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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
June 01, 2023 - The available measures in the ED (e.g., preliminary diagnoses) do not quantify uncertainty that may be … an ICU discharge
strategy, including:
■ Structures to facilitate patient discharge,
■ Education programs … Agency for Healthcare Research and Quality. … Agency for Healthcare Research and Quality. … Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/node/49505/psn-pdf
March 01, 2006 - The patient subsequently had
progressive hypotension, did not respond to resuscitative measures, and … sue them, claiming that
privilege restrictions were placed for motives other than the assurance of quality … All
hospitals should have robust programs to thoroughly educate members of credentialing and peer review … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
January 01, 2024 - Grant: 1P20HS017123
Grant Management Specialist
Carol Harris (carol.harris@ahrq.hhs.gov)
Program … Each group was facilitated by quality improvement
specialists from the DFCI Department of Quality Improvement … Additional measures included efforts by the physicians’ offices to confirm with the
mail-order or other … responsible
for teaching and follow up; and enhancing availability of parent and patient support groups and
programs … Although we took measures to ensure
that the FMEA process was reliable – by use of an external consultant
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www.ahrq.gov/hai/tools/mvp/modules/technical/daily-care-processes-tool.html
January 01, 2017 - Daily Care Processes Data Collection Tool
AHRQ Safety Program for Mechanically Ventilated … recommend the RASS and SAS as the most valid and reliable sedation assessment tools for measuring the quality … An overview of the decision process for the data collection portion of this measure is listed below
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses6.html
August 01, 2022 - Rockville, MD: Agency for Healthcare Research and Quality; 2022 [peer review version not for public dissemination … The Quality in Australian Health Care Study. … Review: how do hospital organizational structure and processes affect quality of care? … Changes in medical errors after implementation of a handoff program.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-refs.html
July 01, 2023 - Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency,
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/UA7cEG8wH4xh8-fr7Lfw9q
September 18, 2018 - of weight and provided tools to support weight
loss or weight loss maintenance (eg, pedometers, food scales … while other trials provided referral and free access
to commercially available group-based weight loss programs … In the good-quality Diabetes
Prevention Program trial (n = 1295), the estimated cumulative
incidence … of life outcomes.1 Many trials showed improve-
ment in obesity-specific quality of life measures among … Fifteen trials were good quality and 15 trials were fair quality.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/m_E9nFrmxuS5-surqVHK2u
November 13, 2018 - No studies examined
benefits or harms of screening programs to reduce unhealthy alcohol use. … Quality: Study was poor quality. … Summary of Meta-analysis Results, Primary Drinking Outcomes for Key Question 4a
Outcome
(Effect Measure … Comparing alcohol screening
measures among HIV-infected and -uninfected
men. … Implementation and quality improvement of a
screening and counseling program for unhealthy
alcohol use
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.179_slideshow.ppt
July 01, 2008 - treatments
Appreciate the stigma associated with opioid dependence and the potential impact on the quality … in the outpatient setting in methadone treatment facilities (licensed Opioid Agonist Therapy [OAT] programs … available, and providers should appropriately screen, identify, and treat these patients
Improving Quality … education in substance abuse disorders for trainees and practicing clinicians may also improve the quality … treatable medical condition
The clinical opioid withdrawal scale (COWS) can be a useful objective measure
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psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
November 01, 2017 - "( 1 ) Technology, with its array of capabilities to measure data, manage information, and automate processes … outcomes, and follow-up activities empower them to improve the way health care providers deliver care and measure … intensive care unit (ICU), implementation of a structured patient-centered care and engagement training program … Crossing the Quality Chasm: A New Health System for the 21st Century. … Measuring patient-perceived quality of care in US hospitals using Twitter.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/rapid-reviews-end-user_white-paper.pdf
April 01, 2016 - Healthcare Research and Quality Improvement
Agency for Healthcare Research and Quality … frequently used reviews from the AHRQ EPC Program. … [provider]
Quality assessment Some assessment of the quality
of the literature is needed
“I think … tables, and that’s
probably where I would look…” [payer]
“The work development teams in our clinical programs … Agency for Healthcare Research and Quality.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/TAgAUJ5QoaRfV3M8fApBoN
June 03, 2019 - originally conducted, the Swedish trials had impor-
tant flaws related to measurement of the primary outcome
measure … mammography protocol, refer-
ring reader to another randomized trial, the Malmö Mam-
mographic Screening Program … breast cancer mortality in women under age
50: updated results from the Malmö Mammographic Screening Program … Concepts and problems in the eval-
uation of screening programs. J Chronic Dis. 1981;34:159-71. … The epidemiology of mass breast cancer screening—a plea for
a valid measure of benefit.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/allergy-seasonal_research-protocol.pdf
March 08, 2012 - Development and testing of a new measure of health status for
clinical trials in rhinoconjunctivitis … Guidance for
industry: allergic rhinitis: clinical development programs for drug products [Draft]. … Assessing applicability when comparing medical
interventions: AHRQ and the Effective Health Care Program … Within the EPC program, the Key
Informant role is to provide input into identifying the Key Questions … • Were outcome measures clearly valid, reliable, and equally applied to treatment
groups?
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www.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
January 01, 2024 - Usability Testing
Sample interpretation
IRR was assessed using a two-way mixed, consistency, average-measures … Each scenario consisted of multiple defined
milestones to measure successful completion or failure. … use a computer
mouse or trackpad.21-23 Beyond physical barriers, the design of websites and computer programs … American
Journal of Medical Quality: the official journal of the American College of Medical Quality … Impact of a pharmacist-facilitated hospital discharge program: a quasi-
experimental study.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/vCzPVrVJfgFWfpWRdEHMKQ
July 01, 2012 - There is
convincing evidence that PSA-based screening programs
result in the detection of many cases … There is convincing evidence that PSA-based screening programs result in the detection of many cases … Screening tests or
programs that do not incorporate PSA testing, including
digital rectal examination … required to better assess
and improve the reliability of prostate cancer mortality as a
valid outcome measure … When the
analysis was repeated by using only validated measures of
comorbidity (that is, Charlson comorbidity
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs022908-gephart-final-report-2020.pdf
January 01, 2020 - Measures. … A continuing program of research will
investigate its impact on clinical care processes and neonatal … Development of an Instrument to
Measure the Unintended Consequences of EHRs. … Validity and Reliability of a New
Measure of Nursing Experience with Unintended Consequences of Electronic … Measures.
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool3.html
March 01, 2025 - Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures … The RED Workstation is a software program that allows the DE to enter all the information that has been
-
www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool3.html
March 01, 2025 - Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures … The RED Workstation is a software program that allows the DE to enter all the information that has been
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/opioids-chronic-pain-surveillance-report-1-final.pdf
April 01, 2022 - up-to-date information about the evidence base to inform
health plans, providers, purchasers, government programs … chronic pain, what is the comparative effectiveness of
different tapering protocols and strategies on measures … headache, fracture, motor vehicle accidents,
cardiovascular events, endocrinological effects)
KQ 4a: Measures … Prolonged Opioid Use After
Lumbar Fusion and the Effects of Opioid
Use on Patient-Reported Outcome
Measures … Prescription drug monitoring programs:
Assessing the association between "best
practices" and opioid
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - Response Team did not readily know the cause of the respiratory
problem
19
SYSTEMS CHANGE NEEDED/QUALITY … IMPROVEMENT APPROACH
20
Systems Change Needed/Quality Improvement Approach (1)
• Multiple complicating … frequently but was stretched too thin providing care to
other patients
21
Systems Change Needed/Quality … Approach to anxiety & insomnia in hospitalized patients starts with
non-pharmacologic sleep hygiene measures … The impact of new graduate nurse transition programs on competency development and
patient safety: