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3121. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
      January 01, 2005 - and important, but represent an underemphasized and understudied area of patient-safety.1–8 This belief … The next day, blood cultures are growing gram negative organisms. … day when (a) review of laboratory data over the past year shows that patient had four prior blood cultures … surgery; it was only prevented by the fact that she was a Jehovah’s Witness and, because her religious beliefs … the ED to defer the test (meaning a wait of perhaps several months in the clinic), or would a more “just-in-time

3122. Prevehosp-Reports-Ig (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
      November 30, 2013 - Hospital and ED Visits: Reports Labs Obtained  Electrolytes  Cardiac workup  CBC  Blood cultures … Sepsis/ Fever/ Infection Dehydration 22 Infection 23 IV fluids given 1 1 24 Blood cultures … On 3/8/15, he had just returned to the nursing home from a prior hospitalization.

3123. Building Implementation Toolsets for E-Prescribing (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/ahrq-rand_e-rxtoolset_020312comp.pdf
      December 01, 2011 - process transitions, and guidance on other key organizational factors such as leadership, organizational culture … The quantitative measurement of organizational culture in health care: a review of the available instruments … To gain understanding of organizational culture (values, beliefs, norms, and shared reality) from participants … Generally just one or two doctors had scheduled patients each day.

3124. Evidence Summary: High Body Mass Index in Children and Adolescents: Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/obesity-in-children-and-adolescents-screening
      June 18, 2024 - However, these potential harms of behavioral interventions were reported in just a small subset of trials … disease that must be treated. 87 This body of work is primarily focused on adults and centers on the belief … humans, the widespread and harmful stigma and inequities faced by people with higher weight, and the belief

3125. Attachment A: CHIPRA Pediatric Quality Measures Proram (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusForm.pdf
      February 06, 2012 - Just over half of the sample was female (51.8%). … suggested that structural attributes should include organizational characteristics such as leadership and culture

3126. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/match.pdf
      August 01, 2012 - ■ The leadership team should promote the concepts of this toolkit into culture and practice for safe … Piloting the improved process in this department is a good way to establish the culture of using a “ … Just like pilot testing, there are several different strategies to roll out the process. … facilities should ensure that systems are in place to promote better understanding for all patients, not just … Inpatient Example: Yes Example: Transplant Clinic Example: Outpatient Example: Yes The chart below is just

3127. Phtma (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/PHTMA.pdf
      December 01, 2004 - Observations began just before the first patient appointment, and continued until onsite care was com … Impact on organizational culture and behavior. Acad Med 1993;68(1):20–5. [23] Massaro TA.

3128. Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/medication-therapy-management-1_research.pdf
      July 01, 2012 - medication, identification of barriers to good adherence, and an intervention that changes the patient’s beliefs … We were therefore able to have just two visits with the MTM provider (initial and followup). … Once the MTM provider identified and assessed a drug related problem, patient education was just one … drugs Patient unwilling to adapt life-style Burden of therapy Treatment not in line with health beliefs

3129. Interventions-Horizon-Scan-High-Impact-1306 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/interventions-horizon-scan-high-impact-1306.pdf
      June 01, 2013 - preliminary efficacy data in the target population are available) in the United States or that have just

3130. ADHD Chronic Care Follow Up (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-145-fullreport.pdf
      July 01, 2016 - Aside from just the numbers of children in each component, we also conducted complementary analyses

3131. Microsoft Word - deliverable57_02_CD_V2.doc (pdf file)
      hcup-us.ahrq.gov/reports/methods/2009_03.pdf
      January 01, 2009 - number of ambulatory surgeries reported by Colorado, New Jersey, and New York rose from 0.9 million to just … 229: Nonoperative removal of foreign body 6,937 122 206: Microscopic examination (bacterial smear, culture … procedures 1,505,038 877 235: Other laboratory 1,008,893 2 206: Microscopic examination (bacterial smear, culture … Anesthesia 0.2% 4 69 69: Esophageal dilatation 0.2% 5 206 206: Microscopic examination (bacterial smear, culture

3132. Challenges and Barriers to Clinical Decision Support (CDS) Design and Implementation Experienced in the Agency for Healthcare Research and Quality CDS Demonstrations (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/CDS_challenges_and_barriers.pdf
      July 30, 2007 - It also reinforces clinicians’ belief that CDS is not useful and that its clinical advice may be incorrect … and commitment are required to unite team members from disparate disciplines, organizations, and cultures … However, CDS is not just about technical content or technical design; CDS interventions also involve

3133. Disposition of Comments for CER 163 Appropriate Antibiotics (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/antibiotics-respiratory-infection_disposition-comments.pdf
      January 27, 2016 - I found it a little confusing when reading about the outcomes of ‘appropriate’ vs just ‘reduced’ ABX … challenges of measuring this outcome in care settings (clinics, EDs) and for conditions in which culture … Added: Because culture and sensitivity testing is rarely routinely performed in outpatient settings … Because culture and sensitivity testing is rarely routinely performed in outpatient settings, we

3134. Chartbook on Effective Treatment: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment-slides.html
      April 01, 2018 - Poor refers to household incomes below the Federal poverty line; low income, from the poverty line to just … below 200% of the poverty line; middle income, 200% to just below 300% of the poverty line; and high … Evidence-based psychological therapies can help patients overcome interpersonal difficulties, health beliefs … Psychological therapies can help modify health beliefs, treat comorbid anxiety and other disorders, and

3135. Quartz App for Hypertension Medication Management: Feasibility, Usability, and Acceptability Assessment (pdf file)
      cdsic.ahrq.gov/sites/default/files/2025-09/Quartz%20Assessment%20Report_To%20DTP_09.05.25.pdf
      January 01, 2025 - non-adherence are complex and patient specific but can include psychosocial (e.g., illness perceptions, health beliefs … However, because the write-back was custom built for Oracle Health, it limits the app’s generalizability … Health system leadership support and culture: The technical team described how Baystate Health has had … issues were identified during testing, automated monitoring, or feedback from patients and “Probably just … such as the Consolidate Framework for Implementation Science,34 local 33 leadership and culture

3136. Draft Recommendation: Intimate Partner Violence and Caregiver Abuse of Older or Vulnerable Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/intimate-partner-violence-abuse-older-vulnerable-adults
      October 29, 2024 - support services, which included multiple visits with patients, addressed multiple risk factors (not just

3137. Trust & Patient-centeredness Workgroup: Methods for Involving End-users in PC CDS Co-design (pdf file)
      digital.ahrq.gov/sites/default/files/TPC_Codesign%20Report%20to%20AHRQ%20FINAL.pdf
      August 01, 2023 - commonly used in design processes to solicit qualitative information about end- users’ experiences, beliefs … advance the study and use of co-design methods for PC CDS. 3.1 Combining Co-design Methods Just … Regulatory cultures and research governance. Rand Health Q. 2013;3(1):5.

3138. Trust & Patient-centeredness Workgroup: Methods for Involving End-users in PC CDS Co-design (pdf file)
      cdsic.ahrq.gov/sites/default/files/2023-09/TPC_Codesign%20Report%20to%20AHRQ%20FINAL.pdf
      January 01, 2023 - commonly used in design processes to solicit qualitative information about end- users’ experiences, beliefs … advance the study and use of co-design methods for PC CDS. 3.1 Combining Co-design Methods Just … Regulatory cultures and research governance. Rand Health Q. 2013;3(1):5.

3139. Mixed MethodsReview -Integrating Palliative Care with Chronic Disease Management in Ambulatory Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/palliative-care-research-amended-protocol.pdf
      November 21, 2019 - approaches are not based on prognosis and can be beneficial throughout the course of serious illness, not just … Real-time clinician access to useful information and changing attitudes and culture through addressing

3140. Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
      April 23, 2004 - remedial educational efforts are directed toward all clinical staff after an error has occurred, not just … At a societal level, the culture of error issues blame and exacts penalties, which stifles the open … This is a no-cost improvement dependent upon change in professional and local cultures.