 - Simulations involving standardized patients are a means to assess selected competencies in patient care … benefit for patients.(9) This finding is superior to the effect sizes for patient outcomes reported … safety (latent safety threats).(16) In that study, researchers made extensive use of simulation before … /psnet.ahrq.gov//#ref1 https://psnet.ahrq.gov//#ref1back https://www.ahrq.gov/professionals/quality-patient-safety … /patient-safety-resources/research/simulation-dictionary/index.html https://psnet.ahrq.gov//#ref2back

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

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/osteoporosis-bone-fracture_research-protocol.pdf
    May 14, 2010 - • Population(s): - For KQ1, all patients with, or at risk for, osteoporotic fractures (or who meet … - Subgroups of patients are considered in KQ2. … Available at: http://www.fda.gov/Safety/MedWatch/SafetyInformation/Safety- RelatedDrugLabelingChanges … /MedWatch/SafetyInformation/Safety-RelatedDrugLabelingChanges/ucm122109.htm� http://www.fda.gov/Safety … /MedWatch/SafetyInformation/Safety-RelatedDrugLabelingChanges/ucm122109.htm� http://www.fda.gov/Safety

  6. HEALTHCARE COST AND UTILIZATION PROJECT — HCUP (pdf file)

    hcup-us.ahrq.gov/db/nation/neds/NEDS2018Introduction.pdf
    November 01, 2020 - There is no uniform patient identifier available that would allow a patient- level analysis to identify … Consumer Product Safety Commission. … 2,292,546 1.6 ED visit in which the patient died in the ED 188,313 0.1 ED visit in which patient … patient died in the ED, (98) ED visits in which patient was not admitted, destination unknown, (99) … ED visit in which patient was discharged alive, destination unknown (but not admitted) Sex of patient

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50755/psn-pdf
    December 18, 2019 - For 10 days this patient frequently refused oral intake. … reason.9 How long is it safe to keep patients fasting? … of the patient. … effects of errors in diet ordering.23 Approach to Improving Safety & Patient Safety Target For cases … like this one, improving patient safety starts with diagnosing malnutrition.

  8. In Conversation With… Edward Kelley, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
    December 01, 2014 - and our Patients for Patient Safety program . … Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients … National patient safety policy 2. Knowledge and learning in patient safety 3. … Patient safety awareness 4. Health services for patient safety 5. … Patient safety funding 12.

  9. Identifying Safety Events in the Prehospital Setting | PSNet

    psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
    May 16, 2022 - monitoring patient safety in the prehospital setting suggests that safety surveillance systems have … Patient Safety Incidents Perhaps one sign of EMS’s emergence in the field of patient safety is the … safety, and those are relatively new; what are some other ways that historically patient safety has … version of the surveys on patient safety, or the EMS SOPS. … The project is huge, not just for patients, but for providers, as well as the communities.

  10. CER 218 Disposition of Comments: Long-Term Drug Therapy and Drug Holidays for Osteoporosis Fracture Prevention (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-218-osteoporosis-disposition-comments.pdf
    April 23, 2019 - comparing DMB w ith placebo, and then extended to collect eff icacy (BMD and bone turnover markers) and safety … , and therefore included a mixture of patients w ith short- and long-term treatment. … differences in risk of harms betw een denosumab continuation and discontinuation vary as a function of patient … to add substantial data about possible variation in various harms as a function of a long list of patient … Results of patient-level data from osteoporosis drug trials on the association of early treatment changes

  11. Addressing Hospital Patient Information Needs Using a PHR Portal - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs021816-vawdrey-final-report-2018.pdf
    January 01, 2018 - patients and assessed the salience of patient-entered information to issues of care quality and safety … to issues of care quality and safety. … Bedside access to personal health information may increase patient activation, safety, and satisfaction … of the PAM-13 found that levels were associated with many health outcomes including better clinical indicators … Reliability and validity of the patient activation measure in hospitalized patients.

  12. Disposition of Comments_Comparative Effectiveness Review No. 245: Breast Reconstruction After Mastectomy (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/cer-245-breast-reconstruction-after-mastectomy-disposition-comments.pdf
    October 01, 2021 - reconstruction could mislead healthcare providers who rely on this report for information about the safety … , sexual well- being, and patient satisfaction, were of interest. … , sexual well- being, and patient satisfaction, were of interest. … We involved patient stakeholders as Key Informants in the project. … and standard instrument that is self-reported by patients.

  13. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet

    psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
    February 01, 2004 - safety issue. … does not appear to offer any evidence-based patient safety measures proven to prevent harm by decreasing … The safety implications of missed test results for hospitalised patients: a systematic review. … safety. … December 21, 2014 Patient safety and quality care.

  14. Final Progress Report: The elderly and OTC labeling information: A randomized controlled experiment test (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/sangasubana-report.pdf
    January 01, 2024 - There is also concern regarding the safety of prescription-to-OTC switches for vulnerable patient groups … make use of OTC risk labeling information in their OTC decisions in order to improve the quality and safety … sources may prove useful to healthcare professionals, such as pharmacists, in providing better OTC patient … measurement of consumers’ risk perceptions of OTCs, especially for the elderly, who are high-risk patients … National Council on Patient Information and Education (NCPIE). (2002).

  15. Statistical Brief #101

    hcup-us.ahrq.gov/reports/statbriefs/sb101.jsp
    November 01, 2010 - Variables for Revisit Analyses American Hospital Association (AHA) Linkage Files AHRQ Quality Indicators … Patient and utilization characteristics for dog bite-related ED visits and inpatient stays As shown … than the average injury-related hospitalized patient (57.2 years). … Table 1 shows dog bite-related ED visits by patient residence. … Injury Prevention & Control: Home and Recreational Safety.

  16. In Conversation with...Richard Ricciardi about Office-Based Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
    January 31, 2024 - safety incidents do occur, and given the volume of patients receiving care in office-based settings, … safety hazards because patients may be prescribed medications from many different providers, and these … Notably, better communication between clinicians and patients may reduce patient-reported non-routine … , especially the culture of patient safety.  … Patient Safety in Primary Care: Conceptual Meanings to the Health Care Team and Patients.

  17. Executive Summary of SNAC Healthcare Quality Measurement Report (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-hqm-report-exec-summary.pdf
    November 17, 2021 - include diverse scholars and healthcare leaders with expertise in healthcare delivery, quality, and safety … Healthcare Research and Quality (AHRQ) is the lead Federal agency charged with improving quality, safety … 21 diverse scholars and healthcare leaders with expertise in the healthcare delivery, quality, and safety … To date, most patient-reported outcome measures were developed without the consumer perspective and … , as a result, often lack meaningful patient-oriented information.

  18. In Conversation With… Sidney Dekker, MA, MSc, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
    February 26, 2025 - Safety: A Human Factors Approach. … Robert Wachter, Editor, AHRQ WebM&M : What got you interested in patient safety? … She gave a calcium chloride overdose to one of her pediatric patients. … RW : Do you think that patients and the citizenry more broadly, the political apparatus, is willing to … If you're the patient or your loved one is the patient, it takes on a completely different nature.

  19. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
    January 01, 2022 - – In patients with schizophrenia, patients often have poverty of speech and thought that prevent … – Patients with delusions may believe a doctor is trying to harm the patient instead. … Can the patient decide? Evaluating patient capacity in practice. … to Improving Systemic Safety (2) Approach to Improving Systemic Safety (3) Approach to Improving Systemic … Safety (4) Approach to Improving Systemic Safety (5) Approach to Improving Systemic Safety (6) Take

  20. Treatment of Hepatitis C Virus Infection in Adults: Future Research Needs (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/hepatitis-c-treatment-future_research.pdf
    April 01, 2013 - Do these harms differ according to patient subgroup characteristics, including but not limited to HCV … Do these harms differ according to patient subgroup characteristics, including but not limited to HCV … Do these harms differ according to patient subgroup characteristics? … treated with pegylated interferons in Georgia Long-term SVR according to patient characteristics … , Efficacy and Pharmacokinetics of BI 201335 NA in Patient With Genotype 1 Chronic Hepatitis C
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