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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
March 01, 2004 - processes or the
delivery of nursing care. … Advances in Patient Safety: Vol. 4
380
degree, patient-to-nurse ratios, and/or hours of nursing care … :18–20
• Unfinished or incomplete care … care setting or
administrative versus patient care nurse staffing. … and practice on positive patient
outcomes.25
• Focus on the patient care unit or episode of care
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/coursemgmt.pdf
January 01, 2007 - care. … but
are vital to care planning or
execution (e.g., laboratory, dietary,
environmental services, … , neonatal
ICU, OR, combat care). … It is helpful to
review a list of the course participants and identify their clinical positions or work … Each team will require space to work and talk
together about their Action Plan.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/coursemgmt-cx062819.pdf
January 01, 2007 - care. … but
are vital to care planning or
execution (e.g., laboratory, dietary,
environmental services, … ,
neonatal ICU, OR, combat care). … It is helpful to
review a list of the course participants and identify their clinical positions or work … Each team will require space to work and talk
together about their Action Plan.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - Preventing CAUTI: What to Do When it’s Time for Plan B (November 4, 2014)
Webinar Transcript … leave it to Sarah to talk about next steps when your CAUTI rates aren’t falling, specifically what’s Plan … The participants that we’ve been interviewing have included nurse managers, staff nurses including clinical … Sanjay Singh: Thank you Kathlyn and Sarah for that overview of what to do in terms of Plan B, first … it can be modified to prevent CAUTI in the long-term care setting.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-transcript.pdf
September 01, 2015 - You should also perform clinical assessments for signs/symptoms of a UTI. … CAUTI in the intensive care unit or ICU, as well as
methods to mitigate the risk of CAUTI. … CAUTI, in the intensive care unit, or ICU, as well
as methods to mitigate the risk of CAUTI. … Last, engaging the family was important, as family members can reinforce the plan of care. … CAUTI, in your intensive care unit, or ICU.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - step or decision) rather than judgmental (i.e., the wrong plan of
action or decision taken for a patient … Thirteen of the 16 (81 percent)
involved errors of judgment, (i.e., an inappropriate or incorrect plan … inappropriate plan of action for a
patient’s care) and resulted in the residents’ failure to do something … not associated with shortcomings in resident clinical knowledge or technical
acumen. … that redistribute
the clinical work to other health care personnel, so that residents and attending
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - the use of a wrong plan to achieve
an aim; including problems in practice, products, procedures, and … immediately corrected
clinical documentation that had no reasonably foreseeable potential to cause … handoffs
Missing or wrong information or misinterpretation or information
provided inappropriately … Delayed return to day care.” … reporting the error was also directly
Advances in Patient Safety: Vol. 1
366
responsible for the clinical
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www.ahrq.gov/sites/default/files/wysiwyg/funding/contracts/epc-iv/1-epc-procedures-guide.docx
November 01, 2021 - This use may include a specific healthcare decision, meeting, or clinical practice guideline or recommendation … organizations, purchasers of health care, and others who make health care decisions relevant to the … care, and potential advantages or concerns. … The TEP usually includes one or more clinical providers, methodologists, experts from relevant federal … Content Expert Input
The EPC must gather input from local clinical experts (including primary care providers
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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article12.html
June 01, 2014 - These findings were compared with a manual clinical assessment, which was considered the gold standard … The manual clinical assessment consisted of a direct query of the patient's nurse about the presence … Because nurses provided direct care for IUCs, they generally had visualized the IUC themselves or received … Clinical and economic consequences of nosocomial catheter-related bacteriuria. … National Targets and Metrics Monitoring Progress Toward Action Plan Goals: A Mid-Term Assessment.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
July 01, 2013 - Part I: Health Literacy
Objectives:
Define Health Literacy and Its Implications for Patient Care … Why is it important that I follow this plan? … Engage Patients
and Families1 (continued)
Help the patient and family understand the diagnosis, condition … because they are afraid of soiling linens or incontinence or fall risk:
*
“Men can use an external catheter … Bethesda, MD: Institute for Family-Centered Care, June 2006.
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www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
January 01, 2024 - Brigham Young University
Richard_butler@byu.edu
Kristi Nelson, MBA, RN
Data Manager: Women & Newborns Clinical … Kristi.nelson@imail.org
Cempaka Martial, MStat
Senior Statistical Data Analyst
Women & Newborns Clinical … Because adverse events are
linked to staffing levels, they are often referred to as ‘nurse sensitive’– a condition … One PSI is
Newborn Intensive Care Unit (NICU) admission or neonatal transfer in low-risk primiparous … Medical Care
Review, 37(7), 653-698
Kane, R.
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www.ahrq.gov/sites/default/files/2024-03/lambert3-report.pdf
January 01, 2024 - Analysis Plan
The subjective familiarity of each drug name was transformed into a continuous 0-1 scale … Analysis Plan
The goal of our analysis was to determine the main effects of FWNP, noise, frequency, … the experimental condition. … Ambulatory Health Care Data: NAMCS Description. … Ambulatory Health Care Data: NHAMCS Description.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - Hospitalizations for adverse events associated with medical care, or
medication adverse events, represented … implant, or graft (CCS 237) and complications of surgical procedures or medical
care (CCS 238) were … Complications due to surgical
procedures or medical care accounted for 47 percent (37,605 of 82,041) … Whether one chooses to study all injuries coded as related to medical
care, or only a subset of preventable … These
injuries or adverse events can occur in other types of health care settings, at home,
or elsewhere
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www.ahrq.gov/sites/default/files/2024-05/johnson-ying-report.pdf
January 01, 2024 - nurse to conduct an efficient and accurate assessment of the
patient to determine if the patient’s condition … is emergent, urgent, or non-urgent. … In addition, they can potentially delay care, resulting in significant morbidity
or mortality (Grossmann … to avoid interruptions or mitigate the impact of interruptions on
patient care. … We
plan to use this education in a larger scale throughout the hospital system.
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www.ahrq.gov/research/findings/studies/index.html?page=281
January 01, 2024 - Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or … Survey field tests were conducted with caregivers of youth who were admitted to the ED or inpatient care … The researchers conclude that the time taken to route patients to PSCs or comprehensive stroke centers … teaching, urban and for-profit hospitals still perform disproportionately poorly versus nonteaching or … patient portals, including: (1) patient-provider communication, (2) care plan information, (3) clinical
-
www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
January 01, 2025 - Administrative Core Abstract
Purpose: The purposes of the Admin Core were to 1) provide an annual budget plan … It
provided an annual budget plan and cost analysis to the leadership committee of the University of … outlining the next steps---called
a WWW (What, Who, When) plan. … about care. … Clinical
Nutrition. 2018.
5.Olsen IE, Richardson DK, Schmid CH, Ausman LM, Dwyer JT.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
January 01, 2016 - Secondary diagnosis codes (condition not present at
admission) are used to identify patients with the … The
principal diagnosis (condition present at admission), as well as
secondary diagnoses, are used … of Diseases, Ninth
Revision, Clinical Modification (ICD-9-CM) codes for Selected Infections Due to … to expect that outpatient or physician offices were the setting
for care. … readmission group is 2,611 outpatient or
other ambulatory-care-setting occurrences.
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www.ahrq.gov/research/findings/studies/index.html?page=206
January 01, 2024 - For all by young females, uninsured inpatient discharge rates fell by 39% or greater. … In nonexpansion states, the rates remained unchanged or increased slightly. … or hospitalization; 2) sleep disturbance due to discomfort of their care plan schedule; and 3) sleep … interruption due to the hospital environment or medical care. … Post-discharge mortality of older adults with traumatic brain injury or other trauma.
-
www.ahrq.gov/sites/default/files/2024-10/mchugh-report.pdf
January 01, 2024 - The funding sources had no role in the study design; data collection,
analysis, or interpretation; or … staffing mandate on skill mix is an
important consideration for policymakers in other states as they plan … To
calculate a hospital’s total uncompensated care, I added bad debt and charity care, adjusting
this … considered to be “high-burden”
hospitals, or safety-net hospitals. … Understanding clinical expertise: nurse education, experience, and the hospital
context. Res.