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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
January 17, 2025 - Provide new or significant updates on activities federal participants have undertaken
related to improving … Plan with conclusions and working assumptions
that will guide the patient’s treatment and recommendations … www.fda.gov/medical-devices/letters-health-care-providers/disruptions-availability-bd-bactec-blood-culture-media-bottles-letter-health-care-providers … enterprise clinical performance. … Summary
General Updates
Group Discussion on AI: Summary of Agency Work in of AI and Key Question or
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www.ahrq.gov/news/newsletters/e-newsletter/906.html
March 01, 2024 - Review additional new publications in PSNet’s current issue or access recent cases and commentaries … Systems-Based Approaches to Improve Patient Safety by Improving Healthcare Worker Safety and Well-Being (R01 Clinical … admission from the emergency department in patients with acute heart failure: the SSU-AHF randomized clinical … @ahrq.hhs.gov or (301) 427-1998. … Update your subscriptions, modify your password or email address, or stop subscriptions at any time on
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - Clinical conditions for which intermittent straight catheters or external catheters would be appropriate … clinical criteria. … Plan for succession of CAUTI team members and physician champions (e.g., term limits with automatic transfer … Plan for celebrations along the journey to thank staff for the wonderful patient safety culture improvements … Ordering cultures should be based on the clinical evaluation of the patients for potential sources of
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www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
January 01, 2024 - Page 7
It is clear that a physician or paramedic intoxicated to a BAC of 0.10% would pose a patient-care … A given subject is assigned to Set 1, 2, or 3 to be
tested in any of six treatment condition sequences … Journal of Clinical Monitoring 1987;3(1):22–24.
Dinges DF, Kribbs NB. … Alcoholism: Clinical and Experimental Research 2003;27(9):1442-1450. … Alcoholism: Clinical and Experimental Research 1995;19:1141-1146.
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www.ahrq.gov/sites/default/files/publications/files/planningtool_0.pdf
January 01, 2016 - Culture
PATIENT
SAFETY
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care … Also think about informal leaders in clinical and
nonclinical positions. … to answer when
developing an action plan for your organization, facility, unit, or department. … quality of care;
Priorities that staff and leadership would support;
The expected positive impact … Find out what
initiatives other health care organizations, or
high-performing units in your organization
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www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
April 01, 2013 - It maps out a plan of care. It allows the team to learn names, assignments, and responsibilities. … You, as a clinician, based on your clinical findings, are going to make recommendations for care, whether … knowledge to plan very good care. … Calling clinical engineering or borrowing and then making sure that you know where everything is. … even further need to page the resident for a plan of care because you've already discussed that.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp1.pdf
January 01, 2009 - This report may be used, in whole or in part, as the basis for the development of clinical
practice … multidisciplinary research team ................................................................... 5
Plan … related topics and provide input during the peer review process.
5
Plan … Diabetes Care
2007;30(8):2154-63.
8. … , cohorts, cross-over
and non-randomized
comparison studies; ≥5
subjects in soy arm; any
health condition
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-intro-methods.pdf
December 01, 2021 - Modifications have been made when clinical recommendations have changed. … For
example, clinical recommendations often set new target levels or recommended
frequencies for specific … Utilization Project (HCUP)
• Medical Expenditure Panel Survey (MEPS)
• CAHPS® Database – CAHPS® Health Plan … use of medicines prescribed by a doctor; the need or use of
more medical care, mental health care, … Due to the change
from ICD-9-CM to ICD-10-CM codes, the chronic condition data are not available in
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
September 08, 2015 - , and
document plan-do-study-act (PDSA)
cycles using the quality-of-care concepts
established by the … Practices in both States grappled
with clinical documentation
limitations and worse-than-expected … Physicians who
paid proper clinical attention to a matter
were displeased when documentation
did not … the EHR functionality
that supports appropriate clinical
workflow and decision support. … Measures may be updated or retired
by their stewards as technical specifications
are changed, new clinical
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www.ahrq.gov/sites/default/files/2024-10/sills-report.pdf
January 01, 2024 - To reduce
the chances that our findings would also be single-condition specific, we chose to use two … These were
selected based on the prevalence of the condition, the clinical importance of timely care … Exam variables included the two condition-
specific scores—asthma score and pain score. … or access. … There may be good clinical and business cases for targeting high
occupancy or turnover as a “never event
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www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
March 01, 2016 - use or cost-
reduction, and timely uptake of new clinical advances. … A growing
number have either developed or plan to develop some kind of provider feedback report. … system or heath plan can create on its own; and (4)
consumers are one of the key stakeholders at the … frequent hospitalizations) or specialize in a narrow clinical area (e.g., diabetes care). … Whether the structure is based on “plan, do, study, act”
(PDSA), “Six Sigma,” or another quality improvement
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www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
January 01, 2024 - Both computerized physician order entry and ward-based clinical
pharmacists have been shown to decrease … All suspected errors were rated by two independent reviewers blinded as to study
condition. … Medical Condition. … anticipate similar improvements in both units here, but differences in the nature
of the implementation plan … Clinical Orthopaedics & Related Research 2006;
449:116-27.
2.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
January 01, 2025 - , restrictions or copayments … enhance the calm, healing aspects of the setting, where advanced
technologies will support clinical … Stress exacerbates all known clinical conditions, increases staff fatigue, and
contributes to errors … Clinical processes will be probed with in situ simulations in actual clinical
environments. … The first six visions place emphasis on design or redesign efforts, whether they are clinical
processes
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www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/share-facilitator-guide.pdf
October 01, 2024 - of the SHARE Approach suggests that the training is most
relevant for those who see patients in a clinical … activity, the person taking on the patient role will invent their own patient
persona, based on their clinical … o Plan to display decision aid on audio-visual equipment if you have it. … Help your patient explore and compare treatment options
> What have you heard or read about [condition … or treatment]?
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide3.html
February 01, 2016 - Analyze Care Delivery
Chapter 3. Outline the Evidence and Identify Best Practices
Chapter 4. … This information is likely most useful to the team’s physician lead and/or the facility’s clinical leadership … NICE clinical guideline 92. 13
NICE
2010
National Institute for Health and Clinical Excellence … low-risk medical group, but it may be a substantial proportion of medical inpatients in non-intensive care … guidance about dosing and timing of prophylaxis into order sets, medication administration records, and care
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide3.html
February 01, 2016 - Analyze Care Delivery
Chapter 3. Outline the Evidence and Identify Best Practices
Chapter 4. … This information is likely most useful to the team’s physician lead and/or the facility’s clinical leadership … NICE clinical guideline 92. 13
NICE
2010
National Institute for Health and Clinical Excellence … low-risk medical group, but it may be a substantial proportion of medical inpatients in non-intensive care … guidance about dosing and timing of prophylaxis into order sets, medication administration records, and care
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp2.pdf
March 01, 2009 - This report may be used, in whole or in part, as the basis for the development of clinical practice … Clinical Outcomes
Clinical outcomes can be perceived by a study subject, and their improvement (or … ODS-designated liaisons helped plan the activities and participated as observers
and resources to the … Clinical outcome is a measure of how a patient (or study subject) feels, functions, or survives; or … a clinical measurement of the incidence or severity of a disease (e.g., diagnosis of disease).
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-30-teams.pdf
September 01, 2015 - Discuss how this work may differ based on the size of the practice and the type of team
(clinical vs … one or more of their patient care teams. … with helpers” or “I” model of care to a “share the
care” or “we” approach. … You can then work with them to plan and
implement interventions to better align their structure and … The system may not be configured to support team-
based care or key functionalities may be missing or
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
August 01, 2022 - claim or lawsuit. … Eleven of the 20 cases with a claim or lawsuit involved substandard care and causation, and the hospital … questionnaire, or initiate a report to the hospital or a higher authority (i.e., a medical board or … Harm and clinical measures. … treatment plan, or evidence of a completed plan.
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - approval or clinical
deployment. … approval or clinical
deployment. … approval or clinical
deployment. … approval or clinical
deployment. … approval or clinical
deployment.