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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - issue emerged—how best to deal with an abusive patient who threatens to leave against medical advice. … surprisingly, patients discharged AMA do worse as a group. … The case report does not tell us how the patient's substance abuse condition was handled, but a Canadian … do" or "getting a fix" may seem unworthy and hard to understand.( 13 ) And hospitals that serve substantial … Hospitals should plan in advance how to deal with that risk.
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psnet.ahrq.gov/web-mm/weak-response
February 24, 2011 - a reticent patient with a question like: "What do you mean by 'weak'?" … Even in the absence of technology, many patients know how, or can be quickly taught, to take their pulse … should do if the weakness persisted or increased, or what other symptoms should prompt a call. … he still was weak, or called the patient back a few hours later to see how he felt. … February 24, 2011
A piece of my mind. How many have you done?
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www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/cervical-cancer-screening-adults-adolescents
October 28, 2021 - Do the comparative harms vary by population (e.g., by age, gender, race and ethnicity, or HPV immunization … How do different levels of racism and other factors contribute to inequities in cervical cancer incidence … studies
Participation trials (for adherence only)
KQs 1, 3:
Non-nested case-control studies
Case … reports
Case series
Narrative reviews
Editorials
KQ 2:
Diagnostic test accuracy studies … commission a decision model to accompany this evidence review.
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psnet.ahrq.gov/node/35979/psn-pdf
September 17, 2010 - The authors discuss a measurement approach that focuses on the following: how
often do we harm patients … , how often do patients receive the appropriate interventions, how do we know
we learned from defects … , and how well have we created a culture of safety. … Building on a model of
structure, process, and outcome measures used to evaluate health care quality … They provide a case-type example
of their suggested process to illustrate their framework.
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digital.ahrq.gov/ahrq-funded-projects/home-heart-failure-hf-care-comparing-patient-driven-technology-models
January 01, 2023 - and conclusions in this document are those of the author(s), who are responsible for its content, and do … and conclusions in this document are those of the author(s), who are responsible for its content, and do … Thanks to the AHRQ grant, SVHF and UPenn have launched a two-year project to evaluate whether this technology … "I've seen how the things I used to do--like eating salt--affected my condition, even when I couldn't … Patients track and transmit their vitals -- using a small machine that connects to a home phone line.
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psnet.ahrq.gov/issue/diagnostic-error-children-presenting-acute-medical-illness-community-hospital
September 25, 2011 - Study
Diagnostic error in children presenting with acute medical illness to a community … Diagnostic error in children presenting with acute medical illness to a community hospital. … Diagnostic error in children presenting with acute medical illness to a community hospital. … April 27, 2022
What do emergency department physicians and nurses feel? … April 3, 2019
Autopsy interrogation of emergency medicine dispute cases: how often are
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digital.ahrq.gov/ahrq-funded-projects/assessing-impact-patient-centered-medical-home-co
January 01, 2023 - The main objectives of the project were to:
Determine how WellMed developed their level-3 PCMH model … As compared to the Medicare Fee-For-Service (FFS) population, WellMed patients were found to do better … Because the WellMed model was implemented more than 20 years ago with a plan-do-study-act approach, it … study of a primary care-based accountable care system approach to medical home transformation. … Case study of a primary care-based accountable care system approach to medical home transformation.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
June 01, 2023 - Domain 1: Assembling a Team
Behaviors
Examples of How To Incorporate Behaviors Into Practice
Develop … Domain 2: Managing a Team
Behaviors
Examples of How To Incorporate Behaviors Into Practice
Collaborate … Lead by example
Do the work to show commitment and to motivate others. … Domain Behaviors: Three Case Studies
Three case studies are provided to give you examples of how domain … Each case study highlights one behavior, but leading successful teams requires a combination of many
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
April 01, 2025 - How long is too long? … This presentation examined strategies for how to approach listed penicillin allergies and actions to … and how to utilize the Learning From Defects tool to improve patient care. … and How do you know the risk is reduced?
Slide 36
Case Example: What Happened? … Slide 39
Case Study: How To Know Risk Is Reduced?
SAY:
How do you know that risk is reduced?
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.html
February 01, 2023 - In this module, we will use a case scenario to examine ways to prevent CAUTI when a catheter is already … Well, how we handle the catheter tubing and bag can make a big difference.” … Nurse: “Another thing we can do to help prevent a CAUTI from developing is to find a safe place to hang … Ramirez, I can show you how I apply a securement device on the tubing and secure it to her leg. … The nurse places the securement device on the patient’s leg, making sure to show the transporter how
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
October 01, 2017 - Consider developing a project charter to kick off the project. … currently uses a quality improvement (QI) change methodology, such as Plan, Do, Study, Act (PDSA); Lean … Meet with the Team Leader(s) prior to the day of training to decide how the team will operate. … K Case Study
3E: Norton Scale
40
Care planning
Identifying bundle of best practices … How to use electronic communication modalities to communicate the program’s progress and success to the
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psnet.ahrq.gov/issue/quality-and-reporting-large-scale-improvement-programmes-review-maternity-initiatives-english
February 07, 2024 - October 21, 2020
How to be a very safe maternity unit: an ethnographic study. … A multisite case study. … Enacting a new role to support staff who raise concerns about quality and safety in the English National … Health Service
February 19, 2020
Why do systems for responding to concerns and complaints … : a retrospective case study.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/preterm-birth-terbutaline-pump_disposition-comments.pdf
September 01, 2011 - The three studies cited to
support this statement compare physcial exams to ultrasound- and
thus do … For rare harms, even case reports may be
included in CERs.
1
Studies of limited internal and external … Both of these studies which
have a low risk of bias and do not involve double counting. … For rare harms, even case reports may be
included in CERs.
2
Studies of limited internal and external … If it has only been noted in a few case reports, it
should not infer that neonatal hypoglycemia, hypocalcemia
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psnet.ahrq.gov/issue/shifting-learning-curve
March 09, 2009 - This article describes how simulation can be used to promote patient safety by helping trainees develop … a mixed methods study of a commonly used quality measure. … December 19, 2018
Developing a process to measure actual harm from medication errors … November 16, 2015
Using Plan Do Study Act to transform a simulation center. … to patient safety: case study involving a labor and delivery ward.
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - reasons that have to do with the strength of the case and how easy it will be to make that case in court … lot of reluctance to do so. … But we ask them to do so in the context of a system that has shifted the standard of care from just imposing … And there are inquiries now about, how do we do this right? … Everybody is going to get there eventually, and the question is how do we prepare for that transition
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psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
December 01, 2014 - Understand how simulation can be used to ensure trainees are competent in procedures. … Describe mastery learning and how it is relevant to procedural training. … While she had not taken a formal ultrasound training course, she had been informally taught how to use … By neglecting advances in our understanding of how medical trainees learn, educators miss a major opportunity … What procedures should internists do? Ann Intern Med. 2007;146:392-393. [go to PubMed] 3.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-5-working-with-safety-net-practices.pdf
September 01, 2015 - study.
2. … What are three lessons you learned from the Clinica case study, and how might these inform
your work … Clinica Family Health Services Case Study
Note: This case study was developed by Tom Bodenheimer, M.D … If the provider wants the MA to do a post-visit (immunizations, blood draws, or other activities),
an … appreciate how much effort is involved in elevating a clinic to a high level of efficiency
and quality
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cell-free-dna-executive-summary.pdf
May 01, 2025 - We do
not know if these tests save lives, reduce advanced cancers, or improve quality of
life. … o Accuracy varied widely based on:
What the tests measured and how researchers analyzed it,
How … How the studies were designed. … To
check how accurate these tests are in people (KQ 3), we identified 20 studies involving
109,177 … These designs also do not show how
accurate these tests are during the early stages of cancer before
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/osteoporosis-screening
November 18, 2021 - What is the evidence to determine screening intervals, and how do these intervals vary by baseline or … How do various fracture risk assessment tools use race and ethnicity in fracture risk calculations? … median or mean of 80% of the time specified by the FRA (e.g., at least 8 years for a tool designed to … For FRAs or ORAs that do not specify a prediction interval, a minimum of 3 years of observed incidence … reports; case-control studies; conference abstracts, posters, or proceedings without data or information
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digital.ahrq.gov/ahrq-funded-projects/enabling-large-scale-research-autism-spectrum-disorders-through-automated
January 01, 2023 - case study in Autism Spectrum Disorder (ASD). … Optimizing corpus creation for training word embedding in low resource domains: a case study in Autism … How can we use that valuable information in free text notes?
Dr. … how extracting and coding information from free text in EHRs can lead to new insights and treatments … If you identify ASD at 5 years old, compared to 3-1/2 years old, it's a big difference.