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www.ahrq.gov/ncepcr/reports/2024-annual-report/overview.html
April 01, 2024 - Safety
5. … Medical Homes
P8: Do Telemedicine Visits Provide Similar Quality and Safety as In-Person Visits? … P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes
P10 … Safety appropriation. $6.7 million in grant funding from Digital Healthcare Research appropriation. … A relatively large percentage of grants (24%) were related to Patient Safety, while a similar percentage
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hcup-us.ahrq.gov/db/nation/neds/NEDS_Introduction_2014.jsp
January 01, 2014 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … There is no uniform patient identifier available that would allow a patient-level analysis to identify … National Center for Injury Prevention and Control (NCIPC) of the DHHS' CDC and the US Consumer Product Safety … of discharge records for patients with HIV diagnoses. … patient died in the ED, (98) ED visits in which patient was not admitted, destination unknown, (99) ED
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psnet.ahrq.gov/sites/default/files/2022-12/spotlight_case_strongyloides_final_11.21.22.pdf
January 01, 2022 - Learning Network, a
collaborative project convened by the Brigham and Women’s Hospital Center for
Patient … Safety Research and Practice, and the State of Massachusetts Betsy
Lehman Center for Patient Safety … 1980s, travels
frequently to Haiti, the Dominican Republic, Central America
6
Case Details
• Patient … present case.
13
DIAGNOSIS AND TREATMENT
14
Diagnosis and Treatment
• A key issue for this patient … • Any patient who is being considered for treatment with steroidal or
immunosuppressive medications
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effectivehealthcare.ahrq.gov/sites/default/files/diabetes_hi_impact.pdf
March 01, 2012 - the surgery in this
patient population. … Along with
updates to safety information about ongoing or completed studies, included in the response … Experts expressed a desire for further
data evaluating safety and efficacy of these modifications to … combination therapy (with oral hypoglycemic agents and insulin)
and to assess its cardiovascular safety … That FDA committee
voted to not recommend approval because of safety concerns and the company submitted
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/xUc_vXf7323faUQY7SePhT
January 01, 2002 - Effectiveness of Aspirin
Chemoprevention in Patient
Subgroups
The majority of participants in the 5 … patient-years in
controls; RR, 0.58; 95% CI, 0.41 to 0.81). … in the
aspirin group vs 2.1/1,000 patient years in controls;
RR, 0.81; 95% CI, 0.49 to 1.31). … Efficacy and safety of different aspirin dosages on
vascular disease in high-risk patients: a
metaregression … Aspirin for primary
prevention of coronary heart disease: safety and
absolute benefit related to coronary
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www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
January 01, 2024 - Key Words: emergency department, patient safety, errors
PURPOSE
The objectives of the study are to ( … of ED patients
regardless of diagnosis. … We
excluded transfer patients and patients who were ineligible due to any of the following
criteria … safety experts. … acuity (proportion of patients arriving by ambulance).
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_16-p001-1-ef.pdf
April 01, 2016 - Measure: Developmental Screening Follow-up: Follow-up with Patient Family After Developmental Screening … Pediatric Measurement Center of Excellence (PMCoE)
Numerator Denominator Exclusions Data Source(s)
Patients … Patients were selected from practices
and early intervention programs in 13 counties in Pennsylvania … Feasibility testing was conducted in
the primary care networks of the Chicago Pediatric Quality and Safety … in their medical records,
compared with 42 percent of black patients and 55 percent of Hispanic patients
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digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr/annual-summary/2009
January 01, 2009 - Diabetes, Heart Disease
Summary: This project evaluated the potential for improving the management of patients … The project sought to increase patient safety and quality and address the combined needs of clinical … Patient education materials on self-management skills can also be generated from the same screen. … using SFs as a CDS tool provide for more up-to-date documentation of clinical data, particularly of patients … an EHR-based QD system to provide additional benefit beyond a CDS tool like SF in the management of patients
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psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
August 21, 2005 - Other safety mechanisms should include the addition of drug allergy status to all correspondence between … Penicillin allergy: a study of incidence as reported by patients. Br J Clin Pract. 1994;48:5-7. … safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch … safety situations in transplantation. … July 6, 2022
Allergy safety events in healthcare: development and application of a classification
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-kidney-disease-anemia-2011_executive.pdf
January 01, 2011 - Objectives
The purpose of this review is to evaluate the impact on
patient-centered outcomes of the … Key Questions and Analytic Framework
(Figure A)
As test results have little direct impact on patient … Key Question 1
What is the impact on patient-centered outcomes of using
newer laboratory biomarkersa … through decisions and treatments, and then
report on patient outcomes. … Safety issues with intravenous iron products in the
management of anemia in chronic kidney disease.
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www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
April 01, 2013 - The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are inter-connected … and are aimed at improving patient safety. … with 100 percent certainty that you believe that your hospital does everything it can to protect its patients … Concentric circles show the layered factors of patient safety. … characteristics all have an effect on patient safety.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-diabetes.html
May 01, 2018 - Hispanic Health Care
Acknowledgments
Health Care For Hispanics
National Quality Strategy Priorities: Patient … Safety
National Quality Strategy Priority: Healthy Living
Part 1: Overviews of the Report and the … Patients who manage their diagnosed diabetes and maintain an HbA1c level <8% and blood pressure <140/ … Utilization Project, State Inpatient Databases, 2001‐2012 disparities analysis files and AHRQ Quality Indicators … Admission rates for uncontrolled diabetes may be reduced by better outpatient treatment and patients'
-
www.ahrq.gov/sites/default/files/2024-05/gold-report.pdf
January 01, 2024 - Interviewee comments and
observations indicate that they believe that scribes decrease patient safety … An analysis of electronic health record-related
patient safety incidents. … Ill Patients. … Participation in EHR based
simulation improves recognition of patient safety issues. … Impact of scribes on performance
indicators in the emergency department.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Learning From Defects
ICU & Non-ICU
Slide Title and Commentary … to another patient. … The Comprehensive Unit-based Safety Program (CUSP) encourages them to expand their skills by engaging … One powerful CUSP method is to use the Staff Safety Assessment. … To prevent patient harm and to protect patients from preventable pathogens such as MRSA, it is important
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psnet.ahrq.gov/node/841469/psn-pdf
December 14, 2022 - Identify patients who should be tested for Strongyloides infection. … Reinfection can continue throughout the lifetime of the host patient, a process known as autoinfection … This patient was from a country in which Strongyloides is endemic and he should have been screened for … Schiff, MD
Department of Internal Medicine
Associate Director, Center for Patient Safety Research and … Safety Research and Practice,
and the State of Massachusetts Betsy Lehman Center for Patient Safety
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-257-antenatal-care-evidence-summary.pdf
June 01, 2022 - Barriers from both patient and provider perspectives: reduced visits
may lead to important gaps … Barriers from patient and provider perspectives: potential reduced
quality of care with televisits … Barriers from provider perspective: no or limited IT (information
technology) literacy of patient … Concerns that televisits may hamper safety, quality of care, and worsen
health disparities were noted … Further evidence on patient perspectives is needed from patients themselves
(rather than from providers
-
www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
January 01, 2024 - Customized patient intervention Patients assigned to Patient Intervention groups (Groups A and C)
received … In the
two groups that received
the patient intervention,
older patients tended to
have lower A1c … relative to the control (M=100)
and patient (M=97) intervention groups; patients not using insulin … In
Advances in Patient Safety: From Research to Implementation. K. Henriksen, J. Battles, D. … In Advances in Patient Safety: From Research to Implementation. K.
Henriksen, J. Battles, D.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-slides.html
July 01, 2023 - Implement Teamwork and Communication for Perinatal Safety
AHRQ Safety Program for Perinatal Care … Staff of patient care units where culture scores indicate a poor score in teamwork and safety. … Effective teams place all offers and requests for assistance in the context of patient safety. … Win-Win-Win for patient care team (includes the patient, team members, and team). … Joint Commission Journal of Quality and Patient Safety 2007 Jan;33(1):34-47. PMID: 17283940.
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effectivehealthcare.ahrq.gov/sites/default/files/ch-7-user-guide-to-ocer_130129.pdf
March 29, 2012 - sources of confounding in observational
comparative effectiveness studies include
provider actions, patient … than for uncomplicated
hypertension.1 Any attempt to compare the safety
or effectiveness between CCBs … status in their
causal models.11, 13
96
Developing an Observational CER Protocol: A User’s Guide
Patient … We now live in an era where every interaction
between the patient and the health care system
produces … the strengths and weaknesses of the
data source (e.g., administrative claims, EMRs, chart review,
patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - for
L&D unit safety are organized into six
overarching principles of patient safety derived
from … o Risk assessment can then
determine the unit’s process for
patients based on level of risk, for
example … about the use of active
versus expectant management, and
patient preferences. … Safety 20
SAY:
The final consideration is patient and family
engagement. … The key safety elements are as follows:
• Communicating and educating patients
and families around