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2501. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
      January 01, 2005 - has been working collaboratively with a relatively small, well-trained representative sample of health … Provide actionable feedback to health care professionals. … This would allow FDA to understand the causes and contributing factors associated with problems health … ECRI (formerly the Emergency Care Research Institute) is a nonprofit health services research agency … facilities—the health professionals who use medical devices as part of their daily routine.

2502. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
      May 30, 2013 - process and forms for a committee review are available at the Council on Patient Safety in Women’s Health … Geneva: World Health Organization; 2011. PMID: 23741776. 8. … Institute of Medicine (US) Committee on Quality of Health Care in America; Kohn LT, Corrigan JM, Donaldson … To Err is Human: Building a Safer Health System. … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes

2503. Contact Precautions for MRSA Prevention - Webinar slide notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/017-contact-precautions-webinar-slides-notes.docx
      October 01, 2024 - Some health systems use a risk-based strategy—contact precautions or gowns and gloves are used in those … In addition, most electronic health records now have the ability to “flag” patients as another way to … concerned about the quality of care their patients would be receiving, as well as their patients’ mental health … maintained, and they shared with staff the information the IPs had given them on how patient mental health … Department of Health and Human Services.

2504. Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
      January 01, 2024 - Foundation, and a recent preliminary award from the Robert Wood Johnson Foundation Investigator Award in Health … This paper is currently in press at Health Affairs. … Regarding Patient Safety and Error Disclosure; A National Survey,” was published in The Journal of Health … In press, Health Affairs. 19. White AA, Gallagher TH, Garbutt J et al. … In Teaching Critical Thinking and Clinical Judgment in the Health Sciences, Noreen Facione and Peter

2505. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
      May 01, 2011 - and interventions. 2 Module 6 Despite their effort to provide the best care possible to patients, health … comfortable with, the Care for the Caregiver services. 5 Second-Victim Phenomena1,2 Second-victim defined: “Health … The natural history of recovery for the health care provider “second victim” after adverse patient events … Quality and Safety in Health Care. 2009: 18;325-330. Wu AW. Medical error: the second victim. … The Second Victim Phenomenon: A Harsh Reality of Health Care Professions, Perspective, May 2011, http

2506. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
      January 01, 2024 - Behavioral medicine. 1996 1996;21:166-170. 23. … Washington D.C.: US Department of Health and Human Services, Health Resources and Services Administration … Health Affairs. 2004;23(4):202-212. 27. … Scand J Work Environ Health. 1998;24(Suppl 3):43-48. 32. … American Journal of Public Health. 1992 1992;7:1011-1014. 35. Lee KA.

2507. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
      January 01, 2024 - Health Environments Research & Design Journal. 2021 September 13; doi: 10.1177/19375867211044733 https … International Journal of Environmental Research and Public Health. 2021 July 31; 18:8114. doi: 10.3390 … Health Environments Research & Design Journal. 2018 August 30; doi: 10.1177/1937586718796626 https:// … The impact of operating room layout on circulating nurse’s work patterns and workflow disruptions: A behavioral … Health Environments Research & Design Journal. 2018 January; https://doi.org/10.1177%2F1937586717751124

2508. Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/prioritization-report_0.pdf
      January 01, 2020 - influencing health care costs. … Population health. … Specifically, measures of behavioral health, potentially due to data limitations, are not well developed … population health. … Key State Health Care Databases for Improving Health Care Delivery.

2509. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
      January 01, 2022 - Department of Health and Human Services. … Department of Health and Human Services. … Committee on Diagnostic Error in Health Care. Improving diagnosis in health care. … MEDINFO 2015: eHealth- Enabled Health Proceedings of the 15th World Congress on Health and Biomedical … Rand Health Q. 2017;6:1. 16. Sun O, Chen J, Magrabi F.

2510. Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
      April 30, 2008 - Chronic pain is an important public health problem. … Author Affiliations VA Palo Alto Health Care System, Center for Health Care Evaluation (Dr. … To err is human: Building a safer health system. Institute of Medicine. … Crossing the quality chasm: A new health system for the 21st century. … A report of the Committee on Quality of Health Care in America, Institute of Medicine.

2511. Final Progress Report: Impacts of Alcohol and Fatigue on Paramedic ALS Skills (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
      January 01, 2024 - department and intensive/specialty care physicians, physician assistants, nurses, and other hospital-based health … It is also evident that regulations in a variety of non-health sectors stipulate that safety- sensitive … All procedures are in accord with the Page 10 National Institute of Health dosing guidelines for … Behavioral monitoring of DUI offenders with the alcohol ignition interlock recorder. … US.Department of Health and Human Services; 1981a. Tepas DI, Walsh JK, Moss PD, et al.

2512. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
      January 01, 2003 - conducted 17 semistructured interviews among a sample of practicing physicians from 3 integrated health … Center for Health Services Research, Henry Ford Health Sciences, Detroit (JEL, JS). … To err is human: building a safer health system. … A report of the Committee on Quality of Health Care in America, Institute of Medicine. … Physician and public opinions on quality of health care and the problem of medical errors.

2513. Final Progress Report: The Impact of Shift-Accumulated Fatigue on Patient Care and Risk of Post-Shift Driving Collisions among 12-Hour Day and Night Shift Nurses (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/james-report.pdf
      January 01, 2024 - Evidence across industries links work-related fatigue with errors, accidents, and adverse long-term health … poorer quality patient care, as well as to occupational injury, increased burnout, and long-term health … is to be the leader in research on sleep and biological rhythms and their impact on performance and health … , they came to WSU for consenting, taking a brief demographic questionnaire, taking some basic health … Sleep health and predicted cognitive effectiveness of nurses working 12-hour shifts: an observational

2514. Summary of the 2018 AHRQ CAHPS Research Meeting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/survey-methods-research/summary-research-meeting.pdf
      January 01, 2019 - Tosteson Professor of Health Care Policy, Department of Health Care Policy, Harvard Medical School … Alan Zaslavsky noted that CAHPS surveys are designed to produce comparisons among units, such as health … Some health systems are getting pushback on the use of texts with appointment reminders. … For example, through testing with a Latino population, one health system found that some people chose … It can be especially difficult to reach people who have had a bad health care experience in the past

2515. AHRQ EvidenceNOW: Building State Capacity: Interim Evaluation Report I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-1.pdf
      January 31, 2024 - Department of Health and Human Services. … health center networks … and steer the behavior of individuals and groups, combining complexity science, network science, and behavioral … health efforts. … associations; funders (Medicaid, private health plans); and existing population health, heart health

2516. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
      June 05, 2008 - News Media and Health Care Providers at the Crossroads of Medical Adverse Events News Media and Health … • Assisting health care providers in reducing medical errors. … Results: Health Care Providers Focus group findings addressed the perceptions of health care professionals … Summary: Health Care Providers Health care providers acknowledge the benefits of reporting adverse medical … The survey targeted people who covered health news.

2517. Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued, 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2b.html
      May 01, 2018 - Department of Health and Human Services agency responsible for providing federal health services to AIAN … Indian Health Service. … The scientific findings in this chapter demonstrate the existence of disparities in health and health … Implications of Black immigrant health for U.S. racial disparities in health. … Health status and health services utilization among U.S.

2518. Safe Medication Administration: Oxytocin | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
      July 01, 2023 - Use standard National Institute of Child Health and Human Development (NICHD) nomenclature to document … J Midwifery Women’s Health 2011 May-Jun;56(3):214-21. … Geneva: World Health Organization; 2011. PMID: 23586118. … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal

2519. Assessing the Availability of the Preconception Component of High-Risk Obstetrical Services by Estimating the Use of Teratogenic Medications Before and During Pregnancy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
      August 07, 2018 - include preterm birth, fetal death, structural birth defects, poor fetal growth, neurocognitive and behavioral … • 2012 Child Health Services Research Interest Group at Academy Health (Orlando). … Health plan*: Can compare quality of care among health plans. … Health IT Enhancement Please describe how health IT may enhance the use of this measure. … health IT system?

2520. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
      May 01, 2017 - Collaboration Patients, families, health care practitioners, and health care leaders collaborate in … Engagement in health care may decrease medical errors. … Slide 13: Barriers to Engagement for Health Care Personnel Say: Health care personnel have their … affairs, and to designate health care power of attorney to the person who will handle their health affairs … Chicago: Health Research & Educational Trust, July 2013.