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