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2161. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49511/psn-pdf
      May 01, 2006 - United States Pharmacopeia (USP) medication error reporting system, received 187 medication error reports … Among those reports, four medication errors (2.1%) involving either Polycitra or Bicitra resulted in … on Accreditation of Healthcare Organizations (JCAHO) National Patient Safety Goal. … Medication reconciliation (also a 2006 National Patient Safety Goal) is a process that involves a review … Readers should not interpret any statement in this report as an official position of AHRQ or of the

2162. Traumatic Brain Injury and Depression (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/depression-brain-injury-surveillance-160902.pdf
      January 30, 2014 - Current"and"previous"surveillance"reports"identified" studies"examining"Cognitive"Behavioral"Therapy … compared"the"conclusions"of"the"included"abstracts"to"the"conclusions"of"the"original"systematic" 2" review"and"surveillance"reports … Current"and"previous"surveillance" reports"identified"studies"examining"Cognitive"Behavioral"Therapy … [Mesh]"AND"English[lang]))"NOT"((((((("Case" Reports"[Publication"Type])"OR""Letter"[Publication"Type … All"study"designs"except"individual"case" reports"were"included"in"order"to"be"inclusive"and"identify"all"possible"prevalence

2163. 2024 Network of Patient Safety Databases Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
      January 01, 2024 - used in this report. … PSOs collect voluntary reports from healthcare providers and submit data to the PSO Privacy Protection … Medication and Other Substance reports were divided into three groups: Incident where the event reached … The remainder of this report will reflect a focus on Medication or Other Substance reports described … Incorrect actions include patient safety reports that are Incidents and Near Misses.

2164. Title Page (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016130-lewis-final-report-2009.pdf
      January 01, 2009 - organizations focused on the underserved and health disparities. … quality, safety, and efficiency for the region’s most vulnerable populations, focused on the specific … implementation strategies, national successes and failures, and the potential for HIE to help bring … quality, safety, and efficiency for the region’s most vulnerable populations, focused on the specific … • Accept faxed reports from specialists and ERs for incorporation into the clinic EHR.

2165. Innovations in Using Health IT for Chronic Disease Management (pdf file)
      digital.ahrq.gov/sites/default/files/docs/lesson/09-0029-ef-cdm.pdf
      January 01, 2009 - This report focuses on grants awarded in 2004 and 2005 that are supporting implementation or evaluation … health care quality and safety, which is also the aim of many health IT projects. … asthma can help providers and payers measure the quality of care provided to these patients. … MMWR Recommendations and Reports. 2004 September 10, 2004:1-6. 2. CDC. … Department of Health and Human Services, CDC, National Center for Chronic Disease Prevention and Health

2166. America's Health Literacy: Why We Need Accessible Health Information (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/dhhs-2008-issue-brief.pdf
      January 01, 2008 - This brief summarizes key findings and presents some policy implications of the first ever National … n Address health literacy as part of disparities initiatives. … Health literacy improvement should be a high priority in disparities initiatives, and cultural and … National standards designed to improve primary and high school students’ health literacy skills have … Over 19,000 adults from 38 states and the District of Columbia participated in the national and State-level

2167. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-careassociated-infections_research-protocol.pdf
      August 26, 2011 - other patients who may experience disparities in health care or outcomes Intervention Quality improvement … National Quality Forum. Serious Reportable Events. … Eliminating CLABSI: A National Patient Safety Imperative: A Progress Report on the National On the CUSP … ((Cochrane [tw] OR Medline [tw] OR CINAHL [tw] OR (National [tw] AND Library [tw])) OR (handsearch … * [tw] OR database* OR (Cochrane [tw] OR Medline [tw] OR CINAHL [tw] OR (National [tw] AND Library

2168. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016–2021 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/HCUP-SB312-508.pdf
      September 27, 2024 - ), National Inpatient Sample (NIS), 2016 and 2021 … ), National Inpatient Sample (NIS), 2016 and 2021 … ), National Inpatient Sample (NIS), 2016 and 2021 … data from States that report ethnicity separately. … quality of healthcare in the United States.

2169. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
      May 01, 2023 - • “SBAR Report to Physician About a Critical Situation” is a worksheet/script a provider can use … ensuring that staff members continue to report safety issues. … Defining transparency as “the free flow of information that is open to the scrutiny of others,” this report … Incident Decision Tree supports the aim of creating an open culture, where employees feel able to report … - Safety/Pages/National-Action-Plan-to-Advance-Patient-Safety.aspx (requires free account setup and

2170. RxSafe: Shared Medication Management and Decision Support for Rural Clinicians (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017102-gorman-final-report-2011.pdf
      January 01, 2011 - RxSafe: Shared Medication Management and Decision Support for Rural Clinicians Grant Final Report … , cost, and quality of care; 7. documentation of issues critical to successfully generalizing the … monitoring phases of medication management, but also found reports of harmful effects, notably when … Analysis of these data began with structured “case reports” for each subject and task, describing the … Final Report Purpose Scope Background and Context: Following the CDS Roadmap Setting: Practice

2171. Table 18C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18c.html
      December 01, 2012 - Table 18: Outcome Indicators by State Prevalence of Any Disability, 2005 a Select for: Table 18A: National … persons in the States of Arizona, Maine, Washington, and Wisconsin. … Dually eligible = dually eligible for Medicaid and Medicare. … Elsewhere in this report we refer to this condition as part of the I/DD subpopulation. … eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

2172. Table 18G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18g.html
      December 01, 2012 - Table 18: Outcome Indicators by State Prevalence of Any Disability, 2005 a Select for: Table 18A: National … persons in the States of Arizona, Maine, Washington, and Wisconsin. … Dually eligible = dually eligible for Medicaid and Medicare. … Elsewhere in this report we refer to this condition as part of the I/DD subpopulation. … eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

2173. Table 18E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18e.html
      December 01, 2012 - Table 18: Outcome Indicators by State Prevalence of Any Disability, 2005 a Select for: Table 18A: National … persons in the States of Arizona, Maine, Washington, and Wisconsin. … Dually eligible = dually eligible for Medicaid and Medicare. … Elsewhere in this report we refer to this condition as part of the I/DD subpopulation. … eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

2174. Table 18D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18d.html
      December 01, 2012 - Table 18: Outcome Indicators by State Prevalence of Any Disability, 2005 a Select for: Table 18A: National … persons in the States of Arizona, Maine, Washington, and Wisconsin. … Dually eligible = dually eligible for Medicaid and Medicare. … Elsewhere in this report we refer to this condition as part of the I/DD subpopulation. … eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

2175. Table 18B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18b.html
      December 01, 2012 - Table 18: Outcome Indicators by State Prevalence of Any Disability, 2005 a Select for: Table 18A: National … persons in the States of Arizona, Maine, Washington, and Wisconsin. … Dually eligible = dually eligible for Medicaid and Medicare. … Elsewhere in this report we refer to this condition as part of the I/DD subpopulation. … eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

2176. Impact of Health IT on Lab Order Use in Community Health Centers - Implementation Handbook (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/healthitandlabordersimplementationhandbook.pdf
      November 01, 2011 - Centers, and provider- and practice-level reports are utilized at the Centers to support performance … of care being delivered. … interfaces • Developing report formats and protocols and training providers. … at the point of care to improve quality of care in two important areas: treatment of HIV and screening … A randomized trial of electronic clinical reminders to improve quality of care for diabetes and coronary

2177. State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
      January 17, 2024 - hearing loss.44 The National Council on Aging reports that 94.9 percent of adults age 60 or older have … of care, and quality of life associated with better communication strategies.123 Evidence-based interventions … Establishing payer-related policies to improve healthcare quality and value. … Missed diagnosis of liver cirrhosis leads to disparities in care for older patients. … National Alliance for Caregiving and AARP. Caregiving in the U.S. 2020 Report.

2178. Final Recommendation Statement: Cervical Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/cervical-cancer-screening
      August 21, 2018 - mortality and related disparities. … Loss to follow-up and disparities in treatment are also contributing factors. … Health, United States, 2015: With Special Feature on Racial and Ethnic Health Disparities. … Hyattsville, MD: National Center for Health Statistics; 2016. Report 2016-1232. 10. … Rockville, MD: National Cancer Institute, Center to Reduce Cancer Health Disparities; 2005.

2179. CUSP Toolkit: The Role of the Nurse Manager | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/nursing/sl-nursing.html
      December 01, 2012 - Typically report to a superior in nursing: director, chief nursing officer, or vice president of nursing … Represent and support their staff (staff): Mentor and coach nursing staff. … Nurse managers ensure that care delivery aligns with the highest quality of care: Understand key … References Institute of Medicine of the National Academies. … National Institute of Standards and Technology. Baldridge by Sector: Healthcare.

2180. Learn About CUSP | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/learn/sl-cusp.html
      December 01, 2012 - CUSP Aligns With and Supports Other Quality and Safety Tools Slide 6. … Quality and state and national-level innovators in patient safety. … Dovetails with, and supports, a range of quality and safety improvement models. … other national projects to apply the CUSP model. … Eliminating CLABSI: A national patient safety imperative a progress report on the National On the CUSP