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  1. 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
  2. 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
  3. 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.
  4. 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.”
  5. 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.
  6. 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
  7. 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
  8. 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
  9. 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.
  10. 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
  11. 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
  12. 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.
  13. 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.
  14. 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.
  15. 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.
  16. 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.
  17. 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.
  18. 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.
  19. 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
  20. 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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