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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
April 01, 2025 - https://www.ahrq.gov/sops/surveys/nursing-home/index.html
mailto:SafetyCultureSurveys@westat.com
ii
III … • “SBAR Report to Physician About a Critical Situation” is a worksheet/script a provider
can use … Shining a Light: Safer Health Care Through Transparency
https://www.ihi.org/resources/publications/shining-light-safer-health-care-through … Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety
Practices … How To Use This Resource List
III. Contents
IV.
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - The critical care provider consulted a nephrologist, and both agreed the severe symptomatic hyponatremia … thiazides in patients with a history of thiazide-induced hyponatremia; (ii) start with a low dose; (iii … Take-Home Points
References
Related Resources From the Same Author(s)
Safer … November 15, 2023
Guidelines on Human Factors in Critical Situations 2023. … Order Set Change and Critical Limb Ischemia
January 1, 2019
Another tragic
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psnet.ahrq.gov/web-mm/code-blue-where
March 30, 2020 - When the critical care nurse and the rest of the code team arrived, they attempted to hook the patient … Ironically, casinos or airports, with their robust public access defibrillator systems, may be safer … Critical Care Medicine. 1986;14:99-104. [go to PubMed] 12. Adams BD, Easty DM, Stuffel E, et al. … Resources From the Same Author(s)
Perspective
Making Healthcare Safer … III Report
March 30, 2020
Natural history of retained surgical items supports
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
May 30, 2008 - FMEA), have been shown to be
effective for identifying, assessing, and addressing risks in many life-critical … categories
Consequence level
Beyond extremely
unlikely Extremely unlikely Unlikely Anticipated
High III … II I I
Moderate IV III II I
Low IV IV III III
Identified failure events in the assessed processes … risk contributors and to serve as a basis for moving the entire U.S. health
care system to higher and safer
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - Care Medicine and the Society of Critical Care Medicine.( 6 ) The guidelines recommend careful planning … factor for errors and adverse events.( 12 ) Moreover, handover within and between units can result in critical … team; (ii) assessment of the patient after transport to determine any deterioration in condition; (iii … Warren J, Fromm Jr RE, Orr RA, Rotello LC, Mathilda HM; American College of Critical Care Medicine. … To Err Is Human: Building a Safer Health System.
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psnet.ahrq.gov/node/836942/psn-pdf
April 27, 2022 - patient was
assigned an American Society of Anesthesiologists physical status classification of level III … has led to under-reporting of medication errors and relatively little
attention being paid to this critical … psnet.ahrq.gov/issue/institute-safe-medication-practices
https://psnet.ahrq.gov/issue/err-human-building-safer-health-system … setting presents unique challenges and obstacles compared to
other hospital settings due to its time-critical … The Critical Care Safety Study: The incidence and
nature of adverse events and serious medical errors
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psnet.ahrq.gov/node/33815/psn-pdf
September 01, 2016 - https://psnet.ahrq.gov//#ref2
https://psnet.ahrq.gov//#ref3
emergency departments (EDs) and pediatric critical … usability and efficacy trials, such
evaluations should not be limited to academic medical settings; (iii … Medication error reporting in rural critical access
hospitals in the North Dakota Telepharmacy Project … Lewis TL, Wyatt JC. mHealth and mobile medical apps: a framework to assess risk and promote safer
use
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psnet.ahrq.gov/node/33829/psn-pdf
March 01, 2017 - of what they've accomplished and to make themselves
available to other members for consultation; (iii … as the basis for motivating action and directing
decision-making about how to pursue improvement is critical … Prior research has shown that, particularly where many actions would be
beneficial, it is critical not … To Err Is Human: Building a Safer Health System.Washington,
DC: Committee on Quality of Health Care
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www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
January 01, 2024 - To implement and evaluate CORDS in rural settings
III. … Hospitals ranged from critical-access frontier rural hospitals to
larger community hospitals, and practice … Scheduling for rural providers was understandably restricted due to
their limited backup and critical … Aim III - Guise JM, Lowe NK, Connell L. … Making Health Care Safer: A Critical
Analysis of Patient Safety Practices.
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psnet.ahrq.gov/web-mm/do-me-favor
September 12, 2016 - Maintaining equipment and supplies in "ready" status is critical for systems responsiveness. … Making health care safer: a critical analysis of patient safety practices. … June 1, 2019
Perspective
Making Healthcare Safer … III Report
March 30, 2020
Testing an intervention to improve health care worker
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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - We’ve also been advancing innovation to spur the development of safer medical devices. … irreversibly debilitating conditions, as well as a new program that we are establishing called the Safer … program, devices that don’t meet all the criteria to be considered a “breakthrough,” but otherwise may be safer … This can provide us with critical information more quickly and more efficiently. … Class III: Devices that “sustain or support life, are implanted, or present potential high risk of illness
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
January 01, 2002 - Aligning and integrating behaviors (Delivery Phase III). … Throughout the Delivery Phases I, II, and III, facility- and department-level
leaders evaluate factors … Delivery Phase III provides new employee training and
team-trained employee refresher training, products … The following section details the five critical leadership
steps necessary to roll out the blueprint … To err
is human: building a safer health system.
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - Class III: Devices that “sustain or support life, are implanted, or present potential high risk of illness … We’ve also been advancing innovation to spur the development of safer medical devices. … irreversibly debilitating conditions, as well as a new program that we are establishing called the Safer … program, devices that don’t meet all the criteria to be considered a “breakthrough,” but otherwise may be safer … This can provide us with critical information more quickly and more efficiently.
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www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
January 01, 2024 - To err is human: building a safer health system. … Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … the American College of Surgeons (ACS)/Association
of Program Directors in Surgery (APDS) for Phase III … Phase III is expected for release in
spring 2009; hence, widespread distribution will be facilitated … Surgery (APDS)/American College of Surgeons
14
(ACS) National Surgical Skills Curriculum Phase III
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psnet.ahrq.gov/node/49757/psn-pdf
April 01, 2016 - trainees to critically examine what they see every day on rounds and at the bedside, we can
make patients safer … Before attempting to define situational awareness for any type of clinical practice, it is first critical … understand what it is about a situation that the physician must be aware of.(6) In fact, even more critical … Reiff DA, Shoultz T, Griffin RL, Taylor B, Rue LW III.
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psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
April 10, 2024 - the COVID-19 pandemic affected partnership with patients and families, ultimately highlighting the critical … The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. … the COVID-19 pandemic affected partnership with patients and families, ultimately highlighting the critical … Book/Report
The Economics of Patient Safety Part III: Long-term Care: Valuing Safety … infections, despite no change in catheter utilization, suggesting that needed use of catheters became safer
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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - iii. … cost of claims that did not involve error; (ii) claims
alleging a breach of informed consent; and (iii … Results of the Harvard Medical Practice Study III. New Eng J
Med. 1991;325:245-51
10. … To err is human: building a safer health system.
Washington, DC: Institute of Medicine, 2000.
17. … To err is human: building a safer health system.
Washington, DC: Institute of Medicine, 2000.
38.
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psnet.ahrq.gov/web-mm/weighty-mistake
September 01, 2016 - dose into the desired interval for administration (in the described case, three times daily), and (iii … providers continue to adopt EHRs with CPOE, they should consider strongly implementing automated CDS at the critical … software that can accurately convert this message into a standard data format (often HL7 standard), and (iii … Computerized physician order entry and medication errors in a pediatric critical care unit. … June 14, 2017
Electronic prescribing in pediatrics: toward safer and more effective medication
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - https://www.ahrq.gov/sops/surveys/nursing-home/index.html
mailto:SafetyCultureSurveys@westat.com
III … Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety
Practices … It defines patient
safety practices, provides a critical appraisal of the evidence, rates the practices … the AHRQ Nursing Home Survey on Patient Safety Culture
I.Purpose
II.How To Use This Resource List
III … Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1_pdi_intro.pdf
January 01, 1993 - AHRQ’s mission is to:
• Invest in research and evidence to make health care safer and improve quality … • Dependence: Parents and other caregivers play a critical role in children’s health care. … Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool A.1 iii