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psnet.ahrq.gov/primer/electronic-health-records
March 15, 2025 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Furthermore, confusing interfaces and security measures have disrupted workflow and communication and … Identification of patient safety risks associated with electronic health records: a software quality … January 17, 2018
Prescription Drug Monitoring Programs: Evolution and Evidence.
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psnet.ahrq.gov/node/73200/psn-pdf
April 28, 2021 - Systems Change Needed/Quality Improvement Approach
Given the complexity of mixed acid-base disorders … Increasing Hospitalizations for DKA: A Need for Prevention Programs. … Agency for Healthcare Research and Quality (AHRQ). TeamSTEPPS Fundamentals Course: Module
3. … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
November 04, 2015 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Poon and colleagues developed an electronic program called Results Manager,( 12 ) which offers an electronic … Rockville, MD: Agency for Healthcare Research and Quality Publication; 2005. … February 15, 2011
Development of an instrument to measure seniors' patient safety health
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psnet.ahrq.gov/node/865698/psn-pdf
April 24, 2024 - association-between-nurse-staffing-and-omissions-nursing-care-systematic-review
https://psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety … Rather,
by analyzing data in published studies through Donabedian’s model for quality of care, which … Despite their initial unfamiliarity in new hospital settings, agency nurses often ensure that
high-quality … High-quality
care from nurses is essential for achieving patient safety based on findings from multiple … Authors
Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC
Director of Nursing Programs
American Nurses
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psnet.ahrq.gov/node/49724/psn-pdf
January 01, 2015 - Credentialing in laparoscopic surgery involves the completion of a fellowship training program
wherein … Systems approaches to surgical quality and
safety: from concept to measurement. … Surgeon information transfer and communication: factors
affecting quality and efficiency of inpatient … Association between implementation of a medical team training
program and surgical mortality. … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/49416/psn-pdf
September 01, 2003 - Although new
graduates usually participate in hospital ICU training programs, the learning curves are … Take-Home Points
Specific measures to prevent errors in situations similar to this case might include … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … That is a frequent theme: people tend to offset the benefits of some safety measures by behaving more … professional safety engineers a few years ago, and these were executives who were responsible for the whole programs … It can risk life, but it can also help enhance its quality. … Device recalls are the most valid current measure of device failure.
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - for the accreditation standard for postgraduate year one (PGY1) community-based pharmacy residency program … Community pharmacist involvement in prescription drug monitoring programs. Pharmacy Times . … There are first- and second-year residency training programs. … There are also fellowship programs in research, policy, academia, nonprofit, industry, or other specialty … A really strong, ongoing safety program is documenting errors or near-misses.
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psnet.ahrq.gov/web-mm/translating-normal-abnormal
October 02, 2019 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Review the way machine translation systems are evaluated for quality. … Both urgent care providers were left wondering whether software programs that translate from one language … January 11, 2023
Implementation of the World Health Organization Trauma Care Checklist Program … in 11 centers across multiple economic strata: effect on care process measures.
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psnet.ahrq.gov/node/857258/psn-pdf
November 30, 2023 - Quantitative monitors that can measure the
TOF ratio more accurately than is possible with visual and … Quantitative monitors can now measure the TOF ratio precisely and are recommended by the
American Society … Patient
Safety and Quality Healthcare. December 2019. Accessed November 29, 2023. … The Procedureless Elipse Gastric Balloon Program:
multicenter experience in 1770 consecutive patients … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - experiences and
emotional harm as a threat to safety during various aspects of care are evolving as tools to measure … AHRQ’s Safety Program for Perinatal Care (SPPC)
takes an overarching approach to improving safety culture … Birth (AIM)
Sepsis in Obstetrical Care (AIM)
Severe Hypertension in Pregnancy (AIM)
AHRQ Safety Program … in Perinatal Care - Toolkit for Improving Perinatal Care (SPPC-I)
AHRQ Safety Program in Perinatal … /psbs/cardiac-conditions-in-obstetric-care/
https://psnet.ahrq.gov/issue/burnout-and-resilience-and-quality-and-safety-programs-obstetrics-and-gynecology
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … peripheral administration of vasopressors will cause serious local complications if IVs are of good quality … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program
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psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Data delineating specific risk factors are lacking, making the implementation of preventive measures … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Improvement Program and the American Geriatrics Society.
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Child Abuse America , The Child Abuse Prevention Center ) offer either online or in-person training programs … obtained, the findings were appropriately reported to caregivers as well as external agencies, and measures … Perspective
Lesson from the VA's Team Training Program
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - This focus was provided in large measure by the media. … Johns Hopkins created a world-class safety program, driven in part by the media coverage over the death … Accreditation Council for Graduate Medical Education], which is the certifying arm for physician training programs … , took steps to remove the accreditation for the surgery training program at the hospital because it … data about payouts, their Joint Commission accreditation, and how they're doing with their training program
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psnet.ahrq.gov/node/49762/psn-pdf
June 01, 2016 - Although the patient had previously specified his preferences to avoid life-sustaining measures, his … patients have been known to tattoo their
preference against CPR on their chest, but this is an extreme measure … To date, 38 states have POLST
programs.(7) POLSTs are supposed to be posted within sight of the patient … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - Like other safety improvement measures, such changes could be applied in a variety of settings. … The study authors believe that future programs could improve data collection through more robust data … Addressing the gaps in quality and safety in primary care requires interprofessional quality improvement … interoperability, that didn’t really happen to the extent that we expected from the meaningful use incentive program … During the meeting, attendees would talk about the TeamSTEPPS program, the tools and materials, and how
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psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … American Medical Informatics Association (AMIA), a member of the Institute of Medicine, and External Program … that hospital's IT inventory, which piece of information technology would you most want to see as a measure … that this is a safe and high-quality hospital? … Implement the CDSS in a test unit, and immediately measure workflow changes and initial provider response
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psnet.ahrq.gov/node/49630/psn-pdf
July 01, 2011 - standardized, streamlined, and patient-centered approach to anticoagulation, which could improve the
quality … Hematology Am Soc Hematol Educ
Program. 2010:221-228. … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
October 28, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research and Quality … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … January 18, 2023
Impact of the Agency for Healthcare Research and Quality's Safety Program