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3601. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
      January 01, 2024 - Final Progress Report: Quality Care and Error Reduction in Rural Hospitals Principal Investigator: Cook, Ann F. Title of the Project: Quality Care and Error Reduction in Rural Hospitals Principal Investigator: Ann Cook, Ph.D. Co-investigator: Helena Hoas, Ph.D. Team Member: Katarina Guttmannova, Ph.D. Organizat…

3602. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73334/psn-pdf
      August 01, 2024 - An Inadvertent Bolus of Norepinephrine. May 26, 2021 Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Counc…

3603. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/pichert.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Ref…

3604. An Inadvertent Bolus of Norepinephrine. | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
      December 04, 2016 - SPOTLIGHT CASE An Inadvertent Bolus of Norepinephrine. Citation Text: Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation F…

3605. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
      January 01, 2004 - Financial and Demographic Influences on Medicare Patient Safety Events 437 Financial and Demographic Influences on Medicare Patient Safety Events Didem Bernard, William E. Encinosa Abstract Background: The hospital market is stratified between the “have” and the “have not” hospitals. Whether financial dis…

3606. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
      January 01, 2004 - Creating a Culture of Patient Safety through Innovative Hospital Design 425 Creating a Culture of Patient Safety through Innovative Hospital Design John G. Reiling Abstract When SynergyHealth, St. Joseph’s Hospital of West Bend, Wisconsin, decided to relocate and build an 82-bed acute care facility, we reco…

3607. Promoting Best Practice and Safety Through Preprinted Physician Orders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
      February 08, 2008 - Promoting Best Practice and Safety Through Preprinted Physician Orders Promoting Best Practice and Safety Through Preprinted Physician Orders George Ehringer, MD; Barbara Duffy, RN, LHRM, MPH Abstract Defining how preprinted physician orders are developed within a hospital has the potential to positi…

3608. Retention Strategies for Medications for Addiction Treatment in Adults With Opioid Use Disorder | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/retention-strategies-opioid-use-disorder/rapid-research

3609. Cancer-Pancreas Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-pancreas_executive.pdf
      September 01, 2014 - Studies that reported data by tumor (e.g., x percent of pancreatic adenocarcinoma tumors were correctly … detected) instead of by patient (e.g., x percent of enrolled patients were correctly given a diagnosis

3610. Developing and Using Valid Clinical Quality Metrics for HIT with HIE (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017067-kaushal-final-report-2011.pdf
      January 01, 2011 - the recommended care was given, whereas specificity expresses the ability of electronic reporting to correctly … Electronic reporting had a specificity of 0.89 (0.81, 0.94), meaning that it was able to correctly identify

3611. Improving Care in a Rural Region with Consolidated Picture Archiving and Communication System (PACS) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015328-coleman-final-report-2007.pdf
      January 01, 2007 - images ready almost immediately after the 9 technician validates that the exam was performed correctly … Furthermore, since people change their names or demographic data were not always captured correctly,

3612. BMI Assessment and Recommended Weight Gain (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-mc4-fullreport.pdf
      July 01, 2016 - few obstetric providers were fully compliant with clinical practice recommendations, defined obesity correctly … The results showed that among the respondents, 37 percent did not correctly report the minimum BMI for

3613. Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) (pdf file)
      www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
      January 01, 2025 - console, and the endoscope keeps fogging up very frequently - The suction is ON but is not working correctly … members using in- services (2, 25%) • Ensure that medications, fluids, and the patient are labeled correctly

3614. Archived: Screening: Evidence Summary: Gestational Diabetes Mellitus, Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/-screening-evidence-summary/gestational-diabetes-mellitus-screening-january-2014
      May 15, 2013 - This indicates that the ability of the screening test to correctly classify patients with GDM is significantly … This indicates that the ability of the test to correctly classify patients with gestational diabetes

3615. Final Progress Report: Improving Pain Management in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jones1-report.pdf
      January 01, 2024 - rounds, although this did not reach statistical significance, as the majority had already rated pain correctly … Case Study B assessment question, treatment home RNs did not change significantly (most rating pain correctly

3616. Two More “Es” and How To Spread (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
      April 01, 2013 - it happens, then the less routine is your practice, the less you can say that “We always place lines correctly … insertion protocol, just to make sure that it’s routine practice, but that everybody is also doing it correctly

3617. Methods Guide for Comparative Effectiveness Reviews - Avoiding Bias in Selecting Studies (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-bias_methods.pdf
      February 01, 2013 - teams should define study designs with sufficient clarity so that their reviewers can consistently and correctly … Even when studies technically meet all eligibility criteria, and are correctly identified for inclusion

3618. Final Progress Report: The Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mcalearney-report.pdf
      January 01, 2024 - This was accomplished by creating a simple Clostridioides difficile (C. diff) algorithm that correctly … • Our simple Clostridioides difficile (C. diff) algorithm correctly identified all hospital-onset (

3619. Final Progress Report: Caregiver innovations to reduce harm in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
      January 01, 2025 - functioning safely, reliably, and effectively; develop methods and assess whether the EHR was being used correctly … functioning safely, reliably, and effectively; 2) develop methods and assess whether the EHR was being used correctly

3620. NJ-EPAC Pilot Testing of Electronic Prescribing Standards (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/NJ-EPAC%20Pilot%20Testing%20of%20Electronic%20Prescribing%20Standards_0.pdf
      April 01, 2008 - and/or multiple frequencies, such as “1 to 2 tablets” or “every 4 to 6 hours,” none of the reviewers correctly … None of the reviewers correctly utilized the values for the Free Text String Indicator field.