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6421. Collaborative EHR Implementation to Bridge the Continuum of Care in Rural Iowa (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016156-obrien-final-report-2009.pdf
      January 01, 2009 - electronic health record (EHR) system with computerized provider order entry (CPOE), evidence-based care guidelines … of primary care physicians practicing in the seven CAHs are also affiliated with the primary care practice … Sites had identified trainers and Super Users, staff who had earlier and more hours of training and practice … Because smaller and rural hospitals lack full-time on-site pharmacists on a 24x7 basis, it is common practice … implement a highly sophisticated, comprehensive, integrated EHR system with CPOE, evidence-based care guidelines

6422. Assess-Resident-Uti-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
      June 01, 2021 - Instead, we use clinical signs and symptoms to decide if we should worry about the possibility of a UTI … If a resident is only showing nonspecific signs, like a change in mental status, clinical staff need … the risk of catheter-associated asymptomatic bacteriuria or urinary tract infection, therefore this practice … 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

6423. Undetected Foreign Object | PSNet
      psnet.ahrq.gov/web-mm/undetected-foreign-object
      April 24, 2018 - identified additional risk factors for RSIs ( Table ).( 13 ) Although there are published operating room guidelines … Such technologies are costly, and further clinical and economic analyses should be done to determine … Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months. … Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using … April 27, 2015 Using a data-matrix–coded sponge counting system across a surgical practice

6424. Equity in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/equity-patient-safety
      September 24, 2024 - One such strategy is discussed in the context of clinical medical education : an unconscious bias could … Technology and Equity Tools such as algorithms or pulse oximeters may inadvertently influence clinical … less trustworthy to clinicians than older clinical decision support tools based on expert knowledge … and guidelines. … Among the early outcomes from this project is greater partnership in scholarship and clinical training

6425. 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

6426. Meeting Minutes, July 2020 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2020-07-nac/nacmtg071420-minutes.html
      November 01, 2020 - The reviews will support the development of new clinical guidelines. … AHRQ’s evidence-based practice center(EPC) has been helping to advance clinical decisionmaking in areas … electronically to help improve clinical care. … , advancing the use of clinical decision support, and training the next generation of researchers. … Hospital executives and clinical leaders at times do not have the data needed to make life-saving decisions

6427. 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

6428. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
      January 01, 2024 - interventions (dose reduction, medication change) irrespective of cause, a strategy recommended by the KDIGO Guidelines … What context features might be important determinants of the effectiveness of patient safety practice … The relationship between organisational characteristics and the effects of clinical guidelines on medical … From best evidence to best practice: effective implementation of change in patients' care. … Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group - KDIGO Clinical Practice

6429. Urine a Tough Position | PSNet
      psnet.ahrq.gov/web-mm/urine-tough-position
      January 01, 2009 - One could imagine this error remaining undiscovered until the patient presented months later with clinical … Often, patients deliver throat swabs, lab requisitions, x-rays, and other clinical items to various sites … Therefore, verification of patient identification and proper labeling of specimens, requisitions, and clinical … Then, clinical staff can collaborate to design fail-safe mechanisms for ensuring proper specimen identification … Clear guidelines for this specimen process should be created and processes audited to ensure compliance

6430. Summary of 2nd Comparative Health Systems Performance Initiative Workshop (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-2.pdf
      March 01, 2018 - For example, certain health system attributes, such as organizational culture and clinical integration … For example, two CoEs may have different guidelines about the types and characteristics of systems … providers practice within health systems. … Measures of Clinical, Structural, Financial and Relational Integration (Valerie Lewis, Dartmouth; 1: … Physician and Practice Variation in End-of-Life Care (Mary Beth Landrum, NBER; 2:10– 2:25) b.

6431. 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

6432. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49597/psn-pdf
      February 01, 2010 - Understand the screening, diagnostic, and management guidelines for T2DM in adolescents. … CDC practice guidelines call for a sexual history and testing for sexually transmitted infections and … ISPAD Clinical Practice Consensus Guidelines 2006-2007.

6433. Disposition of Comments: Comparative Effectiveness Review 235_Pharmacologic and Nonpharmacologic Treatments for Posttraumatic Stress Disorder: An Update of the PTSD-Repository Evidence Base (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-comments.pdf
      November 04, 2020 - (Prepared by the Pacific Northwest Evidence-based Practice Center under Contract No. 290- 2015-00009- … practice guideline, and are therefore limited to the categories listed in this document. … Yes, this was by design and in accordance with AHRQ guidelines to ensure that different sections of … practice guidelines using this data. … The search strategies are explicitly stated and conform with good practice.

6434. Systematic Review on Treatments for Acute Pain: Surveillance Report 3 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/main-apps-surv-report-3-acute-pain.pdf
      June 01, 2022 - that could impact practice or policy. … practice and frequently evaluated in clinical trials. … Furlan AD, Pennick V, Bombardier C, et al. 2009 updated method guidelines for systematic reviews in … practice guidelines, other quality enhancement tools, or reimbursement or coverage policies, may not … Furlan AD, Pennick V, Bombardier C, et al. 2009 updated method guidelines for systematic reviews in

6435. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853902/psn-pdf
      September 27, 2023 - 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 … Society of Critical Care Medicine Consensus Conference: definitions for sepsis and organ failure and guidelines … Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009-2014. … Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock 2021.

6436. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
      January 01, 2025 - (i.e., negligent care with failure to follow accepted diagnostic guidelines, expected practices, pursue … We struggled to delineate guidelines that would accurately identify high-risk patients and to design … Effective Clinical Practice 2002;5:23-8. Schiff GD. … The Clinical Practice of Emergency Medicine: 4th ed. … Applying principles and practice of quality improvement to better care for the underserved.

6437. AHRQ Views: Arm in Arm With AcademyHealth, AHRQ Is Poised To Build on Successes in Health Services Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/919.html
      July 01, 2024 - M.H.S.A., cites examples of how AHRQ’s ongoing work in data and analytics, health systems research and practice … ET: Highlighting and Promoting the Value of Practice-based Research Networks . … Presenters from a variety of Practice-Based Research Networks (PBRNs) will share examples from their … Patient and family narratives of clinical deterioration before and during rapid response system intervention

6438. Polysubstance Use & Integrated Behavioral Health | AHRQ
      integrationacademy.ahrq.gov/products/topic-briefs/polysubstance-use
      February 01, 2025 - Per The Department of Veterans Affairs (VA) and the Department of Defense (DoD) SUD treatment guidelines … Here are some key practice tips to sorting out a co-occurring disorder. … consultant in addiction psychiatry or addiction medicine to help in expanding your team's scope of practice … VA/DoD Clinical Practice Guideline for the Management of Substance Use Disorders (Version 4.0). … https://www.healthquality.va.gov/guidelines/MH/sud/VADoDSUDCPGProviderSummary.pdf .

6439. Making Healthcare Safer IV Rapid Review: Patient Monitoring Systems To Prevent Failure To Rescue (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-monitoring-systems-rapid-review.pdf
      December 01, 2024 - et al. (2022), in an RCT, examined whether a facilitated dissemination program for best practices guidelines … This may have resulted in missing a few relevant publications. 4.3 Implications for Clinical Practice … In terms of clinical practice, the implementation of early warning scores is becoming ubiquitous, and … practice guidelines, other quality enhancement tools, or reimbursement or coverage policies, may not … The Impact of an Electronic Patient Bedside Observation and Handover System on Clinical Practice:

6440. Teamworknotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
      June 02, 2025 - These areas include practice, responsibilities, and work environment. … ASK: · What guidelines are included on the Daily Goals Checklist? … When invoking this rule and moving up the hierarchy, you need to communicate to the entire clinical team … · Background—What is the clinical background? · Assessment—What do I think the problem is? … In addition to patient care guidelines, both authority and responsibility are transferred from one team