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1621. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
      April 27, 2022 - Center (MWHC), Washington, DC; ¶Michael Garron Hospital–Toronto East Health Network; #Institute of … of Health - National Institutes on Aging grant (4R33AG061882), and the Michael Garron Hospital Foundation … Communication: “In the past 5 years, have you left the hospital, the emergency department, or your provider … operationalize the NASEM definition and/or cite the re- port while using previous definitions, the work often falls … Malpractice claims related to diagnostic errors in the hospital.

1622. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health … in a systematic manner. … Health care facilities include—but are not limited to—hospitals, nursing homes, rehabilitation centers … many States to bill for hospital services. … Patient safety in American hospitals. Denver, CO: Health Grades, Inc.; 2004. 3.

1623. Guide To Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
      March 01, 2017 - in the LTC facility. … role is in supporting the changes to improve quality in the LTC facility. … Leadership and staff perceptions of resident harms such as CAUTIs or falls, AHRQ SAFETY PROGRAM FOR … substitute for care of the resident • Morbid obesity or immobility • Attempting to reduce the risk for falls … In-Service Education.

1624. 2. Study Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
      June 01, 2020 - system leaders Large integrated health system, safety net health system, small community-based rural hospital … 9 State and local health departments (3), state-level private insurers and purchasers (2), state hospital … system leaders 8 Private integrated health systems (3), academic medical system, urban safety net hospital … Adjudication of Projects for Inclusion in the Scan In addition to falling within the above scoping … Representatives for ACF did not respond in time to be included in the study.

1625. Appendix C: The Health Care Safety Hotline: Operations Manual (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
      July 01, 2015 - □A In a doctor’s office or a clinic □B In a pharmacy □C In the emergency department □D In a hospital … □A In a doctor’s office or a clinic □B In a pharmacy □C In the emergency department □D In a hospital … □A In a doctor’s office or a clinic □B In a pharmacy □C In the emergency department □D In a hospital … □A In a doctor’s office or a clinic □B In a pharmacy □C In the emergency department □D In a hospital … The doctors, nurses, hospitals, and pharmacies in your community want to make health care safer.

1626. Measure Inventory for Use with All-Payer Claims Databases (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
      January 01, 2020 - outpatient measures), because APCDs are distinguished from other widely available datasets (e.g., hospital … Consumers looking to choose a new primary care doctor, specialist, or hospital for a procedure or set … self-insuring employer purchasers might also use choice measures to identify preferred providers—high-value hospitals … performance) CMS Publicly Reported Hospital Compare, Physician Compare, or No Use in Federal Program … Consumers looking to choose a new primary care doctor, specialist, or hospital for a procedure or set

1627. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
      January 01, 2024 - The High Plains Research Network consists of 11 hospitals and associated outpatient clinics in rural … The hospitals vary in size from six to 40 beds, with a total of about 175 hospital beds. … Forty-three percent of patients in HPRN hospitals are women. … weeks after their call, 4% visited an emergency department within 2 weeks, and 2% were admitted to the hospital … It is best suited to large practices, groups of practices (e.g., PBRNs), or university- or hospital-affiliated

1628. Module 16: Academic Detailing as a Quality Improvement Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
      September 01, 2015 - Healthcare Research & Quality Michael Fischer, MD, MS, Harvard Medical School and Brigham and Women’s Hospital … individuals in the practice. … In summary, consider using the following steps in working with an academic detailer: 1. … Research and Quality to the Division of Pharmacoepidemiology and Pharmacoeconomics of Brigham and Women’s Hospital … Key Messages In an academic detailing visit your goal is to bring about behavioral change in keeping

1629. Icu-Clinical-Decision-Making-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/icu-clinical-decision-making-transcript.docx
      January 01, 2015 - Chelsea: The following is a recording of Cathy Trudeau with the American Hospital Association of Chicago … your hospital have more than one of your ICU types participating in this initiative? … This is important especially in the hospital environment. … Lorna: Hi, this is Lorna Prang at Littleton Adventist Hospital. … Then our hospital will be mundane for that because we didn’t do anything to prove that they can in with

1630. ICU Clinical Decision-Making; Processes to Improve Catheter Insertion and Removal Choices; Science of Safety Concepts to Improve ICU Culture | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/icu-clinical-decision-making-transcript.html
      December 01, 2017 - your hospital have more than one of your ICU types participating in this initiative? … This is important especially in the hospital environment. … Lorna:  Hi, this is Lorna Prang at Littleton Adventist Hospital. … Then our hospital will be mundane for that because we didn't do anything to prove that they can in with … Jenny:  I'm not at a teaching hospital and I'm going up against my medical director.

1631. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/primary-care-research/results.html
      January 01, 2024 - use in hospitals and health systems, leading to the training of more than 6000 master trainers and nearly … Because when you look at the literature, most patient safety studies are done in hospitals. … implemented nationally and endorsed by more than 40 state hospital associations and the American Hospital … Economic incentives proposed by Song et al. 123 proposed that CMS reward teaching hospitals whose graduates … The research team formed an incorporated operational entity to support HIE among critical access hospitals

1632. Department of Health and Human Services National Institutes of Health - National Institute for Research on Safety and Quality (NIRSQ) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
      January 01, 2021 - HCUP data also show that in 2016, the rate of opioid-related hospital stays among women in 2016 was … access hospitals. … U.S. hospitals. … In FY 2021, NIRSQ anticipates making QSRS available to hospitals. … hospitals.

1633. 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 - and wide variation among hospitals (10.5 percent-30.2 percent in a large health care delivery network … g Data on ED visits are limited to those EDs based in hospitals. 51 This is an outcome … hospital discharge data. … community hospitals in 2006 were mood disorders (38,000 discharges) and ADHD/disruptive behaviors … Children are inpatients ages 0-18 in non-federal hospitals. 5 Insertion of catheter or spinal stimulator

1634. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/joseph3-report.pdf
      August 31, 2021 - There are many new players and subspecialties involved in providing care in the operating room. … their tasks), environmental hazards (e.g., objects causing collision/bumping or the risk of slipping/falling … Infection Control and Hospital Epidemiology. 2018 April; 39(4):391-397. https://doi.org/10.1017/ice.2017.323 … /doi.org/10.1016/j.apergo.2018.03.011 https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology … influence-of-traffic-area-location-and-other-factors-on-operating-room-microbial-load/5B7991606B227B429D88E1744458D6B6 https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology

1635. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
      January 01, 2024 - There are many new players and subspecialties involved in providing care in the operating room. … their tasks), environmental hazards (e.g., objects causing collision/bumping or the risk of slipping/falling … Infection Control and Hospital Epidemiology. 2018 April; 39(4):391-397. https://doi.org/10.1017/ice.2017.323 … /doi.org/10.1016/j.apergo.2018.03.011 https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology … influence-of-traffic-area-location-and-other-factors-on-operating-room-microbial-load/5B7991606B227B429D88E1744458D6B6 https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology

1636. Sampling, Weighting, and Synthetization Methodologies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-%20Methods-2023Dec.pdf
      December 01, 2023 - Moreover, TRICARE and VA healthcare beneficiaries have access to hospital facilities that are available … only to them, and the treatments provided by these hospitals may be inconsistent with those provided … For each person, the number of IP and ED claims falling under each of the diagnosis groups was tabulated … The final weight in SyH-DR allows for weighted estimates of person-level characteristics and hospital … stay or returned to the hospital multiple times for the same procedure.

1637. Sampling, Weighting, and Synthetization Methodologies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Sampling-Weighting-Synthetization-Methodologies.pdf
      December 01, 2023 - Moreover, TRICARE and VA healthcare beneficiaries have access to hospital facilities that are available … only to them, and the treatments provided by these hospitals may be inconsistent with those provided … For each person, the number of IP and ED claims falling under each of the diagnosis groups was tabulated … The final weight in SyH-DR allows for weighted estimates of person-level characteristics and hospital … stay or returned to the hospital multiple times for the same procedure.

1638. Sampling, Weighting, and Synthetization Methodologies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Sampling-Weighting-Synthetization-Methodologies-rev.pdf
      June 01, 2022 - Moreover, TRICARE and VA healthcare beneficiaries have access to hospital facilities that are available … only to them, and the treatments provided by these hospitals may be inconsistent with those provided … For each person, the number of IP and ED claims falling under each of the diagnosis groups was tabulated … The final weight in the SyH- DR allows weighted estimates of person-level characteristics and hospital … stay or returned to the hospital multiple times for the same procedure.

1639. The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
      April 01, 2004 - One study, by the Finnish National Public Health Institute, uses hospital discharge data to compare … clinical settings) against hospital records of children with intussusception confirmed by radiology … University Children’s Hospital Basel, Switzerland (JB, UH). … UCLA Center for Vaccine Research, Kaiser Foundation Hospital, Los Angeles California (SMM). … a hospital-based setting.

1640. Making Healthcare Safer Practices: 16. Venous Thromboembolism (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
      March 01, 2020 - their hospital accreditation and certification programs. … Many hospitals include the use of aspirin in their surgical protocols for patients undergoing major … All included studies took place in the hospital setting and addressed patients undergoing total joint … Hospitals participating in Premier consortium Compared with anticoagulants, aspirin was not associated … Beijing Jishuitan Hospital DVT was detected in 10 of 60 patients in the aspirin group (16.7%, 95%