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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.pdf
March 13, 2013 - patients
and families on various quality and safety committees.(10) At Patewood Memorial
Hospital, … the strategic pillar of “service” includes an explicit recognition of the focus
on patients and families … unit resulted in improved CAHPS® Hospital Survey scores. … on residents’ skills
in communicating with and engaging patients and family members.(1) Other
organizations … satisfaction survey question and to the department that
shows the most improvement each quarter.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.194_slideshow.ppt
March 01, 2009 - The physician began advanced life support—the patient was intubated and placed on mechanical ventilation … Emergency Department (ED) Referrals
Some patients “referred” to EDs from other EDs, hospitals, nursing … Although not law, it is professional courtesy to contact EDs ahead of time about patients referred from … referring providers or primary physician, if available
Errors during the ED-to-Inpatient Handoff
In survey … radiology studies, and pending studies
Signout checklists
Different Approach to Diagnoses
Recent survey
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psnet.ahrq.gov/node/49471/psn-pdf
December 01, 2004 - Two months prior to this
presentation, the patient called the on-call physician worried that he had … patient myself. … (Information on specific states is available at: [ go to related site ]). … Risk factors for seizure-related motor vehicle
crashes in patients with epilepsy. … Epilepsy and driving: a survey of Canadian neurologists.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
December 01, 2017 - Learn from defects
Improve teamwork and communication tools
Prework: Measure frontline perceptions of safety … culture with HSOPS survey
ADAPTIVE WORK
Comprehensive Unit-based Safety Program (CUSP)
LOCAL PROBLEMS … A structured process provides a concrete way to improve your safety culture.
3
Why Briefings and Debriefings … Sometimes patients were positioned supine when the procedure required prone. … Surgeons and teams got upset as patients remained under anesthesia longer.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs025943-snyder-final-report-2024.pdf
January 01, 2024 - it took to complete a PROs questionnaire, which may alleviate both
pharmacists’ and patients’ concerns … in timing the collection and review of patient data and completion
of follow on surveys in the pharmacy … surveys and completion of the follow
on survey at the time the patient is present.
3. … Overall, pharmacies used PatientToc™ as planned in their workflow but fewer follow-on
surveys than … the follow
on surveys, 2) technical issues impacting completion and/or data transfer, and 3) limited
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psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - After several days of aggressive treatment, the patient was improving and was being managed on the medical-surgical … On the morning of hospital day 6, the patient was feeling "cooped up" and "needed a change of scenery … Elopement, on the other hand, is defined as "a patient that is aware that he/she is not permitted to … Patients who are not on legal or medical holds generally have the right to leave their unit; hospitals … should be conducted on a regular basis to evaluate and monitor patients' cognitive status.
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psnet.ahrq.gov/web-mm/nothing-called-small-surgery
February 01, 2023 - National Patient Safety Agency rapid response report: reducing the risk of tourniquets left on after … - an international survey. … July 10, 2024
Family medicine presence on labor and delivery: effect on safety culture … Tunnel Surgery
August 28, 2024
How does robotic-assisted surgery change OR safety … culture?
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psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
February 01, 2012 - You know, that delicate artistic balance between you really know what is going on with the patient, but … We've focused on knowledge in action and being able to take that knowledge to effectively care for patients … RW : We posted a recent article on AHRQ Patient Safety Network that suggested longer training might … How residents view their clinical supervision: a reanalysis of classic national survey data. … Supervision in the outpatient clinic: effects on teaching and patient care.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs3.html
June 01, 2018 - These are based on U.S. census poverty thresholds. … Provider-Patient Communication Among Home Health Care Patients
Provider-patient communication among … Importance: Communication between providers and patients is an important element of patient outcomes … Importance: The increasing prevalence of chronic diseases has placed more responsibility on patients … Hospice Patient Care Consistent With Their End-of-Life Wishes
Hospice patients who received care consistent
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - AHRQ PSNet Annual Perspective: Impact of the COVID-19
Pandemic on Patient Safety
March 30, 2021
Stocking … AHRQ PSNet Annual Perspective: Impact of the COVID-19
Pandemic on Patient Safety. … culture all contribute to successful adherence. … and providers, and strengthening the safety culture and
fostering characteristics of a high-reliability … The untold toll — the pandemic’s effects on patients without Covid-19.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pptx
July 01, 2014 - Have the highest shares of Medicaid and uninsured patients and lowest shares of privately insured patients … Essential Hospitals Vital Data: Results of America’s Essential Hospitals’ Annual Hospital Characteristics Survey … Variation in the risk of readmission among hospitals: the relative contribution of patient, hospital, … Care delivery
Access
Quality
Safety
Reliability
Patient-centered … Care delivery
Access
Quality
Safety
Reliability
Patient-centered care
What are our priority
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017281-lapane-final-report-2010.pdf
January 01, 2010 - Surveys
captured information on knowledge, behaviors, self-efficacy, and satisfaction with DVDs. … Survey. … The survey included questions regarding medication-
taking behaviors, as interactions between respondents … These questions were
modified from the CAHPs questionnaire, to determine patient reported experience … A literature review on the efficacy of
video in patient education.
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www.ahrq.gov/news/newsletters/e-newsletter/940.html
December 01, 2024 - Researchers found a low rate of opioid overdose for patients who initiated tramadol while using antiplatelet … ET: How Patient Narratives Can Support Your Patient Experience Strategy , sponsored by AHRQ’s Consumer … Access the abstract on PubMed®. … Access the abstract on PubMed®. … Medicaid expansion and opioid prescriptions: evidence from the Medical Expenditure Panel Survey.
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www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
January 01, 2025 - the past 4 years and allow for all respondents to compare their current
medication-use system and organizational … ISMP’s goal was to
compare the aggregate data from the 2000 and 2004 surveys to evaluate our nation’ … 3,386 patients. … (‘the Leapfrog survey’). … HCA survey is critical;
need clarification on roles/responsibilities of NQF
with CMS related to this
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - for Quality Assurance (NCQA); and the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey … programs in place that focus on reducing the risk of patient harm, engaging patients and families, improving … of the examined patient safety indicators than privately insured patients. … Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting. … and Quality Background on CMS Patient Safety Indicators 90.
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psnet.ahrq.gov/node/866216/psn-pdf
July 10, 2024 - Quality Assurance
(NCQA); and the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey … programs in place that focus on reducing the risk of patient harm, engaging patients and families, … majority of the
examined patient safety indicators than privately insured patients. … Linking Patient Safety Culture to
Quality Ratings in the Nursing Home Setting. … Domain: Patient Safety BPCI Advanced and Quality Background on CMS Patient Safety
Indicators 90. https
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
January 01, 2013 - Care coordination and
outreach to follow up on patients not at goals for values of quality measures, … The
activities related to increasing patient-centeredness and patient activation were newer activities … using web portals, letters and after visit summaries and reminders to
patients to follow up on issues … Implementation measures/outcomes can be evaluated by: Qualitative data (Q); Performance reports (PR) or Survey … • Providers will close the loop with patient care, when staff members initiate patient
services
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digital.ahrq.gov/electronic-health-records
January 01, 2023 - work hours, FTEs
Less paper consumption
Reduced the volume of discharged not final billed (DNFB) patient … Genesis: Clinical Process Redesign
Health Information Technology & Patient Safety
Workflow Redesign … Safety through a Universal EMR System (Thomas Johnson; DuBois, PA)
Enhancing Quality in Patient Care … (EQUIP) Project (Fred Rachman; Chicago, IL)
Holomua Project-Improving Patient Hand-Offs in Hawaii … VT)
Improving HIT Implementation in a Rural Health System (Dan Mingle; Augusta, ME)
Improving Patient
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digital.ahrq.gov/sites/default/files/docs/page/2006Levett_051711comp.pdf
June 16, 2021 - partners have established a community
anticoagulation clinic (CAT Clinic) to facilitate
management of patients … Educational Material Development
Survey
Tool Kit
Training Design and Evaluation
Web Design … readmissions
related to bleeding, thromboembolic events, and
adverse drug events
Risk profile of patients … Risk assessment form: This form will record risk factors of
patients on warfarin therapy. … Clinical risk assessment tool: This tool will characterize and
profile patients at risk for adverse
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hcup-us.ahrq.gov/reports/methods/2010_01.pdf
January 01, 2010 - who
were sicker at the time of admission and not adjust for patients' worsening status during the … POA also helps
distinguish patient safety events that occurred in the hospital from those that occurred … before
the patient was hospitalized. … For example, Partners reviewed each others’
hospital surveys and marketing materials, such as one-page … HCUP Partners designed hospital surveys to assess the technical capabilities of
participating hospitals