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5161. Program Overview: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
      December 01, 2017 - So, take a couple minutes and brainstorm all of the reasons that the failure occurred.

5162. Archived: Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/intimate-partner-violence-and-abuse-of-elderly-and-vulnerable-adults-screening-2013
      January 15, 2013 - In 1 study, abuse occurred in 11% of postmenopausal women 3 .

5163. Rapid Response: Efficacy of Dental Services for Reducing Adverse Events in Those Receiving Chemotherapy for Cancer (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/rapid-response-chemotherapy-dental.pdf
      July 01, 2023 - Serious dental infections during chemotherapy occurred in slightly more than 4% of the patients in both … reproduced in Appendix B.23 Among 34 patients who received high risk chemotherapy, febrile neutropenia occurred … Among 54 patients who received low risk chemotherapy, febrile neutropenia occurred in only 1 (1.9%). … The highest incidence of mucositis (5.9%) occurred in the patients who underwent plaque scaling within … Osteonecrosis occurred in 1% of the patients who had pre-treatment dental care and in 10.5% of patients

5164. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
      January 01, 2024 - The third reviewer was used to resolve disagreements when they occurred. … We discussed how we could have prevented any errors [or non-routine events] that occurred VUMC 6.0 … (1.0) PCH 6.0 (0.8) Q9.We pooled our expertise to resolve any problem/crisis that occurred.

5165. Creative Strategies to Improving Patient Care Experience Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-transcript.pdf
      April 01, 2019 - This figure shows the number of interactions that occurred in the first 80 days between when one primary … patients and care teams worked to address outstanding care needs and patient self-management training occurred … ://www.ahrq.gov/cahps | 15 of 16 Ingrid Nembhard And that was six months after the training had occurred

5166. Diagnostic Delay in the Emergency Department | PSNet
      psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
      September 18, 2024 - It is also unclear how many shift changes occurred between initial presentation until the CT report was

5167. Final Progress Report: Advancing Patient Safety Implementation through Pharmacy-Based Opioid Medication Use Research (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/green-report.pdf
      January 01, 2024 - Pharmacist focus groups occurred and were held at a conference that all were attending. … When it occurred, the nonverbal bias was associated with the pharmacy technician, not with the pharmacist … Over the course of the study, major shifts in the opioid epidemic occurred, including a massive rise

5168. AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
      January 01, 2024 - communication in the operating room, analyzing 421 communication events, and found that communication failures occurred … Keep the agenda to limited items Initial pilot testing of huddles occurred within two departments: Radiology … Huddle participants included all departmental- and unit-level staff present at the time, typically occurred

5169. Simulation-Based Education Improves Patient Safety in Ambulatory Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
      March 12, 2008 - Education at the primary/specialty clinics occurred in two phases: • Day 1 skills stations were available … • Day 2 scenarios occurred 1 to 4 weeks later, depending on the clinic’s schedules. … in identification of multiple safety concerns that would not have been discovered had the training occurred

5170. An Evaluation of the Spread and Scale of PatientToc™ from Primary Care to Community Pharmacy Practice for the Collection of Patient-Reported Outcomes - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs025943-snyder-final-report-2024.pdf
      January 01, 2024 - This documentation occurred by using either a separate provider tablet or through use of a free Android … by patient/ proxy 0 #Contacts to facilitate implementation A total of 7 unplanned contacts occurred … by patient/ proxy 0 #Contacts to facilitate implementation A total of 87 unplanned contacts occurred

5171. Archived: Evidence Summary: Abdominal Aortic Aneurysm: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary8/abdominal-aortic-aneurysm-screening-2014
      January 15, 2014 - unscreened population in the Chichester trial showed that more than one half of the AAA deaths in men occurred … before age 80 years, whereas most (70%) AAA deaths in women occurred in women aged 80 years and older … approximately 50% over 13 to 15 years. 58–60 Abdominal aortic aneurysm–related mortality benefits occurred

5172. Archived: Evidence Summary: Chlamydia and Gonorrhea: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary3/chlamydia-and-gonorrhea-screening-september-2014
      September 23, 2014 - Pelvic inflammatory disease occurred in 1.3% of screened versus 1.9% of control participants during follow-up … In this trial, 79% (30 of 38) of PID cases occurred in women who tested negative at baseline. … In addition, most cases of PID occurred in women who tested negative at baseline, suggesting that frequent

5173. Layout 1 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoarthritis-pain-2006_executive.pdf
      January 01, 2006 - • About 3.5 additional myocardial infarctions occurred for every 1,000 patients … • About 3.5 additional myocardial infarctions occurred for every 1,000 patients treated for 1 year … • Compared to nonuse of NSAIDs, one additional death per 1 year of use occurred for every 13 patients

5174. Presentation: Implementing Your SSI Prevention Bundle
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
      December 01, 2017 - ASK: What occurred around the middle of the timeline?

5175. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
      January 01, 2005 - The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care 247 The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care Kimberly A. Galt, Ann M. Rule, Wendy Taylor, Mark Siracuse, J.D. Bramble, Eugene C. Rich, Wayne Young, Bartholomew Clark, Bruce Hough…

5176. 827Cwgymvawpvovg Syjpf (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/827CwGYMVawpVoVg_syJpF
      October 01, 2015 - Screening for Iron Deficiency Anemia and Iron Supplementation in Pregnant Women to Improve Maternal Health and Birth Outcomes: U.S. Preventive Services Task Force Recommendation Statement Albert L. Siu, MD, MSPH, on behalf of the U.S. Preventive Services Task Force* Description: Update of the 2006 U.S. Preventive Serv…

5177. Statistical Brief #95: Public Hospitals in the United States, 2008 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb95.pdf
      September 01, 2010 - Approximately 5.6 million hospitalizations occurred in public hospitals. … Of those, more than 5.6 million (14.1 percent) occurred in public hospitals—substantially fewer than

5178. Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
      January 01, 2023 - • During the procedure, the abdominal wall transilluminated as expected, and 1-to-1 gastric motion occurred … patient’s case, abdominal wall transillumination was documented, and one-to-one motion of the stomach occurred

5179. Supporting Continuity of Care for Poisonings with Electronic Information Exchange (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r21hs018773-cummins-final-report-2013.pdf
      January 01, 2013 - call transcripts for approximately 60 cases, we created a formative list of observed phenomena that occurred … We also calculated the number and frequency of cases in which each concept occurred. … 6.2.4.4 Ambiguity of information “Ambiguous communication of clinical findings and laboratory results occurred

5180. Archived: Aspirin/NSAIDs for Prevention of Colorectal Cancer: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/aspirin-nsaids-for-prevention-of-colorectal-cancer-preventive-medication-2007
      March 15, 2007 - reduction was not found until more than a decade of use, and maximum risk reduction for colorectal cancer occurred