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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-verbal-orders-quick-reference-guide.pdf
March 01, 2009 - Measure Category: Clinical Process
Quality Domain: Patient Safety
Current Findings in the Literature … using another auditory
device.1 They have become a target for hospitals
seeking to improve patient safety … can be
misunderstood, misinterpreted, or miswritten.2
Recently, in an effort to increase patient safety … Improving the safety of telephone or
verbal orders. Patient Saf Advis 2006;3(2):1,3 7. … http://www.psa.state.pa.us/psa/lib/psa/advisories
/v3n2june2006/junevol 3 no 2 article b safety
of
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digital.ahrq.gov/sites/default/files/docs/page/2006FoxWaters_051711comp.pdf
June 06, 2006 - Network (TECH-Net)
The Technology Exchange
for Cancer Health Network
(TECH-Net)
AHRQ Annual Patient Safety … HIT collaborative network can
contribute to measurable and sustainable
improvements in the cost, safety … care setting
Specific Aim #2:
To improve access to appropriate care, increase
the quality and safety … Study has been set up to assess quality, safety,
health outcomes and cost of rural telehealth
program … as
‘intervention group’
Patients recruited at urban sites serve as
‘control group’
Quality, safety
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digital.ahrq.gov/sites/default/files/docs/citation/EHRVendorPracticesPerspectives.pdf
May 01, 2010 - Supporting postdeployment monitoring to ensure patient safety and effective use. … In general, safety issues are given a
high-priority tag. … Some vendors become aware of patient safety issues through user
feedback collected from patient safety … Increase research and development of best practices supporting designing for patient
safety. … collaborating on patient safety issues.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs015274-carayon-final-report-2009.pdf
January 01, 2009 - The results of the Medication Safety analyses can be found in Table 4. … Technology and
patient safety: A two-edged sword. … Patient safety and proactive risk
assessment. In Y. … Patient safety: The role
of human factors and systems engineering. In W. B. Rouse
& D. A. … Coordination in the ICU and the Relation
with Quality of Care and Patient Safety.”
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-safe-nursing-care/annual-summary/2008
January 01, 2008 - this completed study was on enabling the collective mind, since it is a vital precursor to continuity, safety … used to assess goals of the system, including mindfulness; heedful interrelating; and a culture of safety … and post-implementation comparisons, including workflow observation and a survey of the culture of safety … a valid and reliable representation of the team’s collective mind, improving the culture of patient safety … Patient safety and quality: An evidence based handbook for nurses.
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digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology/annual-summary/2008
January 01, 2008 - Goal: Develop and disseminate health IT evidence and evidence-based tools to improve the quality and safety … Business Goal: Implementation and Use
Summary: In 2004, the Patient Safety Center at the University … partnership with the participating institutions for reducing errors and, ultimately, improving patient safety … implementation of new technology in reporting medication errors has the potential to improve patient safety … Patient Safety and Patient Care Among Small Rural Physician Offices: The Impact of Electronic Medical
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digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medication/annual-summary/2011
January 01, 2011 - Organization
University of California, San Francisco
Funding Mechanism
RFA: HS07-007: Ambulatory Safety … To analyze patient safety, the team explored characteristics of adverse events: triggers, frequencies … (Achieved)
Quantify and characterize patient safety events triggered and/or identified through active … (Achieved)
Measure differences in the frequency and nature of patient safety events among participants … clinical outcomes for hemoglobin A1C and low density lipoprotein cholesterol; and 4) an analysis of safety
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digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes/annual-summary/2010
January 01, 2010 - Organization
Brigham and Women's Hospital
Funding Mechanism
RFA: HS07-006: Ambulatory Safety … integrated into the workflow of routine medical practice; for e-prescribing to improve quality and safety … Specific Aims:
Measure physician use of two safety-related e-prescribing functions: safety alerts … generally positive attitudes regarding e-prescribing and the impact of e-prescribing on the efficiency and safety … Goal: Develop and disseminate health IT evidence and evidence-based tools to improve the quality and safety
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digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/annual-summary/2009
January 01, 2009 - ambulatory (A)CPOE systems is low and research questions about how these systems impact medication safety … can be achieved successfully and can have a positive impact on clinic efficiency and on medication safety … Advances in patient safety: New directions and alternative approaches. Vol. 4. … Technology and Medication Safety. AHRQ Publication No. 08-0034-4. … Advances in patient safety: from research to implementation. Vol. 2, Concepts and methodology.
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digital.ahrq.gov/sites/default/files/docs/page/9_26ahrq_ExSum_2011_508.pdf
January 01, 2011 - of the most important sources of evidence regarding the impact of
technology on improving quality, safety … The Enabling Quality Measurement (EQM) Through Health IT grant initiative, one of four Ambulatory
Safety … The ASQ initiative, established in 2007, supported grants
to improve the safety and quality of ambulatory … The research funded
under the EQM program added to the knowledge base on developing safety and quality … IT Portfolio supports the Agency’s broad mission by demonstrating where health IT
improves quality, safety
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digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medication/annual-summary/2010
January 01, 2010 - Organization
University of California, San Francisco
Funding Mechanism
RFA: HS07-007: Ambulatory Safety … , Low SES/Low Income * , Medicaid, Medically Underserved, Medicare, Racial or Ethnic Minorities * , Safety … To analyze patient safety, the team is exploring characteristics of adverse events: triggers, frequencies … patient-centered outcomes compared to ATSM alone. ( Upcoming )
Quantify and characterize patient safety … among ATSM participants. ( Upcoming )
Measure differences in the frequency and nature of patient safety
-
digital.ahrq.gov/ahrq-funded-projects/measuring-value-remote-intensive-care-unit-icu-monitoring/annual-summary/2008
January 01, 2008 - Goal: Develop and disseminate health IT evidence and evidence-based tools to improve the quality and safety … The survey of attitudes about safety and teamwork was given to the three ICUs that implemented the system … The results were compared with a baseline established by safety surveys administered annually to the … The teamwork and safety surveys demonstrated significant improvements, which recommend this model for … The impact of a tele-ICU on provider attitudes about teamwork and safety climate.
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digital.ahrq.gov/sites/default/files/docs/publication/u18hs016970-bates-final-report-2012.pdf
January 01, 2012 - Safety problems after discharge also represent a major problem. … “Medication reconciliation and its role in improving patient safety.” … Medication Safety: are we there yet? Arch Intern Med. 2011;171(11):1019-1020.
24. … Improving Medication Safety. Lancet. 2012:379(9823): 1278-1280.
E. … , JAMIA, and the Journal of Patient Safety.
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-improving-management-of-individuals-with-complex-health-care-needs-through-health-it-grant-initiative.pdf
February 20, 2014 - Health Care Needs Through Health IT Grant Initiative
AHRQ Health Information Technology Ambulatory Safety … and Quality | MCPi
AHRQ Health Information Technology
Ambulatory Safety and Quality
Findings and Lessons … • www.ahrq.gov HEALTH IT
http://healthit.ahrq.gov
AHRQ Health Information Technology Ambulatory Safety … www.ahrq.gov
AHRQ Health Information Technology Ambulatory Safety and Quality | MCPiii
Preface
The … safety and quality
of ambulatory health care in the United States.
-
digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
May 01, 2012 - The Patient Safety Act focuses on
learning from retrospective analysis of safety incidents and adverse … Patient-safety teams are usually aware
of the severity of patient harm resulting from a safety incident … The NPSD aggregates patient safety
reports from Patient Safety Organizations, using the AHRQ Common … Safety hazard control in the workplace: a
dynamic model. … EHR Safety Event
Reporting System Web page.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
January 01, 2007 - Patient safety: Achieving a new standard for care. … /SAFETY/3500.pdf�
25
37. … Congress of the National Patient
Safety Foundation. … The Intersection of Medication Safety and
Human Factors. … CPOE and Patient Safety. Healthcare IT
News.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015362-littman-final-report-2007.pdf
January 01, 2007 - HIP’s Safety Net Clinic
Coalition (SNCC) unites community clinics to work on increasing access for the … Today more than 50% of Santa Cruz County
providers, including safety net clinics, receive lab data via … Among the safety net providers, a special focus
was to implement the registry at Salud Para La Gente … In addition to the unanticipated legal and governance tasks, the needs assessment of the
safety net … ● Train PMG and Safety Net physicians and office staff
on new registry.
-
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.
-
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
-
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