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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - She reportedly slipped while running on a wet floor. … The patient was crying and holding her left hip flexed with significant tenderness on examination, but … patient safety hazard. … For example, potassium supplements for a patient on furosemide is routine, however, this same drug may … Likelihood of reporting medication errors in hospitalized children: a survey of nurses and physicians
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psnet.ahrq.gov/web-mm/dangerous-dapsone
January 10, 2011 - Once the error was discovered, the patient was promptly started on cimetidine 300 mg IV daily, and her … each shift.( 3 ) A survey of community pharmacists confirms that they perceive environment and workload … studies reflect how many times pharmacists may have stopped the interacting combination from reaching patients … Related Resources From the Same Author(s)
Transition of care for hospitalized elderly patients—development … and visitor knowledge and confidence in reporting patient deterioration.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/structured-handoff-rapid-research.pdf
January 01, 2025 - handoffs on patient safety.19 This review searched through January
2017 for studies focused on SBAR … Across sites, the rate of
handoff-related adverse
events per person-year (as
reported by a physician
survey … Effect of a multispecialty faculty handoff
initiative on safety culture and handoff
quality. … Changes
in efficiency and safety culture after
integration of an I-PASS-supported handoff
process. … Changes
in efficiency and safety culture after
integration of an I-PASS-supported handoff
process.
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psnet.ahrq.gov/web-mm/recurrent-appendicitis
January 15, 2020 - On physical examination, the patient showed rebound tenderness with guarding. … The patient was taken to the operating room (OR) for laparoscopic appendectomy. … In a study of more than 1500 such patients, only a tiny minority (0.2%) went on to develop clinical appendicitis … of appendicitis on both imaging and exploration. … January 23, 2017
Safety considerations in learning new procedures: a survey of surgeons
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psnet.ahrq.gov/Information/Editor
May 23, 2025 - Her research and academic interests focus on patient safety and quality improvement practices in the … Bettega provides data management support for Cal Long-term Care Compare, a website dedicated patients … Bohringer has a special interest in patient safety and he has authored papers on quality improvement … has expertise in developing logic models, tracking performance measures, and designing mixed methods surveys … Her editorial work has produced books and articles on topics including knowledge management, patient
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psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
July 21, 2020 - The choice of test of course depends on the rate of bleeding, patient characteristics, and the degree … Although this patient was on anticoagulation, he should have undergone further testing to evaluate for … Being on anticoagulation does not reduce the importance of evaluating a patient with iron deficiency … June 26, 2019
Patient and visitor aggression in healthcare: a survey exploring organisational … safety culture and team efficacy.
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psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
April 01, 2013 - Theoretical impact of duty hour rules on patient safety
The duty hour rules were implemented with two … A policy that makes today's patients a bit safer at the cost of larger harm to patients later would not … Systematic review: effects of resident work hours on patient safety. … For example, if you think about just the issue of handoffs, the size and complexity of patients on medical … May 11, 2022
Barriers to accessing nighttime supervisors: a national survey of internal
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www.ahrq.gov/ncepcr/reports/primary-care-research/references.html
January 01, 2024 - Effect of a post-paid incentive on response rates to a web-based survey. … A comparison of health plan- and provider-delivered chronic care management models on patient clinical … A comparison of care management delivery models on the trajectories of medical costs among patients with … Developing a policy-relevant research agenda for the patient-centered medical home: a focus on outcomes … The impact of Project ECHO on participant and patient outcomes: a systematic review.
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4b.html
May 01, 2018 - One approach is to survey the service recipients. … The Modern Language Association, using data from the American Community Survey of 2005, has an easy-to-use … The 2006 American Community Survey showed that there were 3 million children who spoke English less than … A state survey of LEP students included 13 prespecified languages on the collection form, with the opportunity … access to care, health outcomes, and patient safety.
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psnet.ahrq.gov/node/49737/psn-pdf
June 01, 2015 - In a survey distributed to US hospitals about prevention of
hospital–acquired urinary tract infections … In a survey of RNs working at 7 nursing homes, 52% did not know that
routine irrigation of IUCs is contraindicated … a patient. … Urologic Patient. … products in male and female patients with urinary incontinence.
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - Immediately after the operation, the surgeon informed the patient and instructed him to lie flat on his … On postoperative day (POD) 6, the patient reported clear drainage from the surgical site. … On POD 25, the wound appeared to have dehisced, and the patient was readmitted to the hospital for advanced … pain.
6
6
Case Details (3)
On POD 42, the patient was readmitted and diagnosed after magnetic resonance … Spinal Dural Repair: A Canadian Questionnaire. Global Spine Journal. 2018;8(4):359-364.
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meps.ahrq.gov/survey_comp/appendix_d_glossary.pdf
December 31, 2020 - AF (Authorization Form): Consent form signed by a household respondent during one of
the household interviews … AHRQ sponsors the Medical
Expenditure Panel Survey (MEPS). … Kidney
dialysis is used on patients with kidney (or renal) failure and may be carried out in the
hospital … Section 903(c) ensures that the confidentiality of
respondents participating in health surveys sponsored … The UR
coordinators can approve additional days of hospitalization based on the patients’ status or
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
March 01, 2004 - contains
specific instructions to reporters that they should omit any information that might
identify patients … the reports, and the expected
impact on their overall patient safety efforts. … patient safety efforts, an optional anonymous survey was added to the electronic
version of the reporting … Nineteen providers have completed the survey as
of March 2004, and their responses have been overwhelmingly … The
survey items were based on a Likert scale: 1 = Strongly Disagree, 2 = Disagree,
3 = Neutral, 4
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digital.ahrq.gov/ahrq-funded-projects/anesthesiology-control-tower-feedback-alerts-supplement-treatment-actfast
January 01, 2023 - Exploring patient perspectives on telemedicine monitoring within the operating room. … Supplement Treatment (ACTFAST) Document Type: Journal Publication Research Method: Mixed Methods , Survey … centers that are on the ground. … process measures or patient clinical outcomes. … clinical outcomes of patients post-surgery.
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digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-in-evaluation-report.pdf
July 01, 2015 - surveys) about
the quality of care they provide. … The most common type of data received available are patient
survey results (25 percent). … Since QHF relies primarily on data captured through the Indiana Network for Patient Care
(INPC), we … surveys) about the quality of care they provide. … The most common type of data received available are patient survey results (25 percent).
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datatools.ahrq.gov/nhqdr/methodology-report/
November 01, 2023 - on hospital care, impact of COVID-19 on ambulatory care, impact of COVID-19 on nursing homes, and growth … Patient Safety
d. Person-Centered Care
e. Care Coordination
f. Healthy Living
3. … the most recent data year than it had performed in the past (baseline year) for the “Adult hospital patients … Access, Affordable Care, Care Coordination, COVID-19 Experiences, Effectiveness of Care, Healthy Living, Patient … artery disease, diabetes, healthcare costs, health literacy and cultural competency, hypertension, and patient-centered
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
April 01, 2025 - For example, the office/home could be a place where patients are utilizing the patient education materials … The Staff Safety Assessment is a two-question survey:
1. … They decided to standardize how patient education on decolonization was delivered. … Slide 22
Patient Education Processes and Tools
SAY:
Patients often struggle to use decolonization … Implementing standardized, patient-centered education processes can empower and engage patients and improve
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
October 01, 2007 - Effects of sleep inertia on cognition. … , or not answering patients’ questions
Shanafelt TD, et al. … and On-Call Systems
When demands for care are nearly constant
Limited “on-duty” shifts with mandatory … home with return to duty if needed
Intermediate patient needs
Longer “on-duty” shifts, during which … , telephone operators, and other team members
The National Board of Medical Examiners is testing a survey
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www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
November 01, 2016 - And we elaborate a little bit more on patient experience from the better care perspective and on the … Patient Population [Slide 16]
Ayesha Cammaerts: Our patient population is the highest-risk asthma … patients here in Boston. … , to create patient registry lists for asthma patients, to track the patients over time so that we can … And we do sort of occasionally use cell phone communication for some of our patient outreach.
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www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
July 01, 2021 - AHRQ has prepared a draft report to Congress on strategies to improve patient safety, including ways … The related Chartbook on Patient Safety revealed improvement in patient safety overall, especially … It provides an increase of $1.8 million for expanding the Medical Expenditure Panel Survey (MEPS) while … Perhaps AHRQ could improve communication with consumers (patients and families). … The Foundation also is conducting a survey about patient trust and physician trust.
Ms.