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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017248-adams-final-report-2011.pdf
January 01, 2011 - routine healthcare maintenance (RHCM) visits can
improve: 1) comprehensiveness of care; 2) medication safety … routine visits and were randomized at the time of the call to either PHP
content or the Framingham Safety … Systems like PHP have the potential to improve health-related behaviors, detect concerning
patient safety … BMC is the primary
teaching affiliate for Boston University School of Medicine and the largest safety … The safety
assessment was based on the Framingham Safety Assessment.
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digital.ahrq.gov/2018-year-review/executive-summary
January 01, 2018 - Stories about these pioneering health IT safety research projects are captured in the section of this … Table 3: Health IT Safety Research Spotlights. … Health Research Institute
Raj Ratwani
More than one-third of the examined medication-related patient safety … Enhancing Medication CPOE Safety and Quality by Indications-Based Prescribing
Research investment: … opportunities and ongoing research efforts to determine how health IT can positively affect the quality and safety
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digital.ahrq.gov/2018-year-review/research-summary/improves-delivery-health-services
January 01, 2018 - from one information system to another with the goal of improving health outcomes, quality of care, safety … Naomi Bardach created and pilot tested FIQS, the Family Input to Quality and Safety tool, which allows … pediatric patients and their caregivers to provide safety reports regarding their inpatient care. … Additionally, they endorsed its continued use, thereby demonstrating the feasibility of collecting real-time safety
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digital.ahrq.gov/sites/default/files/docs/page/Keenan.ppt
January 01, 2004 - planning and provision of care
To demonstrate that implementation of the HANDS Method increases the safety … tallies appropriately in Care Planning
Demonstrates knowledge and behaviors supportive of a strong safety … breaks)
6 mo, 12 mo, 24 mo
Focus groups
6 mo. 12 mo, 24 mo
Aim 2
HANDS CPP Method Enhances Safety … Culture
Criterion Measures – Safety Culture
Trust survey,
Pre-HANDS, 12 mo post, 24 mo post
Culture … RN’ Mindfulness
In identifying &
documenting patient
problems, interventions
and outcomes
SAFETY
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2010
January 01, 2010 - that information technology (IT) has great potential to reduce medication errors and improve patient safety … medication reconciliation post-discharge, and assessing the impact of regional health exchange on medication safety … intervention. ( Ongoing )
Evaluate effects of multiple vendor-based prescribing systems on medication safety … Project 5: Impact of Vendor Systems on Ambulatory Medication Safety. … describing the system’s design, implementation, and challenges is in press at Pharmacoepidemiology and Drug Safety
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digital.ahrq.gov/ahrq-funded-projects/electronic-support-public-health-vaccine-adverse-event-reporting-system/annual-summary/2010
January 01, 2010 - Funding Mechanism
RFA: HS07-002: Ambulatory Safety and Quality Program: Enabling Quality Measurement … evaluate ESP:VAERS performance in a randomized trial and in comparison to existing VAERS and Vaccine Safety … had planned to evaluate the system by comparing their adverse event findings to those in the Vaccine Safety … s Immunization Safety Office and eight large managed care organizations. … performance in a randomized trial, or to compare ESP:VAERS performance to existing VAERS and Vaccine Safety
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digital.ahrq.gov/ahrq-funded-projects/ehealth-records-improve-dental-care-patients-chronic-illnesses/annual-summary/2011
January 01, 2011 - Organization
HealthPartners Institute
Funding Mechanism
RFA: HS07-006: Ambulatory Safety … trial to evaluate the effectiveness of simple reminders in an integrated EHR to improve the quality and safety … trial to evaluate the effectiveness of simple reminders in an integrated EHR to improve the quality and safety … our population ages, dentists must adapt care for medically compromised patients to maintain their safety … of the study include:
The development and implementation of evidence-based guidelines improved safety
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digital.ahrq.gov/sites/default/files/docs/page/2006Reiling_052411comp.pdf
January 01, 2005 - Joseph's Hospital: Designing a safe hospital
AHRQ Patient Safety & Health IT 2006
Strengthening the … principles for measurement
• Establish a checklist for current/future design
Creating a Culture of Safety … • Shared Values and Beliefs about Safety within the
Organization
• Always Anticipating Precarious … connector-hole
events
–Wrong site
surgeries
–MRI hazards
Hospital
Outcomes:
•Patient
satisfaction
•Staff safety … Lean Principles
Process Recommendations
Creating a Culture of Safety
2005: Baseline Research Guiding
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017045-lazarus-final-report-2011.pdf
January 01, 2011 - to facilitate detection and clinician reporting of vaccine
adverse events, in order to improve the safety … performance in a randomized trial and comparison of ESP:VAERS performance to
existing VAERS and Vaccine Safety … evaluate ESP:VAERS performance in a randomized trial, and in
comparison to existing VAERS and Vaccine Safety … Datalink project—a collaborative effort between CDC’s Immunization
Safety Office and eight large managed … The
CDC Vaccine Safety Datalink (VSD) Annual Meeting.
Atlanta, GA; April, 2008.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017191-pohl-final-report-2011.pdf
January 01, 2011 - How does clinician use of an EHR
impact medication safety?
d. … A final measure of quality for the study was in the area of medication safety. … Nurse Managed Health Centers: Safety Net Settings and EHR. … Clinician Satisfaction and Use of EHR among Primary Care Safety-Net
Providers. … Use of EHR and Clinician Satisfaction among Safety-Net Providers.
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digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-slides-020717.pdf
February 07, 2017 - A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing … Documentation - Slides
A National Web Conference
on Improving Health IT Safety … Patient Safety & Quality
Healthcare. … Improving Health IT Safety Through the ..Use of Natural Language Processing to ..Improve Accuracy … of EHR Documentation
Document Quality & Patient Safety
Figure
Spelling Errors in Clinical Documents
-
digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-qa-020717.pdf
February 07, 2017 - A National Web Conference on Improving Health IT Safety through the Use Natural Language Processing to … A National Web Conference on Improving Health IT Safety … A National Web Conference on Improving Health IT Safety .
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022670-patel-final-report-2019.pdf
January 01, 2019 - Team communication also allowed for
any error checks, making sure safety was not compromised. … compromise safety. … Implementation of specific safety checks is advisable at other similar sites. … [J Patient safety]
• Patel VL, Kannampallil T.G., Vankipuram A., et al. … Health IT and Patient Safety: Building Safer Systems for Better Care.
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs014891-gazelle-final-report-2008.pdf
January 01, 2008 - Scope: MII systems have the potential to improve the safety and quality of healthcare by
enhancing … This presents an opportunity to improve quality and safety. … We determined the effect of
MII on quality and safety by examining process times, efficiency of provider … MII systems have the potential to improve the quality and safety of care by enhancing
effectiveness, … We also determined the effect of MII on
healthcare quality and safety, by examining outcomes such as
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017261-schillinger-final-report-2011.pdf
January 01, 2011 - Diabetes also provides a useful model to explore patient safety issues
in the outpatient setting. … Although few studies have examined safety among patients with chronic conditions, and very
little is … , our prior data suggests that vulnerable diabetes patients are at risk for safety
events16 and that … During the study’s three year
period, 480 safety events were reported among 164 participants. … Is ambulatory patient safety just like
hospital safety, only without the "stat"?
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024751-dalal-final-report-2019.pdf
January 01, 2019 - suite of electronic health record (EHR)-integrated
tools, including a discharge checklist and video, safety … METHODS
We conducted this study in parallel with our AHRQ-funded Patient Safety Learning
Laboratory … during the transition from
hospital to home by enhancing discharge safety. … The final intervention (Table 1) was comprised of a discharge checklist and video for
patients, safety … We captured the number of times that clinicians accessed the discharge
column on the safety dashboard
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023704-adelman-final-report-2019.pdf
January 01, 2019 - Patient Safety 2015: Draft Report for Comment. 2015. … Patient Safety 2015: Final Technical Report. 2016. … Joint Commission. 2018 Hospital National Patient Safety Goals. 2018. … Patient Safety: Achieving a New Standard for Care. … Safety climate and medical errors in 62 US emergency
departments.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023613-choi-final-report-2017.pdf
January 01, 2017 - Ideally, the
portal’s safety feature encourages patients to participate in their safety plan, and highlights … specific, actionable
steps that patients can take to improve their own safety. … safety threats. … There were no patient privacy or safety concerns. … Our findings suggest that
patient safety may be improved with personalized health IT tools.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015400-brown-final-report-2008.pdf
January 01, 2008 - Abstract
Purpose: In 2004, the Patient Safety … Mississippi will implement a program using health information
technology (HIT) to improve patient safety … Methods
In 2004, the Patient Safety Center at the University of Mississippi Medical Center was
awarded … The faculty at the Patient Safety Center is involved in
the UMMC patient safety and EHR initiatives. … Academic Medicine Special Issue: Quality and Safety
Improvement in Health Care, May, 2008.
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-health-information-technology-portfolio-2011-annual-report.pdf
January 01, 2011 - Health IT Portfolio supports our broad mission by demonstrating
where health IT improves quality, safety … The research funded under the
EQM program added to the knowledge base
on developing safety and quality … Ambulatory Safety and Quality (ASQ) RFAs. … Presenters
described efforts to prevent patient safety
errors through health IT and tools. … The
findings from the EQM program have provided
valuable evidence on developing safety and
quality