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effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-child-interventions_executive.pdf
February 01, 2013 - While most children
exposed to trauma do not experience
long-term negative sequelae in terms
of … Key Question 3: Do interventions targeting children who
were exposed to trauma and are already experiencing … controlled trials,
prospective cohort studies, and nested case-control studies
• Excluded designs: case … reports, case series, cross-sectional studies, nonsystematic reviews, retrospective
cohort studies, … rather than
descriptive accounts from case series or case reports.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/bundled-payments-quality-effects_executive.pdf
August 01, 2012 - The center of the model reflects how organizations respond
to the incentives created by bundled payment … D
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do … Important design features to be addressed include
the definition of the bundle (How many providers are … Does how much and how
you pay matter? … Do closed-system hospitals shift care
under case payment?
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide4.html
August 01, 2024 - Finally, the co-design practices piloted the prototype using Plan-Do-Study-Act (PDSA methodology to … do the work themselves. … For details about how to select a practice facilitation approach, go to Developing and Running a Primary … Care Practice Facilitation Program: A How-to Guide (PDF, 3 MB; chapter 4). … facilitator to observe how the facilitator interacts with practice staff and to provide real-time feedback
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - where and how it might fail, and to assess the relative impact of different failures. … to document a heart rate
before releasing a beta blocker for administration. … Payers also have an important role to play in ensuring that unintended consequences do not diminish the … This is especially important to appreciate given that
specifications for existing quality measures do … The public release of performance data: what do
we expect to gain? A review of the evidence.
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psnet.ahrq.gov/node/49492/psn-pdf
November 01, 2005 - Discuss how medication reconciliation decreases the opportunity for medication errors and harm. … Many patients can and do
provide accurate medication histories. … A similar diagram for transfers and
discharges will help the team understand what is in place and how … is no reason that
they cannot train others to do this well.(10) An effective model may be one in which … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - do routine follow-up testing (reflex testing) with PCR testing when appropriate, and to consider the … the time to diagnosis for individuals with a known diagnosis of urological cancer to identify how many … While guidance on how to create an organizational culture of safety exists, implementation has yet to … Pohl H, Do TP, García-Azorín D et al. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - Patient safety indicators can be viewed as a subset of tools that are designed to assess the frequency … CMS responded to this report and other findings and concerns by developing a set of
indicators to measure … Secretariat to “create a (global) repository of patient safety indicators.” … to a 2010 OIG report, many hospitalized
patients continue to experience adverse events and temporary … address metrics such as PSIs, by
creating separate quality improvement teams that do not effectively
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
April 01, 2018 - 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
4
algorithms that demonstrate how a measure would … Abstraction Times
In addition to calculating IRR, the study team assessed how burdensome it was to locate … This measure provides families with a straightforward measure to assess how well basic levels of
comprehensive
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - As patient safety has become a bigger issue, people are struggling with how to develop an error reporting … RW: A lot of discussion in the patient safety world is about how to change the culture of physicians … So we have a lot more work to do at that level. … If an order is awry for any reason, they do what they need to do to fix it. … We have taught our students well to solve therapeutic problems through the use of case studies and advanced
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psnet.ahrq.gov/issue/diagnostic-blood-loss-phlebotomy-and-hospital-acquired-anemia-during-acute-myocardial
March 14, 2022 - EndNote 7 XML Endnote tagged PubMedId RIS
Download Citation
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Save to … PubMed citation
Available at
Related editorial
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Save to your library
Print … March 5, 2025
How often do prescribers include indications in drug orders? … national analysis from 2008 to 2017. … March 26, 2014
Venous thromboembolism after trauma: a never event?
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psnet.ahrq.gov/issue/using-drug-knowledgebase-information-distinguish-between-look-alike-sound-alike-drugs
July 10, 2019 - Citation Text:
Cheng CM, Salazar A, Amato MG, et al. … Facebook
Twitter
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Copy URL
June 27, 2018
Cheng CM, Salazar A, … Look-alike, sound-alike drugs are a known safety risk and contribute to medication errors . … RIS
Download Citation
Related Resources From the Same Author(s)
How … often do prescribers include indications in drug orders?
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psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
September 10, 2014 - Study
Improved incident reporting following the implementation of a standardized … Physicians described the process to be valuable, educational, and effective. … April 30, 2014
Retained surgical items: a problem yet to be solved. … January 18, 2013
Achieving rapid door-to-balloon times: how top hospitals improve complex … June 27, 2011
WebM&M Cases
Do Not Disturb!
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psnet.ahrq.gov/issue/educational-quality-improvement-report-outcomes-revised-morbidity-and-mortality-format
March 10, 2010 - EndNote 7 XML Endnote tagged PubMedId RIS
Download Citation
Save
Save to … PubMed citation
Available at
Free full text
Save
Save to your library
Print … July 2, 2014
A systems approach to morbidity and mortality conference. … September 20, 2011
Learning from mistakes: factors that influence how students and residents … February 18, 2011
Safety of using a computerized rounding and sign-out system to reduce
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psnet.ahrq.gov/issue/proposal-surgical-checklist-ambulatory-oral-surgery
January 17, 2012 - This commentary describes a checklist developed for the ambulatory oral surgery setting to improve … December 11, 2024
Patient safety and dentistry: what do we need to know? … improve the adherence to surgical safety checklists in the operating room. … : a mixed-methods study. … November 17, 2021
How much and what local adaptation is acceptable?
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psnet.ahrq.gov/issue/impact-resident-duty-hour-and-supervision-changes-review
September 29, 2017 - EndNote 7 XML Endnote tagged PubMedId RIS
Download Citation
Save
Save to … This review provides an overview of the controversy surrounding duty hour limits and discusses how … care a qualitative study. … November 21, 2021
A diagnostic time-out to improve differential diagnosis in pediatric … April 1, 2009
WebM&M Cases
Do Not Disturb!
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psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care
July 15, 2020 - System failures contribute to access issues that result in patient harm. … June 26, 2019
A review of incidents related to health information technology in Swedish … healthcare to characterise system issues as a basis for improvement in clinical practice. … How Abortion Bans Lead to Preventable Deaths. … May 22, 2024
The woman who cried pain: do sex-based disparities still exist in the experience
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psnet.ahrq.gov/issue/frequent-diagnostic-errors-cardiac-petct-due-misregistration-ct-attenuation-and-emission-pet
December 22, 2018 - Study
Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation … Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET … In this study, 40% of cardiac PET/CT scans showed a false-positive result due to technical errors. … April 13, 2017
Do telephone call interruptions have an impact on radiology resident diagnostic … August 3, 2016
Clinically missed cancer: how effectively can radiologists use computer-aided
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psnet.ahrq.gov/issue/errors-medical-interpretation-and-their-potential-clinical-consequences-comparison
November 23, 2016 - Study
Errors of medical interpretation and their potential clinical consequences: a … Errors of medical interpretation and their potential clinical consequences: a comparison of professional … August 8, 2013
Language barriers to health care in the United States. … proficiency: a survey of pharmacies. … June 2, 2010
How do physicians conduct medication reviews?
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psnet.ahrq.gov/issue/necessary-leadership-skillsets-high-reliability-organization-framework-adoption-within-acute
March 23, 2022 - expertise; ability to innovate; motivation through recognition; self-reflection; and commitment to visibility … November 17, 2021
A high-reliability organization framework for health care: a multiyear … October 28, 2020
Leadership behaviors, attitudes and characteristics to support a culture … December 3, 2018
"Second victim" casualties and how physician leaders can help. … May 30, 2014
WebM&M Cases
Do Not Disturb!
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/inevidup.pdf
September 01, 2009 - spring
2005 to consider how better to meet the needs of its con
stituents when evidence is insufficient … The amount of time that a primary care provider would need to do a screening examination is at least … The USPSTF recognizes that these domains do not
define the universe of domains applicable to clinical … How to read the new recommendation state
ment: methods update from the U.S. … How physicians approach prostate cancer
screening before and after losing a lawsuit.