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Total Results: 3,082 records

Showing results for "challenges".

2901. Situation Monitoring: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - may be more of a hindrance than a help during routine textbook cases with no surprises or abnormal challenges

2902. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
      January 01, 2016 - other healthcare improvement initiatives, including some that have addressed more specific safety challenges

2903. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
      April 27, 2022 - The challenges in defining and measuring diagnostic error. Diagnosis (Berl). 2015;2:97–103. 9.

2904. Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers in Nursing Home Environments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
      March 01, 2004 - Department of Health and Human Resources Tommy Thompson stated the problem succinctly in 2003: “One of our challenges

2905. Combining Performance Feedback and Evidence-based Educational Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
      January 01, 2004 - This presents challenges in linking hospital interventions with the injury report.

2906. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
      January 22, 2008 - Lost in translation: Challenges and opportunities in physician- to-physician communication during patient

2907. Communication of Weight Classification for Children Who Are Overweight or Obese (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-full-report.pdf
      February 01, 2020 - Other challenges include program recruitment and retention, financing, apathy at the policy and clinical

2908. Improving Patient Safety in Long-Term Care Facilities, Module 1 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
      June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 1 Improving Patient Safety in Long-Term Care Facilities Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Module 1. Detecting Change in a Resident’s Condition Student Workbook These training materi…

2909. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation SAY: In this module, you will be introduced to daily care pr…

2910. 047-Evidence-Behind-Decolonization-Strategies-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention The Evidence Behind Decolonization Strategies for MRSA ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Evidence Behind Decolonization Strategies for MRSA SAY: Welcome to this presentation on the current evidence behind decolonization strategies as part of an …

2911. Final Progress Report: Implementing Best Practices in Palliative Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/johnson-report.pdf
      January 01, 2024 - Final Progress Report: Implementing Best Practices in Palliative Care Title:  Implementing Best Practices in Palliative Care Funding Agency:  Agency for Healthcare Research and Quality Kimberly S. Johnson, MD, MHS (Principal Investigator)  Duke University School of Medicine Jean Kutner, MD, MPH  University of Colo…

2912. Final Progress Report: Developing a patient-centered model of the risk of perioperative complications in spine surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
      January 01, 2024 - Final Progress Report: Developing a patient-centered model of the risk of perioperative complications in spine surgery Developing a patient-centered model of the risk of perioperative complications in spine surgery John Ratliff, MD, PI Team members: Summer Han, PhD Richard Olshen, PhD Lu Tian, PhD Paola Suarez …

2913. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention: Targeting SSI Antimicrobial Perioperative Prophylaxis: Part 2 Beyond the Basics Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Pro…

2914. Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
      January 01, 2024 - Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions 1 Final report-2011/11/29 (limited to 20 pages) AHRQ R03 Project Title: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions Principal Investigator (PI): Huey-Ming Tzeng, PhD, RN, FAAN,…

2915. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
      January 01, 2004 - Creating a Culture of Patient Safety through Innovative Hospital Design 425 Creating a Culture of Patient Safety through Innovative Hospital Design John G. Reiling Abstract When SynergyHealth, St. Joseph’s Hospital of West Bend, Wisconsin, decided to relocate and build an 82-bed acute care facility, we reco…

2916. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
      January 01, 2004 - Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System 207 Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System Sharon K. Ulep, Sheryl L. Moran Abstract Moving to a Web-based system for tracking patient safety events is a goal o…

2917. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
      January 01, 2004 - “Near-miss” Reporting System Development and Implications for Human Subjects Protection 181 “Near-miss” Reporting System Development and Implications for Human Subjects Protection Harvey J. Murff, Daniel W. Byrne, Paul A. Harris, Daniel J. France, Christa Hedstrom, Robert S. Dittus Abstract Background: R…

2918. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
      April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…

2919. Final Progress Report: Improving Patient Safety by Examining Pathology Errors (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
      January 01, 2025 - Final Progress Report: Improving Patient Safety by Examining Pathology Errors Improving Patient Safety by Examining Pathology Errors Principal Investigator: Stephen S. Raab, MD Team Members: Dana M. Grzybicki, MD, PhD, Michael J. Becich, MD, PhD, Janine E. Janosky, PhD, Dilip Gupta, MD, Richard J. Zarbo, MD, DMD, …

2920. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
      January 01, 2022 - A weighting methodology, described further in Appendix 3, addresses these challenges. IV.