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Showing results for "patient safety indicators".
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7281. Social Determinants of Health and County Population Rates of Opioid-Related Inpatient Stays and Emergency Department Visits, 2016 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb260-Social-Determinants-County-Opioid-Rates-Hospital-Use-2016.pdf
      January 01, 2016 - and economic characteristics—such as demographics, education, income, employment, social factors, and safety … County was defined based on patient ZIP Code of residence. … children 35.6 30.9 Affiliated with a religious congregation, % of population 44.8 56.2 Community safety … Records for patients with a ZIP Code that was missing, invalid, or indicated that the person was from … The SEDD contain a core set of clinical and nonclinical information on all patients, including individuals

7282. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
      January 01, 2024 - Technology implementation and workarounds in the Nursing Home: Impact on Patient Safety. … Technology implementation and workarounds in the Nursing Home: Impact on Patient Safety. … Patient Safety: Achieving Success in Missouri Conference; 2007 Mar 28; Columbia, MO. … Interdisciplinary Practices and Patient Safety Conference; 2005 Apr 9; Kirksville, MO. … Patient Safety: Achieving Success in Missouri Conference;11T 2007 Mar 28;11T Columbia, MO.

7283. Chest Tube Complications | PSNet
      psnet.ahrq.gov/web-mm/chest-tube-complications
      September 27, 2023 - The committee noted that this variation led to confusion among bedside nurses about how to monitor patients … 9 ) recommends a few hours of clamping followed by chest radiography when there is doubt about the safety … data and recommends a clamp trial if there is any doubt whether an air leak has sealed (or for all patients … March 15, 2023 Diagnostic Safety Across Transitions of Care Throughout the Healthcare … April 5, 2013 Exploring the barriers and facilitators of psychological safety in primary

7284. Duplicate Therapies in Retail Pharmacy | PSNet
      psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
      August 05, 2022 - Patients' memory for medical information. … safety concerns during the COVID-19 pandemic. … October 28, 2020 Patient safety education 20 years after the Institute of Medicine report … enhancing collaboration between community pharmacists and primary care providers to improve medication safety … The impact of electronic communication of medication discontinuation (CancelRx) on medication safety

7285. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
      March 27, 2008 - The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical … and Invasive Procedures 1 The New York Model: Root Cause Analysis Driving Patient Safety Initiative … the sequence of patients Table 2. … The Patient Safety and Quality Improvement Act of 2005. Overview, June 2006. … Advances in patient safety: From research to implementation.

7286. Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
      January 01, 2024 - medical safety problems during the diagnosis and treatment, patient safety in relation to the healthcare … and both patient safety events and clinical operations. … Threats to the patients that were determined from the FMEAs ranged from patient discomfort to the possibility … Safety (ICPS) for their incorporation of facility information in their classification of patient safety … Patient Safety Events only have a relationship to Health Threats.

7287. In Conversation with...Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
      August 01, 2006 - patient safety began in 1972. … We stumbled into patient safety, a term that had yet to be coined. … tell, that was the first use of the term "patient safety." … This focus on safety led to significant decreases in risks to patients. … Safety in anesthesia is still not absolute, however, and high-risk patients still suffer far too many

7288. 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

7289. Interventions to Improve Care of Bereaved Persons (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/bereaved-persons-protocol.pdf
      June 01, 2023 - experience KQ2: Diagnostic accuracy KQ3: Costs, patient experiences KQ4: Patient experiences … will assess the effectiveness and any adverse events as well as the comparative effectiveness and safety … We will differentiate effectiveness and safety (compared to passive comparators such as no screening … strategy, diagnostic test, or bereavement intervention) versus comparative effectiveness and safety … Complicated grief and its correlates in patients with bipolar disorder.

7290. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
      January 01, 2024 - Patient counseling was estimated to occur with 30% of patients. … High-alert medications and patient safety. … Advances in Patient Safety: From Research to Implementation; vol. 2. … Accessed February 7, 2009. 73 Pennsylvania Patient Safety Authority. … Medication safety: patients’ experiences, beliefs, and behaviors. J Am Pharm Assoc.

7291. Improving Healthcare Through AHRQ's Digital Healthcare Research Program: 2021 Year in Review (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2021-year-in-review.pdf
      January 01, 2021 - safety. … safety, care, and shared decision making without placing excessive burden on users, including patients … Engaging and empowering patients in their own healthcare leads to improvements in safety, quality, … Safety Analysis of patient safety event reports showed an association between electronic health … to identify usability and safety issues from patient safety event reports.

7292. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
      March 01, 2017 - The more satisfied the long-term care workforce, the higher quality of care that is delivered to the patients … When a patient is being transferred from the hospital to a nursing home or during a change of shift report … Improving Patient Safety Through Teamwork And Team Training. … Safety: This is a Safety issue! … Improving Patient Safety Through Teamwork And Team Training.

7293. Recurrent Hypoglycemia: A Care Transition Failure? | PSNet
      psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
      December 23, 2020 - encounter, would provide additional safety. … The more potent layer is the involvement of people who know the patient best—patients themselves and … November 9, 2022 Advancing the future of patient safety in oncology: implications of … patient safety education on cancer care delivery. … Safety Innovations Preventing Falls Through Patient and Family Engagement to Create

7294. Communication Failure—Who's in Charge? | PSNet
      psnet.ahrq.gov/web-mm/communication-failure-whos-charge
      April 01, 2018 - Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. … Jt Comm J Qual Patient Safety. 2008;34:333-341. [go to PubMed] 14. … May 18, 2022 Transforming the morbidity and mortality conference to promote safety and … April 28, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … safety implications.

7295. Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
      October 18, 2012 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Eliminating … CLABSI, A National Patient Safety Imperative A Companion Guide to the National On the CUSP: Stop … Safety and Quality Michigan Health & Hospital Association Keystone Center for Patient Safety & Quality … The Hospital Survey on Patient Safety Culture (HSOPS) is a reliable and valid survey13 designed to … Safety Frequency of event reporting Patient Safety Grade (Excellent or Very Good) Hospital Management

7296. Mismanagement of Delirium | PSNet
      psnet.ahrq.gov/web-mm/mismanagement-delirium
      February 13, 2014 - ' safety and well-being.( 12 ) The outcomes in this case might have been dramatically improved if … Safety in the Emergency Care Setting. … Error June 1, 2018 WebM&M Cases Complaints as Safety … Johnson February 1, 2013 Perspective Quality and Safety … Inouye, MD, MPH December 1, 2012 The neurologist and patient safety.

7297. Preventive Services for Food Insecurity: Evidence Report and Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/kGvn_HBPEEdfu2rs38VN8_
      March 11, 2025 - questions that the review will address in order to allow the USPSTF to evaluate the effectiveness and safety … food inse- curity, housing instability, transportation needs, utility help needs, and interpersonal safety … Core indicators of nutritional state for difficult-to-sample populations. … (UP3): a community-based intervention aimed to reduce ultra-processed food intake among food pantry clients … A pilot food bank intervention featuring diabetes- appropriate food improved glycemic control among clients

7298. Functional-Limitations-Horizon-Scan-High-Impact-1306 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/functional-limitations-horizon-scan-high-impact-1306.pdf
      June 01, 2013 - Using the system would represent a way to purportedly enhance patient mobility and allow patients to … fumarate because of the efficacy and safety profile reported in patients with RRMS, the experts thought … Regarding acceptance by both patients and clinicians, one clinical expert commented, “The safety profile … Experts generally agreed that potential patient adoption would be high because of patients’ desire to … One research expert opined that elderly patients may have more reservations than a younger patient

7299. Acute Care Admission of the Behavioral Health Patient | PSNet
      psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
      July 19, 2023 - Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. … Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. … Tragically, 2 weeks after discharge the patient committed suicide. … In part related to this perceived neurological safety profile, and in part related to studies showing … safety.

7300. 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