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Total Results: 399 records

Showing results for "safer iii critical".

181. Industrial and Systems Engineering and Health Care: Critical Areas of Research (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/BackgroundReport082310.pdf
     May 01, 2010 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Background Report … Industrial and Systems Engineering and Health Care: Critical Areas of Research Prepared for: Agency … ..............................................................................................27 iii … To err is human: Building a safer health system. Kohn LT, Corrigan JM, Donaldson MS, eds. … To err is human: Building a safer health system. Kohn LT, Corrigan JM, Donaldson MS, eds.

182. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
     January 01, 2025 - FMEAs that define how “critical” a failure might be are sometimes referred to as Failure Modes and Effects … unlikely (10-4 to 10-6 /yr) Unlikely (10-2 to 10-4 /yr) Anticipated above 10-2 /yr High III … II I I Moderate IV III II I Low IV IV III III 9 … risks and risk contributors and incrementally move the entire system of medical care to a higher and safer … August 2006, Vol. 28, No. 8. 15 Institute of Medicine (IOM) Report - To Err Is Human: Building a Safer

183. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
     January 01, 2024 - HFMEA requires additional evaluation to confirm its value over less-intensive means of achieving safer … neonates, an efficient “handoff” from the intensive care specialist to the ambulatory care provider is critical … (TCH), a freestanding pediatric hospital currently licensed for 639 beds, including a 76-bed Level III … evaluated to determine whether it was a single-point weakness, a step in the process that was so critical … Conclusions and Implications: The HFMEA process enabled us to improve our understanding of the critical

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49424/psn-pdf
     November 01, 2003 - Outcomes research is beginning to address these critical questions, and it is driving policy decisions … hospitals in the State of Ohio, a complete surgical team was immediately available in 100% of Level III … can give providers a set of tools to make their responses more rational, productive, and ultimately safer

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49681/psn-pdf
     April 01, 2013 - Nearly 10% of the errors identified resulted in or contributed to patient harm.(6) Making PN Use Safer … standardization of the process and the expertise of those involved, the number of patients receiving PN is a critical … In the absence of built-in decision support, the critical step of pharmacist review becomes paramount … Unfortunately, commercially available pre-made PN formulations are not safer in the absence of a standardized … Poh BY, Benjamin S, Hayward TZ III.

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33695/psn-pdf
     April 01, 2010 - plan for measurement and reporting, (ii) identifying core metrics for measurement and reporting, and (iii … foundation for reporting systems that facilitate the capture of quality and patient safety practices critical … To Err Is Human: Building A Safer Health System.

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33759/psn-pdf
     October 01, 2012 - safety, but also how this knowledge can enhance clinical and organizational practices and support safer … The Institute of Medicine's landmark patient safety publication, To Err is Human: Building a Safer Health … It is critical that researchers test the effectiveness of prospective tools and resources in real world … constructing measures that shape clinical definitions, electronic specifications, and interoperability; and (iii … research and its application, more interdisciplinary research initiatives will enable and support safer

188. Fire in the Hole!—An OR Fire | PSNet
     psnet.ahrq.gov/web-mm/fire-hole-or-fire
     August 03, 2017 - of three components, known as the "fire triad" ( 4 ): (i) an ignition source, (ii) an oxidizer, and (iii … However, the safest approach to OR fires is prevention, especially critical for on-the-patient fires … must recognize the fire triad in the OR (i.e., oxidizer, ignition source, and fuel), including the critical … September 7, 2011 Engineering the system of communication for safer surgery.

189. Summary of 2nd Comparative Health Systems Performance Initiative Workshop (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-2.pdf
     March 01, 2018 - r u Characterizing health systems and their local environments is critical to measuring the effect … Initiative is “the marquee effort to support AHRQ’s mission to produce evidence to make health care safer … Because health systems are positioned to have a profound effect on modes of care delivery, it is critical … Introduction (Mike Furukawa, AHRQ; Eugene Rich, Mathematica Policy Research; 9:10–9:30) III.

190. Monitoring Fetal Health | PSNet
     psnet.ahrq.gov/web-mm/monitoring-fetal-health
     September 08, 2010 - Decreases in critical signal rate and amplitude can all harm detection performance and exacerbate the … vigilance decrement; thus critical signals which occur less frequently or are of a low intensity may … solutions include: (i) additional training, (ii) having more than one person monitor the displays, and (iii … Ongoing review of near-misses and poor outcomes is also an essential step towards building a safer system … Time and number of displays impact critical signal detection in fetal heart rate tracings.

191. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
     May 01, 2017 - SBAR (Situation, Background, Assessment, Recommendation and Request): A technique for communicating critical … Involvement from physicians and pharmacy staff was critical in getting new order sets written for oxytocin … In addition to the debriefing form, the OMH team devel- oped a tool for documenting critical events during … As a result, patients were empowered and felt safer because they were told of the rationale behind … STOP) Stop oxytocin for category III.

192. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
     May 01, 2017 - SBAR (Situation, Background, Assessment, Recommendation and Request): A technique for communicating critical … Involvement from physicians and pharmacy staff was critical in getting new order sets written for oxytocin … In addition to the debriefing form, the OMH team devel- oped a tool for documenting critical events during … As a result, patients were empowered and felt safer because they were told of the rationale behind … STOP) Stop oxytocin for category III.

193. Department of Health and Human Services National Institutes of Health - National Institute for Research on Safety and Quality (NIRSQ) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
     January 01, 2021 - NIRSQ will continue to fund critical research on how the healthcare delivery systems is organized and … All of these data efforts further NIRSQ's critical mission to improve safety, quality, and access to … It also includes questions about critical public health crises, such as the nation’s opioids epidemic … health care practitioners about how to make care more patient-focused, which ultimately leads to safer … to make health care safer, higher quality, more accessible, equitable, and affordable.

194. The National Action Alliance to Advance Patient Safety Summer Webinar Series: CDC Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
     July 25, 2023 - Customer/client/patient III. Coworker IV. … Hazard Prevention and Control applied in this industry could include substituting a safer work practice … https://www.dir.ca.gov/Title8/3342.html  Mandated for Joint Commission-accredited hospitals and critical … They are mandated for all Joint Commission-accredited hospitals and critical access hospitals. … I wish for each of you a safer work environment.

195. AHRQ Final report: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
     January 01, 2024 - Results: One of the key findings from the seminar was that it is critical to focus on patient safety … Identifying and eliminating built environment latent conditions is critical to improving patient safety … To err is human: Building a safer health system. Washington DC: National Academies Press. … Opinion papers Appendix III. Design tool summaries Appendix IV. … Opinion papers Appendix III. Design tool summaries Appendix IV.

196. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Healthcare Facility Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-rev.pdf
     November 01, 2023 - and resources developed by this body of AHRQ-funded work have collectively helped to: ■ Provide safer … Key Findings/Impact: A product of this report, Hignett, et al. (2015),iii used a theoretical model for … /Impact: This project is ongoing, and no final report or publications are currently available. 0 iii … This PSLL has produced a range of innovative products, including the design of a safer and more efficient … and refined through this project are envisioned to be applicable to other healthcare spaces where critical

197. In Conversation With… Richard Kronick, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
     February 01, 2014 - Key challenges include developing evidence about how health care can be made safer, working with our … Our mission statement is to produce evidence to make health care safer, higher quality, more accessible … The report we released in 2015 showing that hospital care has become much safer and that 87,000 fewer … These include: (i) establishing a no interruption zone (NIZ); (ii) ensuring a do-not-disturb approach; (iii … evaluated and demonstrate that NIZs can decrease interruptions during medication administration in critical

198. Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs018649-levick-final-report-2014.pdf
     January 01, 2014 - In Phase III, discrete clinical data elements collected during Triage visits were interfaced from the … One year after completion of phase III, the density of coding continued to focus on unexpected consequences … By the time that information was flowing in both directions after Phase III concluded, there began to … clinical information retrieval and management tool (Phase II) to a system for care coordination (Phase III … Building a Safer Stork: Implementing a Complete Perinatal Information System.

199. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls | PSNet
     psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
     February 17, 2021 - addressed, clinicians and patients can use a combination of expertise and shared decision making to make safer … High-Risk Chief Complaints III: Neurologic Emergencies. … Points References  Related Resources From the Same Author(s) The critical

200. AHRQ’s Evidence-based Practice Center Program Annual Report 2023 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-year-in-review-2023.pdf
     January 01, 2023 - Making Healthcare Safer IV: Patient and Family Engagement 7. … Impact of Clinical Algorithms on Racial and Ethnic Disparities - Findings from a Systematic Review, and Critical … Making Healthcare Safer IV: Failure To Rescue—Rapid Response Systems 25. … Making Healthcare Safer IV: Opioid Stewardship 28. … Treatment of Stage I-III Squamous Cell Anal Cancer 46.