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Total Results: 6,138 records

Showing results for "identified".

41. The Relationship Between Hospital Workload and Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
    January 01, 2024 - Adverse drug events and hospital- acquired infections identified by chart review and not identified by … The nurses used a revised CADET tool to document the identified AEs. … not identified by manual chart review. … Of those, 13 were also identified by chart review, and 100 patients were identified to have ADEs that … were not identified by computer surveillance.

42. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
    January 01, 2024 - Results: The HFMEA process identified 40 high-risk failure modes and 75 associated high-risk causes. … decision with rest of care staff C) Caregiver identified and notified 2. … Figure 2 Caregiver identified and notified about potential discharge FMEA Step 4 Hazard Analysis … We identified risks related to lack of communication between care providers in the hospital, between … Additional identified risks included potential lack of knowledge and skills among community-based care

43. Chipra118-Materials Ii (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA118-Materials_II.pdf
    June 02, 2025 - Eligible Population Numerator: Live-born neonates with a birthweight of less than 2500 grams (as identified … Children identified as having received Level 2 care either via medical record review and/or via revenue … Documentation if child met local criteria for hypothermia and time so identified xi. … Location was identified as a birthing room or equivalent OR 3. … Location was identified as an operating room or equivalent, OR 2.

44. Get Ready | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
    October 01, 2017 - Has your hospital identified hospital-specific reasons to change how it manages the prevention of pressure … Has your hospital identified a senior leader who can serve as a champion for the pressure injury prevention … Has your hospital identified a leader for the AHRQ pressure injury prevention effort?   … If yes, have you identified a goal for improvement?   … If yes, have you identified a goal for improvement?  

45. Sustainability Action Plan | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/assessment-tool.html
    March 01, 2017 - scores for each domain, and make notes on more specific barriers and opportunities for improvement you identified … the likelihood of sustaining areas of the AHRQ Safety Program for Long-Term Care: HAIs/CAUTI that you identified

46. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
    January 01, 2024 - Three characteristics of AEs identified in primary care are of particular interest: 1) attribution (to … e) Revision of existing definitions for categorization of identified AEs. … AEs Positive Triggers RN Identified AEs Positive Triggers RN Identified AEs Total 8077 698 … In the 2006 audit, 13.5% of patients had at least one nurse-identified AE. … Adverse events in primary care identified from a risk- management database. J Fam Pract.

47. Environmental Scan - Dissemination and Implementation of Nonsurgical Urinary Incontinence (UI) Treatment for Women in Primary Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-environmental-scan-brief.pdf
    January 01, 2023 - KEY FINDINGS • The updated environmental scan, published in March of 2024, identified 48 articles … This nearly doubled the number of studies identified in the original scan, which was published in October … that evaluated referrals in primary care and other settings for both UI and other conditions were identified … : 48 Representing 27 Studies While additional studies identified in the updated scan partially addressed … Key Areas for Further Study to Improve UI Care Supplemental Search Results Total Articles Identified

48. Access to Outpatient Child and Adolescent Psychiatrists, Neurodevelopmental Pediatricians, and Developmental-Behavioral Pediatricians (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-236-fullreport.pdf
    October 01, 2018 - in the program-specific taxonomy data were 12 also identified in NPPES. … (55 percent) were identified in both NPPES and State taxonomy codes. … None identified. … None identified. … additional specialists who were not identified in NPPES.

49. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - Results A total of 1,389 medication discrepancies were identified in 212 patients. … Study Identified Potential Health Consequences of Potential Adverse Drug Events by Rated Severity … Potential Health Consequence Category Number (%) * of Potential Health Consequences Identified … Six serious potential ADEs were identified in six individual patients, with 386 significant potential … ADEs identified in 153 patients.

50. Summary | Agency for Healthcare Research and Quality
    www.ahrq.gov/healthsystemsresearch/hspc-research-study/summary.html
    July 01, 2021 - The Council of Academic Family Medicine and other organizations have identified key characteristics of … However, the types of impacts identified represent a progression from interim research impacts (i.e., … Key Cross-Cutting Gaps in Research Approaches to HSR and PCR Identified by Study Participants … Key HSR Gaps Identified by Study Participants Research Domain Gaps in HSR on... … Key PCR Gaps Identified Study Participants Research Domain Gaps in PCR on...

51. Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs (pdf file)
    www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
    January 01, 2024 - Risks and weaknesses were identified through the use of a popular and effective form of hazard analysis … Each process step and the attendant subprocess steps were identified. … No attempt was made to redesign systems or evaluate the value of identified safeguards. … Salient risk points and components of the assessment process were identified. … Mechanical failures were identified as risk points for handovers.

52. Discussion of Findings | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/engage/findings.html
    March 01, 2017 - Limitations of the Environmental Scan Model of Patient Safety in Primary Care Methods Gaps Identified … (Policy-related factors have also been identified but are beyond the scope of this project.) … We examine strategies identified to close the gaps in safety and those specifically linking enhanced … Appendix F includes a full list of interventions and resources identified during the environmental scan … Improved communication has the potential to affect all identified patient safety issues that surfaced

53. ampe_2_107.38_48.tp (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/bethellscreener.pdf
    February 01, 2002 - Rates and expected variation in rates across demographic groups of children positively identified by … Two Screener items would have identified 80%–90% of children positively identified as CSHCN across the … Rates of children identified by the CSHCN Screener varied according to age, sex, race/ethnicity, health … The pro- portions of children positively identified when the instru- ment was administered by mail or … The rate of CSHCN identified in the national sample should be interpreted cautiously.

54. Exhibit 5.14. Lean Tools and Activities for Pediatric Continuity of Care Project | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-14.html
    November 01, 2014 - Horizon Hospital—Lakeview Healthcare Rationale: Identified the reason for action. … Solution approach: Created a solution approach to counteract the gaps identified as part of the gap analysis

55. Compendium of U.S. Health Systems, 2022, Hospital Linkage File, Technical Documentation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-os-linkage-techdoc-rev.pdf
    January 01, 2022 - x Examples of specific populations identified by MUPs include people experiencing homelessness, people … MUAs are identified based on the Index of Medical Underservice, which includes the ratio of providers … The identified populations might face economic, cultural, or language barriers to accessing primary … b Examples of specific populations identified by MUPs include people experiencing homelessness, people … Outpatient sites with missing corporate parent information do not have a corporate parent identified

56. Medical Home Transformation in Pediatric Primary Care--What Drives Change? (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-cooley.pdf
    April 01, 2015 - Efforts Patient-centered medical home (PCMH) transformation was studied in 12 pediatric practices identified … Each of the 12 practices identified a team to participate in the learning collaborative and guide transformation … Practices identified the electronic health record (EHR) as both a driver and restrainer of transformation … • Providers, families, and staff described care coordination as a key medical home function and identified … Practices identified the electronic health record (EHR) as both a driver and restrainer of transformation

57. Chapter 6. Measure Maps and Profiles (continued, 15) | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6n.html
    June 01, 2014 - health scores. 2 Link to Outcomes or Health System Characteristics: None described in the sources identified … Logic Model/Conceptual Framework: None described in the sources identified. … Logic Model/Conceptual Framework: None described in the sources identified. … Logic Model/Conceptual Framework: None described in the sources identified. … Logic Model/Conceptual Framework: None described in the sources identified.

58. Chapter 3. Designing and Testing Methods to Stratify Risk of Surgical Site Infections | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssi3.html
    April 01, 2018 - Risk factors identified from any surgical site were included in the list. … Develop a Risk-adjustment Method that Utilizes the Identified Risk Variables to Validly Compare Rates … of SSI Across Facilities The Master List of all identified potential risk factors (go to Appendix … Each patient in the study group from each of the four sites was then identified as having or not having … Other sites also identified some unique risk factors not found at the other participating sites, but

59. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
    January 01, 2004 - Cases of APL that were missed by the PSI were identified using procedure codes. … Conclusions: Not all of the patients identified by the PSI meet the intent of the indicator. … Records for 67 patients who were identified using the AHRQ PSI definition for APL were provided to an … In addition, the proportions of confirmed cases with a minor puncture or laceration were identified. … State in 2001, 2.8 percent of the total events identified for this period.

60. Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
    January 01, 2003 - Objectives: The researchers sought to assess the impact of pharmacologic intervention on previously identified … Patients were then matched to the 527 patients identified from the previous lipid study as experiencing … The review identified 31.7 percent of patients on therapy at a subtherapeutic dose. (3) Medication … Patients were then matched to the 527 patients at Patrick Air Force Base who had been identified in … Previous versus current therapies for patients previously identified as receiving Table 2.