-
www.ahrq.gov/sites/default/files/2025-07/weinger3-report.pdf
January 01, 2025 - healthcare professionals to competently manage acute, even rare critical events;
yet deficiencies occur … designed to: 1) require significant decision making; 2) be
challenging but manageable by BCAs; 3) occur … aspects of individual clinicians’ training and work processes could improve outcomes when these
events occur
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
June 01, 2025 - rarely make errors, clinicians may
become less vigilant over time and fail to catch the few that do occur—an … Brief recommends that hospitals communicate when AI is involved in care
delivery, this does not always occur
-
hcup-us.ahrq.gov/reports/statbriefs/sb249-Mental-Substance-Use-Disorder-Hospital-Stays-2016.pdf
January 01, 2016 - mental disorder and a
substance use disorder.2
Not only do mental and substance use disorders co-occur
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-bias_methods.pdf
February 01, 2013 - Inconsistencies and bias can certainly occur during the development of key questions, which
define the … Discussion
Our review of the literature indicates that systematic bias and random error can potentially
occur … Systematic bias or random
error can occur when EPCs do not clearly establish decision rules for utilizing
-
digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-6.pdf
June 16, 2021 - providers may not
use an appropriate
indication for a
test, and the call
to the provider
may occur … allergy known
at time of
scheduling)
• Pre- and post-
review of
schedules
Cancellations
may still occur … A callback
episode is
when there is
some back-and-
forth vetting
and multiple
callbacks occur.
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs026189-ko-final-report-2023.pdf
January 01, 2023 - Scaling and Spreading Electronic Capture of Patient-Reported Outcomes Using a National Surgical Quality Improvement Program - Final Report
1
Title of Project: Scaling and Spreading Electronic Capture of Patient-Reported Outcomes Using a
National Surgical Quality Improvement Program
Principal Investig…
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/coronary-stents-outcomes_research.pdf
January 01, 2010 - did not match to Medicare records were excluded as were patients whose index
PCI procedure did not occur
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017276-burns-final-report-2011.pdf
January 01, 2011 - Breakdown may occur at each
point in a person with poor glycemic control.
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017190-chueh-final-report-2011.pdf
January 01, 2011 - difficult to track properly, and 4) chronic disease management where regular testing
and/or followup must occur … results management module in the EHR; 3) implementing
notifications regarding overdue actions so they occur … Expected clinical events are those events (e.g., colonoscopy completed) that must
occur to prevent an
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017189-trivedi-final-report-2010.pdf
January 01, 2010 - , unlike the visit schedule for STAR*D, clinic visits for EHR-CDSS implemented
MBC was designed to occur … During study 2, clinic visits for MBC were expected to occur on weeks 0 (baseline), 2, 4/6,
8/10, and … Specifically, the improvements in symptom
severity occur earlier, but are balanced out by the end of
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/antenatal-care.pdf
January 01, 2020 - In particular, telemedicine
refers to clinician-patient interactions and discussions that occur remotely … Observational studies of realized visits (as opposed to scheduled or planned visits)
• Events that occur … separately from/outside of routine visits (that do not occur during the visit)
• Interventions conducted
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/4_pXjq7Egjwb_vjZZT-NGB
May 01, 2021 - of prenatal visits
Confounding of blood pressure
measurement with other clinical
interventions that occur … of prenatal visits
Confounding of blood pressure
measurement with other clinical
interventions that occur … of prenatal visits
Confounding of blood pressure
measurement with other clinical
interventions that occur
-
effectivehealthcare.ahrq.gov/sites/default/files/07_diabetes_potential_high_impact_2012-12-10.pdf
January 01, 2012 - demand for and rapid adoption of this technology.”
12
If sufficient
refinement of the systems should occur
-
www.ahrq.gov/sites/default/files/2024-05/berry2-report.pdf
January 01, 2024 - Despite these improvements, intra-operative emergencies like cardiac arrest
and massive hemorrhage do occur … Context
The operating room is a high-acuity patient care environment in which critical events occur more … Operating room crises occur across the United States every day, and critical steps in care continue to … The struggles observed in simulation almost certainly also occur in the
clinical setting, preventing
-
www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
January 01, 2024 - The online method was beneficial, because reporting can occur on up to 1,000
http://freeonlinesurveys.com … Abandonment of IT systems can occur because of unmanageable issues encountered by leadership and staff
-
www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
January 01, 2024 - 32 indicators are
specific to medical or surgical conditions or procedures that are not likely to occur
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
September 01, 2015 - Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings
Primary Care
Practice Facilitation
Curriculum
Module 22: Running Effective Meetings and Creating
Capacity for Practices to Run Effective Meetings
Agency for Healthcare Research and Quality
Advancing Excellence in Heal…
-
hcup-us.ahrq.gov/reports/statbriefs/sb253-Influenza-Hospitalizations-ED-Visits-2006-2016.pdf
January 01, 2016 - Inpatient Hospital Stays and Emergency Department Visits Involving Influenza, 2006-2016
1
October 2019
Inpatient Hospital Stays and Emergency
Department Visits Involving Influenza,
2006–2016
Kathryn R. Fingar, Ph.D., M.P.H., Lan Liang, Ph.D., and
Carol Stocks, Ph.D., R.N.
Introduction
…
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs020846-fricton-final-report-2016.pdf
January 01, 2016 - (Fig. 1)
Type of alert Task where
alert is seen
When in work
flow does task
occur
When is alert … They may
also have developed “alert fatigue,” which can occur when one becomes accustomed to seeing
-
www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/child-maltreatment-interventions-draft-rec-bulletin.pdf
September 25, 2023 - U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Primary Care Interventions to Prevent Child Maltreatment
www.uspreventiveservicestaskforce.org 1
U.S. Preventive Services Task Force Issues Draft Recommendation
Statement on Primary Care Interventions to Prevent
Child Maltreatmen…