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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - While the patient described in this case does not appear to have met criteria
for septic shock on her … On autopsy, the patient was found to have not only bilateral Streptococcus pyogenes and Klebsiella
pneumonia … With a fever and no crackles or wheezing on exam, the patient
described above would have had a PRS of … The current and future state of pediatric sepsis definitions: an
international survey. … The impact of cognitive and implicit bias on patient safety and quality.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pptx
September 19, 2015 - access on 4 measures, and better access on 3 measures. … Among the NQS priorities, quality of care for Hispanics:
Improved for 67% (12 of 18) of Patient Safety … Patient Safety
National Healthcare Quality and Disparities Report
Chartbook on Health Care for Hispanics … Full series of Hib vaccine is ≥3 or ≥4 doses, depending on brand type. … Outcomes: Data on the program’s effectiveness are not yet available.
46
Hospital patients who received
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psnet.ahrq.gov/web-mm/empty-handoff
August 01, 2017 - through the system while keeping a balance on patient safety. … In the face of growing needs to get more surgical patients through busy systems while keeping patients … Finally, in phase 4, the whole team (referring and receiving) agrees on a patient plan and contingencies … Patterns of communication breakdowns resulting in injury to surgical patients. … Handoffs causing patient harm: a survey of medical and surgical house staff.
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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/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_8.pdf
October 01, 2016 - ; this is often based on patient health questionnaire (PHQ)-9 results
but can also occur for patients … for information on new
cases and followup on established clients. … They find clients through Sunday church visits and community screenings. … Checking patients in Patient checks in through a kiosk. … An external vendor does monthly patient telephone surveys about medical,
▌pg. 16
dental, and
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.html
July 01, 2019 - ; this is often based on patient health questionnaire (PHQ)-9 results but can also occur for patients … for information on new cases and followup on established clients. … They find clients through Sunday church visits and community screenings. … Checking patients in
Patient checks in through a kiosk. … An external vendor does monthly patient telephone surveys about medical, dental, and Wesley Nurse interventions
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digital.ahrq.gov/sites/default/files/docs/page/09-0069-EF_1.pdf
June 01, 2009 - Other information, such as the names of
patients being seen on a given day who need immunizations, may … changes are not always well-received if physicians are
concerned about maintaining that autonomy, as surveys … Electronic health records in ambulatory care—a
national survey of physicians. … Adverse drug events in hospitalized patients. … A survey of
factors affecting clinician acceptance of clinical
decision support.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part1.html
March 01, 2020 - Hispanic Health Care
Acknowledgments
Health Care For Hispanics
National Quality Strategy Priorities: Patient … Quality improved for most NQS priorities:
Patient Safety improved, led by a 17% reduction in rates … of hospital-acquired conditions between 2010 and 2013, with 1.3 million fewer harms to patients, an … Person-Centered Care improved, with large gains in provider-patient communication. … collection standards are to be used, to the extent practicable, in HHS-sponsored population health surveys
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - Techniques for accessing a CVC vary based on the type of connector used. … effect on the clinician involved. … Evidence-based practice: improving outcomes for patients with a central venous access device. … National survey of central venous catheter flushing in the intensive care unit. … Managing the aftermath of critical incidents: meeting the needs of health-care providers and patients
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psnet.ahrq.gov/node/836840/psn-pdf
April 22, 2021 - education bundle to improve patient education and
engagement on VTE. … Survey staff on their attitudes and beliefs regarding VTE prophylaxis.
Define measures and goals. … Effect of real-time patient-centered education bundle on
administration of venous thromboembolism prevention … Data and Statistics on Venous Thromboembolism. … Effect of real-time patient-centered education bundle on
administration of venous thromboembolism prevention
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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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digital.ahrq.gov/sites/default/files/docs/page/NJ-EPAC%20Pilot%20Testing%20of%20Electronic%20Prescribing%20Standards_0.pdf
April 01, 2008 - Standards effect on quality
and patient safety. … on the RAND/SRG survey website. … All respondents to our survey had relatively high scores on a computer attitudes scale that we adapted … The beneficial effects of e-prescribing that
our survey respondents perceived in drug-drug interactions … This finding is corroborated by our finding that survey respondents did not perceive any
greater ability
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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdf
March 05, 2008 - We
used chart reviews and patient interviews to identify potential drug-HDS interactions, and we
used … Of enrolled patients, 600 (91 percent) completed the
telephone survey at 3 months. … b Based on N = 656
6
Table 3. … Second, we relied on patients’ self-reports of HDS use, and they may have
underreported. … Phillips); Center for Patient Safety, Dana-Farber Cancer Institute,
Boston, MA (Dr.
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - 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. … opioid-free surgical patients.
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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/amended-lab-results-communication-slip
September 26, 2012 - No harm was done to the patient. … The laboratory is often unaware that the patient is pregnant. … Errors in laboratory medicine: practical lessons to improve patient safety. … Jt Comm J Qual Patient Saf. 2005;31:68-80. [go to PubMed] 7. … September 26, 2012
Leadership Survey: Immunization Against Burnout: Insights Report.
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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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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024314-bauer-final-report-2018.pdf
January 01, 2018 - Surveys required 10-15 minutes to
complete. … The most salient suggestion that was voiced at both intervention sites was to reduce respondent burden … So if it was like a flow of questionnaires, it might be easier for families, and then it would
trigger … “I feel like sometimes I get a lot of Vanderbilt type things print out or patients are already on medicines … I think like anything else, asking for more questionnaires in the office is sometimes asking
a lot of
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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