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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
January 01, 2004 - Hannan
Abstract
Objectives: This study examined whether clinical evidence in medical records
confirms … Results: Clinical conditions represented by ICD-9-CM codes used in the
PSI were frequently not present … Development of clinical and economic prognoses from
Medicare claims data. … Identifying
complications of care using administrative data. Med
Care 1994;32(7):700–15.
12. … Does
clinical evidence support ICD-9-CM diagnosis coding
of complications?
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www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
January 01, 2025 - Scope
Background
More than 70% of the medical events that affect or change a patient’s clinical course … the use of a wrong plan to achieve an aim. … Clinical laboratory specimen rejection: Association with the site of
patient care and patients' characteristics … The QA plan at Henry Ford Hospital. … Targeting error at the sharp edge of lab care: patient specimen switches in the anatomic and clinical
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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 - to usual care. … Baseline clinical data are obtained by chart review. … care. … what makes or breaks a project
at any given site. … Decision support and safety of clinical
environments. Qual Saf Health Care 2002;11:69–75.
6.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150917/introducing_the_new_cahps_c&g_survey3.0.pdf
September 01, 2015 - Health Plan Survey back in 1995, but now CAHPS surveys for surgical care, behavioral health, home health … family medicine or primary care. … So as part of that study, there was a real focus on folks who had a chronic condition or something that … a chronic health
condition, such as uncontrolled diabetes or asthma. … , a primary care provider or a specialist provider.
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www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
January 01, 2024 - care
team members and stressing the importance of phased implementation. … Specifically, we plan to a conduct a second round of mentored
implementation with 18 additional sites … In this case, we plan to recruit sites using strict enrollment criteria to
identify those most willing … We plan to engage medication safety experts, HIT experts, the national patient safety community (e.g. … We also plan to train local pharmacists in how to supervise and
certify competency of these personnel
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www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
January 01, 2024 - Drug-ADE screening:
Given the limitations of spontaneous reporting systems (e.g., the FDA AERS), we plan … The design is an interrupted time series with control condition. … Using the methods
described here, the failure rate of a new device in clinical studies, or in the first … Patients were randomly asasigned to receive either usual care or the
intervention; those in the intervention … Med Care 1999;37(12):1214-25.
14. Batrtholow M.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight12.html
May 01, 2015 - Background
Insufficient or inferior perinatal care can result in avoidable complications and poor maternal … units (NICUs) that provide care for infants with severe illness or complex conditions joined the effort … by conference calls with the hospitals to review the reports, address issues, and develop an action plan … recommendations of the American Congress of Obstetricians and Gynecologists, the PCQT identifies the minimum core clinical … degree to which health plans have these processes in place and to develop a performance improvement plan
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
January 01, 2024 - What contributes to diagnostic error or delay? … Do work condition interventions affect quality and errors in primary care? … Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic … Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care … action plan.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
June 01, 2023 - They also do not recognize the imperative for emergency care to focus on clinical
stabilization and … care medicine physician to a medical,
surgical, or primary care physician. … diagnosis,
or anticipated clinical trajectory. … families key areas to prevent problems at home,
■ Educating patients and families about the patient’s condition … Reducing diagnostic error in the intensive care unit. engaging
uncertainty when teaching clinical reasoning
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-5.pdf
January 01, 2014 - how to obtain
health insurance as an adult, and 62%
reported having participated in a
transition plan … needs or
were encouraged to take on appropriate
responsibility. … The aim of this study was to
describe sociodemographic and clinical
correlates of poor glycemic control … with their
parents or doctors. … requesting refills, or
contacting provider between visits.
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www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
January 01, 2024 - Moreover, much of the literature on clinical
communication and care transitions has emphasized clinician-patient … To try to improve clinical handovers, Dr. … These handovers allow a care transition so that anesthesia providers can return to the
OR to anesthetize … quality was assessed by four
indicators: the quality of verbal information about the patient, the condition … to other changes in the patient
population, surgical care, PACU care, or other unknown secular trends
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www.ahrq.gov/chsp/publications/index.html
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. Washington, DC: Mathematica.
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www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
January 01, 2024 - than in many other patient care settings. … tachycardia),
• scenarios related to algorithms for advanced cardiac life support and preceded by a
precode condition … or 5). … the Before Closing or Before Patient Leaves the OR sections of the
checklist, or a combination of the … Int J
Qual Heal Care. 2002;14(4):269-276. PMID:12201185.
5.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
September 03, 2014 - you can
Create independent checks
Learn from defects
The principles of safe design apply to technical/clinical … Create independent checks
Learn from defects
The principles of safe design apply to both technical/clinical … Use comparisons by personnel type such as nurses or patient care technicians, by time period to see where … Develop an action plan for implementation.
How will you know the risk is reduced?
Question 1. … In: National Action Plan To Prevent Healthcare-Associated Infections: Roadmap to Elimination.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
June 01, 2021 - for UTIs.
· Discuss opportunities for de-escalation of antibiotic therapy for UTIs after additional clinical … Large-scale clinical research studies found no increase in morbidity or mortality among residents with … If she no longer has any symptoms, it is reasonable to continue the original treatment plan. … Slide 20
Important to Understand
SAY:
Changing the plan does not reflect poorly on the prescribing … For complicated cystitis, if the resident has a good clinical response, consider stopping after 7 days
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program2.html
April 01, 2018 - Disease-specific focus— programs that focus on patient safety for a specific condition (e.g., diabetes … 36
113
-- Home Care
3
114
-- Ambulatory Clinic or Office
3
115
-- Outpatient … Clinical Area
The Clinical Area data field captures the targeted specialty or specialties for which … As with Setting of Care , many programs did not specify a target clinical area. … Clinical Area and Setting of Care.
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www.ahrq.gov/sites/default/files/2024-07/nuckols-report.pdf
January 01, 2024 - Health Care? … Care complications may result in costly
hospitalizations or procedures. … Studies on children or with limited event detection
methods were excluded. … Clinical quality measures for
electrodiagnosis in suspected carpal tunnel syndrome. … Indications for
performing carpal tunnel surgery: clinical quality measures.
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www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - The 115 articles in the 4-volume set cover a wide range of research paradigms, clinical settings, and … research and methodological focus, the compendium includes articles that address implementation issues or … Safety Culture and Organizational Issues
The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan … Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility ( PDF … Medication Safety
Clinical Pharmacists in Emergency Medicine ( PDF , 116 KB )
Rollin J.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
June 03, 2021 - Best in class diagnostic performance requires both clinical and administrative leadership,19 but
clear … improvement, patient
safety improvement,
organizational return
on investment in
quality, improved
clinical … for diagnostic safety is represented in the interdependent
recommendations from the National Action Plan … Safer Together: A National Action Plan to Advance Patient Safety. … action plan.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
June 03, 2021 - Best in class diagnostic performance requires both clinical and administrative leadership,20 but
clear … improvement, patient
safety improvement,
organizational return
on investment in
quality, improved
clinical … for diagnostic safety is represented in the interdependent
recommendations from the National Action Plan … Safer Together: A National Action Plan to Advance Patient Safety. … action plan.