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2741. Using Patient Complaints to Promote Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
      March 22, 2008 - We hypothesized that patient/family concerns would just as likely point to recurring problems that increase … While we certainly agree that “reducing lawsuits requires preventing errors and improving safety, not just

2742. In Conversation with Elizabeth Salisbury-Afshar about Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet
      psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
      October 30, 2024 - Elizabeth Salisbury-Afshar:  I'll just say at the onset, there are some really cool pilot programs pushing … Elizabeth Salisbury-Afshar: Harm reduction is not just the services we offer, it’s how we work with … Sarah Mossburg:  You just spoke to how clinicians on the inpatient side can integrate some harm reduction … That education should happen across the entire system, not just for the prescribers.  … Annual Perspective Ensuring Patient and Workforce Safety Culture

2743. Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet
      psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
      October 30, 2024 - Elizabeth Salisbury-Afshar:  I'll just say at the onset, there are some really cool pilot programs pushing … Elizabeth Salisbury-Afshar: Harm reduction is not just the services we offer, it’s how we work with … Sarah Mossburg:  You just spoke to how clinicians on the inpatient side can integrate some harm reduction … That education should happen across the entire system, not just for the prescribers.  … Annual Perspective Ensuring Patient and Workforce Safety Culture

2744. Final Progress Report: AUA 2022 Quality Improvement Summit: Opportunities to Improve Care in Urology (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/gore-report.pdf
      January 01, 2024 - early in the disease process, preferably at the time of diagnosis, engaging the patients’ values, beliefs … diversity of social determinants, such as environment, personal characteristics, family, spiritual beliefs … , culture, race, and language. … They noted that palliative care helps patients to live within the goals of care, not just die within … older physicians, pain management is problematic in the current climate, and there is a longstanding belief

2745. Disposition of Comments CER 185 Tympanostomy Tubes in Children With Otitis Media (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/tympanostomy-tubes-disposition.pdf
      May 05, 2017 - It’s not necessarily wrong, it’s just not explained and it’s harder to compare results between them … Does this take into account the confidence intervals or just the point estimates of the comparative … the importance of surveillance of otopathogens in future TT trials, I don’t think that bacterial cultures … of AOM irrespective of otopathogen involved, so I don’t agree with the authors that bacterial cultures … We agree that the benefit of culture is unclear.

2746. Disposition of Comments CER 185 Tympanostomy Tubes in Children With Otitis Media (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/tympanostomy-tubes-disposition.pdf
      May 05, 2017 - It’s not necessarily wrong, it’s just not explained and it’s harder to compare results between them … Does this take into account the confidence intervals or just the point estimates of the comparative … the importance of surveillance of otopathogens in future TT trials, I don’t think that bacterial cultures … of AOM irrespective of otopathogen involved, so I don’t agree with the authors that bacterial cultures … We agree that the benefit of culture is unclear.

2747. Implementation and Evaluation of an Automated Email Notification System for Results of Tests Pending at Discharge - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r21hs018229-dalal-final-report-2012.pdf
      January 01, 2012 - emails (compared with other test type emails) given the relatively high volume of pending microbiology culture … actionable depending on the perspective and practices of individual physicians (e.g., receipt of a negative culture … Because many patients typically have microbiology TPADs (i.e., cultures) at discharge, we partially … regular use of network email for clinical communications was a credible assumption given our robust culture … “It is best to send these pathology results not just to the ordering physician but also the GI physician

2748. Perception and Use of a Patient Care Window to Improve Care and Family Engagement - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs023626-asan-final-report-2017.pdf
      January 01, 2017 - One explanation is the “Field of Dreams” fallacy, which questions the belief that simply implementing … One possible explanation is the “Field of Dreams Fallacy,” which questions the belief that simply implementing … The needs of physicians and nurses are likely related to easy and quick “just-in-time” access to information … quick reference point; and c) they do not need to log into the computer to access data, they can just … providers to teach trainees how to use vital signs to make decisions Physical properties/overall belief

2749. Disposition of Comments Report for Technical Brief 14 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-survivor-care-transition_disposition-comments.pdf
      March 18, 2014 - Just as there are huge community based and institution based variations in the delivery of hospice … General medical care and counseling for cancer survivors is covered through E&M just like any other … Guiding Questions, Context Under Which Survivorship Care is Used,” suggest also considering identifying cultural … background and regional/geographical considerations under patient characteristics. … Most importantly, table 10 (or a new table 11) should have study findings, not just outcomes assessed

2750. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-literacy_research-protocol.pdf
      January 22, 2010 - d) Disparities in health outcomes or health care service use according to race, ethnicity, culture, or … we will look for studies that report on the mediation of the relationship between race, ethnicity, culture … We will also include studies that report on variables, such as race, ethnicity, culture or age, examined … Consumer competencies and the use of comparative quality information: it isn't just about literacy. … The influence of health literacy on colorectal cancer screening knowledge, beliefs and behavior.

2751. Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
      September 01, 2015 - as a means for having a staff member or clinician reflect on any ambivalence about the process, the culture … After a long day (and a drive home ahead), it can be tempting just to slip out the back door. … Taking the time to say goodbye (just like saying hello) can be an important step in building rapport … When working with patients or practice members from cultures, backgrounds, or experiences different … using a snowball approach, clear this with your practice champion and be sure that you respect the culture

2752. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73104/psn-pdf
      January 04, 2021 - in the use of PPE and infection control principles and practices, and a supportive workplace safety culture … the use of health IT to improve safety for both patients and providers, and strengthening the safety culture … Lastly, the field is just beginning to understand the burden for patients with prolonged symptoms related … weaknesses so that all critical components of the system will be better prepared for the future, not just

2753. Introduction to Medication-Assisted Treatment | The Academy
      integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/introduction-medication-assisted-treatment
      February 01, 2025 - whole-patient’ approach to the treatment of substance use disorders.” 5 Often, people mistakenly believe MAT just … Started Understanding the Components of MAT Addressing Organizational Readiness and Culture

2754. Retained Surgical Items: Definition and Epidemiology. | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
      September 15, 2024 - June 12, 2024 Creating a just culture in the perioperative setting.

2755. The Missing Abscess: Radiology Reads in the Digital Era | PSNet
      psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
      January 01, 2009 - incorrect assumption that the radiologist saw both ovaries as well as an additional fluid collection, but just … July 5, 2017 An anesthesiology department leads culture change at a hospital system level

2756. Guide: Purpose and Use of CLABSI Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/clabsi-tools/guide.html
      January 01, 2020 - interpersonal communication improved aviation safety, the same is not yet true in health care's hierarchical culture … CLABSI in clear, real terms and present the actual number of infections over a period of time, not just

2757. Technical Expert Panel | PSNet
      psnet.ahrq.gov/Information/Panel
      January 01, 2012 - Under her leadership, CANDOR (Communications AND Optimal Resolution) and Just Culture were spread across

2758. Best Practices in the Diagnosis and Treatment of Clostridioides difficile Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-facilitator-guide.pdf
      November 01, 2019 - Moment 2: Have I ordered appropriate cultures before starting antibiotics? … retested to confirm the patient indeed has CDI by testing specifically for the presence of toxin and not just

2759. Final Progress Report: Improving ED Quality and Safety by Enhancing Operations and Quality Management (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/khare-report.pdf
      January 01, 2024 - The applicant’s interest in this topic emanated from his belief that improved healthcare delivery systems … qualitative methods, such as Failure Modes Effects Analysis, clinician surveys about organizational culture … High-quality care requires more than just excellent medical decision making and physician buy-in to

2760. Screening for Chlamydial Infection: An Evidence Update (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/REES__d2DxtDLhZCXQjpPW
      July 01, 2007 - The investigators concluded that a culture of the “blameless male and stigmatized female” continues to … higher sensitivities and specificities than older antigen detection tests and higher sensitivities than culture … In addition, tests other than culture, which are not widely available, have not been cleared by the U.S