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www.ahrq.gov/patient-safety/reports/hotline/intro1.html
May 01, 2016 - Challenges Identified and Lessons Learned
VI. Summary and Conclusions
References
Appendix A. … had at least one adverse event detected by interview, and 11 percent had at least one adverse event identified … and colleagues 29 found that 73 percent of adverse events occurring in primary care practices were identified … Consumer-reported information may spark safety improvement actions that might not be identified otherwise … Also, even if an event is identified without consumer reporting, consumers are likely to be able to provide
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan102/chronic-obstructive-pulmonary-disease-screening-2016
May 15, 2014 - Can high-risk asymptomatic adults who are more likely to screen positive for COPD be reliably identified … Does treatment for asymptomatic adults identified with mild to moderate COPD through screening improve … What is the yield and distribution of COPD disease severity identified by screening asymptomatic adults … diagnosed COPD or other respiratory conditions; patients with COPD-related symptoms; patients with identified … § Patients with severe disease would constitute a very small minority of those identified by asymptomatic
-
www.uspreventiveservicestaskforce.org/uspstf/reconsidering-approach-prevention-recommendations-older-adults-figure-2
December 01, 2010 - adults aged 65 years and older; the subpopulation for key question 4 (How are high-risk older adults identified … injury, improve quality of life, reduce disability, or reduce mortality in older adults specifically identified … KQ2a: Do these interventions reduce falls in older adults specifically identified as high risk for falls … KQ4: How are high-risk older adults identified for primary care fall interventions?
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www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
January 01, 2025 - Next, each FMECA
team evaluated the identified steps in the process for potential failure modes and … Of the contributing factors identified, 46% were system based and
54% human based. … Seventy-five reports (39%) identified equipment problems relating to
battery/power supply, transport … For each
failure mode identified, the cause (e.g., human factor, equipment failure) was assessed. … Failure modes
classified as high risk will be identified for additional review.
D.3.
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psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric
September 01, 2016 - Study
Preventability of voluntarily reported or trigger tool–identified medication … Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in a Pediatric Institution … Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in a Pediatric Institution
-
www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit2.html
July 01, 2018 - Contact the identified moving company and have them report as soon as possible to conduct move-out of … Contact identified volunteer programs with staffing needs. … Update identified volunteer programs with daily staffing needs.
Return to Contents
4. … Update identified volunteer programs with daily staffing needs. … Area contractor(s) who can install temporary chain-link site fencing must be identified.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-2.html
February 01, 2021 - the portal. 14 Rates of portal use were higher among patients ages 18-60 years and patients who self-identified … as Asian or Caucasian, compared with patients in other age groups and patients who self-identified as … 15,17 For example, patients seeking emergency care outside of their primary healthcare system must be identified
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Maryland-Medicaid-Diagnoses-Codes-January2024.pdf
January 01, 2024 - In creating the database, we excluded ICD-9
codes identified in the SyH-DR source data and set them … It has come to our attention that not all ICD-9 codes were identified.
-
psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
January 04, 2012 - Study
A comparison of hospital adverse events identified by three widely used detection … A comparison of hospital adverse events identified by three widely used detection methods. … A comparison of hospital adverse events identified by three widely used detection methods.
-
www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex514.html
March 01, 2013 - proportion of eligible patients who received referrals to a CHERL by a clinician if the patient was identified … Care—Family Practice; Primary Care—Internal Medicine
Denominator:
Number of eligible patients (those identified … selected for convenience in three Michigan communities were eligible for CHERL referral if a patient was identified
-
www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex515.html
March 01, 2013 - proportion of eligible patients who received referrals to a CHERL by a clinician if the patient was identified … Care—Family Practice; Primary Care—Internal Medicine
Denominator:
Number of eligible patients (those identified … selected for convenience in three Michigan communities were eligible for CHERL referral if a patient was identified
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cystic-fibrosis-hgh_surveillance.pdf
August 01, 2012 - identified
November 2011
No new evidence
July 2012
No new evidence was
identified
No new … Cancer Incidence
in CF Patients:
No RCTs were
identified. 1 case
report identified
a probable … November 2011
No new RCTs were
identified. … November 2011
No new studies were
identified
July 2012
No new studies were
identified
November … . identified
July 2012
No new studies were
identified
July 2012
No new data
conclusion is still
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest-slides/slides.html
October 01, 2014 - Learned
Attributable infection definition misunderstood:
ICU taking credit for infections identified … Lessons Learned
One ICU's central line infections associated with one particular provider
Identified … additional training
Individual providers more comfortable with femoral site over IJ or SC
Identified … Process Audit: Lessons Learned
Charge RN found a dozen full-barrier drapes in a storage drawer
Identified
-
www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap-apb1.html
July 01, 2013 - of 27 studies) or obesity screening and counseling for adults (15 of 27 studies), with few studies identified … No evidence was identified for three of the eight preventive services—breastfeeding counseling, obesity … The great majority of identified evidence gaps (31 of 42) were relevant to most or all of the clinical … As a consequence, many of the gaps identified by the panel were essentially described as general research
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc2.pdf
September 01, 2014 - home was
identified. … home was
identified. … No studies of
the effects of payment reform or medical
home were identified. … No payment
reform studies were identified.
k
Management of Chronic Conditions
17. … No studies on payment reform or
medical home specific to this topic were
identified.
-
www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
April 01, 2018 - All positives identified by the algorithm, as well as positives identified by routine surveillance were … At VA SLC HCS, four additional deep and organ-space SSI were identified in addition to those identified … At VVMC, all algorithm-identified cases were false positives. … Another procedure identified as having an SSI was actually a hysterectomy. … DH identified 2,179 procedures for inclusion in its system-specific cohort.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/zero_clabsis-slides/Sustaining-Zero-CLABSIs-May-8-2012-508.ppt
January 01, 2012 - Identified and contacted “hot spot” units with more than one CLABSI in the past 6 months (e.g., one unit … submission
Data was shared on coaching calls
Teams modeled CUSP on the calls
Shared what defects they identified … Exec Rounds
Identified Defect Identified Defect Identified Defect Identified Defect Identified Defect … Identified Defect
Learned from Defect Learned from Defect Learned from Defect Learned from Defect Learned … Exec Rounds Identified Defect Learned from Defect Shared findings
Q3 2010 n=98 52% 22% 17% 16%
Q4 2010
-
hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or22.jsp
July 01, 2014 - Unmatched AI/AN case - a reported case in which the individual is identified as AI/AN in the Oregon … Linkage and misclassification results
STD/HIV cases identified as AI/AN increased by 47.8% as a result … of the linkage, from 2,007 to 2,966
HIV cases identified as AI/AN increased by over 70%, from 72 to … 123 cases
The majority of misclassified records were coded as White; the linkage also identified a … One additional AI/AN syphilis case was identified through the linkage.
-
www.ahrq.gov/hai/cusp/toolkit/observing-rounds.html
December 01, 2012 - Not Addressed
Were conflicts identified … Were changes in the day clearly identified?
How were these changes resolved? … on your observations and the preceding questions, list any teamwork and communication problems you identified
-
www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
December 01, 2017 - How To Use This Data
Group the safety assessment responses by commonly identified defects (such as … Summarize and prioritize the defects identified (e.g., what percent of total responses were related to … Once defects have been clearly identified, you can design a quality improvement intervention to address