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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
March 31, 2008 - focused principally on the types of errors that occur in primary care offices and less on the
consequences … has been started on
antibiotics. … Gandhi and colleagues’ survey and chart review of primary care patients identified 162
adverse drug … events, 13 percent of which were serious.6 The analysis by Zhan, et al., of National
Ambulatory Medical Survey … (NAMCS) data on outpatient visits by elderly patients found that
2.58 percent (95 percent CI = 2.44
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www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
January 01, 2024 - • Simulation modeling did not generate much insight per survey respondents; we attribute this to challenges … Activation Measure (PAM)23-25 survey (to be reported elsewhere). … The survey was administered to patients at six
units at BWH and one unit at MMC and NYP over a period … The customizable questionnaire is composed of four sub-components: quality of
work life, perceived usefulness … The Health-ITUES survey was administered to providers on study units through the REDCap platform 4-
14
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
December 01, 2021 - report is
compiled from multiple federal, state, and private data sources, including databases and surveys … (MEPS)
• National CAHPS® Benchmarking Database (NCBD) – Health Plan Survey Database
• National Patient … Report APB-3
Disabilities
Disability status is defined by following the methodology of the American Community … Cancer Statistics
• NPSD: National Patient Safety Databases
• NSDUH: National Survey on Drug Use … on a waiting list for USRDS 2017
Patients
within 3
with treated chronic kidney failure
years of
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-reimagining-healthcare-teams.pdf
July 07, 2023 - relationship is
weak, the AI might lean on the clinician-patient relationship to motivate change in … The AI relies on
patients, family
or other support
people, and
clinicians to complete
their assigned … AI communication with patients will depend on its purpose, goals, and FDA classification. … via patient satisfaction surveys. … of explainability in creating trustworthy artificial
intelligence for health care: a comprehensive survey
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - On the third day of hospitalization, the patient developed bloody ostomy output. … This patient, on the other hand, was likely to have small bowel bleeding from a deep, inflammatory bowel … safety improvement project on hospital-wide adverse event outcomes and patient safety culture. … and simulations to improve patient safety: a multi-methods survey. … December 20, 2023
Understanding the peer, manager, and system influence on patient safety
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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - The hospitals elected to focus on the use of PICCs following a survey that showed significant variation … For example, 47% of the respondents indicated that 10–25% of PICCs inserted in their hospitals might … HMS has also focused on risk assessment and therapies for patients at risk for venous thromboembolism … A cross-sectional survey of vascular access practices in the ICU. … Morbidity & Mortality Rounds on the Web: Case Studies. Patient Safety Network. December 1, 2012.
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psnet.ahrq.gov/node/49508/psn-pdf
January 01, 2007 - The
prescription label on the bottle was written in English. … not requesting an interpreter.(12) A major problem is that data are
not routinely collected on patients … As with patients who speak
English, patient safety is greatest for LEP patients when provider-patient … Interpretation and Translation Services
in Health Care: A Survey of US Public and Private Teaching Hospitals … Language barriers to prescriptions for patients with limited
English proficiency: a survey of pharmacies
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-executive-summary.pdf
October 19, 2021 - • How should AHRQ prioritize investments to make the most impact on improving care
for patients? … Many patients and healthcare consumers are very
interested in PRO measures for improving patient care … PROs should include information on
patients’ functional status, health conditions or symptoms, and … The SNAC encouraged the AHRQ to develop surveys or leverage existing surveys (e.g.,
Patient-Reported … Pancholi served as a survey statistician on
the Medical Expenditure Panel Survey (MEPS) for 10 years
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016154-nashan-final-report-2009.pdf
January 01, 2009 - Most are located in rural areas and all serve rural and low income clients. … ;
• include a patient registry to allow tracking of individual patients as well as groups of
patients … *
Results of
Learning
Session 3
Survey:
Aroostook
Results of
Learning
Session 3
Survey: Bangor … Results of
Learning
Session 3
Survey: Total
Results of
Learning
Session 3
Survey: P-value … Practice Efficiency and Patient Safety
Impact of Technology Adoption on Patient Care Management
List
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www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
December 01, 2017 - of care for these patients, by making clinical decisions that are going to affect patient safety and … Are they on the same page? Are they working together for what is best for the patient? … It really depends on the patient. … That said, you know, the only way to know is to try, if it works on the patient, and this is usually … The best place to find it is there is a link at the back of the slide presentation that will link to Survey
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
September 10, 2013 - of care for these patients, by making clinical decisions that are going to affect patient safety and … Are they on the same page? Are they working together for what is best for the patient? … It really depends on the patient. … That said, you know, the only way to know is to try, if it works on the patient, and this is usually … The best place to find it is there is a link at the back of the slide presentation that will link to Survey
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - A CT of the abdomen and pelvis was also ordered for Patient #1 but was performed on Patient #2, for whom … Nevertheless, even these minor misidentifications can be taxing on patients and jeopardize their safety … patient information may result in mislabeling patients with the wrong wristbands. … Are patients with similar names at greater risk for wrong-patient orders? … The Efficacy of patients’ wristband bar-code on prevention of medical errors: a meta-analysis study.
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psnet.ahrq.gov/node/49846/psn-pdf
November 01, 2018 - Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. … experiences on a nephrology rotation:
"The resident…assigned me patients right away, which was definitely … Beyond hands-on and hands-off:
supervisory approaches and entrustment on the inpatient ward. … A
survey of the American College of Surgeons Board of Governors and Young Fellows Association. … General surgery residency inadequately prepares trainees for
fellowship: results of a survey of fellowship
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/personcentered/qdr2015-chartbook-personcenteredcare.pptx
September 01, 2016 - Slide 1
National Healthcare Quality and Disparities Report
Chartbook on Person- and
Family-Centered … Priorities of the National Quality Strategy
2
National Healthcare Quality and Disparities Report
Based on … help of an Interagency Work Group led by the Agency for Healthcare Research and Quality and submitted on … Rating of health care 0-6 on a scale from 0 to 10 (best grade) by—
Adults who had a doctor’s office or … and providers, yet barriers to provider-patient communication are common.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
July 01, 2023 - safety survey
o Clinical process and outcome measures
• Review RCAs or other types of defect
investigations … include:
• Reviewing unit performance and safety data, such as incident
reports, the AHRQ Hospital Survey … on Patient Safety Culture, and
site‐specific process and outcome measures … It is based on the idea of a patient postmortem, which can help to determine
the cause of the patient … ’s demise but does not help that particular patient.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
July 01, 2023 - safety survey
o Clinical process and outcome measures
• Review RCAs or other types of defect
investigations … include:
• Reviewing unit performance and safety data, such as incident
reports, the AHRQ Hospital Survey … on Patient Safety Culture, and
site‐specific process and outcome measures … It is based on the idea of a patient postmortem, which can help to determine
the cause of the patient … ’s demise but does not help that particular patient.
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
May 01, 2018 - Note:
Information on individual measures is available through chartbooks posted on the Web ( http … access on 4 measures, and better access on 3 measures. … Patient Safety (n=18): No Change - 6; Improving - 12. … Patient Safety (n=25): Better - 6; Same - 17; Worse - 2. … Hispanics received worse care for 8% of Patient Safety measures.
-
psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - Analogous discrepancies were found for problem lists: patients' main EHR problem lists often continued … This practice has the additional benefit of further motivating physicians to keep patients' medication … key clinical decisions based on information in the medical record. … Survey of general practice records. BMJ. 1972;3:219-23.[ go to PubMed ]
4. Tufo HM, Speidel JJ. … Committee on Data Standards for Patient Safety.
-
psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - heath care world, the decision-making is focused on the patient, and not necessarily the family. … Outcomes for transition, such as transition readiness scores (e.g., Transition Readiness Assessment Questionnaire … insurance coverage and health care utilization for adolescents with chronic conditions from the National Survey … Building consensus on transition of transplant patients from paediatric to adult healthcare . … January 25, 2017
Pragmatic insights on patient safety priorities and intervention strategies
-
www.ahrq.gov/sites/default/files/2024-07/cebul-report.pdf
January 01, 2024 - Survey data from PCPs and patients were obtained at the time of enrollment in the CRT; a
second round … of survey data from both patients and PCPs was collected during CRT months
23-24. … Patients declining to participate in the PA-E intervention still provide survey data, enabling a
comparison … Survey Measures: The patient survey domains measured in the pre-CRT phase were attitude
toward technology … Patient surveys included 69 items on the five dimensions.