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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety … Advances in Patient Safety: Vol. 2
44
Table 2. … Measures of
patient safety based on hospital administrative data—
the Patient Safety Indicators. … AHRQ
quality indicators—Patient Safety Indicators: software
documentation. … AHRQ
quality indicators—guide to Patient Safety Indicators.
AHRQ Pub. No. 03-R203.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/066-dec-staff-faqs-safety-side-effects.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Decolonization:
Staff Frequently Asked Questions
Safety & Side … The products for decolonization that are discussed in this toolkit have excellent safety profiles and … Safety and Side Effects
Is chlorhexidine gluconate (CHG) commonly used? … No. 25-0007
October 2024
Staff FAQs
Safety & Side Effects
| 1
AHRQ Safety Program for MRSA Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/047-ss-faqs-staff-safety-side-effects.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Preoperative Decolonization
Staff – … Frequently Asked Questions:
Safety and Side Effects
Surgical Services
For: Cardiac, Hip and Knee Joint … Surgeries
The products we are recommending for surgical site infection (SSI) prevention have excellent safety … Safety and Side Effects
Is chlorhexidine gluconate (CHG) commonly used? … Devices”:
https://www.ahrq.gov/hai/tools/abate/index.html
| 1
Decolonization FAQs (Staff)
AHRQ Safety
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
March 27, 2025 - healthcare safety. … Safety Risks
• Safety Reporting
• Responding to Safety Events- Immediate Actions
and Longer-Term … to Improve Safety
• Creating a Business Case for Safety
8. … Worker Safety
• Fatigue
• Moral Injury
• Patient Safety/Worker Safety Relationship and
Continuum … for Patient Safety
*Definitions:
Safety Science = Knowledge about safety-related processes and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
April 21, 2008 - Patient Safety Learning Pilot: Narratives from the Frontlines
Patient Safety Learning Pilot: Narratives … experts, designed a patient
1
safety improvement prototype, the Medicare Patient Safety Learning … The Patient Safety Improvement Prototype
The patient safety improvement prototype included the following … Sensemaking,
safety and cooperative work in the intensive care unit. … Integrating patient
safety into the clinical microsystem.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
April 04, 2008 - event had experienced a corresponding patient safety event. … A national
profile of patient safety in U.S. hospitals. … Administrative data based patient
safety research: A critical review. … Enhancing patient
safety through organizational learning: Are patient
safety indicators a step in the … AHRQ Quality Indicators Guide to Patient Safety
Indicators, Ver. 3.0.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-TitleCitation_Vol1.pdf
August 01, 2008 - Advances in Patient Safety: New Directions and Alternative Approaches
Advances in Patient Safety … Advances in patient safety: New
directions and alternative approaches. Vol. 1. Assessment.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
June 12, 2008 - Improving the Value of Patient Safety Reporting Systems
Improving the Value of Patient
Safety Reporting … Potential Benefits of Patient Safety Reporting Systems
Web-based patient safety reporting systems (PSRS … Ideally, a patient safety learning community would use PSRS data to identify safety hazards,
prioritize … What practices will
most improve safety? Evidence-based medicine meets
patient safety. … Development of the ICU Safety Reporting System. J
Patient Safety 2005; 1: 23-32.
12.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
March 30, 2008 - Christiana Care Health System: Safety Mentor Program
Christiana Care Health System: Safety
Mentor … The Safety Mentor attends the bimonthly Safety Mentor meetings. … organizational safety teams. … to patient safety issues. … Sample Safety First Alert.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Fricton_21.pdf
April 17, 2008 - Personal Health Records to Improve Health Information Exchange and Patient Safety
Personal Health Records … to Improve Health
Information Exchange and Patient Safety
James R. … health information to be immediately accessed by any approved health
provider and would improve the safety … To achieve the
many benefits of interoperability—such as improvements in quality, safety, and the costs … All groups also expressed interest in having access to medication safety information
(77.8 percent);
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
February 19, 2008 - Creating Safety in the Testing Process in Primary Care Offices
Creating Safety in the Testing Process … Creating Safety
As mentioned earlier, safety is not a static property of any system. … safety model” of
officewide safety practices (Figure 2). … We found that creating safety was only rarely done via officewide
safety practices. … Localized Safety
Organizational Safety
Discussion
Conclusion
Acknowledgments
References
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
May 07, 2008 - Medication Safety
Marsha A. … Initiating
transformational change to enhance patient safety. … J
Patient Safety 2006; 2: 20-24.
1. Kohn LT, Corrigan JM, Donaldson MS. … Overriding of
drug safety alerts in computerized physician order
entry. … Randomized trial to improve prescribing safety during
pregnancy.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
February 20, 2008 - The Patient Safety Education Project: An international Collaboration
The Patient Safety Education … Safety trainers. … To become safety trainers, they must take
the PSEP course, “Become a PSEP Safety Trainer.” … • Assessing an institutions safety needs.
• Hand washing.
• Medication safety. … What practices
will most improve safety? Evidence-based medicine
meets patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
April 28, 2008 - Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? … In: Advances
in patient safety: From research to implementation. … Comparing patient safety
in rural hospitals by bed count. … Patient safety indicators
download. … Guide to patient safety
indicators download, Ver. 2.1, Rev 3.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - Improving Patient Safety Through Provider Communication Strategy Enhancements
Improving Patient Safety … , and open, effective communication and its impact on patient
safety … • Sustain the culture of teamwork, psychological safety, and open, effective communication. … Institute for Safe Medication Practices: Medication
safety alert. … Patient
safety culture surveys. Available at:
www.ahrq.gov/qual/hospculture/.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
January 01, 2007 - the management behaviors, safety system processes, and staff
perceptions of safety that exist within … Recently, the safety attitudes questionnaire was adapted to assess prov
safety attitudes in the ambulatory … safety protocols to occur. … Safety culture assessment: A tool
for improving patient safety in healthcare
organizations. … Workforce
perceptions of hospital safety culture: Development
and validation of the patient safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
February 08, 2008 - Is the inclusion of National
Patient Safety Goals (NPSG)
considered? … (Safety measure)
6. Is consideration given to infection
control measures? … (Safety measure)
• As appropriate, reconciliation of medications is a National
Patient Safety Goal … (Safety measure) Place this under the nursing
signature line. … Joint Commission International Center for Patient
Safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
March 22, 2008 - Using Patient Complaints to Promote Patient Safety
Using Patient Complaints to Promote Patient Safety … ,12
one of 10 action areas of WHO’s World Alliance for Patient Safety. … Finally, do feedback interventions change claims history and promote safety? … We believe such feedback also improves patient safety. … Risk, safety, and the dark side of quality.
Br Med J 1997; 314: 1775.
14.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-TitleCitation_Vol3.pdf
August 01, 2008 - Advances in Patient Safety: New Directions and Alternative Approaches
Advances in Patient Safety … Advances in patient safety: New
directions and alternative approaches. Vol. 3.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
March 20, 2008 - Strategies for Improving Patient Safety in Small Rural Hospitals
Strategies for Improving Patient Safety … safety areas. … Assessment of patient safety culture and implementation of a safety culture plan.
2. … the importance of safety culture as part of a
comprehensive patient safety initiative and agreed to … Patient Safety Demonstration.