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461. Establishing a Program of In Situ Simulations: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
     July 01, 2023 - The first set of skills is clinical skills. … Simulation can also be used to train staff on the appropriate clinical management of specific conditions … Event sets can be created by breaking a clinical situation into chunks. … staff, another event set might have to do with selecting and applying clinical treatments to respond … The debrief can be used to clarify quick clinical/technical issues, but individual remediation should

462. Simulation Facguide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.docx
     May 01, 2017 - The first set of skills is clinical skills. … Simulation can also be used to train staff on the appropriate clinical management of specific conditions … Slide 10 SAY: A well-designed simulation scenario has a clinical context appropriate for eliciting … Event sets can be created by breaking a clinical situation into chunks. … staff, another event set might have to do with selecting and applying clinical treatments to respond

463. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-slides.html
     February 01, 2017 - Framework for analyzing risk and safety in clinical medicine. BMJ 1998 Apr 11;316(7138):1154-7. … How can staff and others in the clinical area improve communication? … Framework for analyzing risk and safety in clinical medicine. BMJ 1998 Apr 11;316(7138):1154-7. … clinical area will be harmed? … Framework for analyzing risk and safety in clinical medicine. BMJ 1998 Apr 11;316(7138):1154-7.

464. 27. Summary of Strength of Evidence for Recommendations | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide27.html
     October 01, 2014 - evidence classification Criteria Strength of Evidence = A Multiple well-designed randomized clinical … Strength of Evidence = B Some evidence from randomized clinical trials supported the recommendation … Strength of Evidence = C Reserved for important clinical situations where the panel achieved consensus

465. Part Two: Design of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
     February 01, 2016 - Identifying a clinical focus There are a variety of clinical areas from which to select a focus for … hospitalizations) or specialize in a narrow clinical area (e.g., diabetes care). … The targeted clinical behavior has a low level of baseline performance among physicians, representing … The greater the extent to which measured performance is not aligned with best clinical practice, the … The clinical best practice is based on new evidence.

466. Armstrong, April | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumarm.html
     October 01, 2014 - Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical … Assess the effect of a asynchronous, online model for delivering direct, follow-up dermatologic care on clinical … Armstrong was then awarded a Connetics Clinical Research Fellowship for Improving Access to Dermatologic … She has compiled several instruments for assessing clinical, quality of life, and satisfaction outcomes

467. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/downloads/pub/advances/vol2/pace.pdf
     January 01, 2004 - activities or among the array of error processes within a given clinical area. … activities or errors within specific clinical activity across various types of processes. … activities or by clinical activity across various types for processes. … Finally, we analyzed the data based on clinical constructs (derived construct analysis). … Table 4, derived constructs, represents errors in clinical activities across processes.

468. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
     January 01, 2004 - activities or among the array of error processes within a given clinical area. … activities or errors within specific clinical activity across various types of processes. … activities or by clinical activity across various types for processes. … Finally, we analyzed the data based on clinical constructs (derived construct analysis). … Table 4, derived constructs, represents errors in clinical activities across processes.

469. Vascular Access Device (VAD) Policy, Adult (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
     March 01, 2008 - 3.0 Policy Number IFC035 Effective Date 03/01/2008 The Johns Hopkins Hospital Interdisciplinary Clinical … Defined Clinical Duties Those who, by virtue of their delineated clinical privileges or job description … Has defined clinical duties to insert central VADs (see definition above) 2. … For subclavian, femoral, or internal jugular line placement, the assistant can be a RN, LPN, Clinical … Clinical practice guidelines for vascular access. 7. Rosenthal, K. (2003).

470. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
     February 09, 2005 - White Abstract Clinical decision support (CDS) systems show promise for enhancing patient safety, … Baseline clinical data are obtained by chart review. … It was not that the clinical sites reneged on their commitments. … Anticoagulant-related bleeding: clinical epidemiology, prediction, and prevention. … Selection bias and treatment heterogeneity in clinical trials.

471. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/index.html
     April 01, 2013 - References for Studies in Meta-analyses |  Studies in Meta-analyses - References [ - 230.99 KB] This Clinical … Clinicians [ - 1.08 MB] This Quick Reference Guide for Clinicians presents summary points from the Clinical … Treating Tobacco Use and Dependence: 2008 Update Treating Tobacco Use and Dependence: 2008 Update—Clinical

472. Protection of Human Subjects | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/policies/human-subjects/index.html
     June 01, 2022 - Posting Clinical Trial Informed Consent Form (45 CFR 46.116(h)) The revised Common Rule requires that … for any clinical trial conducted or supported by a Common Rule department or agency, one consent form … Refer to the Office for Human Research Protections (OHRP)’s guidance on Clinical Trial Informed Consent … AHRQ Guidance on Posting Informed Consent Forms for AHRQ-Funded Clinical Trials . … AHRQ Guidance on Posting Informed Consent Forms for AHRQ-Funded Clinical Trials .

473. Section 5, Appendix 1, Tables 1-5 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-section-5-appendix-1-tables-1-5.pdf
     October 22, 2013 - (Recommendation 12) Clinical Standard Clinical Guideline “In those patients with significant weight … consensus; expected to apply more than 95 percent of the time Clinical guidelines: Strong empirical … evidence (nonrandomized controlled trials, cohort or case-control studies), and/or strong clinical … consensus B: Empirical evidence (open trials, case series) or strong clinical consensus C: Single … Journal of Clinical Epidemiology. 66(7):726–35. Guyatt, G.H., A.D. Oxman, G.E. Vist, et al.

474. Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
     April 19, 2008 - However, discipline and provider’s clinical intubation experience remained nonsignificant (Table 2). … Discussion Psychomotor skill is a critical component for crisis management in clinical settings.23, … in a clinical simulation facility. … Randomized clinical trial of virtual reality simulation for laparoscopic skills training. … in a clinical simulation facility.

475. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-slides.pptx
     January 01, 2017 - Framework for analyzing risk and safety in clinical medicine. BMJ. 1998 Apr 11;316(7138):1154-7. … How can staff and others in the clinical area improve communication? … Framework for analyzing risk and safety in clinical medicine. BMJ. 1998 Apr 11;316(7138):1154-7. … area by asking: How do you think the next patient in your clinical area will be harmed? … Framework for analyzing risk and safety in clinical medicine. BMJ. 1998 Apr 11;316(7138):1154-7.

476. Comparative Health System Performance Initiative: RAND Center of Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/about-chsp/centers/rand.html
     July 01, 2019 - high-performing health systems—those systems that can more nimbly translate new research evidence into routine clinical … What mechanisms—such as deploying clinical decision support within health IT and other structural supports … Role of clinical integration and whether organizational integration is associated with clinical integration … Using physician practice site manager and staff surveys, the team is measuring organizational and clinical … systems and will explore the relationships between contextual and organizational factors and levels of clinical

477. Comparative Reports on Physicians | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/resources/comparative-reports/physicians.html
     October 01, 2022 - The clinical quality measures focus on whether the practices are providing appropriate preventive and … The website reports on clinical quality, patient experience, and the general cost of care for more than … Clinical quality measures are reported for asthma care, cancer screening, diabetes care, mental health … Quality assessments are based on clinical quality and patients’ experiences. … in collaboration with the California Healthcare Performance Information System (CHPI) reports on the clinical

478. Section 5, Table 3 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-5-table-3.pdf
     August 01, 2014 - Syndrome Type of Evidence Key Findings Level of Evidence (USPSTF Ranking*) Citations Clinical … Clinical guidelines Although laboratory studies rarely affect the management of septic shock in the … Clinical protocol In the first hour of treatment for pediatric patients diagnosed with septic shock … The clinical status of the patient will determine the extent of the evaluation. … The clinical significance of positive blood cultures: A comprehensive analysis of 500 episodes of

479. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
     November 01, 2019 - Before initiating antibiotics it is important to pause and review all relevant clinical and laboratory … Cultures obtained before antibiotics are initiated are the most useful for making clinical decisions … After more clinical and microbiological data are available and the patient’s clinical trajectory becomes … If clinical improvement is observed and oral antibiotic therapy can be tolerated and is appropriate for

480. Hospital-Acquired Pneumonia (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-one-page.docx
     November 01, 2019 - Hospital-Acquired Pneumonia Hospital-Acquired Pneumonia Diagnosis · Clinical symptoms of … respiratory pathogen recovered · If no sputum cultures have been obtained, de-escalate therapy based on clinical … judgment and individual patient risk factors · After clinical improvement is observed and oral medications … Management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 Clinical Practice … Clinical implications of β-lactam-aminoglycoside synergism: systematic review of randomised trials.