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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - safety goals that exceed accreditation requirements, and many hospitals have voluntarily implemented rapid … response teams and other optional enhancements to care.( 6 )
In other words, accreditation and regulation … We have been pushing outside the routine accreditation and certification processes for the more rapid
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psnet.ahrq.gov/node/49787/psn-pdf
March 01, 2017 - Intuitive processing is a highly efficient, rapid method to cope with the
enormous complexity of clinical
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - Slippery Slide Into Life
December 1, 2005
Halamek LP. Slippery Slide Into Life. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/slippery-slide-life
The Case
A 25-year-old woman presented to the hospital in labor and at full gestation after receiving uncomplicated
prenatal care. A third-year obstetrics and g…
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - in acute care facilities in the United States, and 5 million internationally, per year.( 1,2 ) This rapid
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/bundled-payments-quality-effects_executive.pdf
August 01, 2012 - This response, however, may be mediated by
key contextual factors, including both predisposing and … However,
the benefits of a longer time horizon must be balanced
against the need for rapid information … Restructuring in response to
case mix reimbursement in nursing homes: a contingency
approach. … Hospital response to prospective
payment: moral hazard, selection, and practice-style
effects. … Hospital response to prospective
financing of in-patient days: the Belgian case.
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
May 01, 2024 - Type 1 processing relies on intuition and patterns to formulate a rapid
diagnosis. … It may make intuitive sense that more rapid
and frequently heuristic cognition is more error prone. … prescribing errors,12 cognitive overload with poor performance in simulation
training environments,57 and rapid … The relation-
ship between response time and diagnostic accuracy. … The use of task-evoked pupillary response as an objective measure
of cognitive load in novices and trained
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - treated aggressively with intravenous (IV) antibiotics and possible pacemaker lead removal, the patient’s rapid … July 31, 2023
Patient Safety Innovations
Remote Response
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-improving-quality-through-clinician-use-of-health-it.pdf
January 28, 2014 - The continuing rapid pace of
technological change and the continuing interest
in use of health IT for … Providing Patient-Specific Information,
Clinical Knowledge, and Decision Support
Background
With the rapid … (R18 HS 017258) tested
an interactive voice response (IVR) system that
contacted families of children … The
alerts triggered a response by 79 percent of dental pro-
viders, although response rates lagged … The continued rapid pace of
technological change and the continued interest in
the use of health IT
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
June 02, 2025 - – Suboptimal erythropoietic response. … – Relatively more rapid rate of growth than in term infants. … breathing: recurrent sequences of pauses in respiration lasting 5-10 seconds, followed
by 10-15 seconds of rapid … – If no response, change the tracheostomy tube.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/fatty-acids-cardiovascular-disease_disposition-comments.pdf
August 12, 2016 - &productid=2261
Published Online: August 12, 2016
2
Commentator &
Affiliation Section Comment Response … &productid=2261
Published Online: August 12, 2016
3
Commentator &
Affiliation Section Comment Response … &productid=2261
Published Online: August 12, 2016
4
Commentator &
Affiliation Section Comment Response … &productid=2261
Published Online: August 12, 2016
5
Commentator &
Affiliation Section Comment Response … The attached information is supplied in response to an open public
comment period.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
November 01, 2014 - participated in the Institute for Healthcare Improvement's (IHI's) 5 Million Lives Campaign, u which deployed rapid-response … The first Lean project kicked off in 2003 with a rapid cycle event (RCE) looking at the current physical … This element was tangible during the E-Prescribe rapid cycle we observed: upon seeing how the new process
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - Implement the CDSS in a test unit, and immediately measure workflow changes and initial provider response … Even with this extensive preparation, we have needed to refine the intervention in response to user reactions … Insights such as these may be missed without adequate evaluation of provider response. … Physician response to computer reminders. JAMA. 1980;244:1579-1581. [go to PubMed] 2.
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www.ahrq.gov/patient-safety/reports/hotline/eval4.html
May 01, 2016 - Provider Actions in Response to the Hotline Reports (Module 8)
As described earlier, if an individual … it may result in a performance improvement project including simulation training and creation of a rapid-response … Many people think of hotlines as a way of getting a quick response to a problem or as a forum for asking … Some members noted the difficulty of obtaining high response rates and advocated more active recruitment … Given the research team’s finding that most of the “story” of the safety concern was described in response
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-fullreport.pdf
June 01, 2018 - Septic shock in children is a
life-threatening illness that requires immediate recognition and rapid … Sepsis is defined as systemic inflammatory
response syndrome (SIRS) occurring in the presence of a suspected … Because the amount and duration of fluid administration depend on the patient’s
immediate response, … A compensatory anti-inflammatory response syndrome develops, leading to
relative immunosuppression, … The resulting immunoparalysis limits the response to the pathogen, contributing to
morbidity and mortality
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs026849-dorr-final-report-2022.pdf
January 01, 2022 - Providers’ response to increasing complexity was not
to get more input from the patients or acknowledge … messaging between patients and
pharmacists or care managers improved BP; while Benkert et al. showed rapid
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effectivehealthcare.ahrq.gov/sites/default/files/ch_6-user-guide-to-ocer_130129.pdf
October 30, 2012 - chronic (a long-
term or permanent condition), acute (a condition
with a clearly identifiable and rapid … Item Response Theory (IRT) and Computer
Adaptive Testing (CAT)
Item Response Theory (IRT) is a framework … These
include response format (numeric scales vs. verbal
descriptors or visual analogue scales), the … “Cold
calls” to potential study participants may result in
low response rates, given the increased … Item response theory: fundamentals,
applications, and promise in psychological
research.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/osteoporosis-screening-2011
January 15, 2011 - Research to evaluate the outcome of screening women during periods of rapid bone loss (for example, during … Moreover, rapid bone loss occurs in women because of the loss of estrogen during menopause. … Response to Public Comments
A draft version of this recommendation statement was posted for public … In response to these comments, the USPSTF clarified its approach to fracture risk assessment by revising
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022701-ornstein-final-report-2014.pdf
January 01, 2014 - for Healthcare Research and Quality (AHRQ), working in partnership with the ONC and CMS,
solicited rapid … were
sent to practice coordinators and individual clinicians in the practices to assure an adequate response … For items with
dichotomous responses (i.e. yes/no or agree/disagree), a “no” or “disagree” response … was coded as 0, and a
“yes” or “agree” response was coded as 100. … Descriptive statistics (means and standard deviations) were used to characterize practices’ item response
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www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
January 01, 2010 - Training the Patient Safety
Improvement Corps
In response to the need to expand
the patient safety … In response, the Agency
designed requirements for the AHRQ
Patient Safety Network
(www.psnet.ahrq.gov … ultrasound-guided central venous
catheters, diagnosing melanoma,
providing obstetric emergency
response
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - Errors and Near Misses: What Health Care Could Learn From Aviation
Carl Macrae, PhD | December 1, 2016
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Citation Text:
Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation…