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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-radiation_technical-brief.pdf
November 01, 2009 - Case series of less than 10 patients and case reports were not included in
the literature scan, but … Appendix E lists the citations of the case reports and
case series papers that were examined for harms … Many studies did not report how many
people were lost to followup (or were excluded due to incomplete … In screening through case reports and case series of less than 10 people, we did not
identify mention … However, they typically do not use a concurrent control, focus on
heterogeneous populations, and employ
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014920-bellamy-final-report-2007.pdf
January 01, 2007 - 5) What are the biggest challenges to using ORM in your facility and how do those
challenges compare … rt f
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Tran … There is a general consensus that the events reported do not reflect the universe of events that
occur
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-204-fullreport.pdf
January 01, 2014 - Section 2: Detailed Measure Specifications
Provide sufficient detail to describe how a measure would … Although submission of formal programming code or
algorithms that demonstrate how a measure would be … ” and to provide continuing follow-up and treatment
“so that handicaps do not go neglected.” … The primary concern regarding the validity of this measure was regarding what to do when a
screening … How readily are the data
available?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascguide.pdf
April 01, 2015 - not feel pressured to do
tasks they are not trained to do.
6. … If you plan to administer a Web-only or mixed-mode survey, but have no experience and do not
plan to … SECTION A: Working in This Facility
► How often do the following statements apply to your facility? … Mistakes
► How much do you agree or disagree with the following statements? … Typically, how many hours per week do you work in this facility?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascguide.pdf
April 01, 2015 - not feel pressured to do
tasks they are not trained to do.
6. … If you plan to administer a Web-only or mixed-mode survey, but have no experience and do not
plan to … SECTION A: Working in This Facility
► How often do the following statements apply to your facility? … Mistakes
► How much do you agree or disagree with the following statements? … Typically, how many hours per week do you work in this facility?
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hnhc-disposition-comments.pdf
October 29, 2021 - for its contents, and do not necessarily represent the
views of the Agency for Healthcare Research … ; changing how we
referred to strength of evidence grades for outcomes that showed no difference; adding … We
expanded our description of the realist review literature rigor assessment to better
explain how … Results shed new insights into what
types of complex patients exist within the adult population and how … Do you
envision looking into Adverse Childhood Events as prevalent in this population as well?
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
January 01, 2024 - ICD-9-CM to ICD-10-CM Codes: What? Why? How? … How does work environment relate to diagnostic quality? … Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. … The path to diagnostic excellence includes feedback to calibrate how clinicians think. … Slomski A. Why do hundreds of U.S. women die annually in childbirth?
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreensum.html
April 01, 2018 - We used a case study approach, informed by the PRISM (Practical, Robust Implementation and Sustainability … requesting a kit) to estimate the effect of receiving a kit versus a card on screening rates. … had to request a kit from us by mailing back a request card. … This toolkit contains descriptions of how to implement each of SATIS-PHI/CRC's steps. … those that are more closely and less closely affiliated with the central entity and those that have and do
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www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
February 26, 2008 - The ACW KNBI process is
described briefly, followed by details of how it was applied to the phenomenon … • Second, each recommendation is written to specify “For whom? Do what?” … do not affect actual fall risk, they do increase
injury risk from a fall and warrant assessment and … be useful, since these patients do not have these risk factors. … Oliver D, Hopper A, Seed P. Do hospital fall
prevention programs work? A systematic review.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
February 26, 2008 - The ACW KNBI process is
described briefly, followed by details of how it was applied to the phenomenon … • Second, each recommendation is written to specify “For whom? Do what?” … do not affect actual fall risk, they do increase
injury risk from a fall and warrant assessment and … be useful, since these patients do not have these risk factors. … Oliver D, Hopper A, Seed P. Do hospital fall
prevention programs work? A systematic review.
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digital.ahrq.gov/sites/default/files/docs/medicaid/us_chs_states-role-in-hie.pdf
September 25, 2006 - At present, there is little consensus on how the various components of a nationwide health information … technology system will interoperate, or how such a system will be funded, which is stalling development … Figure 4, below, depicts HIE network maturity levels and how they
progress from a non-existent or low-level … Deloitte Center for Health Solutions
9
Case Study:
State of Utah’s HIE
The state of Utah established … Therefore, knowing
how to effectively integrate stakeholders must become a core
competency of state
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psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
November 16, 2022 - Uncertain of how to interpret the result (as this bacteria may represent contaminated blood cultures … Corynebacterium species are part of the normal human skin flora, so they typically do not cause true … hurry, do not understand the importance of antiseptic contact time, and are unlikely to wait up to 2 … [go to PubMed]
9. Mimoz O, Karim A, Mercat A, et al. … [go to PubMed]
21. Schifman RB, Pindur A.
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psnet.ahrq.gov/primer/digital-health-literacy
August 30, 2023 - apply the knowledge gained to addressing or solving a health problem. … can also foster digital health literacy by developing materials and training that help patients learn how … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not … November 1, 2023
Five strategies for how patients and families can improve patient safety … a PICC without a Plan.
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psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - She
appeared to be improving with a decrease in white blood cell count (WBC) to 10 x 109/L. … How I treat heparin-induced thrombocytopenia and thrombosis. Blood. 2003;101:31–37. … [go to PubMed]
12. Warkentin TE, Ling E, Ho A, Sheppard JI. … Do not
allow PTT to exceed 100
seconds, nor the infusion
rate to exceed 10 m
g/kg/min. … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/node/49445/psn-pdf
May 01, 2004 - The Commentary
This case illustrates how the law can interface with patient safety efforts, and highlights … Indeed, in this case, the decision to transfuse was a medical error. … As a safety matter,
root causes should be assessed to create system improvement to reduce the likelihood … Bryan A. … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/advanced-care-decision-aids_disposition-comments.pdf
July 29, 2014 - We did not include it as a general component
because there are instances where people do
not have, … It’s the latter that has to be sure to
comply with state law, as the example illustrates re how proxy … “A staged
approach to ACP, based on how hypothetical
the decision aid index question and the level … working through it to see how it actually
functions. … to what they do, conversation-based aids, as
opposed to instrument-based aids, may be more difficult
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review93/syphilis-infection-screening-2004
July 15, 2004 - infectious syphilis because of unavailability of confirmatory tests. 6 Also, nationally reported data do … Placenta histopathology
A retrospective cohort analysis evaluated how placental pathology may contribute … However, there is a lack of data about how to identify high risk groups. … , there is a lack of well-designed trials to support this. … New studies do not contradict this evidence.
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www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
July 01, 2021 - How will AHRQ remain relevant during a time of rapid health system consolidation and changing models … Robinson asked the NAC members to consider the following questions:
How should AHRQ focus its efforts … How should we address racism?
Dr. … much evidence of how to achieve that growth, as in the areas of equity and the use of public health. … As we have seen with virtual teaching, there remains a digital divide, in which some people do not have
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-transcript.pdf
January 01, 2017 - And so, what we're going to do is show you two brief examples
just to give you a feel for that range … Rybowski, Slide 39
So, how do you do that? … with the caveat that there really are limits to how much you can do if people share
details about their … A third point, which is really
“the elephant in the room,” is how do you analyze and summarize responses … We do want to move forward as quickly as possible to Barbra's segment, but I do want to
knock off a
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T5-Minimum_Criteria_for_3_Infections_Training_Slides-final.pptx
October 01, 2016 - Suspected Infection SBAR forms: I’ll explain these tools, how they are designed to work, and how they … unnecessary
antibiotic use
Learn how to provide critical information to prescribing clinicians to make … There is evidence that they can do harm. … Do you have any questions about this? … Do you think that person met the criteria shown on page 2? How do you know?