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Showing results for "intervention".

3281. Prologue—Volume 1—Five Years Later—Are We Any Safer? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
      January 01, 2004 - Prologue—Volume 1—Five Years Later—Are We Any Safer? 1 Prologue Five Years Later—Are We Any Safer? Brent C. James The Institute of Medicine (IOM) released To Err Is Human: Building a Safer Health System,1 its seminal summary of preventable patient injuries suffered within American hospitals, on November 29,…

3282. AHRQ's Healthcare-Associated Infections Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/index.html
      April 01, 2025 - AHRQ's Healthcare-Associated Infections Program Healthcare-associated infections (HAIs) are among the leading threats to patient safety, affecting one out of every 31 hospital patients at any one time. Over a million HAIs occur across the U.S. health care system every year, leading to the loss of tens of thousa…

3283. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4f_combo_psi09-postophemorrhage-bestpractices.pdf
      May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4f Selected Best Practices and Suggestions for Improvement PSI 09: Postoperative Hemorrhage or Hematoma Why Focus on Postoperative Hemorrhage and Hemat…

3284. Breakout Session: Use of Data and Measurement in Improving Diagnostic Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-breakout.pdf
      September 28, 2016 - Breakout Session: Use of Data and Measurement in Improving Diagnostic Safety Breakout Session: Use of Data and Measurement in Improving Diagnostic Safety Jeffrey Brady, MD, MPH Director, Center for Quality Improvement and Patient Safety AHRQ Research Summit on Diagnostic Safety September 28, 2016 Discussant…

3285. Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/preventing-clinical-deterioration-long-desc.html
      January 01, 2025 - Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients Principal Investigator: Matthew Weinger, M.D., Vanderbilt University Medical Center, Nashville, TN  Co-PI: Daniel France, M.P.H., Ph.D., Vanderbilt University School of Engineering, Nashville, TN AHRQ Grant No…

3286. Facilitator-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facilitator-notes.docx
      March 01, 2017 - safety teams collect and submit data related to any clinical problem to analyze the progress of an intervention

3287. Primary Care Physicians' Experiences With and Attitudes Toward Pediatric Quality Reporting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-primary-care-physician-reporting.pdf
      December 01, 2016 - respondents practicing in health systems participating in the CHIPRA Quality Demonstration Grant Program intervention … respondents practicing in health systems participating in the CHIPRA Quality Demonstration Grant Program intervention

3288. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
      August 01, 2022 - One possible intervention would be to reconfigure the physical organization of work to bring physicians … Safety-II” science, such as teamwork and feedback mentioned above, providing yet another avenue for intervention

3289. Final Progress Report: Proactive Risk Assessment in the ED: Building the Safety Case (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
      January 01, 2025 - of the hazards identified here, has been submitted and funded under RFA-HS-08-004, “Risk Informed Intervention … no harm to the patient 2 Increased patient assessment and monitoring but no harm 3 Treatment or intervention

3290. Building, Implementing, and Troubleshooting an Automatic Referral for Cardiac Rehabilitation
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
      December 31, 2022 - Representatives 9 Getting the perspectives and insights of the people who will be impacted by your intervention … Implementation guide PTCA Percutaneous transluminal coronary angioplasty PCI Percutaneous coronary intervention

3291. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
      August 01, 2022 - One possible intervention would be to reconfigure the physical organization of work to bring physicians … Safety-II” science, such as teamwork and feedback mentioned above, providing yet another avenue for intervention

3292. Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Gershon_88.pdf
      January 01, 2012 - high prevalence for certain home care-associated health hazards, many of which might be amenable to intervention … Additional risk assessment studies, especially targeting home care patients, and intervention-type studies

3293. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
      January 01, 2025 - A multi-intervention quality improvement program to modify the prescribing behavior for potassium supplements … The effectiveness of a multifaceted intervention to improve physician laboratory ordering patterns in

3294. Depression Care for Adolescents and Adults: 2014 Testing Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0245-testing-report.pdf
      January 01, 2014 - Depression Care for Adolescents and Adults: 2014 Testing Report Depression Care for Adolescents and Adults 2014 Testing Report Executive Summary This report summarizes findings from quantitative testing conducted in 2014 to evaluate the feasibility and variation in performance at the health plan level for …

3295. Depression Care for Adolescents and Adults 2014 Testing Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-246-section-6.pdf
      January 01, 2014 - Depression Care for Adolescents and Adults 2014 Testing Report Depression Care for Adolescents and Adults 2014 Testing Report Executive Summary This report summarizes findings from quantitative testing conducted in 2014 to evaluate the feasibility and variation in performance at the health plan level for t…

3296. Depression Care for Adolescents and Adults: 2014 Testing Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0244-testing-report.pdf
      January 01, 2014 - Depression Care for Adolescents and Adults: 2014 Testing Report Depression Care for Adolescents and Adults 2014 Testing Report Executive Summary This report summarizes findings from quantitative testing conducted in 2014 to evaluate the feasibility and variation in performance at the health plan level for …

3297. Chapter 3: Defining Categorization Needs for Race and Ethnicity Data | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3a.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 3: Defining Categorization Needs for Race and Ethnicity Data Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary R…

3298. Module-6-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
      June 02, 2025 - TAKEheart Care Coordination Implementation Guide – Part 1 -- Module 6 Laying the Groundwork for Effective Care Coordination Purpose and Overview The overall goal of TAKEheart is to increase the enrollment and successful completion of cardiac rehabilitation (CR) by eligible patients. The evidence demonstrate…

3299. Availability of Outpatient Maternal Fetal Medicine and Specialty Care for Women with High-Risk Pregnancies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-fullreport.pdf
      January 01, 2019 - Congenital heart diseases require multidisciplinary care for early intervention and close monitoring

3300. Case Report on Ambulatory Safety and Quality (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
      September 05, 2017 - review and revision process is detailed below in the section, “Development of the New Evidence-Based Intervention … • Recommend systematization or standardization of protocols as a promising intervention approach … Primary changes to the final intervention element (the revised toolkit) included: • Re-ordering