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psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - Thus, unforeseen events happened more frequently and were more severe than anyone predicted.( 12 ) Over … contingency planning for downtime and system configuration).( 16 )
Lesson Two: EHR Safety Requires More Than … So they would rather err on the side of alerting. The EHR has a similar issue. … clear that the bolus of federal funding really changed the inflection point and pushed adoption faster than … Google, Amazon, credit bureaus, they all know more about us at times than our health care system does
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effectivehealthcare.ahrq.gov/sites/default/files/14_substance_abuse_potential_high_impact_2012-12-11.pdf
January 01, 2012 - Rather, the reports will help to inform and
guide the planning and prioritization of research resources … Since that implementation, review of more than 15,000 leads about potential topics has resulted in … No more than two experts with a possible COI are considered out of a total of the seven or eight
experts … available treatments, especially
considering that newer interventions are likely to be more expensive than … Regarding
the buprenorphine implant, experts thought that clinicians would be more accepting than patients
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www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - In this view,
diagnosis is not the result of solitary thinking but rather a process that occurs through … This structure means that a nurse taking care of a patient is more likely than a physician to observe … may need to be revised or
reconsidered.12,29
For example, because nurses care for fewer patients than … between physicians and nurses.
7
e
Second, bringing clinicians of various types together more than … ‘More than words’ - Interpersonal communication, cognitive bias,
and diagnostic errors.
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - improve patient compensation, and reduce liability premiums.( 13 ) The agency ultimately spent more than … the crown jewel of our democracy, but we've perverted the purposes and created this as a first resort rather … than the last resort it's intended to be. … by the number of cases that we have concluded our care was reasonable versus not; before 2001, more than … RB : Well, it's actually fascinating and I am more invigorated than ever over this.
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psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - the crown jewel of our democracy, but we've perverted the purposes and created this as a first resort rather … than the last resort it's intended to be. … by the number of cases that we have concluded our care was reasonable versus not; before 2001, more than … RB : Well, it's actually fascinating and I am more invigorated than ever over this. … improve patient compensation, and reduce liability premiums.( 13 ) The agency ultimately spent more than
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - In this view,
diagnosis is not the result of solitary thinking but rather a process that occurs through … This structure means that a nurse taking care of a patient is more likely than a physician to observe … may need to be revised or
reconsidered.12,29
For example, because nurses care for fewer patients than … between physicians and nurses.
7
e
Second, bringing clinicians of various types together more than … ‘More than words’ - Interpersonal communication, cognitive bias,
and diagnostic errors.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - risk-reduction strategy.1 Medical error
reporting has focused historically on the individuals involved, rather … than the
systems and processes that allowed the error to occur. … routinely reported five or fewer medication events per
month, while others consistently reported more than … all reports to the DoD PSC are made anonymously, no distinguishing
facility characteristics other than … More than 70 system improvements have
occurred just since 2002, including the graphical user interface
-
effectivehealthcare.ahrq.gov/sites/default/files/obesity_hi_impact.pdf
April 17, 2012 - Rather, the reports will help to inform
and guide the planning and prioritization of research resources … of more than 900 topics
across the 14 AHRQ priority areas. … Men with a waist of more than 40 inches and women with a waist measuring greater than
35 inches are … The investigators concluded,
“Participants on liraglutide lost significantly more weight than did … More individuals (76%, n = 70) lost more than 5% weight with liraglutide 3.0 mg
than with placebo (
-
www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
October 27, 2014 - The PfP is much more than a collection of hospital engagement network
(HEN) contracts. … These contractors successfully enrolled more than 3,700
acute care hospitals in the initiative and … An estimated 1.3 million fewer harms were
experienced by patients from 2010 to 2013 than would have … based on the full
cost of a hospital stay that included a fall or a hospital-acquired pressure ulcer, rather … than on the incremental cost due to the HAC.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp4.pdf
February 01, 2012 - Since the seminal observation that Greenland Eskimos have lower cardiovascular disease
mortality than … We included randomized controlled trials (with at least 4 weeks of intervention duration and
less than … percent and expresses the proportion of between study variance that is
attributable to heterogeneity rather … than chance. … serum EPA and DHA measurements suggesting low mean intake at
baseline (e.g., corresponding to less than
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-navigation-model-lung-cancer-rapid.pdf
December 01, 2018 - based, were delivered in diverse health care
settings, and had more clearly defined entry criteria than … Primary Studies of the PNRP
Entry criteria were better described than exit criteria in the PNRP studies … • Lung cancer screening
CTs performed more
often in intervention
than control group
(23.5% vs. … The following is not a
comprehensive list, rather examples found during this workup and identified during … Accreditation by the CoC does not require the hiring of
a patient navigator, but rather provides a framework
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/omega-3-maternity_research-protocol.pdf
May 18, 2015 - risk for (or prevention of) these
conditions in otherwise healthy individuals and their offspring, rather … than the efficacy of
n-3 FA in treating affected individuals. … the following:
• duration of gestation in women with or without a history of
preterm birth (less than … Potential Peer Reviewers must disclose any financial conflicts of interest greater than
$10,000 and … Invited Peer
Reviewers may not have any financial conflict of interest greater than $10,000.
-
www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
January 01, 2024 - a pharmacist’s review of medication orders
within 24 hours, and 43% had a pharmacist onsite fewer than … organizations to learn from their experience by
providing independent, expert analysis focused on systems rather … than individuals.3 In 1998, the
United States Pharmacopeia (USP) established MEDMARX, the nation’s … Over 870 hospitals and health systems
have submitted more than 1.3 million medication error records … No significant differences in error rates were found between large hospitals of
more than 100 beds,
-
www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary20/suicide-risk-in-adolescents-adults-and-older-adults-screening
April 15, 2013 - Limitation: Treatment evidence was derived from high-risk rather than screen-detected populations. … It accounted for more than 1.4 million years of potential life lost before age 85 years 3 . … Psychotherapy did not show greater improvement than usual care for suicidal ideation (SMD, −0.10 [CI, … Among psychotherapy studies, we found no clear predictors of effect size other than target age (adults … This trial reported suicide rates per 100,000 persons as its outcome, rather than following an identified
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
January 01, 2025 - Total 3,443 100%
Missing 240 --
Overall Total 3,683 --
Tenure in Nursing Home Number Percent
Less than … This
reporting of the data at the nursing home level, rather than the respondent level, is important … Although your nursing home’s survey results might have higher
percent positive results than the report … falls above the 75th percentile (but below
the 90th), meaning that your nursing home scored higher than … is 65 percent positive, it falls above the 90th percentile, meaning
your nursing home scored higher than
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/urinary-incontinence-update_research-protocol.pdf
June 06, 2017 - determination of
treatment success should be patient-centered and based on factors important to women,
rather … than on the results of invasive tests. … Similarly, the list of pharmacological treatments is more complete than the a priori list in
the 2012 … Potential Peer Reviewers must disclose any financial conflicts of interest greater than
$10,000 and … Invited Peer
Reviewers may not have any financial conflict of interest greater than $10,000.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
August 01, 2010 - One study found that more than 70 percent of adverse events are caused by breakdowns in communication … Although nurses may voice concerns about shift report taking too long, it should be quick (no more than … This way, the choice is up to the patient rather than an assumption by the nurses. … Emory held seminars to train more than 400 staff from across the four hospitals. … In fact, counter to their expectations, bedside shift report typically took less time than conducting
-
www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
January 01, 2024 - environmental services workers,
secretaries, chaplains, and social workers, may have had different experiences than … Those interviewed were
predominantly experienced healthcare workers with more than 4 years of experience … within an ER setting, peers will step up and assist one another while at the same time
recognizing less-than-optimal … This pattern indicates the opinion of management
is reactive rather than proactive and may prioritize … HRV results may reflect a non-subjective measure of stress on physician participants more
accurately than
-
psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - expectation that while these data are going to come to us right away, a clinician will react to a trend rather … than each data point. … They may report values that are better or worse than what they actually were. … These data tend to fall in a different category than the data we collect in the clinical setting, like … months, but it is regularly high for those six months, then you could potentially intervene earlier than
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-workplace-safety-report-pt1.pdf
January 01, 2025 - Total 3,443 100%
Missing 240 --
Overall Total 3,683 --
Tenure in Nursing Home Number Percent
Less than … This
reporting of the data at the nursing home level, rather than the respondent level, is important … Although your nursing home’s survey results might have higher
percent positive results than the report … falls above the 75th percentile (but below
the 90th), meaning that your nursing home scored higher than … is 65 percent positive, it falls above the 90th percentile, meaning
your nursing home scored higher than