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effectivehealthcare.ahrq.gov/sites/default/files/related_files/making-healthcare-safer-IV.pdf
August 04, 2023 - (MHS) III report of 2019? … colonization, and infection of Clostridioides difficile and multi-drug resistant
organisms (MDROs) is a critical … to
specific, critical MDROs and C. difficile which are most burdensome on patient safety. … Making Healthcare Safer IV. … colonization, and infection of Clostridioides difficile and multi-drug resistant organisms (MDROs) is a critical
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-sepsis.pdf
July 01, 2023 - (MHS) III report in 2019? … Making Healthcare Safer IV. … Critical Care Medicine. 2020;48(3).
4. What is Sepsis? … Making Healthcare Safer III: A Critical Analysis of
Existing and Emerging Patient Safety Practices. … The MHS III report included three c...
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/high-risk-drugs-protocol.pdf
July 27, 2023 - Evidence-based Practice Center Rapid Response Protocol
Project Title: Making Healthcare Safer … (MHS) III report in 2019? … Making Healthcare
Safer IV. … In: Making Healthcare Safer II: An Updated Critical
Analysis of the Evidence for Patient Safety Practices … In: Making
Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety
Practices
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-infection-prevention-mdro-protocol.pdf
July 01, 2023 - II (MHS II) and
III (MHS III)? … Making Health Care Safer III had
chapters focusing in-depth on individual pathogens including C.diff … 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.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/deprescribing-protocol.pdf
July 01, 2023 - (MHS) III report in 2019? … MHS III (2019) addressed deprescribing, and summarized 14 studies. … Making Healthcare Safer IV. … Making
Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices. … Making health care safer II: an updated
critical analysis of the evidence for patient safety practices
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-monitoring-systems-protocol.pdf
July 01, 2023 - The report should be of interest to critical care
specialists and hospitals that must make decisions … professional
societies having a strong interest in patient monitoring systems, including the Society of Critical … Making Healthcare Safer IV. … Increased time from physiological derangement to critical care
admission associates with mortality. … Making Healthcare Safer III: A Critical Analysis of
Existing and Emerging Patient Safety Practices.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-failure-rescue-protocol_0.pdf
July 01, 2023 - (MHS) III report in 2019? … The previous MHS report (MHS III)23 found
moderate evidence that rapid response systems are effective … Making Healthcare Safer IV. … Abnormal vital signs are associated with an increased risk for critical
events in US veteran inpatients … Making Healthcare Safer III: A Critical Analysis of
Existing and Emerging Patient Safety Practices.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-computerized-cds-protocol.pdf
May 08, 2023 - MHS III (2020) did not address CPOE with CDSS. … MHS III focused on other PSPs for “Reducing ADEs in Older Adults” [Chapter 9] and
covered CDS for other … Making health care safer: a critical
analysis of patient safety practices. … Making health care safer II: an
updated critical analysis of the evidence for patient safety practices … Making Healthcare Safer III: A Critical
Analysis of Existing and Emerging Patient Safety Practices.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-opioid-stewardship-protocol.pdf
July 01, 2023 - EHC Protocol: Making Healthcare Safer IV: Opioid Stewardship
1
Evidence-based Practice Center … (MHS) III report in 2019? … dosage and
followup for prescriptions, and assessing risk and addressing potential harm.3
The MHS III … Making Healthcare Safer IV. … Making Healthcare Safer III: A Critical Analysis of
Existing and Emerging Patient Safety Practices.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-1-year-final-report-updated-title_0.pdf
May 01, 2024 - Making Healthcare Safer IV: Summary of Findings, 2023-2024
Making Healthcare Safer IV
Making Healthcare … Administration), health care stakeholders (Leapfrog Group and
UnitedHealth Group), clinical specialists (critical … Findings From Previous MHS Reports
• The MHS III report did not cover this topic.
3b. … • MHS III did not address this topic.
10b. … Making Healthcare Safer IV.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-failure-rescue-protocol-amendment.pdf
September 19, 2023 - (MHS) III report in 2019? … The previous MHS report (MHS III)23 found
moderate evidence that rapid response systems are effective … Making Healthcare Safer IV. … Abnormal vital signs are associated with an increased risk for critical
events in US veteran inpatients … Making Healthcare Safer III: A Critical Analysis of
Existing and Emerging Patient Safety Practices.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-active-infection-rapid-response.pdf
May 01, 2024 - difficile) and multidrug-resistant organisms (MDROs) is a critical patient safety and
public health … (MHS) III report of 2019? … (MHS) III Report
of 2019? … These results are generally consistent with the findings of Making Healthcare
Safer III (MHS III), and … Finally, the lack of studies of Candida auris (C. auris) highlights a
critical evidence gap.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/structured-handoff-protocol.pdf
June 04, 2024 - of Service.5 In
Making Healthcare Safer III, handoffs were discussed in “Cross-cutting PSPs”:6 Three … PSYCH – (Patient information, Situation leading to hospitalization, Your
assessment, Critical information … Making Healthcare Safer IV. … Making health care safer II: an updated critical
analysis of the evidence for patient safety practices … Making Healthcare Safer III: A Critical
Analysis of Existing and Emerging Patient Safety Practices.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-safety-practices_research-protocol.pdf
November 09, 2011 - Online: November 9, 2011
Evidence-based Practice Center Systematic Review Protocol
Project Title: Critical … Background and Objectives for the Systematic Review
The critical systematic review and analysis of … The initial list of PSPs started with the
Making Health Care Safer list of 73. … Source: www.effectivehealthcare.ahrq.gov
Published Online: November 9, 2011
III. … practice in sufficient detail that it can be
replicated, including the expected effect on staff roles
III
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-patient-family-engagement.pdf
July 01, 2023 - prevent, report, or mitigate harms to patients and
what new evidence has been published since the MHS III … restricting the search to
studies published recently (i.e., since 2019 when the search was done for the MHS III … interest
Timing Original studies published since
2019, the year of the search done
for the MHS III … Making Healthcare Safer IV. … prevent, report, or mitigate harms to patients and what new evidence has been published since the MHS III
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/mhs-IV-epc-grand-rounds-slides.pptx
January 01, 2023 - 2019-Widescreen
AHRQ Evidence-based Practice Center Program
Grand Rounds Series
Making Healthcare Safer … Associate Professor of Critical Care Medicine, Anesthesiology and Surgery – Johns Hopkins University; … Principal – Leavitt Partners
8
Making Healthcare Safer Portfolio
Farzana Samad, Pharm.D., FISMP … 10
MHS: Making Healthcare Safer; PSPs: patient safety practices
Could be approached from a harm area … Primary Removed hospitalist physician, added critical care nurse Hospital Standardized Mortality Ratio
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ambulatory-safety_research-protocol.pdf
July 24, 2015 - III. … from Key Informants and AHRQ on which patient safety practices
(PSPs) covered in Making Health Care Safer … Making Health Care Safer II: An
Updated Critical Analysis of the Evidence for Patient Safety Practices
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/fatigue-sleepiness-protocol.pdf
July 01, 2023 - Making Healthcare Safer IV: Fatigue and Sleepiness of Clinicians Due to Hours of Service
1 … Patient safety risks due to fatigue and sleepiness of
healthcare workers were not addressed in MHS III … Making Healthcare Safer IV. … Making health care safer: a critical analysis of
patient safety practices. … Making health care safer II: an updated critical
analysis of the evidence for patient safety practices
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-protocol.pdf
August 04, 2023 - EHC Protocol: Making Healthcare Safer IV: Engaging Family Caregivers with Structured Communication for … , particularly those from an inpatient or emergency setting to an outpatient setting,
represent a critical … Making Healthcare
Safer IV. … Making Healthcare Safer III: A
Critical Analysis of Existing and
Emerging Patient Safety Practices … transitions, particularly those from an inpatient or emergency setting to an outpatient setting, represent a critical
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-protocol.pdf
January 01, 2023 - Making Healthcare Safer IV: High Reliability Organization (HRO) as a Patient Safety Practice
Evidence-based … Practice Center Rapid Review Protocol
Project Title: Making Healthcare Safer IV: High Reliability … conditions before they result in adverse events.4
Respectful interaction and heedful interrelating are critical … HROs was discussed in the introduction of “Cross-cutting Patient Safety
Topics/Practices” in MHS III … Making Healthcare
Safer IV.