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Total Results: 1,951 records

Showing results for "clinical condition or care plan".

1741. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
      January 01, 2024 - Human factors techniques were used to plan and evaluate the technology design and implementation of … The pump sent alerts to users based on the user programming a medication dose or bolus rate above or … issue, air-in-line alarm/issue, pump design/performance), apparent inadequate/ improper training, a clinical … for analysis, lack of contextual information about the event, the experience level of the user, the condition … “Using failure mode and effects analysis to plan implementation of smart i.v. pump technology,” American

1742. Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
      January 01, 2024 - patients who: 1) were less than 18 years of age on the index date; 2) had less than 365 days of KP health plan … Association of DOAC vs warfarin use and major clinical outcomes, by DOAC management model. … We plan to disseminate our results internally to several stakeholder groups at Kaiser Permanente, including … What do you plan to do during the next reporting period to accomplish the goals? … The role of clinical pharmacy anticoagulation services in direct oral anticoagulant monitoring.

1743. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
      October 01, 2024 - Susan’s condition worsens, but the nurses are hesitant to contradict the surgeon and delay before escalating … Consider all factors, or holes in the system, that led to this outcome. … Estimating health care-associated infections and deaths in U.S. hospitals, 2002. … Multistate point-prevalence survey of health care-associated infections. … Framework for analyzing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-7.

1744. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
      March 27, 2008 - The Institute of Medicine (IOM) report, To Err is Human,13 recommended mandating and standardizing clinical … ) registered nurses, certified registered nurse anesthetists, OR clinical nurse specialists, nurses, … unit; ICU = intensive care unit; PACU = post-anesthesia care unit Among cases reported from the … Another case, involving a change in the surgical plan, could have been avoided by restarting the verification … A case of a wrong-rib resection was a true operative mistake, although clinical guidelines—such as using

1745. National Opportunity To Improve Infection Control in ESRD (NOTICE) Phase Two Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
      September 29, 2014 - Call Four Culture of Safety, Clinical Care 1/28/13 Review Committee Call Five Patient and Family Engagement … Care, Part One 56 4/17/2013 Clinical Care, Part Two 47 5/8/2013 Culture of Safety, Part Two 74 5/ … Care Module Two Clinical Care Module One Participants who responded “excellent” or “good” when rating … A revised dissemination plan resulted; NOTICE project staff aimed to present or attend at least three … The use of icebreakers on calls, small group activities in advance with a plan for interaction on the

1746. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
      July 01, 2023 - clinicians and patients to discuss forms of watchful waiting or palliative care more openly. … Past research on how patients make attributions regarding clinical encounters shows that it is often … treatment can also be a perfectly reasonable way of “testing” a diagnosis, thereby learning more about the condition … Care transitions. … Using patient reported information to improve clinical practice.

1747. Teach-back: Interactive Module Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/static_teach-back_module.pdf
      January 01, 2013 - care of their health. … ▪ Home care instructions. ▪ Treatment plan. ▪ Recommended behavior changes. … They may be embarrassed or intimidated, or they may think they understand. … Yes So I can be sure we have the same understanding, what else can you do to help your condition? … Medical Care 2009 Aug;47(8):826. 7. Hibbard JH, Greene J.

1748. 2022 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
      October 25, 2022 - NCBD 2021 Adults who needed care right away for an illness, injury, or condition in the last 6 or 12 … needed care right away for an illness, injury, or condition in the last 6 or 12 months who sometimes … as wanted, Medicaid NCBD 2021 Adults who needed care right away for an illness, injury, or condition … who needed care right away for an illness, injury, or condition in the last 6 or 12 months who sometimes … away for an illness, injury, or condition in the last 6 or 12 months who sometimes or never got care

1749. Facilitator-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/facilitator-notes.docx
      March 01, 2017 - Is there something about this process that affects my ability to do my clinical work? … An empowered staff— · Understands how to assess organizational processes on clinical practice and be … This can include channels for advancement or growth in the organization, such as incentive or career … Set a goal, and when that goal is reached, plan a pizza party. … No. 16(17)-0003-03-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care

1750. AHRQ Safety Program for Improving Antibiotic Use: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
      September 01, 2022 - facilities as a Condition of Participation.15,16 However, establishing ASPs is often not enough to … responsible for leading all webinars and office hours, assisting participating sites with stewardship and clinical … Unlike the acute care cohort, many long-term care facilities did not have an existing ASP or were not … selection and included in Moment 3, and Moment 4 addresses the importance of defining a followup plan … Does my patient understand what to expect and the followup plan?

1751. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, April 18, 2025 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-apr2025.pdf
      August 01, 2025 - a special supplement in Academic Emergency Medicine focused on the science of errors in emergency care … in March 2025, includes original reports that focus on all aspects of errors relevant to emergency care … (2) simplifies connectivity for organizations to securely exchange information to improve patient care … CDC, Division of Laboratory Systems Clinical Laboratory Outreach To Advance Diagnostic Excellence … This release is a significant step towards enhancing patient safety; it was informed by the clinical

1752. Final Progress Report: Developing Metrics for Measuring Hospital Response Capability for Mass Casualty Incidents (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/mccarthy2-report.pdf
      January 01, 2024 - selected professionals that had expertise in many different facets of hospital operations, including clinical … Developing the science of health care emergency preparedness and response. … National strategy for health care system preparedness. … Importance of business continuity in health care. … Emergency legal preparedness for hospitals and health care personnel.

1753. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
      January 01, 2024 - This is due in part to the fact that faulty systems or human fallibility during anesthesia care can … Thus, NRE are measures of care processes, which may directly or indirectly affect outcome. … Evaluation of the Role of Clinical Workload in Anesthesia Care. … related (e.g., preoperative and anesthesia records) or unrelated to patient care. … procedures, or in clinical emergency situations.

1754. Primary Care Practice Facilitation Curriculum Module 29: Implementing Care Teams (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-29-implementing-care-teams.pdf
      September 01, 2015 - What can a facilitator do to help practices implement or optimize their care teams? … in one or more of the following activities: 1. … • Are there goals you want to include in your quality improvement (QI) plan based on this exercise? … Elevating the Role of the Medical/Clinical Assistant: Maximizing Team-based Care in the Patient-centered … • Are there goals you want to include in your quality improvement plan based on this exercise?

1755. Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-slides.pptx
      November 01, 2019 - days Proportions of patients with prior MRSA infection (4%) and diabetes (~10%) similar in both arms Clinical … 11% with diabetes Median abscess dimension 2.5 cm S. aureus isolated in > 60% of cases (mainly MRSA) Clinical … signs and symptoms on exam Approaches to change prescribing practices include12 Development of clinical … Effect of cephalexin plus trimethoprin-sulfamethoxazole vs cephalexin alone on clinical cure of uncomplicated … cellulitis: a randomized clinical trial.

1756. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
      January 01, 2024 - Scope: Few systematic studies of sleep deprivation in clinical settings have been conducted. … unit (ICU) and Cardiac Care Unit (CCU) at a tertiary care teaching hospital. … chart reviewers and six physician observers collected data, supplemented by voluntary reports from clinical … Because it was not possible to blind data collectors to study condition, the importance of maintaining … observations passed through a second review stage by two independent investigators who were blinded to study condition

1757. Final Progress Report: Clinical importance of the drug interaction between statins and CYP3A inhibitors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/strom-report.pdf
      January 01, 2024 - THIN is an anonymized electronic medical record database of primary care medical records from the United … To depict each patient's current health status, physician care, and concomitant therapies, laboratory … safety of rosuvastatin in comparison with other statins in over 100 000 statin users in UK primary care … Feasibility Study and Methodology to create a Quality Evaluated Database of Primary Care Data. … Informatics in Primary Care. 2004;12(3):171-177. 31. Lewis JD SR, Bilker WB, Wang X, Strom BL.

1758. Chsp-Bibliography-Update-091223 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-bibliography-update-091223.pdf
      September 01, 2023 - Quality, and Clinical Integration. … Random or Predictable? … High-Price and Low-Price Physician Practices Do Not Differ Significantly on Care Quality or Efficiency … Barriers to Using Clinical Decision Support in Ambulatory Care: Do Clinics in Health Systems Fare Better … Health Systems Offered a Health Plan in 2018. Health Research Brief.

1759. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pptx
      July 01, 2014 - views expressed here are solely those of the authors and do not represent any U.S. government agency or … Clinical Associate Professor Department of Health Policy and Management Boston University School of … Medical Director, Cook Children's Health Plan   Sandral Hullett, M.D., M.P.H. … delivery and clinical processes to meet new requirements and expectations Strengthen their operations … Clinical Associate Professor Department of Health Policy & Management Boston University School of Public

1760. Final Progress Report: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/phillips-report.pdf
      January 01, 2024 - The study involved a clinical simulation scenario that required the CNA to provide personal care to … Diff AHRQ Final Report 5 clinical environment. … each clinical simulation scenario. … processes for a week or longer. … In this study, 1,169 hospital observations were excluded due to missing values for the response or