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5281. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
      January 01, 2024 - to the hospital for a persistent headache after a sledding injury with his son 4 days earlier.  … Case Details (3) However, about two weeks later, the patient’s wife insisted that he go back to the hospital … the patient described in this report. … In this scenario, a false negative CT interpretation would result in a treatment plan that does not include … the older population, in the setting of antiplatelet or anticoagulation use, or in the presence of a

5282. Chapter-8 - Diabetes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
      March 01, 2020 - In this update, we more narrowly focus on medication management in hospitals and how to better equip … In 2017, one in six people in a hospital bed in England had diabetes, an estimated 270,000 individuals … error, 58,000 suffered an episode of severe hypoglycemia, and 9,600 required rescue treatment after falling … Diabetes Care in the Hospital: Standards of Medical Care in Diabetes—2019. … Diabetes Care in the Hospital: Standards of Medical Care in Diabetes—2019.

5283. Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
      July 07, 2002 - In contrast, anesthesiologists and surgical nurses are in constant attendance in operating rooms. … It falls to representatives from these two groups to coordinate the activities of the operating room … maximum number of procedures performed generates the greatest amount of revenue for the surgeon and the hospital … But it is not only the hospital that makes money from the activities of the day. … hospital.

5284. Communication: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
      July 01, 2023 - In this module, we will talk about communication and the various tools in the SPPC-II Toolkit for improving … look like in practice. … Check-Back Tanya, charge nurse Hospital AIM Team Leads SPPC-II SCRIPT In order to confirm the information … response to treatment Safety: Critical lab values/reports, socioeconomic factors, allergies, and alerts (falls … Hospital AIM Team Leads SPPC-II SCRIPT In this short comic strip, we will demonstrate how I PASS the

5285. Case 5. Heights Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
      November 01, 2014 - subsidies for hospitals providing large amounts of uncompensated care. aa Safety net hospitals in particular … A Lean consultant was assigned to each of the 14 hospitals, and Heights Hospital was among the first, … Ultimately, the system hopes to build in-house expertise at all hospitals, so the consulting firm will … Lean began at the hospital in 2008. … Of all the hospitals, we are really good.

5286. Communication: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
      July 01, 2023 - Communication: Obstetric Hemorrhage SPPC‐II Toolkit Hospital Te Le SPP AIM am ads C II Communication … • Briefs, Huddles, and Debriefs are covered in Module 4. 21 Hospital AIM Team Leads SPPC‐II … treatment • Safety: Critical lab values/reports, socioeconomic factors, allergies, and alerts (falls … Martin communicated to him in his own words. 56 Hospital AIM Team Leads SPPC‐II 44 Obstetric … Williams’ history, according to the “B” for background in “BATON.” 60 47 Hospital AIM Team

5287. Microsoft Word - 2009-01.doc (pdf file)
      hcup-us.ahrq.gov/reports/methods/2009_01.pdf
      January 01, 2009 - hospitals, excluding hospital units of institutions.” … , we weighted hospitals in the SID to the State’s universe of hospitals in the American Hospital Association … Methods for HCUP Data in the 2009 NHQR August 7, 2009 5 Rehabilitation Hospitals: These hospitals … fracture for adults per 1,000 surgical patients age 18 years and older who were not susceptible to falling … , and other specialty hospitals, excluding hospital units of institutions.”

5288. Pf-Engagement-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
      May 01, 2017 - Surgical Environment module is to augment the existing hospital setting Patient and Family Engagement … Slide 9 SAY: The ASC environment is a different environment from that of a hospital, and therefore … Slide 20 SAY: One difference between an ASC setting and a hospital surgery environment is that the … Unlike the hospital setting, where the patient and family may have a longer stay and more opportunities … happened · A meaningful discussion of projected outcomes · An early offer of remediation (such as waiving hospital

5289. Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
      September 01, 2023 - advancement that promotes reporting by providing legal protections for reporters.35 Participation offers hospitals … Department of Health and Human Services Office of the Inspector General found that 97 percent of hospitals … Malpractice claims related to diagnostic errors in the hospital. … An analysis of 92,547 reports from 26 acute care hospitals. … Patient Safety Organizations: Hospital Participation, Value, and Challenges.

5290. Eliminating CAUTI: A National Patient Safety Imperative (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/cauti-interim.pdf
      September 01, 2013 - U.S. hospitals. … Hospitals not participating in the AHA survey (n=44) were excluded from analyses examining hospital … Sponsor State Hospital Associations and Hospitals Registered in the Project*†‡ *The work on which … The majority of participating hospitals are categorized as having between 26 and 175 total hospital beds … Characteristics of Registered Hospitals for Cohorts 1–6 (n=817)* as Compared With Like Hospital Data

5291. Eliminating CAUTI: A National Patient Safety Imperative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/cauti-interim.pdf
      September 01, 2013 - U.S. hospitals. … Hospitals not participating in the AHA survey (n=44) were excluded from analyses examining hospital … Sponsor State Hospital Associations and Hospitals Registered in the Project*†‡ *The work on which … The majority of participating hospitals are categorized as having between 26 and 175 total hospital beds … Characteristics of Registered Hospitals for Cohorts 1–6 (n=817)* as Compared With Like Hospital Data

5292. Improving Care Transitions for Complex Patients through Decision Support - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017795-eisenstein-final-report-2012.pdf
      January 01, 2012 - Notices about the occurrence of a hospital admission, hospital discharge, ED encounter, or specialty … , we assessed the rate at which tests or procedures recommended in hospital discharge summaries were … If the hospitals and clinics participating in this study all shared an electronic health record system … Falling through the cracks: challenges and opportunities for improving transitional care for persons … Deficits in communication and information transfer between hospital-based and primary care physicians

5293. Cer-243-Prehospital-Airway-Management-Appendix-E-1 0 (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/cer-243-prehospital-airway-management-appendix-e-1_0.xlsx
      January 01, 2020 - the GRR Excluded: in-hospital cardiac arrests, trauma/bleeding, cardiac arrest witnessed by EMS personnel … Excluded: patients with penetrating STBI, those retrieved from other hospitals, and those below 18 years … out-of-hospital cardiac arrest; and for whom the insertionof a SGA was indicated. … per-attempt ETI success was unknown. 1,941 NR NR NR Laerdal Foundation for Acute Medicine, Wappinger Falls … cardiac arrest OOH out-of-hospital OOH-ETI out-of-hospital endotracheal intubation PROPHET Prospective

5294. Final Progress Report: Consumer-Led Workshop To Advance Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
      January 01, 2024 - Other financial and “in-kind” contributors to the event included Atlantic Health System Hospital; Booz …  Advocate for every hospital to have an advisory board in place within 5 years.  Articulate goals … Falls Church, VA 22041 (H) 703-671-4916 (W) 202-548-5517 diana.t.artemis@baesystems.com Rebecca DeVivo … hospitals alone. … a couple of hospitals; to get some visibility on the new push at their annual conference in April;

5295. Stroke-Atrial-Fibrillation Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/stroke-atrial-fibrillation_executive.pdf
      August 01, 2013 - in about 2.2 million people in the United States. … The prevalence increases to about 6 percent in people age 65 or older and to 10 percent in people age … in the blood. … For patients with AF who are elderly (at high risk for falls), have a prior bleeding history, are pregnant … Europe, 8 in the United States, 7 in Asia, and 2 in multiple nations; 1 study did not report geography

5296. NLP to Improve Accuracy and Quality of Dictated Medical Documents - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs024264-zhou-final-report-2019.pdf
      January 01, 2019 - Medical Documents Principal Investigator: Li Zhou, MD, PhD Associate Professor Brigham and Women’s Hospital … Landman, Shira Hassid, Maxim Topaz, Evgeni Kontrient, Sheila Guston Organization: Brigham and Women’s Hospital … Hospital … We also used n-grams of length 4 (i.e., all sets of four consecutive words in the document) in all of … The error rate dropped substantially following revision by professional medical transcriptionists, falling

5297. New Insights About Team Training From a Decade of TeamSTEPPS | PSNet
      psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
      February 01, 2017 - from one floor of a hospital to another in a leading academic medical center, drugs would be labeled … It's always been remarkable to me, compared with other or business organizations how hospitals have three … less likely to just show up in the clinic or hospital with an acute condition that could be treated … major urban hospital emergency department. … About The Topic Hospitals Health Care Providers Facility and Group Administrators Medicine

5298. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
      January 01, 2024 - On POD 25, the wound appeared to have dehisced, and the patient was readmitted to the hospital for advanced … Rates of incidental durotomy have been reported in the literature to occur from 0.5% in lumbar discectomy … Detection of beta-2 transferrin in otorrhea and rhinorrhea in a routine clinical laboratory setting. … In the autologous category, the options typically used in spinal surgery include fascia lata and muscle … Detection of beta-2 transferrin in otorrhea and rhinorrhea in a routine clinical laboratory setting.

5299. Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/apcd/envscan/findings.html
      July 01, 2022 - of APCD implementation in Massachusetts; Summarizes the advantages to hospitals, health systems, and … Historically, measures that have been used in public reports most often have been hospital-level comparisons … hospital-level comparisons, the risk-adjustment approach in comparing performance across States included … This approach is needed to account for differences in hospital payer mix or teaching status, which might … affect resource utilization at the hospital level in ways State-level innovations do not.

5300. Archived: Final Evidence Summary: Breastfeeding: Counseling, July 2003 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/breastfeeding-counseling-2003
      July 01, 2003 - We categorized interventions as support when they provided telephone or in-person (clinic, hospital, … Support programs involved telephone and/or in-person clinic, hospital, or home visits by lactation consultants … at 1 week in women who were given commercial discharge packets with formula at discharge from the hospital … Although peer counselor programs are used by many practices and hospitals, there are insufficient data … Overcoming obstacles to breast-feeding in a large municipal hospital: applications of lessons learned