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psnet.ahrq.gov/node/74149/psn-pdf
January 07, 2022 - better assess patients. … safety risk. … Safety Research and Practice,
and the State of Massachusetts Betsy Lehman Center for Patient Safety … j.jad.2018.02.045
https://doi.org/10.1001/jama.294.16.2064
https://www.jointcommission.org/resources/patient-safety-topics … Why therapists stopped creating no-harm contracts for safety. Pollen.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/chronic-kidney-disease-anemia_research.pdf
January 01, 2013 - A New Taxonomy for Stakeholder
Engagement in Patient-Centered Outcomes
Research. … • No study performed analyses by patient subgroups. … We
contacted the National Kidney Foundation Patient and Family Council to invite CKD
patient/patient … In addition to diagnostic accuracy and safety, stakeholder discussion of the
topic included additional … A new taxonomy for stakeholder
engagement in patient-centered outcomes
research.
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digital.ahrq.gov/sites/default/files/docs/reducing-provider-burden-slides-012518.pdf
January 25, 2018 - Safety
[SEIPS = Systems Engineering Initiative for Patient Safety]
(Carayon et al., 2006, 2014 … Education of patients
13. … Education of patients
13. … Education of patients
13. … safety and quality of care and
should be widely embraced (Bates
2003; Ash 2009)
-
www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
January 01, 2024 - safety in its quality series. … Given the priority of
improving patient safety over the past decade and the implication of nurse workforce … factors in
patient safety, it is timely to evaluate to what extent nursing factors have improved, especially … RESULTS
Patient Outcomes
Surgical Patients. … safety.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
January 01, 2024 - Building knowledge and skills of patients and families through resources and tools such as patient portals … and patients has shifted to a more collaborative one, where the patient has a greater role in their … patients’ views and preferences. 105 , 198-200
Involving the patient in the diagnostic process is … https://www.ahrq.gov/patient-safety/settings/multiple/measure-dx.html . … https://www.ahrq.gov/patient-safety/settings/multiple/calibrate-dx.html .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
January 10, 2005 - FangFei Chen
Abstract
Objective: The Patient Safety Center in the Veterans Health Administration … A detailed
algorithm of the ergonomic assessment may be found on the Web site of the
Patient Safety … Author affiliations
Patient Safety Center of Inquiry, James A. … Address correspondence to: Kris Siddharthan, Ph.D., Patient Safety Center, James A. … Advances in Patient Safety: Vol. 3
358
16. Berk A, Paringer L, Mushkin SJ.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Author,
Year
Description of
Patient Safety
Practice
Study Design;
Sample Size;
Patient
Population
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cdsic.ahrq.gov/sites/default/files/2023-08/Checklist_SMD%20Planning%20Implementation%20Reporting_508fillable.pdf
January 01, 2023 - Activities
Implementation Subdomain: Business Case Assessment
Describe Identified Clinical
Quality/Safety … Patient involvement in
defining study approaches
and incorporation of
patients into each study
arm … Engagement trends among
patients from patient user
data. … Rank usability problems
based on severity and their
potential impact on patient
safety. … Changes in clinical
(e.g., health outcomes,
patient safety), health
system (e.g., cost,
provider
-
digital.ahrq.gov/sites/default/files/Checklist_SMD%20Planning%20Implementation%20Reporting_508fillable.pdf
August 20, 2025 - Activities
Implementation Subdomain: Business Case Assessment
Describe Identified Clinical
Quality/Safety … Patient involvement in
defining study approaches
and incorporation of
patients into each study
arm … Engagement trends among
patients from patient user
data. … Rank usability problems
based on severity and their
potential impact on patient
safety. … Changes in clinical
(e.g., health outcomes,
patient safety), health
system (e.g., cost,
provider
-
digital.ahrq.gov/sites/default/files/docs/patient-clinician-communication-slides-121812.pdf
January 01, 2020 - Navigation and
Feedback
Most patients had no difficulty navigating
CancerHelp® Patient Education … (did not discuss with doctor or nurse)
Safety net, small (n=6):
5 of 6 patients (33%) reported … Self-reported Use of
“Topics for Today”
Safety net, large (n=19):
12 of 19 patients (63%) reported … : Not at all (n=7)
Safety net, small (n=3):
1 of 3 patients (33%) received SCP
“Gave a copy to … Safety net, large (n=8):
4 of 8 patients (50%) received SCP
“Just received it.
-
www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
January 01, 2024 - Methods:
This prospective, multicenter, patient-blinded, randomized controlled trial enrolled 973 patients … safety. … day and
during subsequent days to call the patient or relatives. … Similar statistical analyses were performed to assess secondary outcomes, safety outcomes,
adverse events … vancomycin for neurosurgery
wound prophylaxis: an interim report of a randomized clinical trial on drug safety
-
psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
August 21, 2024 - If you are anxious about treating other physicians, you should not accept such patients. … Between two worlds: physicians as patients. In: Sickness and healing. … August 16, 2017
Learning from patient safety incidents involving acutely sick adults … safety. … Related Resources
Annual Perspective
Improving Diagnostic Safety
-
psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - Although the majority of patients seen in EDs present directly or are brought by ambulance, many are … The 2008 Joint Commission Patient
Safety Goal 2E requires all health care providers to "implement a … As with all transfers of care, this should be done in
accordance with the 2008 Patient Safety Goal 2E … [Available at]
6. 2008 National Patient Safety Goals Hospital Program. The Joint Commission. … The Joint Commission Accreditation Program: Ambulatory Health Care National Patient Safety Goals.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pptx
July 01, 2015 - to breast and cervical cancer screening, increased use of primary care services, and high levels of patient … Utilization Project, State Inpatient Databases, 2002‐2012 disparities
analysis files and AHRQ Quality Indicators … Utilization Project, State Inpatient Databases, 2001‐2012 disparities
analysis files and AHRQ Quality Indicators … with diabetes
Location: Los Angeles, California
Intervention: Worked with two safety net clinics to … long-term adherence to antidepressant medication, reduced depression-related symptoms, and increased patient
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Pressure Ulcer Prevention …
X
Rehab Department Internal Review
Department team weekly review of rehab patients
-
psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - Of course, EHR-related patient safety exists as a subset of an organization's overall safety programs … Identification and Prioritization of HIT Patient Safety Measures. … Measuring and improving patient safety through health information technology: The Health IT Safety Framework … Health IT and patient safety: a paradigm shift to shared responsibility. … Patient safety goals for the proposed Federal Health Information Technology Safety Center.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/labor-dystocia_research-protocol.pdf
July 28, 2016 - balance between harms and benefits for both mother and baby that is
considered acceptable to most patients … We will link studies to avoid duplication of patient cohorts. … The safety outcomes will be framed to help identify adverse events, including
those from drug therapies … methodological quality of individual studies, study type, the
characteristics of the comparator, and patients … Key Informants
Key Informants are the end users of research, including patients and caregivers,
practicing
-
www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
January 01, 2024 - GTC Team Basic Patient Exclusion Criteria
Patients aged 65 years or older Patient is discharged to a … Phase I (Aims 1 and 1a)
Hospitalized patients were approached for inclusion in Phase I if the patient … Patients were
either recruited while the patient was still in the hospital or while in the patient’s … I mean, we're concerned with medication safety and right
patient, right drug, at the right time. … From a patient safety
perspective, these two medication lists should be identical; however, over 80%
-
psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
February 01, 2023 - safety when managing hospitalized patients on home insulin pumps
The Case
A 14-year-old girl … Safety
In the case outlined above, patient/caregiver resistance coupled with provider knowledge … recognition of hypoglycemia. 1 0 However, there are currently insufficient data on clinical outcomes and safety … to recommend widespread CGM use in hospitalized patients. 22,23 Even if the patient uses a CGM, point-of-care … An Overview of Safety Issues on Use of Insulin Pumps and Continuous Glucose Monitoring Systems in the
-
psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
September 01, 2016 - We spoke with him about telemedicine and patient safety.
Dr. Robert M. … Telemedicine and Patient Safety
September 1, 2016
Perspective
A paradigm shift is ongoing … Suggestions to increase patient safety in telemedicine include: (i) patient safety awareness should permeate … Doing so should allow us to use these technologies to improve patient safety. … Patient safety and telephone medicine: some lessons from closed claim case review.