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psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
September 01, 2006 - a capitated basis rather than based on historical costs (ie, VISNs received money based on the number … The purpose of EPRP was to collect data on clinical care as well as on structural features, such as waiting … /EMR use. … Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. … But on the one to five scale, 27% of the people said yes, absolutely important, a five.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - in
patient safety research. … Arguably the most important time in a physician’s career to ingrain a
knowledge and use of learning-oriented … Three
research questions are pursued:
a) What types of mistakes and near misses do medical residents … The use of expert panels enhanced the “believability” of the findings, a
necessary criterion in all … medications and IV treatments,
and the improper use of medical equipment.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
July 01, 2023 - Identify the key safety elements related to the use of electronic fetal monitoring.
Step 3. … on labor and delivery (L&D) units and is a focus of this customizable bundle within the AHRQ Safety … monitoring: update on definitions, interpretation, and research guidelines. … monitoring: update on definitions, interpretation, and research guidelines. … Perinatal Safety Intervention Programs: A review of the literature.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/dementia-older-adults-screening-2003
June 03, 2003 - Please use the link(s) below to see the latest documents available. … There are 2 scales of function commonly used in research on dementia: a 70‐point Alzheimer's Disease … No study provided information applicable to a screened population; the data from studies done in specialty … A diagnosis of dementia could have effects on a patient's autonomy, but the USPSTF found no evidence … Quality of Evidence
The USPSTF grades the quality of the overall evidence for a service on a 3-point
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-reimagining-healthcare-teams.pdf
July 07, 2023 - also require education around what actions
might be considered appropriate based on the data. … Use of this system could result in significant practice variation depending on clinicians’ comfort
with … recent work in using AI to coach clinicians on their use of language and in motivational
interviewing … AI outputs may
include the frequency
and duration of
patient or clinician
use of the application. … frequency of presentation of these data.
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digital.ahrq.gov/ahrq-funded-projects/designing-user-centered-decision-support-tools-chronic-pain-primary-care
January 01, 2023 - The use of decision support tools, such as computerized alerts or checklists within electronic health … However, to be effective, decision support must be designed based on a detailed understanding of how … , and finding these data may be challenging as a clinician gets up to speed during a brief clinic visit … Ultimately, this work led to designing a simplified EHR interface that focused on bringing patient information … The design of the prototypes captured the distinctive nature of patterns in accessing patient data by
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/iron-deficiency-anemia-screening-2006
May 15, 2006 - were instructed in the safe storage and use of iron products. … More detailed data on the prevalence of iron deficiency anemia in infants of different ages has not been … While most studies of treatment found no effect on birth outcomes, a recent but flawed RCT found a substantial … Long term follow-up of mothers and their infants in a randomized trial on iron prophylaxis during pregnancy … Breastfeeding and the Use of Human Milk. Pediatr 2005;115(2):496-506.
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digital.ahrq.gov/ahrq-funded-projects/implementation-ddinteract-shared-decision-making-tool-anticoagulant-drug-drug
August 15, 2023 - of Utah, University of Colorado, and Vanderbilt University, who all use the same commercial EHR but … The specific aims of the research are as follows: Examine contextual factors and define relevant implementation … Conduct a cluster randomized, multisystem trial to evaluate the effectiveness of DDInteract to mitigate … A randomized implementation trial will then be conducted to measure the effect of DDInteract on exposure … the research, these artifacts will be updated with the information gleaned from the research.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
November 01, 2019 - This intervention is a major
component of the AHRQ Safety Program for Improving
Antibiotic Use. … is on a limited number of patients (often just
patients with bacteremia). … Some institutions have successfully
integrated the use of PCT into AS activities and seen a
reduction … Assessment of antibiotic use data is essential to identify
areas with high use where investigation and … of active research.
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
July 01, 2024 - Use of AI can foster a more efficient, equitable, and
responsive healthcare environment. … Implementing the consistent use of one of many tested SDOH screening protocols is an
immediate step … This measurement is indispensable because benchmarking data are a
cornerstone of longitudinal quality … Contributing factors of frequent use of the emergency department: a synthesis. … Bridging health disparities in the data-driven
world of artificial intelligence: a narrative review.
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www.ahrq.gov/ncepcr/care/coordination.html
November 01, 2024 - and sharing information among all of the participants concerned with a patient's care to achieve safer … Examples of specific care coordination activities include: Establishing accountability and agreeing on … Care coordination is identified by the Institute of Medicine as a key strategy that has the potential … A new section on emerging trends in the field also has been added to the Update . … Prospects for Care Coordination Measurement Using Electronic Data Sources.
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hcup-us.ahrq.gov/reports/statbriefs/sb74.pdf
June 01, 2009 - This Statistical Brief presents data from the Healthcare Cost
and Utilization Project (HCUP) on the … hospital inpatient discharge and administrative data to
provide a perspective on quality. … Data on Hispanics are collected differently among the states and also can differ from the Census
methodology … HCUP is a Federal-State-Industry
Partnership that brings together the data collection efforts of many … In addition, NIS data are standardized across years
to facilitate ease of use.
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psnet.ahrq.gov/node/74113/psn-pdf
September 15, 2015 - Racial disparities in pain management of children with
appendicitis in emergency departments. … Racial disparities in pain management of children with
appendicitis in emergency departments. … Using data from
the National Hospital Ambulatory Medicare Care Survey from 2003 to 2010, researchers
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psnet.ahrq.gov/issue/psychological-responses-coping-and-supporting-needs-healthcare-professionals-second-victims
August 20, 2018 - data, 2009--2014. … February 9, 2011
How strong is the evidence for the use of perioperative beta blockers … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative … January 10, 2024
Validation and use of the Second Victim Experience and Support Tool … meta-synthesis of qualitative research studies.
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psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
March 16, 2016 - Study
Use of a human factors classification framework to identify causal factors … Use of a human factors classification framework to identify causal factors for medication and medical … Use of a human factors classification framework to identify causal factors for medication and medical … data. … March 13, 2019
The effects of physical environments in medical wards on medication communication
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psnet.ahrq.gov/issue/global-oximetry-international-anaesthesia-quality-improvement-project
November 12, 2014 - Use of pulse oximetry during surgery is a key component of the World Health Organization's Safe Surgery … of their use and the systems required to ensure uptake and continued use. … anaesthesia: protocol, methods, and analysis of data. … July 19, 2023
A simulation design for research evaluating safety innovations in anaesthesia … at Face Value in the Operating Room
June 1, 2019
Use of personal electronic
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psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
June 29, 2011 - This article explores the concept of post-error slowing. … July 20, 2022
Bedside shift-to-shift handoffs: a systematic review of the literature. … on the prevention of prescription errors. … September 11, 2024
Human-AI teaming in critical care: a comparative analysis of data … September 11, 2024
Leader safety storytelling: a qualitative analysis of the attributes
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psnet.ahrq.gov/issue/safety-home-care-mapping-review-international-literature
February 10, 2012 - Review
Safety in home care: a mapping review of the international literature. … Safety in home care: a mapping review of the international literature. … This review found that there is little descriptive research to determine the prevalence of adverse events … Safety in home care: a mapping review of the international literature. … setting: a secondary data analysis of two Canadian adverse event studies.
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psnet.ahrq.gov/issue/development-pediatric-adverse-events-terminology
November 16, 2022 - Taxonomies help to consistently organize data and evidence for use in research. … use in various settings . … care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised … claims data. … Research Consortium.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/hKRZFsG6c7Kq5ef32cCXa3
February 12, 2019 - Discourage the use of this service. … Implementation
There are no data on the ideal timing for offering or referral to coun-
seling interventions … Data are lacking on the benefits and harms of antidepressant
medications for the prevention of perinatal … The Research Gaps and Needs section calls for more
studies on the use of tools for risk assessment, including … for the integrity of the data and the accuracy of the
data analysis.