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7581. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
      April 01, 2018 - is an engineering tool that was developed in the 1970s to quantify risks and identify threats to the safety … external to the process include the ability of policies and procedures to direct best practices, the safety … Event 660 Patient fails to notice infection during home care. … Event 642 Staff fail to protect patient effectively. … Event 450 Obese, but not diabetic, patient (30 ≤BMI <40).

7582. Impact of Health IT on Lab Order Use in Community Health Centers - Implementation Handbook (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/healthitandlabordersimplementationhandbook.pdf
      November 01, 2011 - Elements of health IT to support quality improvement and patient safety include— • Standardization … patients have HIV/AIDS. … IT-facilitated improvements in patient safety and ability to deliver evidence-based care. … Obtain and review patient information and data B. Document care for my patients C. … Communicate with my patients N.

7583. Weight-Gain-Prevention Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/weight-gain-prevention_executive.pdf
      January 01, 2020 - inclusive enrollment criteria.19,20 Scope and Key Questions We aimed to compare the effectiveness, safety … For the intermediate outcomes, safety, clinical, and quality of life outcomes, we only abstracted data … Studies of overweight and obese patients were included if the study did not describe the goal of the … Health Indicators Warehouse. … Healthy Weight in Adults. www. healthindicators.gov/Indicators/ Healthyweightinadults_1207/ Profile/Data

7584. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61082/psn-pdf
      July 23, 2020 - Traditional care structures require frequent points of physical interaction, putting both patients and … As such, policymakers and providers must find a balance between ensuring that patients receive needed … care and ensuring the safety of both the patient and the healthcare workforce. … risks associated with usual care needs for this patient population, such as falls and pressure ulcers … https://www.washingtonpost.com/graphics/2020/local/social-issues/coronavirus/nursing-homes-patients-

7585. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
      July 08, 2022 - Patients with delusions may believe a doctor is trying to harm the patient instead. … Approach to Improving Systemic Safety: Palliative Care and the Interdisciplinary Team Model System … May 12, 2021 Why is patient safety a challenge? … Organization (HRO) Principles and Patient Safety February 26, 2025 … Social risk, health inequity, and patient safety.

7586. White Paper: Narratively Describing Effects of Interventions in Systematic Reviews (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/white-paper-roadmap-interventions.pdf
      November 01, 2020 - The information in this report is intended to help healthcare decision makers—patients and clinicians … information, i.e., in the context of available resources and circumstances presented by individual patients … Direction of effect Serious adverse events Rate Ratio: 1.10 (95% CI, 0.70 to 1.71) Low SOE In patients … Pharmacologic and Nonpharmacologic Therapies in Adult Patients With Exacerbation of COPD: A Systematic … Comparative effectiveness and safety of cognitive behavioral therapy and pharmacotherapy for childhood

7587. Final Evidence Summary: Illicit Drug Use in Children, Adolescents, and Young Adults: Primary Care-Based Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/other-supporting-document19727/drug-use-illicit-primary-care-interventions-for-children-and-adolescents
      September 03, 2020 - Other interventions demonstrated beneficial effects only for some patient subgroups, including 2 primary … Key Substance Use and Mental Health Indicators in the United States: Results From the 2016 National Survey … Missed opportunity: national survey of primary care physicians and patients on substance abuse. … https://www.centeronaddiction.org/addiction-research/reports/national-survey-primary-care-physicians-patients-substance-abuse … the key questions that the review will address to allow the USPSTF to evaluate the effectiveness and safety

7588. Evidence Summary: Latent Tuberculosis Infection in Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/latent-tuberculosis-infection-screening
      May 02, 2023 - [95% CI, 1.01-1.75]). 138 Rifampin Compared With Isoniazid Four open-label RCTs and 1 post hoc safety … Comparable specificity of 2 commercial tuberculin reagents in persons at low risk for tuberculous infection … TB according to patient age. … events in adults with latent tuberculosis infection receiving daily rifampicin or isoniazid: post-hoc safety … the key questions that the review will address to allow the USPSTF to evaluate the effectiveness and safety

7589. Individualized Drug Interaction Alerts - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs023826-malone-final-report-2017.pdf
      January 01, 2017 - However, this technology has fallen short of fulfilling its potential to improve patient safety. … The patient profiles generated for this analysis required patients to be receiving both object and precipitant … The patient profiles were not admission specific, meaning that data for patients with multiple admissions … Future studies are needed to study the implementation of such algorithms to ensure patient safety is … Overriding of drug safety alerts in computerized physician order entry.

7590. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49748/psn-pdf
      December 01, 2015 - Is the patient taking antacids rich in salt? Has the patient stopped a prescribed diuretic? … patients presenting with tense and large volume, such as the patient in this case. … Does the patient have SBP? And if so, does that affect your management? … There are no data on the safety of large volume paracentesis in patients with SBP. … When should the patient be given albumin?

7591. How Does Health Care Simulation Affect Patient Care? | PSNet
      psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
      August 01, 2018 - Simulations involving standardized patients are a means to assess selected competencies in patient care … for patients.( 9 ) This finding is superior to the effect sizes for patient outcomes reported for conferences … He holds the Norman Ty Smith Chair in Patient Safety and Medical Simulation. … Wachter : From the early days, was your view of simulation that it was about patient safety? … Safety September 1, 2016 Optimizing Pediatric Patient Safety in the Emergency

7592. Implementation Guide: Factors to Consider in Managing Chronic Pain: A Pain Management Summary (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/implementation-guide.pdf
      December 01, 2018 - Identification of patient safety issues: Dr. … Alpha’s practice is running a quarterly quality screen to identify patients with potential safety issues … safety warnings related to the data that is displayed. 12 … Patient-centered clinical decision support informs and facilitates care for specific patients and their … safety warnings related to the data that is displayed.

7593. Breast Abnormalities Update Surveillance Assessment_CER 47_Low (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/breast-abnormalities-tests-update_surveillance.pdf
      September 01, 2012 - Is the portion of the CER that is probably or certainly out of date an issue of safety (a drug withdrawn … , blinding of the diagnostic test reader to patient history/other clinical information, and use of … evaluated only patients with non-palpable breast masses, 63 and one study evaluated only patients … Are there other factors and considerations (e.g., safety, care setting, patient preferences, ease of … Are there other factors and considerations (e.g., safety, care setting, patient preferences, ease of

7594. Disposition of Comments: Technical Brief 37 Prevention, Diagnosis, and Management of Opioids, Opioid Misuse, and Opioid Use Disorder in Older Adults (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/tech-brief-37-opiod-use-adults-comments.pdf
      November 03, 2020 - , an educational pamphlet for patients, provision of patient information and pain management training … This alarm system can create a true safety net for elderly patients, with will decrease anxiety and … General Comments Research Is Needed to Increase Safety and Provide Effective Pain Management in Older … COPD) o cardiac disease o neurological disease We agree that more research is needed to increase safety … Masimo stands ready to work with you as you address these important patient safety issues for older

7595. Archived: Evidence Summary (Pregnant and Postpartum Women): Screening for Depression in Adults | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-primary-care-screening-for-and-treatment-of/depression-in-adults-screening
      January 26, 2016 - Data were sparse for Patient Health Questionnaire instruments. … but acknowledged there may be considerations that support screening for depression in an individual patient … For diagnostic accuracy (KQ2), we examined studies of the Patient Health Questionnaire (PHQ) or Edinburgh … Trials had to use population-based screening to identify eligible patients. … Efficacy and Safety of Screening for Postpartum Depression.

7596. Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
      July 07, 2002 - Advances in Patient Safety: Vol. 2 280 Figure 1. … Advances in Patient Safety: Vol. 2 292 References 1. Patel VL, Kaufman DR, Arocha JF. … A tale of two stories: contrasting views of patient safety. … Chicago, IL: National Healthcare Safety Council of the National Patient Safety Foundation, American … Going solid: a model of systems dynamics and consequences for patient safety.

7597. Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.docx
      March 01, 2022 - showering (see Section 10: “Patient CHG Shower Instructions”) for patients to read prior to beginning … Patients will be more likely to read the instructions in their spare time. · Provide patient with a single-use … Escalation Efforts for Patient Refusals As is the case with other medical care, patients can refuse any … An escalation pathway is recommended, not because a patient refuses, but because some patients may respond … escalation pathways were commonly used, to help explain and reinforce the importance of the protection and safety

7598. Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid CHG and Showering With 4% CHG Liquid Soap (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.docx
      March 01, 2022 - Generally, patients with lumbar drains are not permitted to shower. … Escalation Efforts for Patient Refusals As is the case with other medical care, patients can refuse any … If patient initially declines 2. Assess why: Is your patient tired? … An escalation pathway is recommended, not because a patient refuses, but because some patients may respond … escalation pathways were commonly used to help explain and reinforce the importance of the protection and safety

7599. In Conversation With… Amy C. Edmondson, PhD, AM | PSNet
      psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
      February 01, 2017 - Over the last 15 years, you have another overlay—the patient safety and quality movements. … The relation between teamwork and patient safety. In: Carayon P, ed. … Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. … TeamSTEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety. … In: Advances in Patient Safety: New Directions and Alternative Approaches.

7600. Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
      January 01, 2024 - safety. … The occurrence of false checking in particular poses risks to patient safety, because it provides false … Introduction of surgical safety checklists in Ontario, Canada. … Effect of a comprehensive surgical safety system on patient outcomes. … Barriers to staff adoption of a surgical safety checklist.