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2981. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
      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 … Stratification of Unstable Angina Patients Suppress Adverse Outcomes with Early Implementation of the ACC/AHA Guidelines … and administrative Hospital clinical data Hospital clinical data HCUP-NIS Number of Cases … Meta-analysis in clinical trials.

2982. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
      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 … Stratification of Unstable Angina Patients Suppress Adverse Outcomes with Early Implementation of the ACC/AHA Guidelines … and administrative Hospital clinical data Hospital clinical data HCUP-NIS Number of Cases … Meta-analysis in clinical trials.

2983. A Conceptual Framework for Studying the Safety of Transitions in Emergency Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
      January 01, 2004 - clarify future studies, while assisting in the development of interventions to better fit the context of clinical … This practice leads to transitions in the care of individual patients when the physicians or nurses … No prescriptive standards or guidelines exist for shift changes and, with rare exceptions, they have … coming on-shift made notes, but there was little structure or standardization among individuals in this practice … Connected Line Flow, Assembly Line Process Continuous Flow Process None None General Medical Practice

2984. The Relationship Between Hospital Workload and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
      January 01, 2024 - has caused hospitals to become crowded during busy times of the year, in many cases leading to the practice … team put together an evidence-based case definition for each AE that was guided by the literature and clinical … guidelines. … conversations with academic surgeons; postoperative myocardial infarction was directed by the AHA’s guidelines … Last, information about the data source for each significant clinical observation was collected.

2985. Getting Started Laying the Groundwork Coordination for Implementing Automatic Referral & Effective Care
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-slides.pptx
      December 31, 2022 - 8 The Purpose of TAKEheart The purpose of TAKEheart is to close the gap between CR evidence and practice … annually in the United States." 9 The purpose of TAKEheart is to close the gap between CR evidence and practice … 1a recommendation (AHA/ACC) for MI & CABG 15 Overwhelming evidence has led to numerous national guidelines … benefits to hospitals/health systems, patients, and payers to closing the gap between evidence and practice … Here is a helpful resource on clinical champions: https://www.health.nsw.gov.au/wohp/Documents/mc3-clinical-champions-mcneil.pdf

2986. Final Report: GestureClean: A Touchless Interaction Language for the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/wachs1-report.pdf
      January 01, 2020 - Co-Investigators: • Richard Rodgers, MD, Assistant Professor of Clinical Neurosurgery at Indiana University … In order to maintain sterility in the OR, it is common practice for a surgeon to convey the image manipulation … First, the experts were shown two practice gesture lexicons from the ChaLearn Gesture Dataset (CGD 2011 … Preference elicitation: Obtaining gestural guidelines for PACS in neurosurgery. … Preference Elicitation: Obtaining Gestural Guidelines for PACS in Neurosurgery.

2987. Final Report: GestureClean: A Touchless Interaction Language for the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/wachs1-report.pdf
      January 01, 2024 - Co-Investigators: • Richard Rodgers, MD, Assistant Professor of Clinical Neurosurgery at Indiana University … In order to maintain sterility in the OR, it is common practice for a surgeon to convey the image manipulation … First, the experts were shown two practice gesture lexicons from the ChaLearn Gesture Dataset (CGD 2011 … Preference elicitation: Obtaining gestural guidelines for PACS in neurosurgery. … Preference Elicitation: Obtaining Gestural Guidelines for PACS in Neurosurgery.

2988. Final Report: GestureClean: A Touchless Interaction Language for the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/wachs1-report.pdf
      January 01, 2024 - Co-Investigators: • Richard Rodgers, MD, Assistant Professor of Clinical Neurosurgery at Indiana University … In order to maintain sterility in the OR, it is common practice for a surgeon to convey the image manipulation … First, the experts were shown two practice gesture lexicons from the ChaLearn Gesture Dataset (CGD 2011 … Preference elicitation: Obtaining gestural guidelines for PACS in neurosurgery. … Preference Elicitation: Obtaining Gestural Guidelines for PACS in Neurosurgery.

2989. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
      April 22, 2004 - Human factors engineering methods and design guidelines have been slowly adopted in health care for … problems, and they contribute to the slow diffusion of human factors engineering methods and design guidelines … Questions and guidelines presented in steps 2 and 4 should be used to develop the data collection tools … The nature of adverse events in hospitalized patients: results of the Harvard Medical Practice Study … Considerations for sociotechnical design: experiences with an electronic patient record in a clinical

2990. Final Progress Report: A Memory-Based Approach to Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
      January 01, 2024 - administration from the prescribed medication order, preparation and dispensing instructions, or regulatory guidelines … Demographic Information About Participants Demographic Sample Size/Number Gender Female 13 Male 1 Practice … certifications b) Total experience as a nurse (excluding preceptor) i) Total experience at MedStar (1) Clinical

2991. Healthier Pregnancy: Tools and Techniques to Best Provide ACA-Covered Preventive Services Provider Fact Sheet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/healthier-pregnancy/documents/intimate-partner-violence-provider-fact-sheet.pdf
      December 01, 2013 - existing tools for assessing intimate partner violence (IPV) and sexual violence (SV) victimization in clinical … Violence provides index of health and domestic violence related materials, including Affordable Care Act guidelines

2992. 2018 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
      October 01, 2019 - research on a broad range of health policy issues, including cost and quality of health services, medical practice … protocols for sampling, data collection, coding and submission can be found in the HHCAHPS Protocols and Guidelines … for sampling, data collection, coding and submission can be found in the HCAHPS Quality Assurance Guidelines … QIOs encourage hospitals to submit clinical performance data to the national QIO clinical warehouse. … Records are sent to the Clinical Data Abstraction Center, where trained abstractors abstract each clinical

2993. Detection of Methicillin-Resistant Staphylococcus aureus (MRSA) From Multiple Body Sites of Residents at Long-Term Care Facilities | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article15.html
      June 01, 2014 - Classification Trees to Electronic Data Flexible Interventions to Decrease Antibiotic Overuse in Primary Care Practice … residents in a way that does not interfere with the desired lifestyle and thereby reduce their risk of MRSA clinical … reaction (PCR), is sufficient in long-term care because this approach led to a 70 percent reduction in clinical … comprehensive MRSA control program, we only test the nares and have achieved a 70 percent reduction in clinical … epidemiology of methicillin-resistant and methicillin-susceptible Staphylococcus aureus isolates from global clinical

2994. Detection of Methicillin-Resistant Staphylococcus aureus (MRSA) From Multiple Body Sites of Residents at Long-Term Care Facilities | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article15.html
      June 01, 2014 - Classification Trees to Electronic Data Flexible Interventions to Decrease Antibiotic Overuse in Primary Care Practice … residents in a way that does not interfere with the desired lifestyle and thereby reduce their risk of MRSA clinical … reaction (PCR), is sufficient in long-term care because this approach led to a 70 percent reduction in clinical … comprehensive MRSA control program, we only test the nares and have achieved a 70 percent reduction in clinical … epidemiology of methicillin-resistant and methicillin-susceptible Staphylococcus aureus isolates from global clinical

2995. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16658-Gallagher-report.pdf
      January 01, 2009 - ensure there are no extra charges related to error We’ll try to fix it Policy: appeal to policies or guidelines … Disclosing unanticipated outcomes to patients: The art and practice. … Clinical Crossroads: A 62-year-old woman with skin cancer who experienced wrong site surgery. … Talking with patients and families about medical error: A guide for education and practice. … Disclosing unanticipated outcomes to patients: The art and the practice.

2996. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
      January 01, 2024 - ensure there are no extra charges related to error We’ll try to fix it Policy: appeal to policies or guidelines … Disclosing unanticipated outcomes to patients: The art and practice. … Clinical Crossroads: A 62-year-old woman with skin cancer who experienced wrong site surgery. … Talking with patients and families about medical error: A guide for education and practice. … Disclosing unanticipated outcomes to patients: The art and the practice.

2997. Continuity of Insurance: Coverage Presumed Eligible (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-154-fullreport.pdf
      July 01, 2018 - Measure Topic – clinical quality: No. j. Measure Topic – patient safety: No. k. … If 10 sufficient evidence existed for the use of immunization registries in practice or at the … ethnicity variable reported in the MAX data and classified based on Office of Management and Budget guidelines … Provider Level Practice, group, or facility:** Can compare: (i) practice sites; (ii) medical or other … Measuring social class in U.S. public health research: Concepts, methodologies, and guidelines.

2998. Continuity of Insurance: Coverage Presumed Ineligible (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-fullreport.pdf
      September 01, 2018 - Measure Topic – clinical quality: No. j. Measure Topic – patient safety: No. k. … ethnicity variable reported in the MAX data and classified based on Office of Management and Budget guidelines … 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 … Measuring social class in U.S. public health research: Concepts, methodologies, and guidelines.

2999. Continuity of Insurance: Informed Participation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-fullreport.pdf
      May 23, 2018 - Measure Topic – clinical quality: No. j. Measure Topic – patient safety: No. k. … If sufficient evidence existed for the use of immunization registries in practice or at the State … ethnicity variable reported in the MAX data and classified based on Office of Management and Budget guidelines … Provider Level Practice, group, or facility:** Can compare: (i) practice sites; (ii) medical or other … Measuring social class in U.S. public health research: Concepts, methodologies, and guidelines.

3000. How are CHIPRA quality demonstration States improving perinatal care? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight12.html
      May 01, 2015 - provide technical assistance to providers to ensure their compliance with evidence-based perinatal care guidelines … recommendations of the American Congress of Obstetricians and Gynecologists, the PCQT identifies the minimum core clinical