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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
March 01, 2004 - Second, because close calls are
theorized to occur much more frequently than errors,11–13 it is expected … , no research was
found that demonstrated a significant difference in the “richness” of the data;
rather
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-1-instructors-guide.pdf
September 01, 2015 - • Engage in a dialogue rather than giving a summary, start dialogue with someone you
know, and shift
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cad-women-treatment-future_research.pdf
February 01, 2013 - Cardiovascular disease remains the leading cause of death among women in the United
States.1 More than … However in diabetic men, those treated with CABG had higher survival than those
treated with PCI. … evidence, it is also
possible that their prioritization represents their general research priorities, rather … than the state
of evidence for this specific topic. … the next-ranked priority, and that the final
top-ranked priority more than doubled its score between
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/MzHhsgTBL37rRvvJfkfgMZ
August 20, 2019 - completed cancer
treatment were included to ensure that genetic testing was in-
tended for risk reduction rather … than treatment purposes. … b One hundred three studies in 110 publications provided data; some addressed
more than 1 KQ. … Results indicated that population-based
testing of Ashkenazi Jews detected more BRCA1/2 mutations than … Cancers
associated with BRCA1 and BRCA2 mutations other
than breast and ovarian.
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary26/gestational-diabetes-screening-2008
May 15, 2008 - January 2000 to 15 November 2007 (and from 1966 to 1999 for additional studies on screening at less than … Data Synthesis
Studies were synthesized qualitatively rather than quantitatively because of heterogeneity … The treated group gained statistically significantly less weight during pregnancy than the untreated … Women with negative glucose challenge results were more likely than those with positive results to rate … Body mass index has a greater impact on pregnancy outcomes than gestational hyperglycaemia.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
February 01, 2005 - Teams make fewer mistakes
than do individuals, especially when each team member knows his or her
responsibilities … that we
reviewed rely almost exclusively on classroom-based or simulator-based training
methods, rather … than on choosing from a variety of instructional strategies to
complement the specific training content
-
www.ahrq.gov/sites/default/files/2025-02/horwitz-report.pdf
January 01, 2025 - stakeholders;
tightly linking interventions to an in-
depth problem analysis; taking a
sequential rather … than wholesale
approach; starting with easier, low-impact interventions; iterating and rapidly abandoning … More than half (207, 55.2%) of reports involved no harm to patients; one (0.3%) involved severe
permanent
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
January 12, 2022 - This list is not exhaustive, but rather an example of how to tailor messages for the greatest potential … TeamSTEPPS is designed to fundamentally improve how teams work together, which requires more than training … He looked so much better than the last time he was in.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
January 12, 2022 - This list is not exhaustive, but rather an
example of how to tailor messages for the greatest potential … TeamSTEPPS is designed to fundamentally improve how teams work together, which requires
more than training … He looked so
much better than the last time he was in.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - So it's a little bit different than Just Culture, but it gets at some of the things that
people are … strongly agree, that is considered a negative thing, and so their percent positive
score would go down, rather … that composite, we do see that
that item is always about 10, 13 percent lower in positive perception than
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - This
frequently leads to a culture of inhibition and restraint in communication, rather than a sense … More than 650
health care providers (representing all health care disciplines) attended presentations
-
psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - I also think that measures should, to the degree possible, reflect more than Medicare fee for service … of care being provided to patients. 6 This shift enables prevention of errors through prospective rather … than retrospective reviews.
-
psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - of care being provided to patients. 6 This shift enables prevention of errors through prospective rather … than retrospective reviews. … I also think that measures should, to the degree possible, reflect more than Medicare fee for service
-
psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - Many patients actually prefer to use a telephone than a full telehealth system because it is easier to … KH: I want to shift to talking about your work around bringing primary care into mental health, rather … than having primary care integrate the mental health piece. … exist outside the influence of providers often play a more prominent role in safe, high-quality care than
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - rapid response team and whether any fea-
tures, indicative of that diagnosis, were present for greater than … More than one-third of the studies (n = 6) operationalized diag-
nostic error, whether the authors indicated … using the NASEM def-
inition or not, in ways that were specific to their research questions
rather … than using an existing operationalized definition (Table 3).
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs026170-garcia-final-report-2023.pdf
January 01, 2023 - Cancer center patients are asked to complete a screener before each oncology visit
(but no more than … of
the EHR data is less precise (e.g., including some variability in documentation across regions) than … (0.0%)
Asian 2 (5.4%) 0 (0.0%)
Native Hawaiian or Other Pacific Islander 1 (2.7%) 0 (0.0%)
More than … emphasized the importance of their care team acknowledging their results and
referring to completed cPRO rather … than asking the same questions again during the visit.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
April 23, 2004 - Counseling practices related to devices were less prevalent than practices related
to medications. … However, less than one-third of the
offices reported that the industry representatives educated them … Fewer than half of the physicians reported use of a computer in their routine
daily practice. … computers via the Internet occurred in the
central area of the office after the patient was seen, rather … than at the point of care
(clinical computers in exam rooms).
-
effectivehealthcare.ahrq.gov/sites/default/files/depression-horizon-scan-high-impact-1406.pdf
June 01, 2014 - Rather, the reports will help to inform and
guide the planning and prioritization of research resources … Since that implementation, review of more than 18,000 leads about potential topics has resulted in … No more than two experts with a possible COI are considered out of a total of the five to eight
experts … , 3.20 to
12.71); the likelihood of response at 24 hours was also greater with ketamine infusions than … Scopolamine produces larger antidepressant and
antianxiety effects in women than in men.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
May 01, 2004 - occurs during a given hospital stay, PSI cases include only those in which a
secondary diagnosis code—rather … than the principal diagnosis—flags a potential
patient safety event. … Death in low
mortality DRGs
Discharges with
disposition of
“deceased”
Patients in DRGs with less than … Include only
patients with a length of stay of more than 3 days. … and suggests that certain PSI events (e.g.,
postoperative hip fractures) are relatively more likely than
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/addexercises.pdf
August 08, 2025 - Is the resident’s family
bringing in food at times other than meal times?
• Resident E. … On the Nutrition Risk Report: Medium Risk, Resident F appears to be high risk
rather than medium risk … Resident B has average meal intake less than 50% during each of the 4 weeks shown but does not have an … Is Resident 2 at higher risk than Resident 6? If yes, why? Why not?2.
Answers:
1 (#5)1. … More timely than MDS information
d.