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2481. Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-fullreport.pdf
      November 01, 2017 - Furthermore, a variety of challenges and barriers occur within the PICU setting that impede both the … The delivery of nutrition can either occur through parenteral nutrition (PN) or enteral nutrition (EN

2482. Patient-Centered Outcomes Research Trust Fund Strategic Framework (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pcor/pcortf-strategic-framework.pdf
      June 01, 2023 - These challenges occur across the healthcare system, but especially affect more resource-challenged … Partnerships may occur at the Agency level or at the program- or project-level through contracts or

2483. ADHD Chronic Care Follow Up (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-145-fullreport.pdf
      July 01, 2016 - In addition, depending on medication prescribed, headaches, dizziness, and stomachaches may occur (Wolraich … treatment (which may change over time) is not sustained, negative outcomes are certainly more likely to occur

2484. 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 - She asked why referrals often occur late in the disease course, sometimes within days of the patient … noted that spending a few extra minutes to discuss palliative care needs with a patient eventually can occur

2485. Final Progress Report: Epidemiology, Exploration, and Evaluation: Addressing potentially dangerous medications in children on Medicaid with a mental health diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/kleinman-report.pdf
      January 01, 2024 - Contraindicated drug-drug pairs are not common but occur with regularity.

2486. Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
      January 01, 2024 - an additional 150,000 macrovascular adverse events at an estimated cost of $20,000 per event11, 12 occur … system could be tested for its ability to predict patterns of care and predict mistakes before they occur

2487. Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report, Part 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-1.pdf
      January 01, 2015 - When patient safety issues occur in this pharmacy, staff discuss them. … Implementation of action plans can occur on a small scale, within a single area, to examine impact and

2488. Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
      January 01, 2000 - These errors in triage and treatment for ACI are clinically critical to the patient and occur on a scale

2489. Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
      February 01, 2005 - the proper cleaning of these litters to ensure that cross-contamination between patients did not occur

2490. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
      April 20, 2004 - need to be mindful of related changes in accreditation and compliance policies that are certain to occur

2491. Health Coach Intervention Sustainability Plan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/60-tenn-health-coach-sustainability-plan-toolkit.pdf
      June 02, 2025 - Accreditation must occur prior to any payment to DSMT organizations or providers. a.

2492. Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
      January 01, 2024 - risk of ORAEs through one or more of the four hypothesized mechanisms, and prognostic factors that occur

2493. Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
      April 06, 2008 - care by decreasing wait times at the pharmacy and by eliminating a step wherein drug diversion could occur

2494. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
      July 05, 2023 - Future considerations The framework still needs adoption for further progress to occur and there are

2495. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
      February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense 235 Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense Mary Ann Davis, Geoffrey W. Rake Abstract Objective: As a result of the Institute of Medicine (IOM) report, To…

2496. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
      December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents Sandra Meadows, Karen Baker, Jeremy Butler Abstract The National Patient Safety Agency has developed the Incident Decision Tree to hel…

2497. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html
      January 01, 2025 - AHRQ Research Studies Sign up: AHRQ Research Studies Email updates Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers. Results 1 to 25 of 13220 Research Studies Displayed Pagination 1 2 3 4 5 … More pages …

2498. On-Time Pressure Ulcer Healing: Facilitator Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/slides.html
      December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Introduction to Pressure Ulcer Healing Reports Slide Presentation: AHRQ’s Safety Program for Nursing Homes Text version of slide presentation. Slide 1: Introduction to Pressure Ulcer Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pr…

2499. Chapter 3 | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/vision/resources/vision3.html
      October 01, 2002 - Chapter 3 Vision Rehabilitation: Care and Benefit Plan Models: Literature Review Behavioral Modification and Social Support The psychosocial aspects of low vision are increasingly recognized as important to the rehabilitation process. The American Academy of Ophthalmology 21 notes that many individuals wit…

2500. Implementing Hybrid Cardiac Rehabilitation to Expand Access and Capacity
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-consolidated-slides.pptx
      May 11, 2023 - Implementing Hybrid Cardiac Rehabilitation to Expand Access and Capacity Implementing Hybrid Cardiac Rehabilitation to Expand Access and Capacity   IMPORTANT NOTE RE: ACCESSING LINKS in the PPT presentation: Links embedded in SLIDE portion are hyperlinks Links shown in the NOTES portion must be copied into a…