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141. High-Risk Deliveries at Facilities with 24/7 In-House Blood Banking/Transfusion Services - Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-fullreport.pdf
     September 01, 2019 - • Severity of condition and burden of condition on children, family, and society (unrelated to cost … http://cmqcc.org/ob_hemorrhage 16 routine obstetrical care as well as obstetrical surgical emergencies … , such as emergency caesarian sections. 2. … of these measures may be said to specify current professional knowledge in a way that produces an index … The continuum of maternal morbidity and mortality: Factors associated with severity.

142. Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2.html
     March 01, 2013 - The RED reduces emergency department visits and readmissions. … of administrative data show that risk factors for readmission include age, length of stay during the index … that most current models do not include variables associated with overall health and function, illness severity

143. Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
     March 01, 2013 - The RED reduces emergency department visits and readmissions. … of administrative data show that risk factors for readmission include age, length of stay during the index … that most current models do not include variables associated with overall health and function, illness severity

144. Indwelling Urinary Catheter Insertion Facilitator Notes
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion.pptx
     April 01, 2022 - nondominant hand, identify the urethra by spreading labia majora and minora       Use the thumb and index … and CAUTI IUC Insertion ׀ 11 11 Major Breaks in Aseptic Insertion Technique11 Case study in an emergency … urinary catheter insertion attempts 81 observed insertion attempts Number of patients = 65 Location: Emergency … Indwelling urinary catheter insertion practices in the emergency department: an observational study. … Emergency department catheter-associated urinary tract infection prevention: multisite qualitative study

145. Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
     January 01, 2024 - Clinician workload was measured using the NASA Task Load Index (NASA-TLX); the number and types of problems … The NASA task load index (NASA-TLX) performed well in the primary care clinical setting, taking about … An early effort related illness severity, dependency, complexity of care, and time to nursing intensity … Assessment of workload using NASA Task Load Index in perianesthesia nursing. … The Patient Intensity for Nursing Index: a validity assessment.

146. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
     July 01, 2022 - omissions brought to light previously unmeasured delayed or missed diagnoses, delayed recognition of the severity … Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. … Identifying trigger concepts to screen emergency department visits for diagnostic errors. … Safer Stroke-Dx instrument: identifying stroke misdiagnosis in the emergency department. … (Note the earliest date found) Date: � Not able to be determined Outcome What was the potential severity

147. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
     May 01, 2017 - As a result, the team implemented a code specific to obstetric medical emergencies and a policy that … its approach in responding to obstetric emergencies. … Study WPHWB also experienced an approximately 7 percent decrease in the Modified Adverse Outcome Index … One component of this index, the Unanticipated Operative Procedure measure, decreased by 51 percent … The index is modified due to the exclusion of Apgar 5 <7 cases.

148. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
     May 01, 2017 - As a result, the team implemented a code specific to obstetric medical emergencies and a policy that … its approach in responding to obstetric emergencies. … Study WPHWB also experienced an approximately 7 percent decrease in the Modified Adverse Outcome Index … One component of this index, the Unanticipated Operative Procedure measure, decreased by 51 percent … The index is modified due to the exclusion of Apgar 5 <7 cases.

149. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
     September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits … risk (oxygen therapy, catheter or ostomy, stage II or higher pressure ulcer, fall risk, late-loss ADL index … This score can indicate the severity of the risk factor and the likeliness that this condition could … This score can indicate the severity of the risk factor and the likeliness that this condition could … True False Answer: b Return to Hospital and Emergency Department Visits Page

150. | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html
     January 01, 2025 - predictors of pain outcomes at the five-year mark, including age, insurance status, race, comorbidity index … For functional outcomes, similar factors were significant, with additional influence from body mass index … provider workflows to understand process barriers to pediatric mental and behavioral health care in emergency … provider workflows to understand process barriers to pediatric mental and behavioral health care in emergency … Keywords: Children/Adolescents, Behavioral Health, Emergency Department, Workflow Asher GN ,

151. 3. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
     January 01, 2024 - in various clinical settings, including intensive care units, 35-37 pediatric hospitals, 38,39 and emergency … E-triggers have now been applied to emergency departments 72 and cancer diagnosis 73 but are applicable … found to be reliable for a range of medical specialties and specific conditions, including providing emergency … 4 , 270,272-275 For instance, Perry, et al., reported creation of a hospitalwide “diagnostic error index

152. Appendix C: VTE Measurement and Tracking | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/appc.html
     May 01, 2016 - Hypertensive urgency/emergency. … Hypertensive urgency/emergency. Comfort care only patient. … VTE associated with hospitalization may not present until after the index admission, often causing a … capture patients who develop VTE during an admission as well as patients who were discharged from an index … avoid double counting of patients who are readmitted with a VTE that was already detected in the prior index

153. Appendix C: VTE Measurement and Tracking | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appc.html
     May 01, 2016 - Hypertensive urgency/emergency. … Hypertensive urgency/emergency. Comfort care only patient. … VTE associated with hospitalization may not present until after the index admission, often causing a … capture patients who develop VTE during an admission as well as patients who were discharged from an index … avoid double counting of patients who are readmitted with a VTE that was already detected in the prior index

154. Applying the AHRQ Pediatric Quality Indicators to Hospital Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b1_pdi_applyingpdis.pdf
     March 01, 2016 - • Admission information, such as admission time (year, quarter), type (emergency vs. … elective), admission source (from another hospital, emergency room in the same hospital). … ICD-10-CM) diagnosis and procedure codes, and classifications based on those codes, such as Medicare Severity … the QI software using a hospital’s discharge data Formula: k j jk k j j Y R D = ∑ ∑ where k indexes … the QIs, j indexes the hospital’s annual discharges, k jY is a 0/1 variable taking the value 1 if

155. Applying the AHRQ Quality Indicators to Hospital Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
     March 01, 2016 - • Admission information, such as admission time (year, quarter), type (emergency vs. … elective), admission source (from another hospital, emergency room in the same hospital). … -10-CM) diagnosis and procedure codes, and classifications based on those codes, such as Medicare Severity … QI software using a hospital’s discharge data Formula: k j jk k j j Y R D = ∑ ∑ where k indexes … the QIs, j indexes the hospital’s annual discharges, k jY is a 0/1 variable taking the value 1 if

156. Appendix I: Online and Journal Resources (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apia.html
     June 01, 2010 - Cumulative Index to Nursing & Allied Health Literature (CINAHL) CINAHL is a comprehensive and authoritative … Medline indexes international literature in medicine, dentistry, and nursing.

157. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
     January 01, 2025 - setting was associated with suboptimal pulmonary nodule follow-up completion; exams performed in the Emergency … university-affiliated tertiary care hospital with 44,000 inpatient admissions, 950,000 ambulatory visits, and 54,000 emergency … exam out of all patients with BI-RADS 3 findings in an index exam within the study period. … Patients with breast imaging within 3 months from the index case were excluded from analysis, because … Automated examination notification of emergency department images in a picture archiving and communication

158. Chartbook on Healthy Living: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
     April 01, 2018 - Obesity is defined as a body mass index of 30 or higher. … Obesity is defined as a body mass index of 30 or higher. … Obesity is defined as a body mass index of 30 or higher. … Obesity is defined as a body mass index of 30 or higher. … Importance: Failure to identify the presence of pain or to assess its severity and functional impact

159. Final Progress Report: Electronic Clinical Surveillance To Measure and Improve Safety in Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/danforth-report.pdf
     January 01, 2024 - included information on chronic health conditions in our analyses (e.g., the Charlson Comorbidity Index … comorbidities according to an established, commonly used comorbidity score, the Charlson Comorbidity Index

160. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
     August 01, 2025 - customized crisis checklists, which reduced the failure to adhere to critical steps during surgical emergencies … ■ Another project developed a pneumonia mortality risk index from electronic health records to facilitate … gathered to inform the rating exercise: • Potential Impact of the Practice—based on prevalence and severity … University of New York at Buffalo Buffalo, New York R03 HS023656 [Grant] Pneumonia Mortality Risk Index … Key Findings/Impact: According to the final report, researchers created a pneumonia risk index using