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3381. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/haccost2017.html
      November 01, 2017 - addressed and prevented through training, adherence to evidence-based treatment guidelines, and hospital best

3382. Making a Case for Organizational Change in Patient Safety Initiatives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
      January 01, 2003 - proposed changes; and innovative training programs or employee visits to organizations that exemplify best

3383. Challenges to Real-Time Decision Support in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
      January 01, 2007 - The Trauma Reception and Resuscitation Project links real-time, computer-generated prompts from best

3384. Improving the Value of Patient Safety Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
      June 12, 2008 - definitions of events vary widely, and determining a population at risk for most events is opaque at best

3385. Strategies for Improving Patient Safety in Small Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
      March 20, 2008 - Q-Source provided technical assistance for this intervention by sharing of best practices and coaching

3386. High-Hanging Fruit: Improving Transitions in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
      March 27, 2008 - Shift changes among emergency physicians: Best of times, worst of times.

3387. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
      January 01, 2024 - departments that need to work together. 76 67 .02 Hospital departments work well together to provide the best … The project team used multivariate logistic regression to determine which patient or system factors best

3388. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
      January 01, 2024 - However, the statistical approach was chosen specifically to best accommodate this sample size and compute … broader network of pharmacies, which is being planned, modifications will be necessary to determine the best

3389. Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
      June 02, 2025 - ■ Best prognosis over time is for infants in whom the duodenum, distal ileum, and ileocecal valve … ■ Suctioning – Best performed on as-needed basis.

3390. PowerPoint Presentation: Learn From Defects Through Sensemaking
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
      December 01, 2017 - The best way to do this is to walk the process with the frontline staff. … Let’s stress that we presume that people are doing the best job they can and we develop interventions

3391. Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
      January 01, 2017 - • How is it best to share the evidence supporting the intervention to the different stakeholders? … Identify Barriers to Implementation Clinicians want to achieve the best possible outcomes for their

3392. Appendix F. Interventions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
      January 01, 2015 - Individual and family engagement in the Medicaid population: emerging best practices and recommendations … Best Practices in Physician Communication: Self- Scoring Profile Yes Yes Moderate Physician self-assessment

3393. Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
      January 01, 2024 - It also includes several that assess whether surgical team members follow checklist best practices ( … Real-world conditions may not yield comparable benefits, even with best- practice recommendations for

3394. Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
      July 01, 2024 - practitioners, laboratory, and pharmacy technicians) can use evidence-based diagnostic tools and embrace best … By continuously refining and standardizing best practices, rural healthcare can deliver high-quality

3395. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/downloads/pub/advances/vol2/Schiff.pdf
      January 01, 2005 - undiagnosable at that stage, the illness presentation too atypical, rare, or unlikely even for the best … These situations are often referred to as “no fault” or “forgivable” errors—terms best avoided because … gold standards (for both testing and standard of care), and difficulties reaching consensus about best

3396. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
      January 01, 2005 - undiagnosable at that stage, the illness presentation too atypical, rare, or unlikely even for the best … These situations are often referred to as “no fault” or “forgivable” errors—terms best avoided because … gold standards (for both testing and standard of care), and difficulties reaching consensus about best

3397. Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
      July 22, 2015 - Policy efforts to determine how to best support the transformation of small, independent practices and … safety net clinics will be essential to ensuring these practices can provide the best care for their … access and outreach; shared medical appointments; team-based care and cross-trained staff; bringing best

3398. Ncinqtobaccousehelpform (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelpForm.pdf
      August 01, 2012 - There is good evidence that tobacco cessation interventions are best carried out when the entire clinical … participation in training program curricula and/or continuing medical education that provide current best-practices … Additionally these activities are considered among the ‘best practice’ activities promoted by clinical

3399. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-full/slides.ppt
      August 01, 2009 - Best effects are achieved by frequent puffing of the inhaler and using at least 6 cartridges/day. … The spray is best delivered with the head tilted slightly back. … For example: Which of the following statements best describes your cigarette smoking? … Right now, this is probably the best thing you can do for both your weight and your health.

3400. Guide for Safe Transitions to New Appointments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_guide.pdf
      December 01, 2017 - Are we delivering best practice? A review of the evidence. J Clin Nurs 2009;18(18):2539–46.