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6341. The Patient Safety Education Project: An international Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
      February 20, 2008 - We will also evaluate practice change, patient outcomes, and practice norms in service delivery settings … These are very different categories from those found in traditional clinical research. … However, skills must eventually be practiced and refined in the clinical setting. … • Clinical practice improvement methodology. • Implementing a guideline. … Instituting new norms of clinical care requires that a community of practice adopt the new behaviors

6342. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a Complicated Case | PSNet
      psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
      October 02, 2013 - errors), and lack of consensus about correct diagnostic process (compared with violations of therapeutic guidelines … Typical estimates place the overall diagnostic error rate in clinical practice in the range of 10%–15% … Results of the Harvard Medical Practice Study II. N Engl J Med. 1991;324:377-384. … Cognitive forcing strategies in clinical decisionmaking. Ann Emerg Med. 2003;41:110-120. … practice.

6343. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60241/psn-pdf
      February 24, 2022 - Regulatory guidelines on PPE, testing, and visitation, for example, while necessary and important, led … on the part of NHs, partially because regulations were changing quickly, and state implementation guidelines … and made recommendations to various federal government groups to improve communication and clarify guidelines … safe and appropriate care to residents with mild and asymptomatic cases Help NH staff implement best-practice … Center for Clinical Standards and Quality/Quality, Safety & Oversight Group. 

6344. Archived: Skin Cancer: Counseling, 2003 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/skin-cancer-counseling-2003
      October 06, 2003 - Mulrow, M.D., M.Sc. * (Clinical Professor and Director, Department of Medicine, University of Texas … (Professor, Department of Family Practice and Department of Preventive and Community Medicine, Fairfax … Guide to Clinical Preventive Services , 2nd ed. … "Sun-Safe Guidelines." American Academy of Family Physicians.  … Skin protection from ultraviolet light exposure: American College of Preventive Medicine Practice Policy

6345. A Strategic Approach for Funding Research: The Agency for Healthcare Research and Quality’s Patient Safety Initiative 2000–2004 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
      January 01, 2004 - practice.1 In January 1999, the U.S. … Patient safety and the changing clinical environment As noted in the IOM report, approximately 3 … Clinical Informatics to Promote Patient Safety (CLIPS). 3. … Clinical Informatics to Promote Patient Safety The Clinical Informatics to Promote Patient Safety ( … . 2) the ability to identify patient safety problems would be enhanced by the availability of data guidelines

6346. Patient Safety Events Involving Opioid Dose Stacking | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
      July 08, 2022 - Risk reduction strategies pertaining to opioid dose stacking include incorporating institutional guidelines … Standardizing opioid prescribing patterns via order sets and institutional guidelines allows everyone … additional support in addressing the multifactorial nature of pain   Hollie Porras, PharmD, BCPS Clinical … American Society for Pain Management Nursing Guidelines on Monitoring for Opioid-Induced Advancing Sedation … Neurology in Clinical Practice, 5 th Edition . Philadelphia, PA: Elsevier/Saunders; 2008.

6347. Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-ahrq-ambulatory-safety-and-quality-program.pdf
      August 09, 2013 - integrated health systems or from organizations with a history of collaboration on data sharing (e.g., practice-based … practice guidelines, clinicians face a challenge in staying abreast of current knowl- edge of prevention … the information as accessible and useful as possible, highlighting the difficulty of this type of practice … The team focused on workflow issues, supporting each practice in iden- tifying and prioritizing hazards … http://www.ahrq.gov/clinic/tp/caregaptp.htm http://www.ama-assn.org/ama/pub/physician-resources/clinical-practice-improvement

6348. AHRQ EvidenceNOW: Building State Capacity: Interim Evaluation Report II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-2.pdf
      July 01, 2024 - Similarly, getting buy-in from clinical leadership and engaging clinical leaders as part of the implementation … staff about the impact of the clinical interventions. … Similarly, getting buy-in from clinical leadership and engaging clinical leaders as part of the implementation … • Local regulations Local guidelines or regulations related to the QI effort or implementation • Sustainability … policy and regulations (governmental or other central entity), external mandates, recommendations and guidelines

6349. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49783/psn-pdf
      February 01, 2017 - Appreciate that order sets may encourage a mechanistic focus that may prevent a deeper consideration of clinical … The combination of large volumes of information, inappropriate application of her usual practice (giving … If the usual practice for most patients is to "check all the boxes," then it is unlikely that we will … Published guidelines on the development of standard order sets should be followed. Anthony C. … Guidelines for standard order sets. P T. 2014;39:10-11,50.

6350. Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
      July 01, 2023 - Hospital AIM Team Leads SPPC-II SCRIPT Here, we will delve into a clinical scene relating back to our … Why would it be a good practice to share the experience with other team members? … Organizations should develop guidelines for acceptable behaviors to assist staff in better identifying … It’s possible for both parties to be right, but if you can back your position up with clear best practice … 40 Practice DESCR ~10 minutes Find a partner. Imagine again that you are Dana, and Dr.

6351. Computer Automated Developmental Surveillance and Screening | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/computer-automated-developmental-surveillance-and-screening
      January 01, 2023 - Indianapolis Indiana Project Dates 06/01/2009 - 05/31/2013 Technology Clinical … developmental surveillance and screening (DSS) module was added to CHICA, a CDS system that delivers relevant guidelines … A six-year repeated evaluation of computerized clinical decision support system user acceptability. … Decision Support System Population: Clinical Staff/Clinician Experience with decision support … Use of a computerized decision aid for developmental surveillance and screening: a randomized clinical

6352. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49440/psn-pdf
      March 01, 2004 - educational criteria (except in pathology), the dropping of minimum autopsy rates from regulatory guidelines … Clinical correlation is advised." … Autopsy consent practice at US teaching hospitals: results of a national survey. … Analysis of inaccuracies in clinical diagnoses and their significance. … Autopsy diagnoses of malignant neoplasms: how often are clinical diagnoses incorrect?

6353. Autopsy Revelation | PSNet
      psnet.ahrq.gov/web-mm/autopsy-revelation
      December 01, 2007 - postgraduate educational criteria (except in pathology), the dropping of minimum autopsy rates from regulatory guidelines … Clinical correlation is advised." … Autopsy consent practice at US teaching hospitals: results of a national survey. … Analysis of inaccuracies in clinical diagnoses and their significance. … Autopsy diagnoses of malignant neoplasms: how often are clinical diagnoses incorrect?

6354. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49670/psn-pdf
      November 01, 2012 - CAP), resulting in significant morbidity, mortality, and a total cost of more than $10 billion.(1) Guidelines … A thorough history and physical exam must be combined with sound clinical judgment to differentiate … For example, several well-validated clinical prediction rules have been combined with measurement of … This particular patient's Wells clinical prediction tool for PE results in a score of 1.5 (points are … Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management

6355. Section 5: Selecting a Care Management Program Model | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm5.html
      October 01, 2014 - Medical or Clinical Director. … For example, a care management vendor can hire a medical or clinical director, and a State can hire an … Illinois requires its vendor to have on staff a medical director, licensed in Illinois to practice medicine … guidelines and treatment protocols for members. … General evaluation guidelines included the following: Evaluation by section is more effective than

6356. How CAHPS Surveys Measure Patient Experience | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/news-and-events/podcasts/measure-patient-experience-podcast.html
      March 01, 2017 - We're not asking patients to evaluate the technical quality of their clinical care, since that information … We at AHRQ are committed to ensuring that the CAHPS surveys and administration guidelines are based on

6357. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet
      psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
      January 29, 2021 - recognized early, providers can initiate early life-saving treatments and management. 12 According to guidelines … increases by 8% and mortality increases by 4-9%. 12,13 In addition to antibiotic therapy, the sepsis guidelines … Diagnostic errors and the bedside clinical examination. … Society of Critical Care Medicine Consensus Conference: definitions for sepsis and organ failure and guidelines … Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock 2021.

6358. Milliliters vs. Milligrams | PSNet
      psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
      September 01, 2004 - Consequently, additional safeguards, such as computerized prescriber order entry (CPOE) with real-time clinical … Finally, clearly defined standards of practice in medication dispensing procedures should be in place … Poole, PharmD Director of Pharmacy, Lucile Packard Children's Hospital at Stanford Clinical Professor … Medication error prevention by clinical pharmacists in two children's hospitals. … Guidelines for preventing medication errors in pediatrics.

6359. Liquid-Based Cytology and Human Papillomavirus Testing to Screen for Cervical Cancer: A Systematic Review for the U.S. Preventive Services Task Force (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/_9KLmyQyMnoE3agQJsgNE-
      November 01, 2011 - European Guidelines for Quality Assurance in Cervical Cancer Screening. 2nd ed. … ACOG Committee on Practice Bulletins—Gynecology. … practice. … National Institute for Health and Clinical Excellence. The Guidelines Man- ual. … London: National Institute for Health and Clinical Excellence; 2006.

6360. Point-of-care Mixup: 1 Shot Turns Into 3 | PSNet
      psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
      February 14, 2024 - the immunization process.( 5 ) Doubt and suspicion often color, and even disrupt, evidence-supported practice … case, the nurse's error owed, at least in part, to a systemic problem of vaccine management within the practice … Where there is uncertainty, advice line services can improve the accuracy and quality of immunization practice … Reducing pain during vaccine injections: clinical practice guideline. CMAJ. 2015;187:975-982. … Reducing immunization discomfort in 4- to 6- year old children: a randomized clinical trial.