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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pptx
March 04, 2016 - Services
3
Chartbooks Organized Around Priorities of the National Quality Strategy
Making care safer … Data are from all intensive care units, wards, and other non-critical care locations. … line-associated bloodstream infections per 1,000 central-line days, by birth weight of child in Level III … Overall Rates:
In 2013, among patients in Level III NICUs, pooled mean CLABSI rates ranged from a low … Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices
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www.ahrq.gov/research/findings/studies/index.html?page=33
January 01, 2024 - for CYP3A4 and P-glycoprotein (P-gp), its simultaneous use with CYP3A4/P-gp inhibitors can lead to critical … webinars, and toolkits, fostering a collective learning environment aimed at improving and ensuring safer … communication between members of the health care team and with families of children requiring admission, (iii
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-pfe.pdf
January 01, 2023 - Parts I and III were rated positively but Part II
(report card) needs refinement. … Arbaje
Johns Hopkins
University
Baltimore,
Maryland
R01 HS26599
[Grant]
Making Health
Care Safer … safety to
inform physicians, nurses, patients, and families about
specific ways to make healthcare safer … Key Findings/Impact: Understanding quantitative
information about probabilities is critical for health … Anna Beeber
University of North
Carolina
Chapel Hill, North
Carolina
R01 HS26473
[Grant]
A Safer
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
April 01, 2008 - These
individuals used their personal insights, knowledge, and experience to create a
safer environment … iii
Contents
Chapter 1. … The
approach health care systems traditionally take neglects the most critical
member of the team—the … Step 2—Select the Team
The membership of the council is critical to successfully building a partnership … Institute of Medicine, To Err is
Human: Building a Safer Health System.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
January 01, 2005 - Introduction
According to the Institute of Medicine’s (IOM’s) 1999 report, To Err Is
Human: Building a Safer … Effective methods of communication, both among caregivers
and between caregivers and patients, are critical … Err is
human: building a safer health system. … Diagnostic validity
of the Drug Abuse Screening Test in the assessment of
DSM-III drug disorders.
-
www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - patient harm since the Institute of Medicine’s
(IOM’s) 1999 publication of To Err Is Human: Building a Safer … IV pressure ulcers and matched patients without
hospital-acquired Stage III and IV pressure ulcers … Medicare Severity diagnosis-related group (MS- DRG), sex, race, and
age that did NOT have a Stage III … To err is human: building a safer healthcare system. … http://www.jointcommission.org/assets/1/18/SEA_44.PDF
Toward improving the outcome of pregnancy III
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www.ahrq.gov/data/apcd/envscan/findings.html
July 01, 2022 - organization whose primary mission is to produce and encourage use of evidence to make health care safer … USHIK contained a repository of APCD File Submission specifications and data elements from 14 States iii … Such efforts are critical to meaningful use of the APCD for measurement. … Since it is critical to ensure that valid cost measures are used to avoid the unintended consequence … iii The 14 States are Colorado, Connecticut, Maine, Maryland, Massachusetts, Minnesota, New Hampshire
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - use the evaluation tools to determine if medications may be tapered, discontinued, or changed to a safer … No
Yes
III. … Sample Care Plan Background: Developing a care plan specific to the needs of each individual patient is critical … Ask relatives to supply safer replacement or supply new slippers from ward stock.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-2.pdf
July 01, 2024 - Cambridge, MA 02138
EvidenceNOW BSC: Interim Evaluation Report II June 2023 ▌iii … • Capitalizing on existing relationships is critical to the formation of a cooperative. … of the Agency for Healthcare Research and Quality (AHRQ) is to “produce evidence to make
healthcare safer … Cooperative Sustainability
The make-up of the ACC membership was cited as a critical element that may … • Capitalizing on existing relationships is critical to the formation of a cooperative.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
January 01, 2004 - Weaknesses included (1) safer devices may have been
overlooked, as very few alternative devices were … Ritter III HTM. Evaluating and selecting general-
purpose infusion pumps. … Decisions
about critical events in device-related scenarios as a
function of expertise.
-
www.ahrq.gov/sites/default/files/2025-02/halamek-report.pdf
January 01, 2025 - Methods: Focus group interviews were used to identify critical patient information at the time of an … ; facilitated familiarity with the display and
thereby reduced the need for training; and archived critical … Triggers present on chart review
Type
Number
of cases
(%)
Category II (indeterminate) or III
(abnormal … We found examples
of champions who were able to lead critical thought processes, create prototypes, … To err is human: building a safer health system.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev.pdf
May 01, 2024 - iii The total number of projects is greater than 54 as some projects used more than one approach to improving … over,
providing that information to pharmacists, and then having pharmacists and physicians
discuss safer … for care delivery organizations for safely and
resiliently operating and maintaining their safety-critical … guidance
or standards documents, military standards, and scientific books or papers relevant
to safety-critical
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - iii The total number of projects is greater than 54 as some projects used more than one approach to improving … over,
providing that information to pharmacists, and then having pharmacists and physicians
discuss safer … for care delivery organizations for safely and
resiliently operating and maintaining their safety-critical … guidance
or standards documents, military standards, and scientific books or papers relevant
to safety-critical
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-147-fullreport.pdf
February 01, 2019 - care are more likely to be prescribed antipsychotic medications than those not in
foster care (Zito, Safer … be made explicit and transparent as
part of the public release of CHIPRA deliberations; thus, it is critical … group, or facility:** Can compare: (i) practice sites; (ii) medical or other
professional groups; or (iii … Zito JM, Safer DJ, Sai D, et al. Psychotropic medication patterns among youth in foster care.
-
www.ahrq.gov/sites/default/files/publications/files/match.pdf
August 01, 2012 - iii
Contents
Acknowledgments ....................................................................... … ■ Process mapping is a critical element for success. … Immediately after implementation, auditing is critical to assess adoption. … participate as
partners in their own health care, AHRQ has developed materials that will help patients get safer … the public’s health
by helping to speed innovations that make medicines and foods more effective, safer
-
www.ahrq.gov/sites/default/files/wysiwyg/pcor/pcortf-strategic-framework.pdf
June 01, 2023 - ...............................................................................................17
iii … The Agency pursues answers to these broad, critical questions
through its PCORTF mechanisms and other … These
conversations have informed the strategic framework and the critical need for AHRQ to
use an … providing
clinicians with strong, actionable data and tools to provide patients with higher quality,
safer … Appropriate and feasible evaluation methods are critical to
assess the fidelity with which processes
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/ACTION4-profiles.pdf
February 08, 2021 - and disseminate interventions that promote AHRQ’s mission to produce evidence to make
healthcare safer … healthcare-associated infections work and recently made significant contributions to Making
Healthcare Safer … III. … interest areas in: (1)
improving the quality of healthcare and care delivery; (2) making healthcare safer
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www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
June 01, 2012 - Improvement .........................................................................................49
iii … Introduction
Since the Institute of Medicine issued its landmark report, To Err is Human:
Building a Safer … To err is human: Building a Safer Health System. Washington, DC: National
Academies Press; 1999. … You can then encourage critical thinking and communication with questions
such as:
› At what point … Benefits of SBAR
› Teamwork.
› Expectations.
› Critical thinking skills.
› Patient safety.
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
January 01, 2021 - iii
Contents
Executive Summary ................................................................... … Focus: Assessing System Performance............................................................25
III … respondents came from C-suite leaders, such as chief medical officers, at short-
term, acute care, and critical … Facilities as COVID-19 Skilled Care Centers Can Increase
Hospital Capacity and Keep Nursing Home Patients Safer … Facilities as COVID-
19 Skilled Care Centers Can Increase Hospital Capacity
and Keep Nursing Home Patients Safer
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
April 05, 2017 - population,
and targeted interventions to reduce readmissions among this population are especially critical … group, or facility:** Can compare: (i) practice sites; (ii) medical or other
professional groups; or (iii … To err is human: building a safer health system.). … Children’s psychological responses after critical
illness and exposure to invasive technology. … Impact of pediatric critical illness and injury on families:
a systematic literature review.