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psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
July 02, 2019 - relatively simple scenarios such as standardizing the use of potassium binding resins when treating patients … 4 ), or those intended for more complex clinical situations such as standardizing the care for ICU patients … implementation, and maintenance of order sets all require careful attention to the potential of harm to patients … support continuous bladder irrigation that resulted in clinical complications for patients from overly … January 10, 2018
Results of a medication reconciliation survey from the 2006 Society
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/034-ss-action-chart-decisionmaking-readiness.docx
April 01, 2025 - type.
· Clinic or hospital department cost of chlorhexidine bathing product (if supplying to patient … povidone-iodine, if this is the strategy adopted (NOTE: intranasal mupirocin is by prescription and patient … Existing guidance and position statements from national committees and societies, survey requirements … See the section on Garner Institutional Support From Key Stakeholders. … There are also data on iodophor’s efficacy in nasal decolonization.
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - using specific indicators such as patient complexity based on clinical service and human resource outcomes … surveys reveal inadequate staffing, appropriate action must be undertaken for correction. … .( 9 ) This has been problematic in the US, as well as other countries.( 10,11 ) In a comprehensive survey … Obstetric anesthesia work force survey, 1981 versus 1992. … Survey of anaesthetic support staff in obstetric units in England and Wales.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
December 01, 2017 - Before we begin, we'd like to remind everyone about completing our evaluation survey at the end of this … your feedback in shaping future content calls, so please take a moment after the call and complete the survey … CUSP is simply an intervention to help local teams learn from mistakes and improve safety culture for … or one family or input from patients and families on one floor. … they're advisors that on the Patient Advisory Council.
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www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - preventable.11
Rationale for Universal Decolonization in Intensive Care Units
A recent national survey … estimated that 5 percent of inpatients harbor MRSA.9 Other hospital-
wide surveys have found estimates … • Alignment with existing guidance and position statements from national committees
and societies, survey … Bathe patient with CHG daily, starting on day 1 of ICU admission, for entire ICU stay.
5. … Administer mupirocin to patient twice a day, starting on day 1 of ICU admission, for 5
days or until
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - The patient was hypotensive on arrival, but his blood pressure improved with fluid resuscitation. … The patient was given intravenous fluids with electrolytes and started on antibiotics for a presumed … On interview, it was determined that the patient did not have capacity to make complex medical decisions … Where a patient lacks capacity, any decisions taken on their behalf must be in their best interests. … A questionnaire to measure general practitioners' attitudes to their role in the management of patients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
January 01, 2003 - the Food and Drug Administration’s (FDA) seminal Device
Experience Network survey. … The effect of hospital
restructuring on nursing: a report on findings from a
survey of hospital chief … The costs of
adverse drug events in hospitalized patients. … On patient safety and medical errors.
Testimony of the American Nurses Association. … A survey. Chest 1988; 94(6):1221–4.
28. Haley RW, Culver DH, White JW, et al.
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psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - A 2005 survey of medicine housestaff at Vanderbilt demonstrated that only
15% were using UG on at least … have access to an ultrasound machine in
their ED, but that only 78% (n = 88) of respondents indicated … Furthermore, 26% (n = 28) of those respondents stated they felt "uncomfortable" or "very uncomfortable … real patients, as well as significantly improve objective performance abilities for
key elements of … Ultrasound guidance during central venous catheterization: a survey of use
by house staff physicians
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - Annual Perspective
AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety … AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety. PSNet [internet]. … 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/2025-03/connors-report.pdf
January 01, 2025 - Based on a preconference survey, background and with significant discussion the group
agreed that the … Outcomes
Definition of patient- and family-centered procedural sedation: Families and patients have … Patients and families must be instructed to be on time and prepped for procedure.
3. … Pre-conference survey: Based on the responses related to equitable care we received from
the pre-conference … of respondents who agreed or strongly agreed with each statement.
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psnet.ahrq.gov/web-mm/transfusion-slip
June 14, 2011 - Both patients were typed and crossed, although only Mrs. … to protect future patients. … Joint Commission on Accreditation of Healthcare Organizations Web site. … May 1, 2013
Staff attitudes about event reporting and patient safety culture in hospital … Opportunities and challenges for quality and safety applications in ICD-11: an international survey
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psnet.ahrq.gov/node/49459/psn-pdf
September 01, 2004 - Several minutes later, when she re-entered the room of the
leukemia patient, she forgot what she had … The patient experienced no adverse effects—presumably he received none of the Diprivan, given the air … A 2003 survey of nurses and pharmacists reported that almost 90% had experienced
intimidating behavior … threatening body language.(10) Such experiences alter caregivers' behaviors; almost three
quarters of respondents … For those higher in authority, the focus is on avoiding potentially intimidating behaviors and on
actively
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2.html
March 01, 2013 - Outcome Survey (phone version)
Patient Outcome Survey (mailed version)
Tool 6: How To Monitor RED … satisfaction, return on investment). … Patients, family members, and other community members.
Patient educators. … It is a new way of discharging patients that requires you to stop discharging patients the old way. … Ultimately, the staff you choose will depend on the number of patients you target, the willingness of
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
March 01, 2013 - Outcome Survey (phone version)
Patient Outcome Survey (mailed version)
Tool 6: How To Monitor RED … satisfaction, return on investment). … Patients, family members, and other community members.
Patient educators. … It is a new way of discharging patients that requires you to stop discharging patients the old way. … Ultimately, the staff you choose will depend on the number of patients you target, the willingness of
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www.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
November 15, 2022 - personalized, segmented
data on diagnostic safety events broken down by patient
factors (e.g., race … While data on community engagement
in patient safety are lacking, when clinicians know their activ- … Effect of
community engagement interventions on patient safety and risk reduc-
tion efforts in primary … Disconnected: a survey of users
and nonusers of telehealth and their use of primary care. … “I’m Not Feeling Like I’m
Part of the Conversation” patients’ perspectives on communicating in
clinical
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
August 01, 2022 - Through an iterative series of three questionnaires (i.e., a three-round Delphi process), the TEP described … (Respondents could report more than one person who experienced a patient safety event and more than one … For structured reporting formats, stakeholders suggested surveys (e.g., outreach surveys, Hospital Consumer … A few stakeholders suggested post-discharge surveys or exit interviews to solicit information about patient … exit interviews or patient surveys.
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www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
January 01, 2024 - /family and physician satisfaction surveys. … Although there has been a robust patient
advocate presence on the review panel, it has remained difficult … A patient and family survey tool is provided with the CRP Certification
application that organizations … On a
broader level, BETA is currently developing a more efficient review panel approach based on
the … will interview patients and
families who have been through a CRP
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digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-appendix-f.pdf
June 12, 2014 - The collection
includes publicly available surveys, and is not a comprehensive set of survey instruments … The user can search for publicly available surveys by survey type, technology, care
setting, and respondent … Introduction to survey methodology and design. In: Woods DW, editor. … A brief tutorial on the development of measures for use in survey questionnaires. … methodology.
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www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
January 01, 2024 - For this measure, a survey was sent to a
subset of the focus group participants, which was composed … We
calculated the average actionability score based on survey results and compared it to the item’s … Six experts (geriatricians, SHHC staff) took the survey to ensure
agreement with the overall “excellent … Researchers could develop interventions to
address organizational culture change to improve safety culture … The Joint Commission Journal on Quality and Patient
Safety. 2018 May; 44(5):270-278.
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
September 01, 2024 - satisfaction surveys, and
■ Emerging techniques. to identify and mitigate diagnostic errors using … many on how to educate and engage patients in collaboration with researchers. … Americans’ Experiences With Medical Errors and
Views on Patient Safety. … Perspectives on patient and family
engagement with reduction in harm: the forgotten voice. … or disadvantaged socioeconomic
position in a cross-sectional U.S. population-based survey.