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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - To give you one example, we did a survey of about 2,000 hospitals a few years
ago. … The whole survey was about incident reporting systems in those hospitals, to find out how many were … of Patient Safety Databases. … on the Common Formats themselves. … In the end, if the whole collection analysis and reporting effort is not
improving care to patients,
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psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
May 22, 2024 - Consent was obtained from the patient and his wife. … have focused on patient-specific rates. … to the physician-patient relationship is clear. … There are few quantitative data on the impact of disclosure to patients on physician distress after errors … 2024
Physician task load and the risk of burnout among US physicians in a national survey
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psnet.ahrq.gov/issue/should-medical-errors-be-disclosed-pediatric-patients-pediatricians-attitudes-toward-error
June 15, 2011 - This survey study sought to assess pediatricians' perceptions of error disclosure to patients and their … Nearly all respondents reported the importance of disclosure to parents, but only about half supported … Respondents endorsed collaboration with parents in choosing to disclose errors to children and believed … June 15, 2011
Patient-reported service quality on a medicine unit. … Learning from patient-reported incidents.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/qi-strategies-practices.pdf
March 01, 2015 - The panel and interview respondents also
provided feedback on a draft of this paper. … to report, depending on their patients. … The Patient-Centered Medical Home: Strategies to
Put Patients at the Center of Primary Care. … Change Process Capability Questionnaire (CPCQ). … on Patient Safety Culture.
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psnet.ahrq.gov/issue/adverse-events-and-hospital-acquired-conditions-associated-potential-low-value-care-medicare
May 19, 2021 - Overuse or low-value procedures may result in patient physical, psychological, or emotional harm . … September 7, 2022
Effect of pharmacist email alerts on concurrent prescribing of opioids … record with wrong-patient order entry errors. … in hospital: a cross-sectional survey. … : a longitudinal study with 4292 patient records.
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - from multiple stakeholders, including policymakers, payers, healthcare administrators, clinicians, and patients … A 2014 study of women who gave birth found that 14.8% of respondents perceived pressure from a clinician … from multiple stakeholders, including policymakers, payers, healthcare administrators, clinicians, and patients … Part of determining interventions is to survey hospitals and help them to determine which approaches … survey of U.S. women.
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - Neri Cohen: Right now, we are hard at work getting as many of our patients as possible signed up on … For example, an educational video or interactive questionnaire that has to be done for some of our therapies … Accessed June 15, 2020. [3] Survey: Physician Practice Patterns Changing As A Result of COVID-19. … Survey: Telehealth on the rise, popular with patients. Medical Economics. Published May 21, 2020. … September 30, 2020
Hospital ward adaptation during the COVID-19 pandemic: a national survey
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - their institutions, effects that led to changes that markedly improved safety for subsequent patients … Schedule to Improve Patient Safety. … We did a lot of statistical analysis—looking at data from the state inspection surveys, analyzing information … patients' cardiac monitors so as not to be bothered. … 2022
Addiction treatment providers in Pa. face little state scrutiny despite harm to clients
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - The ultimate drug choice is usually made based on patient-specific considerations, including predominant … For example, an adult patient started on carbamazepine, 400 mg BID, might develop dizziness and refuse … Starting doses vary significantly depending on whether the patient is taking other antiseizure medications … on Patient Safety Culture: psychometric analyses. … January 19, 2012
Improving safety culture on adult medical units through multidisciplinary
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www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
November 06, 2020 - important role of laboratory
diagnostics in public health decision making, which can overlap with
patient … COVID-19
(NOT-CA-20-042).
2
https://www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science.html … https://www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science.html
https://grants.nih.gov … occur in the COVID-19
era, including false negatives and other emerging issues (e.g.,
telemedicine, patients … The group reviewed responses from a prior IAWG member survey and discussed priorities for
future meetings
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www.ahrq.gov/hai/cauti-tools/guides/implguide-refs.html
October 01, 2015 - Poster on Indications for Urinary Catheters
Appendix E. … Infographic Poster on CAUTI Prevention
Appendix L. … Skin Care in the Incontinent Patient
Appendix O. CAUTI Event Report Template
Appendix P. … Multistate point-prevalence survey of health care–associated infections. … in hospitalized patients.
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psnet.ahrq.gov/issue/patient-carer-and-family-experiences-seeking-redress-and-reconciliation-following-life
April 24, 2018 - Review
Patient, carer and family experiences of seeking redress and reconciliation … Patients who experience life-changing adverse events due to errors, and their families, typically want … December 19, 2018
Multistate point-prevalence survey of health care-associated infections … October 18, 2023
Disclosing medical errors: prioritising the needs of patients and families … August 17, 2022
Why accountability sharing in health care organizational cultures means patients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-041415.pptx
April 16, 2013 - On the CUSP: STOP CAUTI Teamwork Theory in Action April 16, 2013
Sustaining Change
1
Eugene S. … Recognize the patient care unit’s readiness for sustainment. … 22
patient comfort
nurse convenience
incontinence
no indication
88 y/o male with mild dementia … Krein et al, Soc Sci Med 2010; 71: 1692-1701)
Evaluation
Use data to assess progress:
Hospital Survey … on Patient Safety
Infection rates
Process measures
Organizational and team culture
42
Evaluation
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016130-lewis-final-report-2009.pdf
January 01, 2009 - For the Montgomery County clinics, annual patient volume grew from 8,521
patients (26,055 encounters … survey to assess the level of knowledge, interest, and perceived benefits and risks of
HIE. … The patient matching algorithm for safety net patients uses social security number and home
address … The thick client Azyxxi
implementation was complex and expensive to install and support in safety net … safety net patients than I do on our insured
patients.”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles-facnotes.docx
May 01, 2017 - module, the frontline management system to promote sustained, controlled standard work that ensures patient … issues touching not only patients but also staff and physicians. … Review any important safety considerations for the cases of the day, such as equipment needs or patients … Healthcare Improvement through a dedicated improvement project found a 10 percentage-point increase in its safety … culture survey scores, and it cited the huddles as a major driving force in that change.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal-notes.docx
April 01, 2022 - Examples like this are a high-tech reminder for surgical patients in an ICU. … type of stop order can help address concerns related to removing an unnecessary urinary catheter in patients … Well, according to a large national survey of hospital practices conducted in 2010, catheter reminders … Even patients with thoracic epidural catheters can often have urinary catheters removed, usually within … · Yes, because all patients on diuretics need a urinary catheter
· Yes, because the floor physician will
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-1-instructors-guide.pdf
September 01, 2015 - redesigning primary care, including:
• organizational change processes,
• the goals of QI for improving patient … management
Facilitating panel
management
32 Improving Self-
Management Support and
Engaging Patients … in Care
and Practice Improvement
Topics
Primary care
environments
Patient engagement Professionalism … Many platforms have polls, surveys, and
chat functions that will allow for frequent check-ins to ensure … • Use chat boxes to distribute survey links and as an opportunity for participants to write
comments
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psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - the impact of this model of care on patient-centric outcomes, resource utilization, staff training, … on February 16, 2015, as a 7,800-square-foot unit with five resuscitation or trauma bays and nine patient … Ongoing research endeavors include patient outcomes research; research on novel patient care diagnostics … National Hospital Ambulatory Medical Care Survey: 2015 emergency department summary tables. … National Hospital Ambulatory Medical Care Survey: 2015 emergency department summary tables.
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
April 01, 2023 - Many of these patients—particularly those used to receiving "on-demand" service in other sectors of the … Results from the CAHPS Health Plan Survey Database 2015
Survey item: Got urgent care … Read More About On-Demand Care
Rise in on-demand health services reflects an appetite for change … The value of telephone triage for patients with appendicitis. … Evaluating patient compliance with nurse advice line recommendations and the impact on healthcare costs
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
October 01, 2024 - This presentation focuses on decolonization in ICU and non-ICU hospitalized patient populations. … In a 2021 survey, 63 percent of U.S. hospitals had adopted universal ICU chlorhexidine bathing, supported … The intervention period included 339,902 patients and over 1.3 million patient-days. … by focusing on the patient population that is most likely to benefit. … Following this framework, a team can carry out patient safety initiatives and focus on changes through