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4161. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
      July 01, 2023 - medical mishaps, inducing disparities in error reporting10; or ■ Might erroneously presume errors occurred … research shows that patients and families will report diagnostic experiences when asked if an “error” has occurred … patients to attribute responsibility for a problem, the less likely they are to report that the event occurred

4162. Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
      February 06, 2008 - Initial pilot testing of huddles occurred within two departments: radiology and laboratory services. … They typically occurred at the beginning of the day or shift, lasted approximately 9 to 20 minutes, … timely, appropriate communication between nursing staff and providers as changes in patient conditions occurred

4163. Overview of Major Ambulatory Surgeries Performed in Hospital-Owned Facilities, 2019 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb287-Ambulatory-Surgery-Overview-2019.pdf
      January 01, 2019 - Ambulatory Surgery Sample (NASS), 2019 ■ In 2019, 11.9 million encounters for major ambulatory surgeries occurred … ambulatory surgery encounters took place in facilities owned by urban hospitals, and more than 70 percent occurred … performed, including multiple surgeries within or across CCS-Services and Procedures categories that occurred

4164. Acute Renal Failure Hospitalizations, 2005-2014 #231
      hcup-us.ahrq.gov/reports/statbriefs/sb231-Acute-Renal-Failure-Hospitalizations.jsp
      November 01, 2017 - The same pattern occurred for inpatient stays with an all-listed diagnosis of acute renal failure. … Table 3 presents all-listed procedures that occurred most frequently during hospital inpatient stays … single hospitalization could contribute to more than one row in the table if more than one procedure occurred

4165. Recommendation: Latent Tuberculosis Infection in Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/latent-tuberculosis-infection-screening
      May 02, 2023 - In 2020, 71.5% of all cases of active tuberculosis in the US occurred among persons born outside the … In 2020, 4.3% of tuberculosis disease cases diagnosed in persons 15 years or older occurred in persons … experiencing homelessness and 2.6% occurred in residents of correctional facilities. 22 It is estimated

4166. S29 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/s29.pdf
      October 01, 2007 - patient, the equivalence of the drugs (based on current evidence), the level at which randomization occurred … (some subjects thought informed consent would be required if randomiza- tion occurred at the practice … level, but not required if randomization occurred at the plan level), the question of whether medications

4167. Overview of Hospital Stays for Children in the United States, 2012 #187
      hcup-us.ahrq.gov/reports/statbriefs/sb187-Hospital-Stays-Children-2012.jsp
      December 01, 2014 - A similar shift occurred among adults aged 18-44 years, although private insurance continued to pay for … Each of the three respiratory conditions occurred at a rate of 165 to 170 stays per 100,000 population … All other OR procedures occurred in fewer than 20,000 hospital stays and at a rate of fewer than 21 stays

4168. Improving Direct Notification of Abnormal Test Results Via Patient Portals - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs023602-singh-final-report-2017.pdf
      January 01, 2017 - they were incorporated into the test result process map to identify at which step each shortcoming occurred … Data Sources/Collection Aim 1 Data collection occurred between April 2015 and September 2016. … improve the usability of the test result interface.(39;40) In general, the focus group review sessions occurred

4169. Care Coordination Enabled by Health IT: What Will It Take? - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs022693-scholle-final-report-2014.pdf
      January 01, 2014 - For other practices, notification of discharges from hospitals sometimes occurred upon receipt of a … discharge summary or sometimes was only learned to have occurred if provided by the patient at a subsequent … Information about significant health events that occurred outside of the practice was most likely to

4170. Making Healthcare Safer Practices: 12. Infusion Pumps (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
      March 01, 2020 - reported to the FDA were related to deficiencies in device design and engineering, user errors also occurred … al., 201412 Survey investigated the extent to which standardization of infusion devices has occurred … the providers responsible for ordering, preventing the number of reorders that previously had occurred … Carayon et al., 201014 Nurses attended training sessions on smart intravenous (IV) pump use that occurred … The educational intervention occurred from January to April 2007.

4171. Tables: 3; Figures: 2 (pdf file)
      hcup-us.ahrq.gov/reports/SASpecUnitManuscriptHCUP083010.pdf
      August 31, 2010 - Tables: 3; Figures: 2 TREATMENT FOR SUBSTANCE USE DISORDERS IN COMMUNITY HOSPITALS Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistanc…

4172. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
      January 01, 2021 - Spotlight Spotlight An Inadvertent Bolus of Norepinephrine Source and Credits • This presentation is based on the May 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Sarina Fazio, PhD, RN, Emma Blackmon, PhD, RN, Amy Doroy, PhD,…

4173. Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
      January 01, 2024 - The situation occurred in the early morning hours on a Saturday.

4174. Implementing the SPPC‐II Teamwork Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
      July 01, 2023 - "Spend the next 10 minutes writing down all the reasons you believe these failures occurred.

4175. Implementing the SPPC-II Teamwork Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
      July 01, 2023 - "Spend the next 10 minutes writing down all the reasons you believe these failures occurred.

4176. Rural and Urban Hospital Differences in Inpatient Stays Involving Sepsis, 2019 and 2021 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb308-hospital-sepsis-2019-2021.pdf
      January 01, 2021 - The imputation of total hospital charges occurred prior to the calculation of total hospital costs.

4177. A method of addressing proprietary name similarity for US prescription drugs. | PSNet
      psnet.ahrq.gov/issue/method-addressing-proprietary-name-similarity-us-prescription-drugs
      June 10, 2020 - Commentary A method of addressing proprietary name similarity for US prescription drugs. Citation Text: Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs. Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331. Copy Citation …

4178. Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. | PSNet
      psnet.ahrq.gov/issue/interruptions-wild-development-sociotechnical-systems-model-interruptions-emergency
      August 31, 2016 - Review Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. Citation Text: Werner N, Holden RJ. Interruptions in the wild: Development of a sociotechnical systems model of interruptions in the e…

4179. Online Self-Assessment | The Academy
      integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/self-assessment-checklist-medication-assisted-treatment-opioid-use-disorder/online-self-assessment
      March 01, 2021 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

4180. Appendix J. Long-Term Care CAUTI Surveillance Worksheet | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.html
      March 01, 2017 - Appendix J. Long-Term Care CAUTI Surveillance Worksheet AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The purpose of the Long-Term Care CAUTI Surveillance Worksheet is to use it to streamline the surveillance process with reviewing a resident's chart for a suspected catheter-associated urinar…