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Showing results for "lack".

6881. Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
      January 01, 2024 - Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients FINAL REPORT Agency for Healthcare Research and Quality Title of Project: Enhancing The Disclosure Of Medical Errors To Patients Principal Investigator and Team Members: Thomas H. Gallagher, MD Carolyn Prouty, DVM Mary Lucas Organizati…

6882. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
      June 02, 2025 - Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization Module Aim The aim of this module is to support your efforts to implement the new prevention practices at the patient care level. Module Goals…

6883. Learn From Defects Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
      December 01, 2017 - Team Factors Lack of role clarity regarding who is responsible for normothermia maintenance.

6884. Safety Across The Board | PSNet
      psnet.ahrq.gov/perspective/safety-across-board
      August 31, 2020 - I've been very fortunate to, for lack of a better term, raise five CNOs throughout my career and I'm

6885. hemorrhage-postpartum-protocol-140611 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/hemorrhage-postpartum_research-protocol.pdf
      June 11, 2014 - The lack of a clear definition and consistent terminology can delay timely diagnosis and appropriate … Public comments to the key questions emphasized the lack of universally accepted definitions for PPH

6886. Layout 1 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer18-heart-disease-ace-inhibitor-arb-executive.pdf
      October 01, 2009 - Given the lack of significant benefits found in Key Question 3, the balance of benefits to harms for … We also have less confidence in the applicability of the harms results, given the lack of data for several

6887. Title Page (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016160-sakuda-final-report-2009.pdf
      January 01, 2009 - • Lack of information when a patient is transferred from a hospital to a CHC happens very often … hosp X X People will gossip or discussing it among each other or around the table X Fear related to lack

6888. On-Time Pressure Ulcer Healing: Introduction to Pressure Ulcer Healing Reports Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/erepguide.html
      December 01, 2016 - This is a flag for pressure ulcers at risk for delayed healing due to factors that indicate a lack of … Intervention Profile Report 2 generate team discussion and collaboration about the underlying root cause for lack

6889. Finding the Safer Way: Novel Interaction Design Approaches to Health IT Safety - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs023708-senathirajah-final-report-2021.pdf
      January 01, 2021 - prescribed, antagonistic effects of medications prescribed by different providers to the same patient, lack … So far we have not found evidence that sharing fosters errors due to lack

6890. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
      January 01, 2020 - I also determined that there was really a lack of standard of process. … So, there was a lack of feedback in the essence of putting something into the black hole and never hearing

6891. Optimizing the Value of PROMs in Improving Care Delivery through Health Information Technology (PROMOTE) – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs025618-solberg-final-report-2023.pdf
      January 01, 2023 - Our review of the literature also suggests that the lack of impact on patient outcomes may come from … Although previous studies have shown that SDM can improve patient experience, the lack of a strong correlation

6892. Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
      January 01, 2024 - Due to the lack of time available for such trainings, we created a training program that could be delivered … This lack of adherence suggests that there is opportunity for greater investment in end-user implementation

6893. Final Progress Report: The National Quality Forum Annual Meeting 2004 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
      January 01, 2025 - The use of multiple medications and non-standard concentrations, the lack of a defined labeling system … interests rather than “council”-worthy Action – reflect to Board of Directors consumer concerns ith lack

6894. Final Progress Report: TIPI Systems To Reduce Errors in Emergency Cardiac Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
      January 01, 2024 - Manual data entry was required to complete the database because of the lack of IT infrastructure. … Overall, there was limited usefulness of the system in this setting due to a lack of IT infrastructure

6895. Mod4-System-Focused-Event-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
      April 01, 2016 - Supervision (e.g., leadership or management involvement/resources or lack thereof) Two possible ways … Hindsight bias is commonly driven by a lack of insight into the context of the error, meaning the details

6896. AHRQ CEDAR Final Project Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/cedar-year1-final-report.pdf
      September 01, 2022 - An additional outcome of USPSTF’s participation in the curation trial was a recognition that the lack … Future work could explore how much the lack of keywords impacts adherence to FAIR principles and whether

6897. Research White Paper Multinational Registries Addendum Registries for Evaluating Patient Outcomes Third Edition (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/multinational-registries-guide-3rd-ed-addendum-white-paper.pdf
      February 01, 2018 - For example, an awareness program and educational materials may be needed to overcome a lack of familiarity … Paper CRFs may be necessary in some cases due to lack of access to technology and reliable Internet

6898. Research Protocol: Breast Reconstruction After Mastectomy (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/breast-reconstruction-mastectomy-protocol.pdf
      April 09, 2020 - Because NRCSs, like RCTs, can be impacted by the lack of blinding and by participant loss to followup

6899. Disparities-Quality-Improvement Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/disparities-quality-improvement_executive.pdf
      August 01, 2012 - This partially reflects a lack of consistency about what constitutes a QI intervention; information

6900. Developing and Using Valid Clinical Quality Metrics for HIT with HIE (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017067-kaushal-final-report-2011.pdf
      January 01, 2011 - collected from manual chart review, which is laborious and expensive, or from claims data, which lack