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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/breast-cancer-screening
May 06, 2021 - How do racism, social inequalities, unequal access to high-quality healthcare, and other factors contribute … How do new findings, analyses, or longer-term followup from foundational effectiveness trials of mammography … What risk assessment tools are available for use in average-risk screening populations and how well do … How do the personal preferences of specific populations (including those that are under-represented in … The USPSTF added a note to the Research Plan to explain that the evidence review would be accompanied
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs018865-wood-final-report-2015.pdf
January 01, 2015 - We planned to collect
detailed data from a subset of high-use clinicians regarding whether and how … The following research questions were proposed to be addressed:
How do clinicians who use the exchange … How do clinicians who use the exchange differ from those who do not? … We
conducted a phased series of qualitative case studies with home health agencies participating in … A phased series of qualitative case studies with three large home health agencies in the
region who
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-senior-leaders.pdf
April 01, 2022 - To do this, educate and inform them on how
2 Engaging Senior Leaders AHRQ Safety Programs for ICUS … If these teams do not communicate their
needs, be intentional to ask for the support they need. … facts (who, what, when,
where, why, and how) and identify a time to approach the leader. … Case Studies, Tools and Resources
• AHRQ Engage the Senior Executive To Reduce HAIs Video
https://www.ahrq.gov … Studies, Tools and Resources
References
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psnet.ahrq.gov/issue/building-comprehensive-strategies-obstetric-safety-simulation-drills-and-communication
May 08, 2019 - positive-exemplar case study of a new patient safety tool. … December 6, 2023
Bringing perioperative emergency manuals to your institution: a "How … To" from concept to implementation in 10 steps. … April 27, 2019
What we can do about maternal mortality—and how to do it quickly. … June 3, 2015
In situ simulation: a method of experiential learning to promote safety
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-supported-process-preventing-and-managing-venous-thromboembolism
January 01, 2023 - serious complication for hospitalized patients and may lead to a pulmonary embolism (PE), a significant … clinical work is accomplished using electronic health records and how to optimally design key functionalities … The design of PE Dx, a CDS to support pulmonary embolism diagnosis in the ED. … Preventing and Managing Venous Thromboembolism Document Type: Journal Publication Research Method: Case … Study , Focus Group , Qualitative , Structured/Semi-Structured Interview Population: Physician
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psnet.ahrq.gov/issue/reporting-improving-how-root-cause-analysis-teams-shape-patient-safety-culture
July 31, 2024 - Study
From reporting to improving: how root cause analysis in teams shape patient … From reporting to improving: how root cause analysis in teams shape patient safety culture. … From reporting to improving: how root cause analysis in teams shape patient safety culture. … to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative case … study.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/4-approach-qi-process/cahps-section-4-ways-to-approach-qi-process.pdf
May 17, 2017 - In
addition, you may want to consult several case studies of health care organizations that
have implemented … https://www.ahrq.gov/cahps/quality-improvement/reports-and-case-studies/index.html
https://www.ahrq.gov … /cahps/quality-improvement/reports-and-case-studies/index.html
The CAHPS Ambulatory Care Improvement … Applying Lean in Healthcare: A Collection of
International Case Studies, 2009.
• Arthur, J. … • Case studies of exemplar primary care practice facilitation training programs
• AHRQ Health Care
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psnet.ahrq.gov/web-mm/transfer-troubles
December 29, 2014 - Describe how communication lapses can lead to errors and adverse events in the transfer of patients between … Although it is difficult to accurately determine how many patients are transferred each year worldwide … In addition to these emergent transfers, many transfers do involve medically stable patients and are … transport services–a case study. … Do specialist transport personnel improve hospital outcome in critically ill patients transferred to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
June 02, 2025 - Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization
Module 4: How … when teams follow a systematic approach to analysis and implementation, such as in the Plan, Do, Study … Slide 6
SAY: You should also think about these questions:
· How do you get staff engaged and excited … Options include didactic methods, such as lectures, interactive presentations, online lessons, case study … In addition, we began determining how to complete a draft Action Plan for Key Interventions 3 and 4.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
April 01, 2025 - definition of Just Culture, presentations on Just Culture, a case
study, and videos.
4. … Case studies
are included to document how transparency is practiced in each of the domains. … Impact Case Studies
https://www.ahrq.gov/news/newsroom/case-
studies/index.html? … This subset of the Agency’s
Impact Case Studies specific to patient safety highlights these successes … Guide for Developing a Community-Based Patient Safety Advisory Council
8. Impact Case Studies
9.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1a.html
October 01, 2014 - How to know a resident's normal (baseline) condition.
How to watch for change. … How the Early Warning tool and SBAR tool work.
How to communicate about change. … Slide 4
Case Study: Ms. A
79-year-old frail woman. … Transferred to the hospital intensive care unit.
Slide 5
Case Study: Ms. A
How did Ms. … Slide 9
Recognizing Changes
Do a shift-to-shift comparison.
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www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/syphilis-infection-pregnant-persons
December 01, 2022 - How frequently do pregnant persons who initially test negative for syphilis with serologic screening … either later test positive for syphilis, give birth to a neonate with congenital syphilis, or have a … Do these associations vary by populations of interest (demographic characteristics or risk factors)? … systematic reviews and meta-analyses (of included study designs)
Narrative reviews, editorials, and case … reports
Publication Language
English
Non-English studies
Study Quality
Good- or fair-quality
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psnet.ahrq.gov/issue/interdisciplinary-team-training-five-lessons-learned
August 21, 2013 - This commentary describes a teamwork initiative in a labor and delivery unit to improve communication … March 10, 2021
What we can do about maternal mortality—and how to do it quickly. … August 30, 2017
How communication among members of the health care team affects maternal … December 30, 2012
In situ simulation: a method of experiential learning to promote safety … threats to patient safety: case study involving a labor and delivery ward.
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psnet.ahrq.gov/web-mm/production-pressures
November 16, 2022 - understand how to design the work system to minimize pressures and stress on the health care providers … For instance, high workload or having a lot to do, a characteristic of the "tasks," can be a source of … A test of the methodology with 10 case studies in an academic medical center shows that this novel approach … As this one influential case study described, workers on the assembly line were told that they could … This would be far trickier to do in health care.
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-9-slides.pdf
February 24, 2022 - Chat Function
4
HOW TO ASK
QUESTIONS
To ask a question or make a comment
open the chat box
4
Set … :
1 Analyze patient and hospital case studies to understand techniques for
activating patients to … engage in CR.
2 Apply lessons learned through the case studies to gaps in your CR
program's care coordination … 24
24
How Well Do You Know Your Patients? … Impacts of SDOH Improved Care Coordination
Case Study – Patient Ambassador Program
29
PARTICIPANTSINTRODUCTIONS
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psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
November 04, 2015 - Do patient safety events increase readmissions? … were significantly more likely to be readmitted within 1 month, and a broad array of adverse events … were linked to a 3-month increased readmission risk. … Do patient safety events increase readmissions? … February 1, 2012
How best to measure surgical quality?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - engagement
Case Study
4
08/02/12 – Ms. … Daily rounds and morning huddle did not include assessment of the indwelling catheter.
4
Case Study … staff
Who = Case Studies, Current unit data
What = Making clear goals, protocols and expectations … In addition to data submission, this work requires unit team members to ask themselves, “How do we know … What do we need to know?
What do we need to do?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-1.pdf
May 01, 2016 - Case Study
Problem Addressed
Patients often do not fully understand, or later do not
remember, what … for followup and any testing that he or she may have
been asked to do before the next visit … ■ How will patients be notified of the availability of a
new note? … It is the ethical
thing to do and consistent with the goal of patients taking
ownership of their own … How the “OpenNotes” initiative is changing
the way patients and doctors work together. The Q&A.
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psnet.ahrq.gov/issue/risk-analysis-method-evaluate-impact-computerized-provider-order-entry-system-patient-safety
September 15, 2021 - Study
A risk analysis method to evaluate the impact of a Computerized Provider Order … A risk analysis method to evaluate the impact of a computerized provider order entry system on patient … A risk analysis method to evaluate the impact of a computerized provider order entry system on patient … October 21, 2020
How do community pharmacies recover from e-prescription errors? … January 7, 2015
Case study: identifying potential problems at the human/technical interface
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psnet.ahrq.gov/issue/preventing-overdiagnosis-how-stop-harming-healthy
January 02, 2013 - Commentary
Preventing overdiagnosis: how to stop harming the healthy. … Preventing overdiagnosis: how to stop harming the healthy. … Preventing overdiagnosis: how to stop harming the healthy. … January 2, 2013
Why do hospital prescribers continue antibiotics when it is safe to stop … improvement: findings from six case studies.