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61. 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.

62. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/corebackgrnd.pdf
    January 01, 2013 - was continuously enrolled in the measurement year) whose medical record documents that a Body Mass Index … Emergency Department Use. Emergency departments are a critical feature of the U.S. … Emergency Department (ED) Utilization - average number of emergency room visits per member per reporting … Child and adolescent hospitalizations for mental health conditions typically indicate high levels of severity … for children/adolescents Children in the denominator population who had evidence of Body Mass Index

63. 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

64. 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

65. Chartbook on Healthy Living: National Healthcare Quality and Disparities Report (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pdf
    January 01, 2020 - waiting for psychiatric care find it difficult to efficiently care for patients with other medical emergencies … American Academy of Pediatrics Committee on Pediatric Emergency Medicine; American College of Emergency … Physicians Pediatric Emergency Medicine Committee; Emergency Nurses Association Pediatric Committee … Obesity is defined as a body mass index of 30 or higher. … Obesity is defined as a body mass index of 30 or higher.

66. 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

67. National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report (pdf file)
    www.ahrq.gov/sites/default/files/publications/files/chipra-final-report_0.pdf
    February 21, 2016 - large proportion of AHRQ’s original research questions (www.ahrq.gov/policymakers/chipra/demoeval/index … http://www.ahrq.gov/policymakers/chipra/demoeval/index/html • Working with States to ensure that we … comparison practices to assess whether outcomes (such as receipt of well child care and avoidable emergency … CHIPRA practices for the full 3-year demonstration had a significant reduction in potentially avoidable emergency … or the Medical Home Index-Revised Short Form developed for the evaluation.

68. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - HA-VTE includes VTE events detected during the index admission as well as those found in patients who … as it fails to recognize that VTE associated with hospitalization may not present until after the index

69. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
    January 01, 2020 - 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

70. Detailed Findings | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
    August 01, 2022 - disagreed about the ideal timing of that involvement, which might vary by individual and the nature and severity … is based on the idea that eliminating variation in adherence to clinical guidelines during perinatal emergencies … reported findings on four composite scores that measure perinatal adverse events: the Adverse Outcome Index … (AOI), the Weighted Adverse Outcome Score (WAOS), the Severity Index (SI), and the AHRQ Patient Safety … Index (PSI) 17-birth trauma score.

71. Results | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/engage/results.html
    March 01, 2017 - Sensitivity to culture and diversity Fragmentation Care transitions (hospital, home, emergency … teamwork and effectiveness, and establish practice resilience and ability to respond to unexpected emergencies

72. Healthcare Research and Quality Act of 1999 (continued 2) | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/hrqa99c.html
    October 01, 2014 - amount for each such children's hospital by the estimated percentage increase in the consumer price index … recommendations on training, maintenance, and medical oversight, and on coordinating with the system for emergency

73. Nursing Home Workplace Safety Resource List (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
    January 01, 2023 - .............................................................................. 12 IV.Alphabetical Index … Administration (OSHA) provide recommendations for nursing home employers to reduce the number and severity … Alphabetical Index of Resources 5-Minute Learning Modules for Frontline Staff A Guide to De-Escalating … Alphabetical Index of Resources

74. 2018 National Healthcare Quality and Disparities Report: Introduction and Methods (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-intro-methods.pdf
    September 01, 2019 - dental service for children and adults, as well as opioid-related hospitalizations and opioid-related emergency … Similarly, use of emergency departments as a usual source of care is not included in the access measures … Settings of care covered include ambulatory care, health centers, emergency departments, hospitals, … To calculate the index, we divided estimates by the earliest estimate of the reference group so that … Starting with the 2016 report, we changed to unweighted regression on the aligned rate without taking the index

75. Chapter 5. Implement the VTE Prevention Protocol | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide5.html
    October 01, 2022 - Age, body mass index, creatinine clearance, already prescribed antiplatelet or anticoagulant agents,

76. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
    March 01, 2020 - reactions, allergic reactions, or overdoses), ADEs have been associated with thousands of visits to the emergency … Their study noted a significant reduction in drug burden index scores, by 0.34 (p<0.001), reflecting … comparing it with, other screening tools such as the As Beers Criteria or the Medication Appropriateness Index … No change in cognition scores or reported quality of life Reduction in drug burden index scores … of medications prescribed from 6.1 to 3.3, decreased observed hospitalizations, and decreased emergency

77. Making Healthcare Safer Practices: 15. Care Transitions (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
    March 01, 2020 - The incidence and severity of adverse events affecting patients after discharge from the hospital. … ASC included usual care plus cognitive screening within 24 hours of each patient’s index hospitalization … interventions (i.e., TCM, ASC, and resource nurse care).2 ASC added cognitive screening within 24 hours of index … patient receiving CTI was $3,752, driven by lower 6-month rates of hospital admissions, and lower emergency … At 90 days post-index hospitalization, the TCM group had significant lower mean readmission rates

78. Pediatric Diagnostic Safety: State of the Science and Future Directions (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
    September 01, 2023 - unplanned admission within 14 days of an ED or urgent care visit to identify discrepancies between ED index … review trigger, morbidity and mortality conferences, and autopsy results, to build a diagnostic error index … The Diagnostic Error Index: A Quality Improvement Initiative to Identify and Measure Diagnostic Errors … Emergency Care. … emergency care.

79. Methods | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/engage/methods.html
    March 01, 2017 - Databases Type of Literature Databases Peer-Reviewed Literature Cumulative Index

80. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
    August 01, 2022 - (EFM) and the management of shoulder dystocia with the goal of improving the response to obstetric emergency … An Obstetrics Event Response Team (OBERT) was established at each site and was trained in emergency response … simulation training improved their performance by preparing them for shoulder dystocia and other perinatal emergencies … Perinatal Information Center (NPIC) to assess changes in the following harm measures: Adverse Outcomes Index … Index (SI), which sums the weights for each adverse event that occurred and divides by the number of