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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - ,
• Primary care site patient characteristics survey,
• Workflow mapping preliminary interviews, and … Patients
The project team captured patient perspectives on potential breakdowns in making the transition … The main focus was on recommendations on processes that can enhance the primary
care-patient relationship … record management
• Care coordination with hospitals
Primary Care Site
Patient
Characteristics
Survey … • Client postdischarge needs and relevant
services delivered by the agency
• Number of joint clients
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
December 01, 2017 - The Tracking Record for Improving Patient Safety is the key tool used for measurement in the FMP, and … Other indicators for the FMP
Family and resident satisfaction
Number of survey tags related … related to falls
Changes in staff awareness
Changes in staff organization
Reduction of survey … "Unknown" should rarely if ever be used on a TRIPS form. … Tracking Record for Improving Patient Safety (TRIPS)
A copy of the TRIPS form should be completed
-
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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psnet.ahrq.gov/node/72563/psn-pdf
December 07, 2020 - medical
doctors to provide infection prophylaxis patients prior to dental visits, such as for patients … I believe that study
was limited to one state, but she did do a national survey of the National Dental … KH: Has anybody looked at what the safety culture is within dental practices and how that correlates … My team randomized a cohort of patients to look at the impact of a brief pre-visit intervention in patients … In this intervention, the patients were instructed on what to expect post
extraction, we provided non-opioid
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
March 01, 2017 - from independent
application by individual professionals of the content of this product to particular patient … If an airborne infection isolation room
is not available at the LTC facility, the patient should be … Survey teams monitor
compliance with Federal
and State health care
regulations. … will
support survey readiness … Surveys are generally not
scheduled in advance, so it’s
important to always be
prepared.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6f.pdf
March 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: On-Demand Advice, Diagnosis, and Treatment … Many of these
patients—particularly those used to receiving “on-demand” service in other sectors of … Results from the CAHPS Health Plan Survey Database 2015
Survey Name
Survey item: Got urgent care … Evaluating patient compliance with nurse advice line recommendations and
the impact on healthcare costs … .18,19 Practitioners also need education and training on how to deal with
patients who have potential
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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
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs022065-kroth-final-report-2018.pdf
January 01, 2018 - This will in turn support the benefits of HICT on
patient quality and cost, all while assuring the general … interns spend only 12% of their time on direct patient care but 64% on
indirect care. … The patient, the
practitioner, and the computer: Holding on to the core of our healing professions … On other patient-related activities (e.g., email, phone calls, paperwork, consultation)? … On other work NOT related to patient care (e.g., administration)? _____
TOTAL: _____
4.
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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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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
-
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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digital.ahrq.gov/sites/default/files/docs/citation/r18hs025638-yazdany-final-report-2022.pdf
January 01, 2022 - to push PROs to patients at the
start of the pandemic; 2) Using simpler one-item PRO surveys for pain … System
(PROMIS) tools, Health Assessment Questionnaire II
(HAQ II), Routine Assessment of Patient ID … portal, and lack of health
IT support to build systems to
push PRO surveys to patients
outside the … one-on-one to complete surveys electronically via an EHR portal prior to
appointments. … In fact, participants reported that patients
often did not want to complete the same questionnaires
-
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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/premortem-tool.docx
January 01, 2017 - Klein based the idea of a project premortem on the postmortem of a deceased patient. … an autopsy is conducted to determine a patient’s cause of death, but does not help that particular patient … It is also helpful to discuss the culture survey results before conducting the premortem exercise. … [Type text] [Type text] [Type text]
AHRQ Safety Program for
Mechanically Ventilated Patients
Premortem … No. 16(17)-0018-7-EF
January 2017
2
AHRQ Safety Program for Mechanically Ventilated Patients
Premortem
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psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - This primer focuses on personal health literacy, which is defined as “the
degree to which individuals … The only nationally representative survey of health literacy, conducted in 2003,
tested adults' ability … literacy, 53% had an intermediate level, and only 12% had a proficient
level of health literacy.6 This survey … as most patients will automatically say yes. … In
one study, in-person training on how to use patient portals increased patients’ portal usage and
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport.pdf
March 01, 2020 - ,
• Primary care site patient characteristics survey,
• Workflow mapping preliminary interviews, and … Patients
The project team captured patient perspectives on potential breakdowns in making the transition … The main focus was on recommendations on processes that can enhance the primary
care-patient relationship … Survey
90 One primary care
site information
technology (IT)
analyst
• Patient demographics
• … • Client postdischarge needs and relevant
services delivered by the agency
• Number of joint clients
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
May 01, 2017 - According to the 2012 American Congress of
Obstetricians and Gynecologists liability
survey—
• 77 … 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 … a discussion of risks and
benefits of using continuous EFM versus
intermittent auscultation with patients
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - from independent application by individual professionals of the content of this product to particular patient … If an airborne infection isolation room is not available at the LTC facility, the patient should be promptly … Survey teams monitor compliance with Federal and State health care regulations. … will support survey readiness. … Surveys are generally not scheduled in advance, so it's important to always be prepared.
-
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
-
www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
January 01, 2024 - experience surveys reflect good
performance on key communication criteria. … Perform a baseline survey of consumers and HCC providers regarding their
awareness of patient safety … Define patient safety principles that will be used for baseline survey of
awareness. … Recommendation G: That AHRQ support development and implementation of a
baseline survey of consumers … Recommendation G: That AHRQ support development and implementation of a baseline survey of
consumers