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psnet.ahrq.gov/web-mm/dangerous-detour
November 28, 2018 - The patient was standing on the upside-down garbage can and was seconds from stepping off and hanging … Little literature exists regarding a “best practice” for treating suicidal patients on the medical ward … A recent survey suggested that continuous observation procedures on psychiatric units are more effective … While costs would be higher if mental health technicians were employed as sitters on medical wards, patient … Suicides within 12 months of contact with mental health services: national clinical survey.
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psnet.ahrq.gov/node/60721/psn-pdf
July 21, 2020 - When the pandemic hit, patients and providers didn’t
want the patient to come into their local clinic … 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 … [3] Survey: Physician Practice Patterns Changing As A Result of COVID-19. Nerrit Hawkins. … Survey: Telehealth on the rise, popular with patients. Medical Economics. Published May
21, 2020.
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psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
March 01, 2005 - As the week progressed, he noticed the bump was increasingly tender and painful to sit on. … On ICU day 20 he was extubated and moved to the step-down unit. … visits), concurrent with the widespread emergence of CA-MRSA.( 3 ) The National Ambulatory Medical Care Survey … and National Hospital Ambulatory Medical Care Survey from 1997 to 2005 demonstrated that ambulatory … underserved communities, indigenous populations, children attending daycare centers, and athletes.( 5 ) In a survey
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psnet.ahrq.gov/node/73906/psn-pdf
October 06, 2021 - Safety Learning Lab project,
and what they are discovering about equitable care and its impact on patient … I'd suggest that a paper
survey sent to patients weeks later without framing the utility of engaging … We have a bilingual research assistant who’s been
recruiting patients for our longitudinal surveys. … On a number of occasions she has come in to meet the
patient, and she asks about feeding, and the patient … We have to stop pretending that a 7 on a 1–10 scale is meaningful to a patient.
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - Michelle Schreiber on Measuring Patient Safety. PSNet [internet]. … Michelle Schreiber on Measuring Patient Safety. PSNet [internet]. … These include Conditions of Participation; surveys and certification; regional medical offices; quality … Patient’s conditions were more complicated; many patients stayed on ventilators or in intensive care … We believe it is important that patients have a role in patient safety, including sitting on governance
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psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
September 11, 2023 - We spoke with him about so-called presenteeism in health care and its impact on provider and patient … Ask, "Would you see my transplant patient for me? … No one argues about the effect of fatigue on performance and how dangerous that is for patients if health … It used to be about our obligation toward the patient. … A survey of physician and nurse knowledge, attitudes, and practices around injection safety.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
July 01, 2023 - According to the 2012 American Congress of Obstetricians and Gynecologists liability survey—
77 percent … EFM “strip rounds” refers to periodic, multidisciplinary review of actual EFM strips from past patients … Note: A sample process and forms for a committee review are available from the Council on Patient Safety … appropriate patients the option of selecting between continuous EFM and intermittent auscultation or … include a discussion of risks and benefits of using continuous EFM versus intermittent auscultation with patients
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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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psnet.ahrq.gov/web-mm/intubation-mishap
April 26, 2023 - safety and then devise strategies to minimize the risk to future patients. … A survey of emergency physician and nurse attitudes. … time)
B
Goals, policies, and standards
Probably not a factor
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Safety … culture and priorities
Reactive culture (eg, address problems only when they occur) - Proactive … April 28, 2021
Distractions in the anesthesia work environment: impact on patient safety
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www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
January 01, 2024 - Purpose: To examine patient risk perceptions of medical errors in order to anticipate how
patients will … On the first page of a written questionnaire, participants were
given as a guide or “anchor” the number … on the wrong patient or wrong limb, or unnecessarily on the heart; or just
general errors in surgery … High scores on Factor 2, on the other
hand, relate to errors that patients could not be aware of, associated … National Survey on Americans as Health Care Consumers: An
Update on the Role of Quality Information.
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psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - After implementation, periodic testing using test patients in the live EHR is necessary.(20) The
second … charts on a single
computer). … Electronic health record-related safety concerns:
a cross-sectional survey. … Analysis of clinical decision support system malfunctions: a
case series and survey. … are lost or incorrectly
transmitted or displayed.(30,31)
Alert for monitoring thyroid function in patients
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psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - RW: Tell us about the Partnership for Patients. … https://innovation.cms.gov/innovation-models/partnership-for-patients
safety: reducing all-cause patient … The patient
safety movement, Blue Cross Blue Shield? the list goes on and on. … It was an era when some of the early data about patient safety was
somewhat disappointing. … alignment of multiple payment incentives, both for additional funding
and also payment penalties, various survey
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
April 01, 2025 - harm or put patients at risk for significant harm. … Survey frontline staff involved in the incident to determine whether the intervention has been used effectively … The CNA (certified nursing assistant) was on orientation and had not yet been trained on the translation … N/A
Were there enough staff on the unit to care for patient volume? … Example: Unit requested experienced patient transport team for critical patients, and one was made available
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www.ahrq.gov/news/events/nac/2018-07-nac/nacmtg0718-minutes.html
July 01, 2021 - Hernandez-Boussard called for the ability to link patients across studies. … To the National Health and Nutrition Examination Survey?
Dr. … Calamaro, Ph.D., agreed that information should be made relevant to patients. … Calamaro urged AHRQ to look at pediatric patients differently. … Understanding user client needs is important.
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psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
November 01, 2012 - patient safety. … conducted by ISMP targeting directors of pharmacy or their designees, out of 300 respondents, 87% reported … effects on IV therapies for patients.( 8 )
Drug shortages occur for a variety of reasons. … Several strategies can help minimize the effects of drug shortages on patient safety. … Effects on patient care caused by drug shortages: a survey. J Manag Care Pharm. 2013;19:783-788.
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3b.html
May 01, 2018 - and ethnicity information from respondents. … A "Some other race" response category should be included for questions on race for respondents who do … Survey Content Test . … the 1996 National Content Survey . … The American Community Survey (ACS), an annual survey sent to a sample of households, has replaced the
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - RW : Tell us about the Partnership for Patients . … But thought of broadly, the Partnership for Patients was much more than HENs. … The patient safety movement, Blue Cross Blue Shield? the list goes on and on. … It was an era when some of the early data about patient safety was somewhat disappointing. … alignment of multiple payment incentives, both for additional funding and also payment penalties, various survey
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www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
January 01, 2024 - nonvalidated
provider surveys alone, with little collection of objective data on effectiveness.8 … The
Joint Commission Journal on Quality and Patient Safety. 2017 Jul;43(7):319-329. … The Joint Commission Journal on Quality and Patient
Safety. 2006;32(3):167-175. doi:10.1016/S1553-7250 … Transfers of patient care between house
staff on internal medicine wards: a national survey. … The impact of a regulation restricting medical
house staff working hours on the quality of patient
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - Another example would be patients on anticoagulation. … It's possible, in certain areas, to prevent 90% of errors and have no impact whatsoever on patients because … Building a safety culture clearly has a big part in enabling people to report problems in the system … November 20, 2019
Comparing NICU teamwork and safety climate across two commonly used survey … August 14, 2018
The correlation between neonatal intensive care unit safety culture and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
May 01, 2017 - According to the 2012 American Congress of Obstetricians and Gynecologists liability survey—
· 77 percent … EFM “strip rounds” refers to periodic, multidisciplinary review of actual EFM strips from past patients … Note: A sample process and forms for a committee review are available from the Council on Patient Safety … Slide 16
SAY:
Some units may elect to offer appropriate patients the option of selecting between continuous … include a discussion of risks and benefits of using continuous EFM versus intermittent auscultation with patients