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digital.ahrq.gov/sites/default/files/docs/page/ahrq-lab-meeting-summary.pdf
December 01, 2006 - To do so, this model requires that data be physically
or logically consolidated from multiple sources … The extent
to which various parties benefit from such a transformation may in turn determine how
such … are no business incentives to do this. … Where the latter is concerned, pertinent case
studies should be developed immediately if they are required … The workshop identified the need for case studies of early adoption, qualitative
arguments, formal research
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - How do we take this,
learn from it, without too much of a pendulum swing and feeling the need for every … How do you take them into the operating room? Where do they go post-op? … How do you
separate workflows if you need to? … How does that impact patient safety and the communication that the
members need to do to provide the … How do we make their careers in the hospital more sustainable?
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psnet.ahrq.gov/issue/are-interventions-reduce-interruptions-and-errors-during-medication-administration-effective
August 28, 2024 - process to measure actual harm from medication errors in paediatric inpatients: from design to implementation … August 26, 2020
How effective are electronic medication systems in reducing medication … A systematic review and meta-analysis. … A mixed method study. … September 27, 2016
Designing for distractions: a human factors approach to decreasing
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psnet.ahrq.gov/issue/rethinking-resident-supervision-improve-safety-hierarchical-interprofessional-models
April 09, 2013 - Study
Rethinking resident supervision to improve safety: from hierarchical to interprofessional … Rethinking resident supervision to improve safety: From hierarchical to interprofessional models. … Rethinking resident supervision to improve safety: From hierarchical to interprofessional models. … October 13, 2010
Patient perspectives on how physicians communicate diagnostic uncertainty … October 15, 2008
WebM&M Cases
Do Not Disturb!
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psnet.ahrq.gov/issue/enhancing-patient-care-practical-guide-improving-quality-and-safety-hospitals
January 13, 2010 - Book/Report
Enhancing Patient Care: A Practical Guide to Improving Quality and Safety … Citation Text:
Enhancing Patient Care: A Practical Guide to Improving Quality and Safety in Hospitals … Authors from an Australian hospital outline a framework to assist providers and health services organizations … Citation
Related Resources From the Same Author(s)
The Checklist Manifesto: How … September 19, 2016
Do variations in hospital mortality patterns after weekend admission
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psnet.ahrq.gov/issue/adverse-events-veterans-affairs-inpatient-psychiatric-units-staff-perspectives-contributing
January 30, 2019 - EndNote 7 XML Endnote tagged PubMedId RIS
Download Citation
Save
Save to … to improve patient safety for inpatient psychiatric care. … PubMed citation
Available at
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Save to your library
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Download PDF … September 19, 2016
How well do incident reporting systems work on inpatient psychiatric … September 27, 2017
Applying Toyota Production System principles to a psychiatric hospital
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psnet.ahrq.gov/issue/racial-and-ethnic-disparities-common-inpatient-safety-outcomes-childrens-hospital-cohort
August 23, 2023 - EndNote 7 XML Endnote tagged PubMedId RIS
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Save to … Compared to White patients, Black and African-American patients had higher UE rates and Hispanic, Native … PubMed citation
Available at
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Download PDF … November 12, 2014
We will not compete on safety: how children's hospitals have come together … to hasten harm reduction.
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psnet.ahrq.gov/issue/scaling-equipped-medication-safety-program-traditional-and-hub-and-spoke-implementation
January 19, 2022 - EndNote 7 XML Endnote tagged PubMedId RIS
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Save to … new and effective approach to spread a scaled-up EQUIPPED program. … November 1, 2023
A cluster randomized trial of two implementation strategies to deliver … September 2, 2020
How accurately do older adult emergency department patients recall … reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled
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psnet.ahrq.gov/issue/biasing-influence-mental-shortcuts-diagnostic-decision-making-radiologists-can-overlook
April 07, 2021 - In this study, radiologists were asked to read a mammogram and were told a random number which researchers … and Commonly Missed and Delayed Diagnosis
June 24, 2020
How timely is diagnosis … June 1, 2022
Why do hospital prescribers continue antibiotics when it is safe to stop … Results of a choice experiment survey. … a key metric of patient safety?
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psnet.ahrq.gov/issue/impact-medical-education-patient-safety-finding-signal-through-noise
December 31, 2018 - EndNote 7 XML Endnote tagged PubMedId RIS
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Save to … Patient safety improvements must consider the complexities of care delivery to achieve lasting change … authors highlight challenges regarding research design on this medical education policy change and how … and safety of care: a systematic review and meta-analysis. … April 1, 2009
WebM&M Cases
Do Not Disturb!
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-246-fullreport.pdf
December 01, 2019 - Section 2: Detailed Measure Specifications
Provide sufficient detail to describe how a measure would … ) or a
link to a URL. … Although submission of formal programming code or
algorithms that demonstrate how a measure would be … Moreover, of those who do receive care,
these minority groups are less likely to complete services and … Based on extensive work
by NCQA to understand how to promote culturally and linguistically appropriate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
March 27, 2008 - window of opportunity to restructure how they are
normatively conducted. … ” for interaction, so they do not need to be negotiated (including the function, process,
content, timing … ), or are handoff forms and checklists merely cognitive work
tools, no different than a “to-do” list … to gauge whether their request is worthy of interruption and how to time the
interruption.37 This strategy … of just
how complex the task will be.
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www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
January 01, 2024 - An example of how this was done can be found in reference
20, which summarizes our results related to … Do
hospitals score similarly with respect to this and other related or existing indicators? … Do “good” outcomes aggregate within a hospital or in a type of hospital? … many institutions do respond to external pressures associated with voluntary or
mandatory public reporting … How often are potential patient safety events present on
admission?
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - How
people in the United States perform daily activities, e.g., go to work, go to school, buy their … Where Do We Go from Here? … Additionally, it is essential to ensure that other critical patient safety efforts do not
fall by the … More
broadly, there is a need to better understand how the response to COVID-19 has deepened healthcare … consider how to better utilize these providers to support national immunization
efforts.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/musculoskeletal-disorders-imaging_research-protocol.pdf
August 05, 2010 - Contrary to radiograms and CT, MRI does not use ionizing radiation to produce
images but uses a strong … Approximately how many facilities and of what kind are currently providing
positional MRI testing in … Do they use the technology mainly for routine
work or for research purposes? … We do not foresee the need for updated literature searches, as this is a project
that will be completed … or biography or case reports or comment or dictionary or directory or duplicate
publication or editorial
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015038-friedman-final-report-2007.pdf
January 01, 2007 - report how
much KCl he’s taking
Yes
4 11 Dosage Patient None Loss of a 3rd
kidney transplant … doses 7/30 (23%)
Often missed dose 1/14 (7%) Did not complete full
course
1/30 (3%)
Usually do … quantify
how successful our education modules had been in teaching patients 1) about the regimen
and … Discussion:
In conclusion, the preliminary results of this project do no support the hypothesis that … There is a need for continued research to find the most
efficacious way to accomplish this and how to
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/diabetes-behavior-programs_disposition-comments.pdf
September 28, 2015 - Peer Reviewer 2 Methods Pg 17 - Eligibility Criteria - I am always interested to
hear how usual care … No explanation of how to handle studies with more two
arms. … As shown in the results, effectiveness differed a lot by
time points and how do you justify the situations … do you handle this in
the network MA? … We have added to the Methods for KQ5 a
statement on how the method preserves the within-
study randomization
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/treatment-resistant-depression_disposition-comments.pdf
September 01, 2011 - I understood the logic in the approach but
it was difficult to appreciate how the results of this section … of these
patients who we don't know exactly how to classify but we often end
up treating with some … Subjects receiving sham treatment do not experience such
sensations, have a lower "placebo response" … Rumi, DO, Gattaz, WF, Rigonatti, SP, et al. … The authors do a good job of covering the relatively small
number of studies that have been done and
-
psnet.ahrq.gov/node/49434/psn-pdf
February 01, 2004 - or do not have jobs that provide coverage. … Once cancer invades, it takes several years to
progress from a localized to a regional and then distantly … Physicians should consider their own biases and how bias may affect care delivery and the patient-
physician … Equitable access to cancer services: a review of barriers to quality
care. … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
-
www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary17/brca-related-cancer-risk-assessment-genetic-counseling-and-genetic-testing-2013
December 15, 2013 - Data were not available to determine the optimum age for testing and how the age at testing influences … However, how and when the benefit-harm ratio shifts for women facing this decision is uncertain. … How these factors influence patient decision making and eventual clinical outcomes is unknown. … Family history of breast cancer: what do women understand and recall about their genetic risk? … Do risk assessment, genetic counseling, and genetic testing lead to reduced incidence of BRCA-related