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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - How to use this tool: Review the key perinatal safety elements with L&D leadership and relevant unit … staff to determine how the elements will be implemented at your hospital. … Sites can decide how often this information will be shared, how much will be shared, and with whom, and … well as the clinical team.
· Provider/RN speaks to patient and partner or delegates staff to do so regarding … the urgency of the cord prolapse and what they need the patient to do.
· Provide reassurance continuously
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psnet.ahrq.gov/issue/future-safety-and-quality-radiation-oncology
May 17, 2023 - Radiation oncology represents a complex care process involving a multidisciplinary team and can present … The authors also discuss how artificial intelligence applications in radiation oncology can advance safe … March 8, 2023
Positive approaches to safety: learning from what we do well. … September 29, 2017
A practical framework for patient care teams to prospectively identify … February 10, 2015
Failure mode and effect analysis: a technique to prevent chemotherapy
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psnet.ahrq.gov/issue/obstetriciangynecologist-hospitalists-can-we-improve-safety-and-outcomes-patients-and
August 04, 2021 - Citation Text:
Olson R, Garite TJ, Fishman A, et al. … This review discusses how the obstetric-gynecologic hospitalist model can help reduce physician fatigue … November 20, 2015
Preoperative surgical briefings do not delay operating room start times … March 15, 2023
Transparency, public reporting, and a culture of change to quality and … try and what to avoid.
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psnet.ahrq.gov/issue/team-disclosure-error-educational-activity-objective-outcomes
January 31, 2018 - A Team Disclosure of Error Educational Activity: Objective Outcomes. … March 17, 2021
A multistep approach to improving biopsy site identification in dermatology … A student's view. … May 28, 2014
How trainees would disclose medical errors: educational implications for … June 10, 2009
WebM&M Cases
Do Not Disturb!
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psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify-precursor-and
October 21, 2015 - Application of a human factors classification framework for patient safety to identify precursor and … Application of a human factors classification framework for patient safety to identify precursor and … July 1, 2020
WebM&M Cases
Do Me a Favor
May 1, 2004 … safety critical setting: a systems approach to medication administration. … October 21, 2015
The 'time-out' procedure: an institutional ethnography of how it is
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psnet.ahrq.gov/issue/surgical-team-training-promoting-high-reliability-nontechnical-skills
May 01, 2019 - EndNote 7 XML Endnote tagged PubMedId RIS
Download Citation
Save
Save to … This commentary explains how instilling an understanding of human factors , organizational culture … September 16, 2009
Introductions during time-outs: do surgical team members know one … in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward. … A multilevel evaluation.
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www.ahrq.gov/ncepcr/reports/grants-impact/model-state.html
February 01, 2017 - We then describe how the extension program structure engaged primary care practices in developing or … Finally, we describe how each State worked to grow participation and coordination in statewide QI efforts … of services to primary care practices, similar to how a construction general contractor works with expert … "If I had approached those practices individually and asked, 'Wouldn’t you like to do some quality improvement … will to collaborate and potential opportunities to do so.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/model.html
October 01, 2015 - We then describe how the extension program structure engaged primary care practices in developing or … Finally, we describe how each State worked to grow participation and coordination in statewide QI efforts … of services to primary care practices, similar to how a construction general contractor works with expert … “If I had approached those practices individually and asked, ‘Wouldn’t you like to do some quality improvement … will to collaborate and potential opportunities to do so.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-machine-learning-screening.pdf
November 01, 2019 - Similarly, some noted that it would be helpful to have a tutorial on
how to use the artificial intelligence … “I do like that you can tag studies (e.g., SRs) but not
sure how it all works or if the decisions file … “I also like that you can change your decisions if you
make a mistake, but the process to do so is a … They seem a bit
ahead of the times - you can choose the 'accuracy' of
the prediction but how do I know … not know what to do with the export file
“Exporting the decisions was not hard, but required a
few
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hcup-us.ahrq.gov/reports/MCRSIDFinalReport083110.pdf
September 07, 2010 - Estimating how much inpatient care is
occurring in psychiatric specialty units as opposed to scatter … It is
also important to understand the role that scatter beds do and should play in treating people … Hospitals that do not bill Medicare do
not file a cost report. … Investigation showed that
psychiatric units do exist among hospitals that do not indicate a psychiatric … , such as whether the facilities tend to be urban hospitals, how large they are, how large
the units
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - A few days later, she was able to be transferred back to the inpatient psychiatric facility. … : attributing symptoms to a psychiatric disorder when in fact they are due to a nonpsychiatric medical … Medically Stable for Psychiatric Admission
The case raises questions about how providers and institutions … [go to PubMed]
17. Tucci VT, Moukaddam N, Alam A, Rachal J. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-facilitator-guide.pdf
November 01, 2019 - You may want to query
antibiotic stewards at other facilities to understand
how they have approached … If possible, it is probably
most effective to do a combination of both
approaches. … SAY:
Periodically develop brief summaries of
requirements for administrators and remind them
how … You should plan how you will explain this to the
hospital administration to avoid budget cuts to
your … recommendations in this
presentation are those of the authors, who are
responsible for its content, and do
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cdsic.ahrq.gov/sites/default/files/2024-07/Final%20IAS_AI%20Landscape%20Assessment%206.24.24%20(003).pdf
January 01, 2024 - CDS, including recommendations for how to use AI to scale PC CDS in a patient-centered way. … I still have to know how to be a doctor … I
have to know when AI is wrong. … , which uses AI
to predict how likely a patient’s
symptoms may lead to hospitalization. … To address challenges related to a lack of
clinician education about how to use AI-based PC CDS for … A lack of training or familiarity on how underlying AI models in PC CDS
come to a decision combined
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digital.ahrq.gov/sites/default/files/docs/citation/u19hs021093-lambert-final-report-2017.pdf
January 01, 2017 - To do so, we will define a clustering unit of
patients who have taken drug A and experienced adverse … dosing simulator to teach medical
residents how to manage pain in the inpatient setting. … In face-to-face didactic sessions, we taught residents conceptual principles of pain management and how … We demonstrate how to use a combination of logistic regression, Poisson prediction limits,
and highly … A case study in generic drug use: Should
there be risk adjustment in incentive payments for the use
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/prostate-cancer-surveillance_executive.pdf
December 01, 2011 - Furthermore, some men may be uncomfortable with
observational management and feel a strong need to “do … How are active surveillance and other observational
management strategies defined?
a. … protocols for the interventions, or how
to manage patients whose cancers show signs of
progression. … Arguably, it is more important to first
establish how to successfully get men offered, accepting, and … for the interventions, or how to manage patients whose
cancers show signs of progression.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-illness-adults-prisons_executive.pdf
August 01, 2013 - greater range of services than jails
do. … how well
an intervention reproduces a model or protocol), had a
similar followup period for both treatment … the same outcome.
7
Applicability Assessment
Applicability assessment refers to how generalizable … The findings of each study indicated
differences in how men and women responded to this
treatment. … These trials also failed to report how
patients who did not respond to treatment were handled
during
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-health-systems-guidelines-development.pdf
February 01, 2019 - publicly available to a general audience similar to how all AHRQ reports are disseminated (i.e.,
either … Tableau seems like the most meaningful way to do it, in a way that allows
relational exploration.” … Systematic reviews for evidence-based
management: how to find them and what to
do with them. … If you were to do another guideline, how could the evidence be organized or formatted to
be more useful … a. If yes, were they useful and how could they be changed to be more useful?
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-249-malnutrition-disposition-comments_0_0.pdf
October 13, 2021 - OK so if one is required to do the
screening that means a control group that ARHQ
would require to … We do include a brief
discussion of etiologies that apply to a broad
population of hospitalized patients … To
address your comment, we have a description of
the SGA in Table 1, and briefly describe how the … We have revised our discussion about coding on
page 48 to include a brief discussion of how there
are … I do not
agree that KQ2 is a justified key question, due to the
following reasons:All medical treatment
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www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - For instance, we
do not know how incentives to promote diagnostic safety
and performance can impact clinician … We
explored how current value-based purchasing models for
direct engagement of payers could provide a … Dissecting Leapfrog:
how well do Leapfrog safe practices scores correlate with Hospital
compare ratings … and penalties, and how much do they matter? … Guest G, Bunce A, Johnson L. How many interviews are enough?
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/healthy-aging-roundtable.pdf
September 08, 2022 - These included sessions to
explore how to foster aging well and how to prevent and manage multiple chronic … And they can go to a
funder, NIH [National Institutes of Health] or AHRQ and get it funded and do a … How do we move beyond that and … incentivize … the … demand that’s needed to scale
and spread [proven … barrier to the effective scale and spread of
models for older adult care:
… how do I take care of … If I can’t do that, I’m a goner. It’s not going to happen.