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3601. 4. How Do We Implement Best Practices in Our Organization? (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
      October 01, 2014 - they understand that those practices offer promising strategies for providing high-quality care for patients … To launch the program, brochures on pressure ulcer prevention education were developed to give to patients … This program used a puppy picture outside the room of a high-risk patient to remind staff to turn/reposition … the patient and gave "best of show" awards to units with the highest documentation of prevention practices … Clinical bedside rounds, patient case review, or "spend a day with the WOC [wound, ostomy, and continence

3602. 4. How Do We Implement Best Practices in Our Organization? (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
      October 01, 2014 - they understand that those practices offer promising strategies for providing high-quality care for patients … To launch the program, brochures on pressure ulcer prevention education were developed to give to patients … This program used a puppy picture outside the room of a high-risk patient to remind staff to turn/reposition … the patient and gave "best of show" awards to units with the highest documentation of prevention practices … Clinical bedside rounds, patient case review, or "spend a day with the WOC [wound, ostomy, and continence

3603. Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
      January 01, 2024 - in their attitudes and knowledge due to level of training, time with an institution, and years of experience … the patient time on K-sup with [K+] ≥ 5.0 mEq/L (normalized by total patient time on K-sup) were used … Patient time to normal [K+] was also longer if the patient had a previous hyperkalemic episode during … However, patient age, gender, and ethnicity had no effect on the patient time to normal [K+]. … but not in all adult patients.

3604. Prenatal Care Screening (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-170-fullreport.pdf
      April 01, 2016 - Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care: No. l. … patient declines (opt-out screening). … Both modalities identified the 72 eligible patients. … If the patient is excluded from a given screening component, that patient will still need all remaining … The automated report identified the component for 1 of the 72 eligible patients, but none of the patients

3605. Communicating With Patients and Families About Antibiotic Decisions | Agency for Healthcare Research and Quality
      www.ahrq.gov/antibiotic-use/ambulatory-care/strategies/communicating-decisions.html
      September 01, 2022 - Communicating With Patients and Families About Antibiotic Decisions After viewing or presenting … Learn how to effectively communicate about antibiotic use with patients. … Discussion Guide  (DOCX, 58 KB)   Patient Handouts These handouts can be given to your patients … – Patient Handout (English) (DOCX, 318 KB) Antibiotics: When Do You Need Them? … – Patient Handout (Spanish)  (DOCX, 273 KB)

3606. 3. Breadth and Focus Areas of Federal Agency Research Portfolios in HSR and PCR | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
      July 01, 2021 - Management of multi-morbidities and complex, high-risk patients. … How can we change health care systems to impact patient outcomes? . . . … Of course, patients are at the center of AHRQ’s research projects. . . . … addition to access and telehealth, have included management of multimorbidities for complex, high-risk patients … safety events, patient experience) and definitive outcomes of care (e.g., quality of life, mortality

3607. Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-fullreport.pdf
      February 01, 2019 - society (unrelated to cost). 4 • Fiscal burden of measure focus (e.g., clinical condition) on patients … Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … We examined performance separately for children with foster care experience, defined as those with a … NCINQ’s stakeholders include patients and families, clinicians, and State Medicaid officials, as well … Patients on atypical antipsychotic drugs: Another high-risk group for type 2 diabetes.

3608. Emergency Nurses Association content and transcript (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
      September 01, 2015 - stages • And patients presenting with an unclear diagnosis and symptom etiology Driving Patient Care … Patients? … • Critically ill patients  This does not mean every patient who is admitted to the ICU is critically … /client/resident care is communicated in a consistent manner” from one health care provider to another … of patients admitted with an indwelling catheter in place • The number of patients admitted without

3609. Emergency Nurses Association content and transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
      September 01, 2015 - stages • And patients presenting with an unclear diagnosis and symptom etiology Driving Patient Care … Patients? … • Critically ill patients  This does not mean every patient who is admitted to the ICU is critically … /client/resident care is communicated in a consistent manner” from one health care provider to another … of patients admitted with an indwelling catheter in place • The number of patients admitted without

3610. Making Healthcare Safer Practices: 16. Venous Thromboembolism (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
      March 01, 2020 - prescribed aspirin following major orthopedic surgery will experience operative site or major bleeding … ://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/vtguide4 … role in ultimate patient outcomes. … A retrospective study comparing two patient cohorts undergoing primary TKA procedures; 1,016 patients … In the control group, one patient required re-admission for hemarthrosis and two patients required

3611. Imbedding Research in Practice to Improve Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
      May 07, 2008 - with chronic kidney disease received by patients with renal impairment … we were taking extra steps towards patient safety. … By avoiding such complications, these interventions enhanced patient safety and avoided patient harm … Initiating transformational change to enhance patient safety. … Confirm: Patient has CrCl <51 mL/min. 2.

3612. Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
      January 01, 2024 - of safety upstream, thereby preventing many of the near-miss medication errors that are caught by patients … pharmacists must complete while also being responsible for dispensing medications flawlessly and counseling patients … , obstetric, general medical, psychiatric, and oncology patients. … drug-food, and drug-indication warnings as well as guidelines for minimum and maximum doses for adult patients … 14 2.77% Wrong Duration: Should be 90 Days 29 5.75% Early Refill 2 0.40% Quantity 31 6.15% Multiple Patients

3613. Presentation: Building Your SSI Prevention Bundle
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
      December 01, 2017 - Especially in colon surgery cases, patient with infections stay in the hospital longer, are more likely … Background Hyperglycemia is common in hospitalized patients 38% of medical and surgical patients had … Hyperglycemia is common in hospitalized patients, even patients who are not diabetic. … , and this is a SCIP measure in this patient population. … In: NHSN Patient Safety Component Manual.

3614. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
      January 01, 2024 - in a chart review of 30,000 admissions to New York State hospitals that 3.7% of hospitalized adult patients … activities was conducted on a randomly selected group of medical-surgical ICU patients. … In addition to being very harmful to patients, iatrogenic injuries are costly. … In order to maximize exposure to patients and encourage continuity of patient care, residents are historically … However, because treatment options were more limited and hospital patients were not, on average, as

3615. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
      June 21, 2021 - Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent … VIEWPOINT Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients … is, informa tion on the subsequent clinical course and outcomes of patients that they have diag nosed … with narratives regarding what happened to the patients ,2 Hardeep Singh 3 they treated, which … BARRIERS TO EFFECTIVE CLINICIAN FEEDBACK To account for patients moving through a space-time continuum

3616. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
      March 21, 2008 - A study coordinator abstracted additional information from patients’ charts. … Among a sample of elderly patients, Gurwitz, et al.,6 found that many adverse drug events were due to … When post-visit interviews with patients who received prescriptions are combined with chart review data … , errors have been found to occur in as many as one of every four patients.2 No studies were found … No attempt was made to classify outcomes or harm to patients.

3617. Final Progress Report: Developing Peer-to-Peer Learning Tools for Critical Care Physicians (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/rosen-report.pdf
      January 01, 2024 - include physicians, nurses, respiratory and physical therapists, pharmacy, nutrition, social work, patients … complications after certain surgical procedures.4 In the rounding process, the ICU team examines patients … Markers Negative Markers • Team members offer introductions and invite patients and/or their family … • Ensures that patients and their family members/visitors are aware about the format of rounds before … or their family members/visitors • Does not engage patients or their family members/visitors during

3618. BMI Assessment and Recommended Weight Gain (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-mc4-fullreport.pdf
      July 01, 2016 - Percentage of patients, regardless of age, who gave birth during a 12-month period seen at least once … Numerator Statement Patients who had a BMI value recorded and were counseled on recommended weight gain … Denominator Statement All patients, regardless of age, who gave birth during a 12-month period seen … Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care : No. l. … Data used in the analysis are from a patient population of 12,108 for 2010.

3619. Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
      October 18, 2012 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Eliminating … CLABSI, A National Patient Safety Imperative A Companion Guide to the National On the CUSP: Stop … systematic reviews have been conducted, this review differed in that it focused solely on the U.S. experience … and its impact on patient outcome. … A cohort and case-control study in critically ill patients.

3620. Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.pdf
      September 21, 2010 - One section matches recommended preventive services to patients—men, women, pregnant women, and children … Clinical/Preceptorship Health Profession students observe and interact with patients in doctor‘s offices … value of evidence-based medicine to a variety of stakeholders in clinical decision making including patients … Understanding the likelihood of various options in quantitative terms may be helpful for some patients … What should you recommend for this patient?