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1141. Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/rinke-report.pdf
      January 01, 2025 - microcytic anemia, elevated lead level, sexually transmitted disease, streptococcal pharyngitis on culture … By focusing on just one error at a time, practices would also likely experience less data collection … Improving test result follow-up through electronic health records requires more than just an alert.

1142. Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
      January 01, 2024 - families with incomes below 200% of poverty, which is the point at which incomes are considered to just … However, it is just below the national norm for coronary heart disease, which is of interest, given the

1143. Final Progress Report: Patient Partnerships To Improve Safety in the Clinic Setting: Creating an accurate medication list through a patient-centered approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/leonhardt-report.pdf
      January 01, 2024 - more effective interventions for improving medication adherence include a variety of components.20 Just … by formal and informal leaders, was evidenced by the measure of penetration of the project beyond just

1144. 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 - Reducing the CSHCN Screener to just the 2 highest frequency items may also limit the ability to identify … Just over 20% of the positively identified children in these 2 samples qualified on 2 out of the 5 screening … In the national sample, for example, just over half (55.2%) of all Hispanic children were from AMBULATORY

1145. CHIPRA Measure 240: Parent Report of Discussion of Weight Concerns for Child (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-bmi-parent-full-report.pdf
      February 01, 2020 - receiving too little advice from providers (Taveras, Gortmaker, Mitchell, et al., 2008), and that cultural beliefs … nutrition and exercise that clinicians provide to parents is intended for the entire family and not just … Parents have also reported distrust of growth charts, a reluctance to label their children, and the belief … Latina mothers’ beliefs and practices related to weight status, feeding, and the development of child

1146. Primary-Care-Based-Efforts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/primary-care-based-efforts.pdf
      March 01, 2019 - Compared with the control group, who just had case management, there was a 44 percent reduction in 30 … PCMH practices using a nonrandomized, controlled, pre-post design 52 Four clinics implemented a “culture … Their readmission rate for their highest risk patients was just 10.2 percent. … common among health service interventions and may relate to intangible factors such as the overarching culture … framework tend to be more successful; the presence of a PCMH initiative may be a marker of a favorable culture

1147. Primarycareeffortstoreducereadmissions-Envscan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
      March 01, 2020 - Compared with the control group, who just had case management, there was a 44 percent reduction in 30 … PCMH practices using a nonrandomized, controlled, pre-post design 52 Four clinics implemented a “culture … Their readmission rate for their highest risk patients was just 10.2 percent. … common among health service interventions and may relate to intangible factors such as the overarching culture … framework tend to be more successful; the presence of a PCMH initiative may be a marker of a favorable culture

1148. Final Progress Report: Demonstration Project To Refine, Automate and Test a Novel Emergency Department Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
      January 01, 2025 - , claims, complaints, and concurrent chart review.50 However, the ED module of the GTT consists of just … performance with in-depth reviews of a subsample of records (L2s usually do not review the entire record, just … Data processing, data entry, and study management were all performed via a custom web-based graphical … Three triggers (C28, M6, and P4) that had just missed the significance threshold used in the derivation … Measuring safety culture in healthcare: A case for accurate diagnosis.

1149. Follow-Up With Patient Family After Developmental Screening (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-202-fullreport.pdf
      January 01, 2014 - discussion between the clinician and the patient family or guardian after a developmental screen is just … listens carefully, provides them with needed information, shows sensitivity to the family’s values and customs … Discussion between the clinician and the patient’s family after a developmental screen is just as important

1150. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
      December 29, 2022 - Evidence shows that taking just 2 seconds to prepare for an upcoming interruption can improve performance … Because interruptions are a safety culture issue, more research needs to be done to under- stand whether

1151. 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 - Culture Type Map to Procedure Types Appendix F. Algorithms Appendix G. … Thus, total hip surgeries need to be compared with total hip surgeries, and not just the group of other

1152. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
      January 01, 2024 - identify the variation with the most benefit.22 (4) Having a shared model facilitates the safety culture … Studies have identified duplicate transcription as a risk factor.40 Finding just one important process … The processes being modeled should be fairly consistent from facility to facility (e.g., driven by culture … changeability in terms of cost • An estimate of the cultural ease in implementation (i.e., would the culture

1153. Chapter 3. Description of Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
      August 01, 2022 - or cultural barriers to reporting and making it available for health care workers and witnesses, not just

1154. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
      January 01, 2004 - “Fallacies” are arguments or beliefs that are misleading, or have deceptive appearances that may give … Advances in Patient Safety: Vol. 2 246 Impact of affective state Physicians and caregivers are just … The Challenger launch decision: risky technology, culture and deviance.

1155. Communication: Severe Hypertension - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
      July 01, 2023 - laboratory testing; and care decisions), Leadership (i.e., organizational planning, organizational culture … At this point, there is an opportunity for the team to use some of the tools you just learned about. … Silliness for this activity is encouraged, even if that’s not your typical unit culture.

1156. Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/nielsen2-report.pdf
      January 01, 2025 - In order to  help reverse this trend, academic medicine physicians must work to change publication culture … system‐wide dose optimization may seem daunting, it is critical to remember the  impact of reducing even just … cutting: 1) move to team‐based quality measurement; 2) include  population‐based quality measurement, not just

1157. Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/nielsen-report.pdf
      January 01, 2025 - In order to  help reverse this trend, academic medicine physicians must work to change publication culture … system‐wide dose optimization may seem daunting, it is critical to remember the  impact of reducing even just … cutting: 1) move to team‐based quality measurement; 2) include  population‐based quality measurement, not just

1158. Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
      January 01, 2004 - A chain of responsibility not only makes it clear who is ultimately responsible, but also—and just as … Suicide risk factors among veterans: risk management in the changing culture of the Department of Veterans

1159. AHRQ EvidenceNOW: Building State Capacity: Interim Evaluation Report II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-2.pdf
      July 01, 2024 - sometimes … the partners may need to change or their role that the partner plays may not be significant just … Another strength is that the group has developed a “culture of safety” by encouraging partners to reach … Evidence-based interventions are not just adopted on their own. … [links to CFIR culture] Information related to the members of the cooperatives, including previous … individuals Characteristics of the individuals involved in implementing the intervention − Knowledge and beliefs

1160. Steps for Increasing Urinary Incontinence Screening: A Guide for Primary Care Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-screening-toolkit.pdf
      April 01, 2025 - and conveying this meaning in another language.[53] The process of translating includes more than just … population Adjusting the language used to explain UI based on your patient population’s age or cultural … background can improve patient understanding of UI. … Interlinking goals, strategies, systems, culture, needs, and leadership helps optimize the ability … These are just a few examples of how ROI could be conceptualized.