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21. Making Healthcare Safer IV: Interventions to Prevent Nonventilator Hospital-acquired Pneumonia (NV-HAP) for Inpatients (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-iv-nv-hap-protocol.pdf
    August 05, 2024 - patient safety practices (PSPs) that can improve patient safety across the healthcare system—from hospitals … pneumonia in acute-care hospitals: 2022 Update. … Changes in prevalence of health care- associated infections in U.S. hospitals. … Hospital Acquired Pneumonia Prevention Initiative-2: Incidence of nonventilator hospital-acquired … Incidence and outcomes of non-ventilator- associated hospital-acquired pneumonia in 284 US Hospitals

22. Environmental, Clinical and Economic Outcomes of Hospital Resources to Prevent Hospital-Acquired Infections | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/prevent-hai/protocol

23. Template for Draft Reports (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cad-pci-bypass_appendixes.pdf
    October 06, 2006 - and in-hospital management. … patients; For annual hospital-volume threshold of 500: LOW (<500): 6-7 hospitals/5.2% of patients, … HIGH (500+): 27 hospitals/94.8% of patients; For annual hospital-volume threshold of 600: LOW (<600 … ): 9-10 hospitals/9.8% of patients; HIGH (600+): 23-25 hospitals/90.2% of patients; (34 total hospitals … of Veterans Affairs Hospitals VA: LOW (500- procedures/yr): 70% of hospitals, MEDIUM (501-1000):

24. Evidence Summary Comparative Effectiveness Review 216 Telehealth for Acute and Chronic Care Consultations (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-216-telehealth-evidence-summary.pdf
    April 01, 2019 - or hospitals. … by clinicians who are not specialists, less frequent care by specialists, and transfers to other hospitals … For example, the majority of included studies were conducted in larger teaching hospitals or hospitals … We selected the use of telehealth for neurosurgical consultations by rural or community hospitals for … Telehealth among US hospitals: several factors, including state reimbursement and licensure policies

25. Evidence-based Practice Center Systematic Review Protocol (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-careassociated-infections_research-protocol.pdf
    August 26, 2011 - Estimating health care-associated infections and deaths in U.S. hospitals, 2002. … Strategies to prevent surgical site infections in acute care hospitals. … Strategies to prevent ventilator-associated pneumonia in acute care hospitals. … Strategies to prevent catheter-associated urinary tract infections in acute care hospitals. … , community hospital with residents, non-teaching community hospital, more than one hospital of different

26. Disposition of Comments_Technical Brief No. 40: Interventions To Decrease Hospital Length of Stay (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/hospital-length-of-stay-disposition-comments_0.pdf
    September 20, 2021 - Interventions To Decrease Hospital Length of Stay. Technical Brief No. 40. … One key point is that raw/actual LOS is decreasingly the focus of hospitals. … Our Key Informants agreed that LOS metrics that provide a standardized comparison amongst hospitals … identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals … Hospital administrative leaders, researchers, & policymakers).

27. Executive Summary_Comparative Effectiveness Review No. 254: Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-254-rural-telehealth-executive-summary.pdf
    December 01, 2022 - Inpatient Care • Telehealth consultations in rural hospitals may result in no difference in length of … hospital stay (6 studies) or transfers (3 studies; low strength of evidence [SOE]) compared to usual … • Telehealth supported care for neonates at rural hospitals may result in no difference in clinical … outcomes when compared to transfer and care at a hospital with a Level 4 neonatal intensive care unit … Worsening Rural-Urban Gap in Hospital Mortality.

28. Monitoring-Programs-Rapid-Research-Appendix-C (xls file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/monitoring-programs-rapid-research-appendix-c.xlsx
    May 31, 2025 - Implementation Barriers Resources Required Ammar, 2021 Pulk, 2020 Case report United States Multi-hospital … threat to patient care 1) Dedicated initial time investment to identify resources and support system hospitals … external support d) Automated dispensing cabinets Coustasse, 2013 Narrative review United States Hospitals … To gauge the recent and potential impact and direction of the implementation of RFID in the hospital … Snowdon, 2018a) Digital supply chain infrastructure with visibility of product use for all provincial hospitals

29. Computerized Definitions Showed High Positive Predictive Values for Identifying Reasons for Hospitalizations in a Medicaid Population with Rheumatoid Arthritis (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/rheumatoid-arthritis-hospitalizations_research.pdf
    October 01, 2008 - hospital for review. … Trained nurses traveled throughout the State of Tennessee, visited selected hospitals and retrieved … other study outcomes, congestive heart failure commonly has a chronic course and for some patients a hospital … pilot testing of our abstraction form we reviewed 45 medical charts randomly selected from a local hospital … Veteran's affairs hospital discharge databases coded serious bacterial infections accurately.

30. Evidence Summary - Comparative Effectiveness Review No. 249: Malnutrition in Hospitalized Adults: A Systematic Review (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/cer-249-malnutrition-hospitalized-adults-evidence-summary.pdf
    October 01, 2021 - Understanding downstream consequences of malnutrition screening is extremely important as US hospitals … • Effectiveness of Hospital-Initiated Interventions for Malnutrition o Hospital-initiated malnutrition … length of stay, readmission rates, and hospital acquired conditions compared to usual care. … Eleven RCTs assessed hospital-initiated malnutrition interventions. … including subsequent diagnostic assessment, management, and clinical outcomes is extremely important as US hospitals

31. Evidence Summary - Comparative Effectiveness Review No. 249: Malnutrition in Hospitalized Adults: A Systematic Review (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-249-malnutrition-hospitalized-adults-evidence-summary_0.pdf
    October 01, 2021 - Understanding downstream consequences of malnutrition screening is extremely important as US hospitals … • Effectiveness of Hospital-Initiated Interventions for Malnutrition o Hospital-initiated malnutrition … length of stay, readmission rates, and hospital acquired conditions compared to usual care. … Eleven RCTs assessed hospital-initiated malnutrition interventions. … including subsequent diagnostic assessment, management, and clinical outcomes is extremely important as US hospitals

32. Comparative Effectiveness Review No. 258_Diagnostic Errors in the Emergency Department: A Systematic Review (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/diagnostic-error-executive-summary.pdf
    August 01, 2023 - These rates are comparable to those seen in primary care and hospital inpatient care. … All three were conducted at university hospitals, and, for the two studies used to estimate harms, about … • Variation in diagnostic error rates across specific hospital EDs is wide. … In individual studies, missed cases varied by hospital for subarachnoid hemorrhage (0% to 100%), myocardial … Error rates are usually found to be lower in academic/teaching hospitals, but it is unknown if this

33. Disposition of Comments_Comparative Effectiveness Review No. 249: Malnutrition in Hospitalized Adults: A Systematic Review (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-249-malnutrition-disposition-comments_0_0.pdf
    October 13, 2021 - (This study assesses outcomes at the hospital level.) Pratt et al. … stay, discharge disposition, and hospital-associated complications. … of hospital acquired conditions compared to well-nourished patients. … Since hospitals already vary widely in which tools they utilize, this type of study would fall well … The skeleton in the hospital closet 1974.

34. Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-protocol.pdf
    January 01, 2024 - patient safety practices (PSPs) that can improve patient safety across the healthcare system—from hospitals … ’s Policy on Never Events (i.e., serious reportable events that ideally should never happen) asks hospitals … Factors determining safety culture in hospitals: a scoping review. … Case Outcomes in a Communication-and- Resolution Program in New York Hospitals. … Effects Of A Communication-And-Resolution Program On Hospitals' Malpractice Claims And Costs.

35. Making Sure That Evidence Is Understood and Used (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/epc-making-sure-evidence-understood.pdf
    July 01, 2020 - questions that will provide a basis for determining relative performance Inappropriate Do high-volume hospitals … Appropriate Are physicians practicing at academic medical centers or hospitals designated as “centers … of excellence” for cardiac care more likely than other acute care hospitals to provide beta blockers

36. Making Healthcare Safer IV Rapid Review: Examining the Impact of Implementing High-Reliability Organization Principles on Patient Safety Outcomes (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-rapid-research.pdf
    May 01, 2025 - o Promote Safe Surgery39: tools focused to help hospitals reduce surgical site infections and other … Preventing pressure ulcers in hospitals. … Preventing Falls in Hospitals. … /settings/hospital/red/toolkit/index.html https://www.ahrq.gov/patient-safety/settings/hospital/red/toolkit … Organizational learning in hospitals: A realist review.

37. Topic 0318 Psychiatric Hospital Discharge NSD FINAL (2)_SJ_Clean-2 (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0376-140408.pdf
    November 06, 2013 - Topic 0318 Psychiatric Hospital Discharge NSD FINAL (2)_SJ_Clean-2 Psychiatric … Hospital Discharge Nomination Summary Document … Results of Topic Selection Process & Next Steps  The topic on Psychiatric Hospital … services after discharge on various outcomes for individuals who have experienced repeated psychiatric hospital … PICO from Nomination Population(s): Adults with repeated psychiatric hospital admissions and subgroups

38. A Framework for Conceptualizing Evidence Needs of Health Systems (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/white-paper-framework-for-conceptualizing-evidence-needs_0.pdf
    December 01, 2017 - for a European initiative (AdHopHTA) to strengthen the use of HTA by hospitals. … Health systems had a median of 4.5 hospitals per system, range 1 to 34 hospitals; 61% of systems … Evidence synthesis activities of a hospital evidence-based practice center and impact on hospital decision … Hospital-based health technology assessment: insights from New Zealand. … Administration/ or *Hospital Administrators/ or exp *Hospitals/mt, og or *"Organization and Administration

39. Making Healthcare Safer IV_Rapid Review: Use of Structured Handoff Protocols for Intrahospital Within-Unit Transitions (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/structured-handoff-rapid-research.pdf
    January 01, 2025 - Almost all studies were conducted in academic teaching hospitals and assessed physician-to-physician … Data come primarily from academic teaching hospitals, and the usefulness of any tool in nonacademic … Timing Within hospital stay NA Setting Acute care hospitals All other settings Type of studies RCTs … Seven studies were conducted in hospitals. … In 3 of the 7 studies performed in hospitals, SBAR was used only in a single unit.

40. EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/making-healthcare-safer-IV.pdf
    August 04, 2023 - government agencies about practices that can improve patient safety across the healthcare system - from hospitals … genomic data have defined transmission patterns and informed infection control strategies within hospitals … The incremental cost of infections associated with multidrug-resistant organisms in the inpatient hospital … Transmission pathways of multidrug-resistant organisms in the hospital setting: a scoping review. … Strategies to prevent Clostridioides difficile infections in acute-care hospitals: 2022 update.