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2981. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
      March 01, 2020 - review to better understand how to address patient identification errors in clinical care.1 The review included … Interventions included improving design for physical, electronic, and assigned patient identifiers ( … flow diagram and evidence table, along with literature-search strategy and search-term details, are included … The review included observational studies and prospective audits. … Total markings included: 204 inguinal hernias, 35 umbilical hernias, 48 varicose veins, 50 toenail

2982. 2. Synthesis of Key Findings by Category | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section2.html
      October 01, 2015 - Strategies included involving practices in data collection (via manual extraction of data from EHRs or … Our first and fifth Evaluation Highlights included lessons learned about facilitators and barriers … Incentives included $10,000 per measure reported from an EHR for the base year (up to 18 measures, or … These strategies included using various combinations of EHRs, personal health records (PHRs), and HIE … During the demonstration, States implemented projects that included multiple elements.

2983. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
      January 01, 2019 - When preliminary data for 2017 are included, the decrease in HACs from 2014 to 2017 is 13 percent. … the trend beginning in 2014, methods were updated and a larger portion of hospital inpatients were included … In the 2010–2014 method, Clostridioides difficile Infection data were included in “All Other HACs” rather … Multiply the adverse event rate for each of the 21 HACs for patients with one of the five conditions included … However, the methodology by which charts are identified, sampled, and included for review with the MPSMS

2984. F. Granular Ethnicities with No Determinate OMB Race Classification | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapf.html
      May 01, 2018 - Thus, this ethnicity is included in Table F-1 and may be said to have "no determinate OMB race classification … with one specific OMB race category and that when rollup is necessary, these granular ethnicities be included

2985. Understanding and Reducing Overuse of Potentially Harmful Screening Tests (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/sheridan_screening_overuse.pdf
      January 01, 2014 -  Making comparisons between the benefits of screening versus not The stories and comparisons included … Further, all presentations included information about both the immediate harms of screening and the

2986. Multiple Chronic Conditions Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
      April 01, 2014 - Chronic Conditions Chartbook 2010 MEDICAL EXPENDITURE PANEL SURVEY DATA ALL OF THE INFORMATION INCLUDED … People residing in institutions, such as nursing homes, are not included in the sample, and therefore … The chronic condition classification list created by Hwang and colleagues is included, with permission … Hwang and colleagues in 200110, and updated in 2009.11 (Included in Appendix B1, and available in … – Note: The tables included in the Chartbook present these conditions in an aggregated form, with consumer

2987. AHRQ Safety Program for Ambulatory Surgery Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
      May 01, 2017 - The changes included: • adapting and implementing the surgical checklist • a focus on the checklist … A list of abbreviations used in this report is included in Appendix A. … The general areas for EFN contribution included, but were not limited to, recruitment and referrals, … A description of each module is included in Table 4. Table 4. … Physicians included anesthesiologists and surgeons.

2988. A Practical Guide for Estimating the Costs of Primary Care Transformation | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/guide.html
      October 01, 2015 - with the grantees to discuss their advice for other researchers, based on their experiences, to be included … , and report, whether PCMH certification was sought and what level and stages of transformation are included … In addition, detailed descriptions of study settings, practice change efforts, and what is included in … Examples of cost data collection tools developed by AHRQ Estimating Costs grantees are included in Appendix … Are technical assistance and EHR implementation costs included?

2989. Appendix R. Infection Prevention Support Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiapr.html
      April 01, 2018 - Final data sheet submitted by each site that included the list of potential SSI risk factors and other … , determine if there are additional elements that are not in the algorithm that you think should be included … Procedures included hip and knee arthroplasty, abdominal and vaginal hysterectomy, spinal fusion, craniotomy … Variables included in the DH modified algorithm were leukocytosis (white blood cell count > 10,000 cells … Directing Questions/Requests for More Information For more information or questions related to content included

2990. A Practical Guide for Estimating the Costs of Primary Care Transformation | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/cost-guide/practical-guide.html
      February 01, 2017 - with the grantees to discuss their advice for other researchers, based on their experiences, to be included … , and report, whether PCMH certification was sought and what level and stages of transformation are included … In addition, detailed descriptions of study settings, practice change efforts, and what is included in … Examples of cost data collection tools developed by AHRQ Estimating Costs grantees are included in Appendix … Are technical assistance and EHR implementation costs included?

2991. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
      August 01, 2022 - Award: $294,137 Goals The goals for this project included the establishment and assessment of a … This group included safety net and private practices from both rural and urban environments. … An assessment of 632 near-miss events reported over the 12-month period and included in the analysis … The intervention included the use of new procedural and structural environmental safeguards. … Structural safeguards included making windows shatterproof.

2992. Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
      March 01, 2016 - A patient may be correctly included in the report, but the corresponding information in the report … • The most recent date and value for a blood test is not included in a report because the test … If the patient identified on the complementary report should be included in the target population, … Working backwards one day at a time, select the patients who would be expected to be included in the … Identify any patients included in the complementary report but missing from the initial report.

2993. Pediatric Medical Complexity Algorithm (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-fullreport.pdf
      July 01, 2017 - The target population included 350 children with complex chronic disease, 100 with non-complex chronic … SCH data included administrative claims from inpatient, ED, and day surgery encounters. … WA-Medicaid data included all inpatient and outpatient claims provided to the state. … SCH data included administrative claims from inpatient, ED, and day surgery encounters. … WA-Medicaid data included all inpatient and outpatient claims provided to the State.

2994. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
      July 01, 2003 - Thus, study methods included prescriptions transmitted to and filled solely at a pharmacy owned and … It included drug name abbreviations, the use of the terminology from the apothecary system, the use … The Reference Packet included an example of the signature of each prescriber whose prescriptions were … Important features of the database included the automatic downloading of eligible prescriptions from … The background tables included those that linked drugs to dosage forms and doses, provided directions

2995. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
      January 01, 2004 - The errors included were those that resulted in a severity of patient harm that met the National Coordinating … Results: Qualitative analysis of the RCAs included findings related to lessons learned, emergent themes … Implementation Issues discussed by the medication subcommittee included the following: • What do … Percentage breakdown of reported medication errors included in project (N = 108) Table 2. … Percentage breakdown of reported medication errors included in project Figure 2.

2996. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
      January 01, 2003 - Additional analyses included time and motion review, and workflow evaluation. … Nursing diagnosis data included the patient problems/priorities identified by the RN. … Evaluation activities included inquiries or measurements made to determine the patient’s response to … Documentation included tasks such as computer data entry, review of medical records, and order entry … Medication administration tasks included preparation and administration of medications (17 percent).

2997. 53. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide53.html
      October 01, 2014 - Recommendation: Provision of guideline-based interventions to treat tobacco use and addiction should be included

2998. Exhibit 4. Numbers of Documents Abstracted | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex4.html
      July 01, 2018 - numbers of articles abstracted in the database does not reflect the total number of articles reviewed and included

2999. AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/final-impact-synthesis-report.pdf
      July 22, 2015 - The topics discussed during the calls included: • The history of State-level QI efforts before the … North Carolina’s learning collaboratives included steps to identify region and practice priorities and … They convened meetings that included more than 25 organizations throughout Pennsylvania to discuss the … Oklahoma’s spread efforts included regularly scheduled phone, email, and in person visits between the … Multipayer PCMH initiative included several health plans.

3000. AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/final-impact-synthesis-report.pdf
      July 22, 2015 - The topics discussed during the calls included: • The history of State-level QI efforts before the … North Carolina’s learning collaboratives included steps to identify region and practice priorities and … They convened meetings that included more than 25 organizations throughout Pennsylvania to discuss the … Oklahoma’s spread efforts included regularly scheduled phone, email, and in person visits between the … Multipayer PCMH initiative included several health plans.