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psnet.ahrq.gov/web-mm/insert-omission
May 09, 2014 - The gynecologist placed the IUC without difficulty and showed the patient how to palpate the IUC strings … the strings cannot be found, removal is more difficult and could disrupt the pregnancy, but there are case … reports of successful pregnancies after sonographically guided removals.( 3 ) Removal of the IUC substantially … This case describes how the clinic now requires urine HCG testing prior to intrauterine procedures in … do not threaten future fertility unless inserted through a cervix infected with organisms that can ascend
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
May 01, 2017 - Further, understanding how a team is structured and how multiple teams interact in a center is critical … a problem, because the surgeon or physician invites team members to do so. … They can facilitate a discussion of how to solve problems so they do not reoccur. … to train everyone how to use it before they try it with a patient. … Ask:
How do we change this?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - The Commonwealth Fund developed case studies of four hospitals with 30-day
readmission rates in the … These case studies
identified the following best practices, among others:3
• A focus on improving … For
more information, see the
case study at the end of this
handbook. … :: 22
Case Study
on IDEAL Discharge Planning:
Advocate Trinity Hospital
Advocate Trinity Hospital … This case study highlights key elements of Trinity’s
experiences with implementation on a 29-bed medical-surgical
-
www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
January 01, 2025 - We strove to examine
a) whether error had occurred, b) how it had occurred, and c) ways it might have … How much certainty do we have, even now, about what is the correct
diagnosis? … 12) How can
we do better the next time we encounter a similar patient or situation? … Determining medical error: Three case reports. Effective
Clinical Practice 2002;5:23-8. … Assessing the quality of published case reports of look-alike
and sound-alike medication errors.
-
www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.pdf
September 21, 2010 - in their educational programs can incorporate the case studies provided
in this document and reference … This is usually in the form of case studies for students to review,
student assignments, and questions … To aid educators in selecting the appropriate case study
for use, the chart below maps teaching environment … to specific case studies. … Educational Setting Suggested Case Study
Classroom/didactic 1, 2, 3
Pre-clinical 1, 2, 3
Clinical
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/child-maltreatment-primary-care-interventions-november-2018
August 18, 2016 - Do primary care–feasible or referable interventions to prevent child maltreatment reduce exposure … parent or caregiver against a child
Physical (e.g., failure to thrive), emotional, dental/medical ( … studies
KQ 2: Case series or case studies
Timing
Any timing
None
Languages
Full … Information on how children, adolescents, or their caregivers are selected for interventions (former … Preventing Child Maltreatment: A Guide to Taking Action and Generating Evidence.
-
psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - developed technologically where it wasn't a huge ordeal to do one study. … RW: In a field like nuclear power or aviation, how do you know when you're doing too much? … How do you calibrate that? … how
that's going to play out. … malpractice studies and other case reports, such as failure to escalate therapy when the initial
therapy
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/ocr-protocol-final_1.pdf
December 18, 2019 - 1a: How do effectiveness and harms vary by choice of prostaglandin? … KQ3: How do the effectiveness and harms of CR in the outpatient setting vary by method of CR
compared … Case series, pre-post
studies, case reports
a Will Consider higher thresholds from older studies … , we follow the additional guidance on how to weight RCTs over
observational studies, how to assess … consistency across the two bodies of evidence, and how to
come to a final rating.22
16
Assessing
-
psnet.ahrq.gov/issue/board-quality-scorecards-measuring-improvement
June 16, 2011 - June 16, 2011
Eliminating central line-associated bloodstream infections: a national … January 20, 2010
Using the opportunity estimator tool to improve engagement in a quality … April 24, 2018
How often are potential patient safety events present on admission? … performance: a VA case study. … January 31, 2011
How do black-serving hospitals perform on patient safety indicators?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
August 01, 2010 - Study on Nurse Bedside Shift Report: Emory Healthcare 12
Case Study on Nurse Bedside Shift Report: Advocate … For more information, see the case study at the end of this handbook. … Case Study
on Nurse Bedside Shift Report:
Emory Healthcare
Emory Healthcare has attained 100 percent … This case study highlights key elements of the experiences at each hospital. … Chaboyer W, McMurray A, Wallis M. Bedside nursing handover: a case study.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
July 01, 2003 - nor completed a living will prior to admission. … Advanced Directives
75% of patients who present to the ER do not have advanced directives
Even fewer … The patient stated that she “would not want to be on a tube to breathe.” … Opening the black box: how do physicians communicate about advance directives. … How do medical residents discuss resuscitation with patients?
-
psnet.ahrq.gov/node/33654/psn-pdf
August 01, 2007 - RW: If the CEO has a hard time figuring out how much to bite off when he or she is trying to change the … to do. … we getting better, and how do we compare to
the theoretical ideal? … There's a third question that boards are very interested in?how do we compare to
others? … The case study experience out of things like
the Pursuing Perfection program offers examples like the
-
psnet.ahrq.gov/web-mm/thin-air
March 01, 2006 - How frequently such swaps occur is not known, but they do so often enough that on March 5, 2002 a Patient … However, frequent users sometimes click this by habit even when they do not mean to approve the action … Other sites have found this hard to do, because they argue that it requires more storage space and more … positive-exemplar case study of a new patient safety tool. … Department of Veterans Affairs case study.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/documentation-burden-protocol.pdf
July 26, 2023 - understanding of how best to measure and report documentation
burden. … requirements), how often paperwork is brought by patients to
clinicians to complete and how much time … How do patients and caregivers view EHRs and their implication on physician-patient
encounters? … studies/case
reports
• Narrative
reviews
Publications • Studies published in English as peer … KIs do not do analysis of any kind nor contribute
to the writing of the report and will not review the
-
www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/intimate-partner-violence-abuse-older-vulnerable-adults
February 09, 2023 - How well do interventions reduce exposure to IPV, physical or mental morbidity, or mortality among screen-detected … How well do interventions reduce exposure to abuse and neglect, physical or mental morbidity, or mortality … If so, how well do they perform in distinguishing between those who are at high vs. low risk of abuse … screening; studies of other interventions that do not include a health service component (e.g., effectiveness … screening; studies of other interventions that do not include a health service component (e.g., effectiveness
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/tktt.jsp
July 01, 2016 - Login
Do Your own analysis
Explore Expert Research & Limited … data collection streams and how to collect the information. … MPA) with the Minnesota Hospital Association, provides information about the POA indicator, including how … to accurately code conditions, examples and case studies of POA coding, why it is important for hospitals … to code correctly, and information on a study by Pine and others to assess the accuracy of POA coding
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan6/high-blood-pressure-in-adults-screening-monitoring-october-2015
September 15, 2013 - How well do home and ambulatory blood pressure monitoring methods predict cardiovascular events compared … are designed to assess devices versus blood pressure measurement standards
KQ 3a: Studies that do … studies
KQ 5: RCTs, CCTs, cohort studies
Before-after studies, time series, case series, case … reports; studies enrolling treated hypertension patients with less than a 2-week washout period … in response to a variety of comments.
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan97/breast-cancer-screening-january-2016
July 17, 2014 - How do the harms e of routine breast cancer screening differ by screening strategy d ? … How do these performance characteristics differ by age and risk factor b ? … How do these performance characteristics differ by age and risk factor b ? … How do women weigh the harms and benefits of screening mammography and how do they use this information … Case reports, case series; studies outside of search dates unless updates of previous trials.
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/cervical-cancer-screening
October 29, 2015 - For each primary screening strategy, how does the rescreening interval relate to future cancer incidence … clinical trials
Cohort studies, including patient registries
KQs 1, 2:
Case-control studies
Case … reports
Case series
Narrative reviews
Editorials
Setting
KQs 1, 2: Primary care ( … The model will also investigate how individual-level factors—adherence to recommended screening, surveillance … How to evaluate emerging technologies in cervical cancer screening?
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - • Present case studies or vignettes. … identify additional diagnostic case studies … WebM&M: Case Studies. https://psnet.ahrq.gov/webmm-case-
studies? … • How do your findings relate to other team members’?
I-3. … SIDM Competencies To Improve Diagnosis and Suggested Questions for Debriefing Case Studies