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7681. Final Progress Report: Engineering Highly Reliable Communication and Coordination Systems for High-Risk Patients, Referrals, and Tests (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/singer-benneyan-phillips-report.pdf
      January 01, 2025 - The AHRQ patient safety learning labs. … http://www.ahrq.gov/patient-safety/settings/hospital/surgecapacitytool.html https://www.ahrq.gov/patient-safety … Promoting patient safety in primary care. … Is ambulatory patient safety just like hospital safety, only without the “stat”? … System changes to improve patient safety.

7682. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837913/psn-pdf
      August 31, 2022 - Hospital-to-Hospital Transfers for Children are Relatively Common and Present a Risk to Patient Safety … safety. … and patients’ families. … Take Home Points The pediatric interfacility transfer process presents a potential risk to patient safety … Patient safety incidents during interhospital transport of patients: a prospective analysis.  

7683. Improving Meaningful Access of Internet Health Information for Older Adults - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r21hs018831-czaja-final-report-2013.pdf
      January 01, 2013 - Internet-based health applications and, in turn, impacts on more distal outcomes such as physician/patient … Therefore a safety dialog box was created which would alert the user to the deletion and provide an … their satisfaction with the task and their work, and their conclusion about the medical status of the patient … featured in the story (i.e., whether the patient had Diabetes or Multiple Sclerosis) that was at the

7684. PEPTIC ULCER #11 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1412.pdf
      December 01, 2014 - Experts were optimistic that reductions in PN use could potentially improve patient health outcomes … Experts expected to see additional scrutiny of teduglutide’s safety and its impact on cost of care … PN reduction might significantly improve patient outcomes and quality of life. … Safety and efficacy of teduglutide after 52 weeks of treatment in patients with short bowel intestinal … Making 'every patient counts' a business imperative. [internet].

7685. Disposition of Comments for CER 162 Diagnosis of Celiac Disease (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/celiac-disease_disposition-comments.pdf
      January 28, 2016 - Safety of endoscopic biopsies. … Whilst there may not be any literature on the safety of endoscopic duodenal biopsies in patients with … celiac disease, there is likely some literature on the safety of upper endoscopy and duodenal biopsies … Perhaps inclusion of a review We found no safety data specific to persons undergoing these procedures … While an exhaustive review on the safety of upper endoscopy and duodenal biopsy is beyond the scope

7686. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837958/psn-pdf
      December 01, 2021 - Barnes, MD This case highlights several related patient safety issues that can arise when a patient … 1) the harmful effects of hospital and ED crowding on patient safety, 2) the necessity for a safe and … Background Hospital crowding is emerging as an important theme in relation to patient safety. … Officially termed Ambulance Patient Offload Time (APOT) by the California Health and Safety Code, wall … safety, patient experience, and the morale of hospital staff.

7687. CDS Connect Maintenance and Update Final Report (Year 5 of CDS Connect) (pdf file)
      cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2021.pdf
      January 01, 2021 - INTRODUCTION As the lead Federal agency charged with improving the quality and safety of America’s … Implemented usability enhancements (e.g., sort and duplicate CDS artifacts, summary view, tab indicators … consideration for update or retirement in coordination with the National Institute for Occupational Safety … LLC); Federal partners (CMS [including Value Set WG], CDC, and National Institute of Occupational Safety … of the Connectathon, the team demonstrated successful interoperability with all three CDS Hooks “clients

7688. CDS Connect Maintenance and Update Final Report (Year 5 of CDS Connect) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year5-final-report-2021.pdf
      January 01, 2021 - INTRODUCTION As the lead Federal agency charged with improving the quality and safety of America’s … Implemented usability enhancements (e.g., sort and duplicate CDS artifacts, summary view, tab indicators … consideration for update or retirement in coordination with the National Institute for Occupational Safety … LLC); Federal partners (CMS [including Value Set WG], CDC, and National Institute of Occupational Safety … of the Connectathon, the team demonstrated successful interoperability with all three CDS Hooks “clients

7689. 2021 National Healthcare Quality and Disparities Report: Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
      January 01, 2021 - • Patient Safety: More than 40% (11 of 26) of Patient Safety measures were improving. … The three measures that improved the most reflected improved communication with patients at hospital … discharge, timely initiation of home health care services, and fewer home health care patients needing … the 2021 NHQDR include: • Several areas in which the nation has invested in quality improvement and patient … safety have shown substantial improvements.

7690. Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: USPSTF Final Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/94EGaPfA7-rqrR_xhaA2Yc
      June 11, 2018 - Clinicians should understand the evidence but individualize decision making to the specific patient or … Clinical Considerations Patient Population Under Consideration This recommendation applies to women of … professional judgment and patient preferences. … Offer or provide this service for selected patients depending on individual circumstances. … PVS includes 3 items that assess physical abuse and safety.

7691. Implementation of an Electronic Care Plan for People With Multiple Chronic Conditions (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/ecare-plan-final-report.pdf
      November 01, 2022 - Systems Engineering Initiative for Patient Safety Model Mapped to the CFIR-PR...................... … Safety (SEIPS) model. … run entirely within client browsers, and log file data from client browsers are unavailable to Splunk … SEIPS 3.0: human- centered design of the patient journey for patient safety. … In: Patient safety: achieving a new standard for care.

7692. Outcome Measure Harmonization and Data Infrastructure for Patient-Centered Outcomes Research in Depression: Final Report (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/outcome-research-white-paper.pdf
      June 01, 2022 - a disease, understand treatment patterns and outcomes, examine the effectiveness, safety, and value … many registries serve multiple purposes, some are designed specifically for clinical research and safety … Collaboration with patients and/or patient organizations would also be beneficial to discuss barriers … In the PRIME Registry, patients complete the PHQ-9 through the registry patient portal, and scores … PsychPRO also uses a patient portal through which patients can complete PROs, including the PHQ-9.

7693. Meeting Minutes, November 2020 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html
      March 01, 2021 - In September, the agency released Safer Together: A National Action Plan To Advance Patient Safety . … Topics will include safety, patient-centeredness, and learning health systems. … In the area of practice improvement, AHRQ produced the following four patient safety-net resources (how-to … AHRQ will be considering using its Survey of Patient Safety Culture tool for some primary data collection … As such, it offers options to patients and providers.

7694. Disclosure of Medical Error | PSNet
      psnet.ahrq.gov/perspective/disclosure-medical-error
      January 01, 2009 - safety efforts. … Recent presidential candidates have touted using disclosure as part of a centerpiece of patient safety … Making patient safety the centerpiece of medical liability reform. … March 1, 2012 Quality and patient safety improvement is never finished. … April 22, 2016 Legal and policy interventions to improve patient safety.

7695. Behavioral Counseling in Primary Care to Promote a Healthy Diet - Recommendations and Rationale (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/tdMpbcxNJQ-7Tr-KV8jF3f
      January 01, 2010 - (see “Scientific Evidence” for discussion of patient populations and intensity of interventions). … disentangle the effects of patient risk status from the effects of intervention intensity. … Safety of a fat-reduced diet: the Dietary Intervention Study in Children (DISC). … Long- term safety and efficacy of a cholesterol-lowering 8 Behavioral Counseling in Primary Care … How does physician advice influence patient behaviours? Arch Fam Med. 2000;9:426-433. 20.

7696. Enhancing Fulfillment Data in Community Practices for Clinical Care and Research - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r21hs019726-kahn-final-report-2014.pdf
      January 01, 2014 - this project focused explicitly addressed AHRQ’s interest in “health IT to improve the quality and safety … patients with hypertension, 29,172 patients with dyslipidemia, and 15,063 patients with depression, … the three disease-specific targeted patient cohorts). … Last encounter recorded in the data set for this patient (Visit 2)3. … Last encounter recorded in the data set for this patient (Visit 2) 3.

7697. CDS Connect Implementation Guide Draft (doc file)
      cds.ahrq.gov/sites/default/files/cds/artifact/18/Enhanced%20CDS%20Artifact%20Based%20on%20Pilot%20Implementation_Final.docx
      October 01, 2017 - Definition CQL specifications were updated to check for an active pregnancy Condition or evaluate each patient … CDS is a powerful tool that can be utilized to improve the quality and safety of care provided to each … patient. … their specification and ultimately enriches the effectiveness of the artifact and its ability to impact patient … Outcomes Research PCORI Patient-Centered Outcomes Research Institute QDM Quality Data Model

7698. In Conversation with...Eric Coleman, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
      December 01, 2007 - RW: One of the key epiphanies of the patient safety movement is that it's mostly about systems. … More importantly, what can be done to improve patient safety in this setting? … However, other domains crucial to patient safety and continuity of care—such as discharge medications … safety and continuity of care. … Safety January 31, 2024 Patient Safety Innovations

7699. Antipsychotics-Children-Surveillance-150120 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/antipsychotics-children-surveillance-150120.pdf
      October 01, 2014 - • Patient insight into illness. … • Patient insight into illness. … One RCT found that olanzapine patients gained more weight than placebo patients at 8 weeks. … Secondary analysis of an RCT on bipolar patients included in the original CER found that patients with … patients.

7700. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49795/psn-pdf
      June 01, 2017 - The patient was evaluated by vascular surgery who recommended conservative management with intravenous … /min/1.73 m2, respectively.(7) In that study, only 1 patient out of the 520 studied (0.2%) had severe … enhancement.(10) According to the most recent consensus guidelines published by the Contrast Media Safety … The patient was taken emergently to the operating room and underwent aortic thrombectomy (removal of … Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines.