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2041. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
      June 01, 2018 - Variation of Services: There are significant variations in the practice of medicine across the United … The use of NIH guidelines has led to a 100-percent increase in the use of a drug to prevent death among … In the landmark Harvard Medical Practice Study of hospitals in New York State, adverse events, where … Variation in Services There are significant geographic differences in practice that cannot be accounted … by differences in the health status of patients, available resources, patient preferences, or even clinical

2042. Final Progress Report: Identifying Unnecessary Irradiation of Patients With Suspected Renal Colic (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/moore-report.pdf
      January 01, 2024 - Structured Abstract Purpose: To derive and validate an objective clinical prediction rule for the … Phase 1 and 2: retrospective derivation and prospective validation of a clinical prediction rule for … Clinical and policy implications In deriving and validating this clinical prediction rule (rather than … In 2011 the European Urology Association released comprehensive guidelines on urolithiasis in which … investigator looking at reduced dose CT for renal colic noted that to put these reduced dose protocols into practice

2043. Building, Implementing, and Troubleshooting an Automatic Referral for Cardiac Rehabilitation
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
      December 31, 2022 - Both IT and clinical staff share important roles in the design of your AR process. … done in a collaborative fashion with clinical subject matter experts. 11 Keys To Success: Action … Chronic stable angina Chronic stable heart failure Ejection fraction=<35% Outpatient referral Medicare guidelines … The visit diagnosis often indicates the ICD-10 code for a clinical encounter. … is to target those departments and specialties that make the most sense: internal medicine, family practice

2044. Final Progress Report: Mining complex clinical data for patient safety research (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
      January 01, 2024 - Final Progress Report: Mining complex clinical data for patient safety research Principal Investigator … Clinical repository The clinical repository comprises 15 years of data on 2.5 million patients, including … Promoting patient safety and enabling evidence-based practice through informatics. … An informatics infrastructure for patient safety and evidence-based practice in home healthcare. … Enabling patient safety and evidence-based practice through informatics.

2045. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults-references.html
      September 01, 2024 - Introduction Unique Challenges in Approaching Diagnostic Safety in Older Adults Implications for Practice … Borderline personality disorder: a comprehensive review of diagnosis and clinical presentation, etiology … Clinical Practice Resources & Guidelines. 2024.  … Multimorbidity in general practice: prevalence, incidence, and determinants of co-occurring chronic and … Age-related hearing loss and communication breakdown in the clinical setting.

2046. Timeliness of Confirmatory Testing for Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-132-fullreport.pdf
      January 23, 2017 - Measure Topic – clinical quality: Yes. j. Measure Topic – patient safety: No. k. … If sufficient evidence existed for the use of immunization registries in practice or at the State level … The evidence predominantly consists of clinical guidelines and expert consensus. … For the purpose of this section, please refer to the definitions for provider, practice site, medical … Provider Level Practice, group, or facility:** Can compare: (i) practice sites; (ii) medical or other

2047. Appendix 2: CED Compiled Public Comment Themes (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
      June 02, 2025 - practice. … Benefits and risks across diverse clinical populations in diverse clinical settings, without imposing … practice, patient heterogeneity Guardant Health Life sciences industries to have also been included … practice Too many revised requirements Consider prioritizing the requirements by importance and allowing … Benefits and risks across diverse clinical populations in diverse clinical settings, without imposing

2048. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
      July 05, 2023 - However, there would be insufficient clinical detail in the data to reward or disincentivize a spe- cific … SinghH, GraberML, Hofer TP.Measures to improve diagnostic safety in clinical practice. … Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice … Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER … Developing electronic clinical quality measures to assess the cancer diagnostic process.

2049. Chapter 6. Measure Maps and Profiles (continued, 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6a.html
      June 01, 2014 - assess validity and feasibility using a variation of the RAND/UCLA Appropriateness Method for developing guidelines

2050. Family Experiences with Coordination of Care (FECC) Measure Set (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fullreport.pdf
      March 01, 2018 - Measure Topic – clinical quality: Yes. j. Measure Topic – patient safety: Yes. k. … Provider Level Practice, group, or facility:** Can compare: (i) practice sites; (ii) medical or other … Clinical practice guidelines development: Methodology perspectives. … Identification of limited English proficient patients in clinical care. … Patient-centered plan-of-care tool for improving clinical outcomes.

2051. Central Venous Catheter Indications and Alternatives Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives-notes.docx
      April 01, 2022 - alternatives to indwelling urinary catheters are appropriate in the ICU setting by reviewing existing guidelines … This module will address alternatives to the indwelling urinary catheter and tools to improve clinical … alternatives available to provide bladder management and output measurement have contributed to this practice

2052. Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
      January 01, 2024 - This study examined a clinical fall-prevention intervention targeted at adults with intellectual disability … This study examined a clinical fall- prevention intervention targeted at adults with intellectual disability … Onward program had the option of participating in the research portion by having their data from this clinical … participate in the study by having their data shared with UMMS researchers for aggregate analysis of their clinical … Journal of Policy and Practice in Intellectual Disabilities, 3, 136-138.

2053. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/haccost2017.html
      November 01, 2017 - can be effectively addressed and prevented through training, adherence to evidence-based treatment guidelines … For example, both AHRQ and CMS encourage the practice of evidence-based quality and infection control—including … However, PSIs have been criticized for their reliance on claims rules instead of clinical criteria for … Because of increased access to clinical data and questions about whether existing HAC definitions can … fully capture the incidence of a given HAC, AHRQ has revised its definitions to incorporate clinical

2054. Antibiotic-Targets-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
      June 01, 2021 - around 8 p.m. and are placed into the chart with no notification to the clinician or other daytime clinical … Any practice described in this presentation must be applied by health care practitioners in accordance … These practices are offered as helpful options for consideration by health care practitioners, not as guidelines

2055. Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
      November 01, 2016 - factors promoting the adoption of the most important healthy lifestyle behaviors and having effective clinical … I still practice in a Federally Qualified Health Center, but what's so great is that the National Quality … We see this very much as a clinical-community collaboration, where the conversation starts in the faith … delivery and reimbursement payment models, that people are more and more interested in combining these clinical … So those are all sort of clinical definitions and criteria for out-of-control asthma.

2056. Access to Outpatient Child and Adolescent Psychiatrists, Neurodevelopmental Pediatricians, and Developmental-Behavioral Pediatricians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-236-fullreport.pdf
      October 01, 2018 - Health screenings are mandated by the EPSDT guidelines, under which States are required to arrange ( … Provider Level Practice, group, or facility:** Can compare: (i) practice sites; (ii) medical or other … certification or clinical expertise and experience. … practice, and completeness of outpatient visit data. … Practice parameters and financial factors impacting developmental-behavioral pediatrics.

2057. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
      December 01, 2017 - We have Diane Byrum who is a critical care clinical nurse specialist with 30 years of experience as a … Also, how using evidence-based guidelines that are on the collaborative websites could be very important … Clinical education, wound care, supply chain was involved and our senior leaders and administration. … Our practice is not gel in and gel out. It is gel in and wash out. … It's based of the guidelines. They sent that to infection prevention and to the nurse manager.

2058. Final Progress Report: ED Staffing and Patient Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/bickell-report.pdf
      January 01, 2024 - site with the highest percentage of adverse events caused by negligent care in the Harvard Medical Practice … Using detailed clinical and time data collected in the previously AHRQ-funded project, “Assessing the … Detailed clinical and time data on the patients from the prior study were collected through medical … Results of the Harvard Medical Practice Study II. N Engl J Med 1991;324:377-84. 2. … Guidelines for Emergency Department Physician Staffing. Ann Emerg Med 1984;13:1165-66. 3.

2059. Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
      July 28, 2016 - Some of the tools are adaptations of best-practice approaches to make them more relevant to the Medicaid … Best practice is to share this assessment with “receiving” providers in the community. … Developed based on the *May 17, 2013, Centers for Medicare & Medicaid Services updated interpretive guidelines … Your hospital social workers, especially recent hires from plans or community practice or agencies. … take lead on transitional care planning] [Patient-Centered Medical Home 2] [Point person] [XXX] [Practice

2060. 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 - existing approaches to anti-coagulation control are cumbersome and have proved difficult to implement in practice … Baseline clinical data are obtained by chart review. … its impact on their work as well as the effects of the research project (and its related tasks) on practice … If and when WARFDOCS is integrated into clinical practice, future clinician–users will be expected to … Selection bias and treatment heterogeneity in clinical trials.