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Showing results for "patient safety indicators".
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  1. Evidence Report on the (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/hypothyroidism-hyperthyroidism-screening-treatment_research-protocol.pdf
    March 11, 2010 - over 35 years of age every 5 years (more frequently if the patient is at increased risk), but has not … (safe OR safety OR side-effect$ OR undesirable effect$ OR treatment emergent OR tolerability OR toxicity … (effect$ OR reaction$ OR event$ OR outcome$) [tiab] 10. 8 AND 9 11. 10 OR 7 OR 6 P Patient issues … False Positive Reactions [Mesh] 7. patient preference* [tiab] 8. consequence* [tiab] 9. cost [tiab … Committee on Patient S, Quality I, Committee on Professional L.

  2. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
    June 03, 2021 - leaders have a unique responsibility for ensuring that all patients receive patient-centered, safe, … Potential gains for diagnostic safety and improvement, patient safety improvement, organizational … is a patient safety issue that affects millions of patients in the United States each year, and the … Safer Together: A National Action Plan to Advance Patient Safety. … https://admin.ahrq.gov/patient-safety/reports/safer-together.html https://admin.ahrq.gov/patient-safety

  3. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
    June 03, 2021 - leaders have a unique responsibility for ensuring that all patients receive patient-centered, safe, … Potential gains for diagnostic safety and improvement, patient safety improvement, organizational … is a patient safety issue that affects millions of patients in the United States each year, and the … Safer Together: A National Action Plan to Advance Patient Safety. … https://admin.ahrq.gov/patient-safety/reports/safer-together.html https://admin.ahrq.gov/patient-safety

  4. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
    January 01, 2025 - contributors per the Systems Engineering Initiative for Patient Safety framework. … Keywords: diagnostic failure, diagnostic imaging, patient safety, delayed diagnosis 2 I. … Our research approach utilized the Systems Engineering Initiative for Patient Safety 2.0 framework ( … Scope Background - Systems Factors System factors that affect patient safety in diagnostic imaging … These sources provide insight into factors that impact patient safety.

  5. Chapter 2. Fall Response | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
    December 01, 2017 - Environment and Equipment Safety Appendix A. References and Equipment Sources Appendix B. … Aids in use Restraint use Side rail use Alarm use The Tracking Record for Improving Patient … Safety (TRIPS) is the method used in the FMP to report all types of falls. ( Figure 2 ) The Centers … The resident's footwear and foot care as well as environmental and equipment safety concerns should also

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842923/psn-pdf
    February 01, 2023 - safety practices. … This finding raises questions about the safety of performing post-cardiac open surgical procedures in … Multipronged Approach to Improving Safety Epidemiology After identifying this case, the hospital’s … unit manager and representatives from units such as Environmental Services, Environmental Health & Safety … An investigation of Aspergillus cardiac surgical site infections in 3 pediatric patients.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49693/psn-pdf
    October 01, 2013 - Delineate patient safety issues associated with transgender health. … Transgender health raises a number of patient safety issues: lack of access to health care, increased … The clearest and most troubling patient safety issue for transgender individuals is refusal of medical … Transitioning transgender individuals face a number of patient safety issues. … Primary care protocol for transgender patient care.

  8. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
    January 01, 2022 - Safety Or- ganization (PSO) and develop the information as patient safety work product. … The national Network of Patient Safety Databases, which may only receive nonidentified patient safety … Betsy Lehman Center for Patient Safety. … Network of Patient Safety Databases (NPSD). 2021. … Common formats allow uniform collection and reporting of patient safety data by patient safety organizations

  9. Module 4: Leadership

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-leadership.pptx
    January 05, 2022 - safety climate. … Discuss the clinical status of the team’s patients.  … Discuss the clinical status of the team’s patients.  … /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?

  10. Situation Monitoring: Severe Hypertension (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
    July 01, 2023 - Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/patient-safety/patients … Agency for Healthcare Research and Quality, Rockville, MD. https:// www.ahrq.gov/patient-safety/patients-families … /patients-families/index.html https://www.ahrq.gov/patient-safety/reports/engage/casestudies.html https … ://www.ahrq.gov/patient-safety/reports/engage/casestudies.html https://www.ahrq.gov/patient-safety https … ://www.ahrq.gov/patient-safety/patients https://nap.nationalacademies.org/read/18397/chapter/1 Hospital

  11. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet

    psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
    April 01, 2008 - and more cephalad rib spaces. 13,14 Furthermore, incision or needle insertion should be made in the safety … Approach to Improving Patient Safety Errors in both judgement and technique led to this adverse outcome … safety: past, present, and future. … December 11, 2024 Patient Safety Innovations Rescue Improvement … April 3, 2024 Facilitators and barriers to the implementation of surgical safety checklist

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49551/psn-pdf
    December 01, 2007 - Use in Patients with Pain A Cochrane review of the use of warming therapy in rheumatoid arthritis (RA … application in relieving pain found that acute low back pain was relieved by active warming.(10) The Safety … Other strategies to increase the safety of heat application include: Placing the heating device on top … of, not underneath, the patient, if possible. … Patient education and instruction regarding use of a heating device are important parts of any therapy

  13. In Conversation With... Georgia Galanou Luchen, Pharm. D. | PSNet

    psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
    October 24, 2021 - safety include the patient education component. … This again affects the timing and safety of working with patients. … These are all factors that play into patient safety. … Patient safety is best achieved in organizations that have a strong culture of safety . … Organizations with a strong culture of safety are not only better positioned to ensure patient safety

  14. Disposition of Comment Report for Wireless Motility Capsule Versus Other Diagnostic Technologies for Evaluating Gastroparesis and Constipation (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/wireless-motility-capsule_disposition-comments.pdf
    May 20, 2013 - When the capsule fails to pass and patients have symptoms, then a patient may need x-rays to detect … When the capsule fails to pass and patients have symptoms, then a patient may need x-rays to detect … Public Comment: SmartPill Corp Executive Summary Safety profile and addressing comment that there … When the capsule fails to pass and patients have symptoms, then a patient may need x-rays to detect … When the capsule fails to pass and patients have symptoms, then a patient may need x-rays to detect

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74713/psn-pdf
    January 26, 2022 - Patient Safety Events Involving Opioid Dose Stacking January 26, 2022 Porras H, Lammers C. … Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. 2022. … https://psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking Disclosure of Relevant … A Systematic Approach to Improving Patient Safety The prevalence of opioid use has increased and consequently … types of patient monitoring should be considered, specifically for patients with coexisting disease

  16. Executive Summary | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ptflow/executive-summary.html
    July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Executive … Forming a Patient Flow Team Section 3. Measuring Emergency Department Performance Section 4. … ED crowding can be mitigated by improving patient flow throughout the hospital. … Forming a Patient Flow Team The importance of creating a patient flow improvement team—and giving careful … Safety, Journal of Emergency Medicine, Journal of Emergency Nursing ), and professional societies (e.g

  17. Horizon Scanning Protocol and Operations Manual January 2013 Revision (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/ahrq-healthcare-horizon-scan-protocol-operations-manual_130826.pdf
    August 01, 2013 - Anticipated Cost Per Patient (if known) 11. … Potential Patient and Clinical Staff Safety Issues 14. … Patient Safety Issues (if applicable) 11. Required Resources 12. … Safety data that could change perspectives 4. … A patient safety alert been issued that could signal a safety/efficacy change in perspectives?

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49765/psn-pdf
    August 21, 2016 - safety. … safety.(6,7) Yet, interruptions are an inescapable component of clinical work. … safety. … A systematic review of the psychological literature on interruption and its patient safety implications … Sensemaking, safety, and cooperative work in the intensive care unit.

  19. Part 2: Trends in Priorities of the Heckler Report | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2.html
    June 01, 2018 - Quality Strategy—National Quality Strategy Priorities Part 3: National Quality Strategy Priority—Patient … Safety Part 3: National Quality Strategy Priority—Person- and Family-Centered Care Part 3: National

  20. RFA-HS-23-012: Implementing and Evaluating New Models for Delivering Comprehensive, Coordinated, Person-Centered Care to People with Long COVID (U18) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/long-covid/faqs-long-covid.pdf
    June 02, 2025 - The HHS Grants Policy Statement (Page II-43) says: “If patient care, including research patient care … Can the PD/PI effort include clinical practice seeing patients with Long COVID? … Do activities related to patient advisory councils or other patient engagement strategies, or participation … _Application https://reporter.nih.gov/search/wOxfBSJNpEuAkcZS2UhaVQ/projects https://www.ahrq.gov/patient-safety … /reports/engage/interventions/warmhandoff.html https://www.ahrq.gov/patient-safety/reports/engage/interventions
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