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21. Chapter-7 - Harm Due to Anticoagulants (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
    March 01, 2020 - It examined PSPs for intravenous anticoagulants and reviewed prevention of VTE. … Five of the systematic reviews examined the pharmacist-led model of anticoagulation service. … The single studies examined the anticoagulation management services pre/post or compared with usual … The studies also examined patient-reported outcomes (satisfaction, quality of life), utilization and … No statistical significance examined.

22. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
    March 01, 2020 - One evidence review examined errors in intensive care units. … In a retrospective study, Moshtaghi et al. (2017) examined 142 cases of wrong-site surgery to evaluate … Neither study examined causation between protocols and wrong-site surgery. … the use of a verification protocol involving the patient, and examined performance audits conducted … Hempel et al., 20153 Joint Commission Universal Protocol Operating room Review examined the

23. 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 - Seven of the eight studies examined implementation of an early warning score as their intervention. … Bassin et al. (2023),45 in Australia, examined the application of an AI algorithm to their existing … We examined this in our review and found that several approaches put to this test are promising. … Modifications to existing early warning systems were also examined. … We found no study that examined adverse events or harms secondary to this type of scenario.

24. Part 2: Trends in Priorities of the Heckler Report—Care for Cancer | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-cancer.html
    June 01, 2018 - who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined … who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined … who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined … who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined … who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined

25. Bundling Clinical Preventive Services: A Review of Definitions and Concepts from the Literature (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/bundlingcps.pdf
    March 01, 2014 - Bibliographies of all final retained articles were examined for additional relevant references. 3 … Some of the STI bundling studies examined the benefits of bundling relative to the provision of a single … Only one of the studies examined the benefits of bundling and found that women who attending influenza … Rejected articles The titles of rejected articles were briefly examined. … Similarly, our search did not yield any studies that examined barriers and facilitators to bundling of

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44715/psn-pdf
    May 19, 2019 - This study examined closed malpractice claims related to health IT. … A recent PSNet perspective examined challenges in health IT implementation, and another perspective

27. Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
    January 01, 2024 - Measures For Aim 1, in which we examined the epidemiology of patient safety errors and adverse events … We were able to complete and publish a comprehensive study that examined the epidemiology of process … Because ocular toxicity increases if patients receive higher than recommended doses, we examined medical … • Using local health system data, we examined performance on patient safety measures such as screening … In additional studies, we examined specific adverse events related to immunosuppressive drug use.

28. Using the Targeted Solutions Tool® to improve emergency department handoffs in a community hospital. | PSNet
    psnet.ahrq.gov/issue/using-targeted-solutions-toolr-improve-emergency-department-handoffs-community-hospital
    April 13, 2022 - This study examined handoffs from the emergency department to the inpatient unit, a transition known … However, even after implementing the Targeted Solutions Tool approximately 12% of examined handoffs were

29. Executive Summary | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/stpra/stprasumm.html
    April 01, 2013 - As a preliminary step, the team examined several data sources, both quantitative and qualitative in nature … events into components of the operative process (i.e., preoperative, operative, and postoperative) and examined … Designing a Risk-informed Intervention Next, we examined the events from the ST-PRA model ranked in order

30. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36069/psn-pdf
    May 11, 2014 - issue/health-literacy-medication-errors-and-health-outcomes-there-relationship This literature review examined … A past report from the Institute of Medicine examined the field of health literacy broadly and discussed

31. Screening for Depression in Adults (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/resources/depression/depsum2.html
    April 01, 2013 - Rost and coworkers examined the effectiveness of a systematic approach to identification and treatment … Of the three studies that examined health outcomes but did not report the proportion of depressed patients … had positive results for some outcomes 13 , 14 and one reported no effect for any outcome. 23 We examined … The trials that we identified examined a range of strategies, including simple feedback of scores obtained … Multiple studies have examined the effect of providing feedback on results of screening for depression

32. Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. | PSNet
    psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
    August 18, 2021 - This interview study examined how the Veterans Affairs medical centers disclosed large-scale adverse … Interviews with frontline staff, local leadership, and affected patients and family members examined

33. OR-to-ICU Transitions | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html
    June 01, 2023 - Abraham, et al., identified 32 studies since 2007, the majority of which were published after 2010, that examined … In their initial study, Handoffs and Transitions in Critical Care (HATRICC), 82 they examined the implementation … practice, uptake of these handoff strategies is limited and no studies besides the HATRICC-US trial have examined

34. Part 2: Trends in Priorities of the Heckler Report—Care for Cancer | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-cancer.html
    May 01, 2018 - who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined … Rates of surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined … who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined … who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined … likely than Whites to have surgical resection of colon cancer that included at least 12 lymph nodes examined

35. Health literacy, medication errors, and health outcomes: is there a relationship? | PSNet
    psnet.ahrq.gov/issue/health-literacy-medication-errors-and-health-outcomes-there-relationship
    January 02, 2008 - This literature review examined the assumption that low levels of health literacy contribute to medical … A past report from the Institute of Medicine examined the field of health literacy broadly and discussed

36. Archived: Evidence Summary: Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer: Preventive Medication, 2002 | United States Preventive Services Taskforce
    www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/aspirin-use-prevent-cardiovascular-disease-colorectal-cancer-preventive-medication-2002
    January 15, 2002 - Study Selection: We included (a) randomized trials of at least 1 year's duration that examined aspirin … We identified five trials that examined the effect of aspirin on cardiovascular events in patients with … We also examined how these effects may differ for the elderly, women, and patients with hypertension … We also examined the effect of aspirin on CHD mortality. … Major harms examined were hemorrhagic stroke and major gastrointestinal bleeding.

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36668/psn-pdf
    June 29, 2011 - This study examined voluntary reports of adverse events reported at six hospitals and found that adverse … Though the study only examined voluntarily reported incidents, it adds to prior research identifying

38. Making Healthcare Safer Practices: 10. Harms Due to Opioids (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
    March 01, 2020 - Key Findings: • The majority of studies examined multicomponent opioid stewardship, which often … • Most studies examined the effect of opioid stewardship interventions on reducing the potential … Seven studies examined effects of opioid stewardship on prescribing any amounts of opioids. … Five studies examined these various process outcomes. … One study examined outcomes among individuals introduced to buprenorphine while incarcerated.

39. Weill Medical College of Cornell University | Digital Healthcare Research
    digital.ahrq.gov/organization/weill-medical-college-cornell-university
    January 01, 2023 - Processes and Clinical Decision Support for Order Entry Description This research study examined … The Geography of Health Information Exchange Description This project examined the concept

40. Disposition of Comments for Migraine in Adults: Preventive Pharmacologic Treatments (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/migraine-prevention_disposition-comments.pdf
    April 18, 2013 - Two RCTs examined Abobotulinumtoxin A (marketed as Dysport). … Candesartan was examined in one RCT of 60 patients aged 18 to 65 years. 3. … Two RCTs examined Abobotulinumtoxin A (marketed as Dysport). … Two RCTs examined Abobotulinumtoxin A (marketed as Dysport). … Two RCTs examined Abobotulinumtoxin A (marketed as Dysport).