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psnet.ahrq.gov/web-mm/one-dose-two-errors
September 29, 2017 - stay.( 3-5 ) Had there been a decision support system for antimicrobial use at the point of order entry … The other activities of antimicrobial stewardship that bear on this case are didactic education and use … impact of EHRs on patient outcomes through improved antimicrobial use is lacking, although EHRs with … Published experience on use of an EHR to support stewardship has been mixed. … Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use
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hcup-us.ahrq.gov/db/nation/nis/2015HCUPNationalInpatientSample.pdf
September 28, 2022 - The introduction of
ICD-10-CM/PCS on October 1 means that the 2015 NIS includes a combination of codes … The
diagnosis version data element (DXVER) has a value of 10 for all records in the
Q4 file. … a Detailed descriptions of the HCUP data elements are available on the HCUP User Support Web site
under … a Detailed descriptions of the HCUP data elements are available on the HCUP User Support Web site
under … on the Impact of ICD-10-CM/PCS on Research Using
Administrative Databases.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review93/syphilis-infection-screening-2004
July 15, 2004 - A presumptive diagnosis is possible with the use of 2 types of serological tests for syphilis (nontreponemal … Individual risks can be estimated to some extent by use of population prevalence data. … Data on incidence and prevalence are most often based on cases reported to state health departments and … On-site testing with immediate results
The World Health Organization (WHO) Antenatal Trial Research … However, there is a lack of data about how to identify high risk groups.
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www.ahrq.gov/news/newsroom/case-studies/cquips0804.html
October 01, 2014 - Case Studies
August 2008
A tool developed by AHRQ provided both a benchmark and a measure of … a culture of patient safety to other organizations of similar size. … The first is to share the results of surveys or data on adverse outcomes within a department. … Research conducted by the National Aeronautics and Space Administration has identified human error, often … use teamwork, simulation, group debriefings, and performance measurement of staff.
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psnet.ahrq.gov/node/47496/psn-pdf
June 15, 2019 - Using data from the Australian and New Zealand Audit of Surgical Mortality database
over a 1-year period … The most frequently noted
incident was decision to operate, followed by diagnostic error and insufficient … The
authors suggest that thorough discussion of complex cases in advance of surgery might mitigate CDMIs … A WebM&M commentary
discussed an incident involving a diagnostic error in which a patient was taken … to the operating room for an
unnecessary surgery.
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www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
January 01, 2024 - Additional goals of this planning project was to research the existing technology
infrastructure, determine … The Medical
Center has successfully implemented the use of the PACS system at two independent
organizations … This team consisted of
clinical champions with a high degree of HIT use in their own organizations as … quick review on the Model with focus on the PDSA part)
9:00-9:30 Application of PDSA’s: An Exercise … on a small scale before
full implementation of new ideas….a quality improvement tool.)
9:30-9:40
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psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review
March 13, 2013 - examined the effect of simulation training on patient-level outcomes and found evidence that simulation … This study was funded by the Agency for Healthcare Research and Quality as part of the Making Health … Care Safer II report and was published as part of a special patient safety supplement in the Annals … March 18, 2009
Factors associated with the use of cognitive aids in operating room crises … June 7, 2016
A systematic review of teamwork in the intensive care unit: what do we know
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digital.ahrq.gov/sites/default/files/docs/page/building-foundation-for-health-information-exchange-to-improve-poison-control.pdf
April 01, 2014 - – Exchange of clinical information with non-
clinical staff (“the nurse is on break but I think
the … Patient Referral
Collaborative Care
ED-PCC Consult
and Develop a Plan
of Care
Ongoing Data Collection … Additional research on the
development, implementation, and impact of HIE on
the PCC–ED collaboration … with establishing funding support to standardize PCC
data and the development of HIE. … Each party documents their
information in separate and unshared
information systems without the use of
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digital.ahrq.gov/sites/default/files/docs/ahrq_nrc_multi_grantee_meeting_discussion_summary_patient_recruitment.pdf
June 01, 2010 - achieving their recruitment goals—a common challenge at
the beginning of many research projects. … The research team was not resourced to be responsible
for the ongoing rollout and use of PG itself, … Patients can enter their data
in a journal at home and then enter this data on a computer, when possible … To
pilot this system, the research team plans to recruit a random sample of parents of childhood … If we do not receive a response from the
first contact, what is the best method of follow-up—use of
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www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
January 01, 2024 - A growing body of research shows that features in the built environment, such as
light, noise, air quality … The selection of tools was based on a set of criteria, including the relevance to the facility design … 5 on a set of criteria. … of each tool and provide suggestions on how to modify and use the
tool for safe design. … A review of the research literature on evidence-based healthcare design.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-slides.html
December 01, 2017 - of Medicine, Ann Arbor VA Medical Center
Sarah Krein, PhD, RN
Research Associate Professor, Division … are shown on bottom of slide. … of RNs to MDs
Slide 29
Get on the Same Page: Senior Leadership
Our observation: … dial toward “fully embrace”
Slide 32
Share the Outcomes Data
Our observation:
Data … www.catheter.org
Slide 42
Funding
Prepared by the Health Research & Educational Trust of the
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/patient-narratives-webinar-quality.pdf
June 02, 2025 - Health Care Management
Disclosures
This work was funded by the Agency for Healthcare
Research and … Quality – Classic Definition:
the ability of a product or service to
consistently meet or exceed customer … knowledge” – National Academy of Medicine
Quality Improvement (QI):
process-based, data-driven approach … What are the most important things that you look for in a
healthcare provider and the staff in his or … Next we’d like to focus on any experiences in the last 3 months
with your provider and the staff in
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hcup-us.ahrq.gov/db/nation/nass/nasschecklist.jsp
November 01, 2024 - ⬜
Obtain and adhere to the HCUP Nationwide Database Data Use Agreement (DUA). a
The HCUP DUA … governs the disclosure and use of the data, including affirmations to protect individuals, establishments … the Data Use Agreement. … are assigned a narrow surgery flag based on the degree of their invasiveness: (1) biopsies if the procedure … Refer to the ICD-10-CM/PCS Resources page on HCUP-US under Data Innovations for a summary of key issues
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www.ahrq.gov/patient-safety/reports/advances/planning.html
July 01, 2022 - Creation and testing of the tool is described in Development of a Planning Tool to Guide Research Dissemination … , or research findings on outcomes resulting from adoption of these guidelines. … Communicating Your Message
Effective dissemination relies on the use of varied channels—e.g … For example—Obtaining feedback on how easy the research product was to use, what was needed to translate … plan, use the last page to write a summary of 100-200 words that outlines your basic plan, based on
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - This can come in the form of sharing teamwork success stories or in sharing data collected from coaches … on the success of the implementation process. … on a unit). … It is not how much you have but how you use it: toward a rational use of simulation to support aviation … The use of simulation for training teamwork skills in health care: how low can you go?
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psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
February 15, 2011 - The authors found that incidence of most of these complications could be predicted on the basis of preexisting … This study exemplifies research into the "basic science" of patient safety; a prior commentary called … April 3, 2018
Use of administrative data to find substandard care: validation of the … October 30, 2024
Learning during crisis: the impact of COVID-19 on hospital-acquired … : physician, staff, and patient roles based on a Delphi consensus.
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-care-compact-organize-risk-and-decisionmaking-accord/annual-summary/2010
January 01, 2010 - Efforts to improve quality of care, focusing on a relatively narrow set of quality measures, and increasing … Intervention group providers will be trained to use ACCORD in both the episodic, one problem at a time … still needs to be a local configuration that associates observations with specific data services and … the ACCORD lies on the diagnostic path. … coordination of care across transitions in care settings, and the use of electronic exchange of health
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hcup-us.ahrq.gov/reports/statbriefs/sb178-Preventable-Hospitalizations-by-Region.pdf
September 01, 2014 - Population Denominator Data for use with the HCUP Databases (Updated with
2012 Population data). … These databases enable research on a broad range of health policy issues, including cost and quality … The reports use HCUP administrative health care data. … In addition, NIS data are standardized across
years to facilitate ease of use. … Hospitals, 2011
For a detailed description of HCUP, more information on the design of the Nationwide
-
digital.ahrq.gov/sites/default/files/docs/publication/p20hs014949-branscombe-final-report-2005.pdf
January 01, 2005 - Additional goals of this planning project was to research the existing technology
infrastructure, … The Medical Center
has successfully implemented the use of the PACS system at two independent organizations … This team
consisted of clinical champions with a high degree of HIT use in their own organizations as … quick review on the Model with focus on the PDSA part)
9:00-9:30 Application of PDSA’s: An Exercise … would work; will emphasize the need for
testing on a small scale before full implementation of new
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www.ahrq.gov/news/newsletters/e-newsletter/960.html
June 01, 2025 - Using data from the National Survey of Children’s Health, researchers analyzed responses from 198,417 … Using data from 33,542 women in the Breast Cancer Surveillance Consortium, researchers used a novel approach … Clinicians can use this research to better inform patients and guide decisions around screening and risk … data. … You will need to use your email address to log in.