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Showing results for "patient safety indicators".
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7461. labor-dystocia-protocol-amended-160728 (pdf file)
      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

7462. 1_ScenariosGuide (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/1_ScenariosGuide_0.pdf
      June 16, 2021 - Treatment X Client/Patient 3. … information to specialist) An inpatient specialty substance abuse treatment facility intends to refer client … The client has a long history of using various drugs and alcohol that is relevant for medical diagnosis … and management of diabetic patients. … safety officer.

7463. 1_ScenariosGuide (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/1_ScenariosGuide_1.pdf
      June 16, 2021 - Patient Care - Scenario B X Primary Care Abuse X (Sub Abuse) Provider Physician Treatment Client/Patient … information to specialist) An inpatient specialty substance abuse treatment facility intends to refer client … The client has a long history of using various drugs and alcohol that is relevant for medical diagnosis … and management of diabetic patients. … safety officer.

7464. Antiseizure Medication Disorder | PSNet
      psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
      April 01, 2006 - The therapeutic index (ratio between toxic dose and therapeutic dose, a measure of the relative safety … April 1, 2006 AHRQ's Hospital Survey on Patient Safety Culture: psychometric … Safety (TOPS) experience. … outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. … Safety and Adherence to Self-Administered Medications July 1, 2011 View More

7465. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/rodriguez/rodriguez.pptx
      June 02, 2025 - Management Prior to the iCARE trial, the largest multi-site trial of diabetes care improvement in the safety … with diabetes (n=6,111) in 2011 and 2012 Patient Experience Survey (random samples of patients with … Patient and clinic random effects are used to account for the clustering of time within patients and … Patient and clinic random effects are used to account for the clustering of time within patients and … Should We Be Spreading These Team-Based Approaches in the Safety Net?

7466. SOPS Frequently Asked Questions | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/about/faq/index.html
      June 01, 2022 - The Surveys on Patient Safety Culture survey items are grouped into areas of patient safety culture that … Center Survey on Patient Safety Culture Diagnostic Safety Supplemental Items Health IT Patient Safety … safety culture and patient safety. … , hospital tenure, unit/work area tenure, work hours, and whether they have direct interaction with patients … ASCs provide surgical services to patients who are not expected to need an inpatient stay following surgery

7467. Patient-Monitoring-Systems-Appendix-C (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-monitoring-systems-appendix-c.xlsx
      January 01, 2024 - Safety Practices RCT randomized controlled trial RR risk ratio RRS rapid response system RRT rapid … Tele-Rapid Response Team (Tele-RRT): The effect of implementing patient safety network system on outcomes … and Medical Research Council, Alfred Health, Eastern Health, Monash Health, Australian Commission on Safety … Control, No Alert One RRT alerts per patient NR 1252 Patients with events: NA (NA) NR NR None Levin … , 2024 Arm 2 Intervention, Alert One RRT alerts per patient NR 1488 Patients with events: 373 (25.1)

7468. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
      January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety Final Progress Report … Title: Effects of Extended Work Hours on ICU Patient Safety Principal Investigator: Charles A. … In order to maximize exposure to patients and encourage continuity of patient care, residents are historically … Safety Variables To measure patient safety under the two schedules, we developed an intensive data … , and patient safety.

7469. AHRQ Training Web Conference on the Clinical Decision Support Authoring Tool - Q&A (pdf file)
      digital.ahrq.gov/sites/default/files/docs/cds-authoring-tool-qas-020719.pdf
      December 08, 2017 - Q: Can Synthea patients be made available for testing to the authors? … The CDS Authoring Tool currently requires that authors upload their own synthetic test patients. … In either case, you may need to search through the patients and/or modify the patient records to find … patients suitable for the exact needs of testing your CDS logic. … Other relevant FDA guidance issued previously includes: • The 2014 Food and Drug Administration Safety

7470. Archived: Depression in Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/depression-in-adults-screening-2009
      December 15, 2009 - There may be considerations that support screening for depression in an individual patient. … ; an initial visit with a nurse specialist for assessment, education, and discussion of patient preferences … , preventive and health maintenance interventions take place" to improve the quality and outcome of patient … Finally, additional information is needed about the efficacy, tolerability, and safety of antidepressants … The case manager also provided patient education and follow-up.

7471. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy | PSNet
      psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
      July 08, 2022 - Efforts to improve safety of patients and workers led to the introduction of Universal Precautions (now … and Patient Safety Target When the increasing incidence of latex allergy was initially identified, … The Pennsylvania Patient Safety Authority (PPSA) undertook such research and published the results on … Individuals involved in patient safety should work on such automatic preventions to avert adverse events … September 23, 2020 Emergency medicine quality improvement and patient safety curriculum

7472. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/neumiller.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug … Introduction The goal of patient safety is to reduce the risk of injury or harm to patients by improving … To reduce safety risks to patients, health systems expend considerable resources to prevent medication … ), enoxaparin (1 patient), warfarin (1 patient) and sublingual nitroglycerin (5 patients). … An empirical model to estimate the potential impact of medication safety alerts on patient safety, health

7473. Developing Shared EHR Infrastructure in Wisconsin (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/p20hs015295-size-final-report-2005.pdf
      January 01, 2005 - safety and quality of care. … safety, and patient empowerment. … The urban providers have been represented by the Madison Patient Safety Collaborative (MPSC), a coalition … Participation in the AHRQ “2005 Annual Patient Safety and Health Information Technology Conference” … • On-going purchasing and negotiating power • Patient safety tools • Data exchange capabilities

7474. Time of Death? | PSNet
      psnet.ahrq.gov/web-mm/time-death
      January 03, 2017 - The Commentary Between 370,000 and 750,000 hospitalized patients suffer a cardiac arrest and undergo … Taekman, MD Assistant Professor of Anesthesiology Director, Human Simulation and Patient Safety Center … Wright, PhD Assistant Professor of Anesthesiology Human Simulation and Patient Safety Center Duke University … Anaesthesiology as a model for patient safety in health care. … January 3, 2017 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

7475. Patient Safety Organization (PSO) Listing Guide (pdf file)
      pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
      January 01, 2022 - Patient Safety Organization (PSO) Listing Guide PATIENT SAFETY ORGANIZATION (PSO) LISTING … Patient Safety and Quality Improvement Rule (Patient Safety Rule) To implement the Patient Safety Act … Safety Act and Patient Safety Rule. … How does the PSO provide feedback and assistance that may be used by providers to minimize risk to patients … subsidiaries, practice partners, employers, members of the workforce, or household members), reporters, and patients

7476. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
      February 01, 2014 - The nurse informed the physician that the patient was having significant pain and liquid opioids had … For added safety, the pharmacist personally retrieved, labeled, and delivered the drug and a calibrated … A covering nurse checked on the patient and found him unconscious—a code blue was called. … Pa Patient Saf Advis. 2013;10:27-33. … he was taking Solutions: Patients and families should be empowered to ask questions about their medications

7477. Breast-Biopsy-Update Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/breast-biopsy-update_executive.pdf
      September 01, 2014 - on test performance and safety is not clear. … provide additional information allowing the exploration of heterogeneity for test performance and safety … Of note, studies often do not provide information on the risk of cancer among included patients. … patients were biopsied with vacuum-assistance and others were not) but the study did not report the … selection criteria, patient or lesion characteristics, adverse events, or patient-relevant outcomes

7478. AHRQ’s Safety Program for Nursing Homes: On-Time Facilitator Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impguide.html
      July 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Facilitator Training Implementation of the Preventable … The Facilitator helps the team think through how they would add discussions of the patients included

7479. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation | PSNet
      psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
      November 25, 2020 - to chronic opioid use in 20% of these patients, but can also be idiopathic in nature. 5 All patients … Barnes, MD, FACEP Consulting Editor, AHRQ, Patient Safety Network (PSNet) Health Science Clinical Professor … An accuracy study in critically ill patients. … Reducing the risk of delayed colorectal cancer diagnoses through an ambulatory safety … June 12, 2024 Patient Safety Innovations Journal

7480. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852807/psn-pdf
      August 30, 2023 - Approaches to Improving Patient Safety Avoid and discourage working while tired Clinicians should avoid … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor of Anesthesiology … Patient safety, resident education and resident well-being following implementation of the 2003 ACGME … Patient safety outcomes under flexible and standard resident duty-hour rules. … The fatigued anesthesiologist: a threat to patient safety?