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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - Inconsistent use of screening guidelines was an issue identified in the eA process for advanced colon … A lack of screening was a significant issue identified in the eA process for AAA. 1
Based on the eA … Alert for high-risk patients were both implemented to increase the detection of occult AAAs and to identify … Inconsistent use of screening guidelines was an issue identified in the eA for advanced colon cancer. … Bundle
May 29, 2024
Patient Safety Innovations
Suicide
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www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
January 01, 2024 - Innovative Statistical Methods for Large-Scale Drug-AE Screening
2.1.A. … Specific Aim
To develop innovative statistical methods for large-scale drug/adverse event screening. … The methodology is based on Poisson prediction limits, which permit longitudinal screening for
changes … The program, which is now completed and ready for release, is capable of
simultaneously screening hundreds … Risk of suicide attempt in
asthmatic children and young adults prescribed leukotriene-modifying agents
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/depression-pregnancy-postpartum_executive.pdf
July 01, 2014 - of suicide, and
harmful health behaviors (e.g., smoking and
alcohol or other substance misuse). … of suicide)
is represented by a dotted line between boxes; we did
not review that literature in this … justice system
8
Benefit or Harm Mother Fetus, Infant, Child
Harm Outcomes
• Death, including suicide … women who did not use an
antidepressant during pregnancy but whose depression
status was unknown (relative … Efficacy
and Safety of Screening for Postpartum Depression.
Comparative Effectiveness Review 106.
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-outcome-measure-harmonization-depression.pdf
November 01, 2020 - Supplemental assessments of suicide ideation and behavior should be
completed for patients who screen … positive for suicide ideation on the PHQ-9
or when a clinician has concerns about suicidality. … should be completed using an appropriate, brief, validated instrument, such as
the Concise Health Risk … population health, risk stratification,
empanelment and more, all designed to improve primary care … For suicide attempt, 19
percent of patients with a suicide attempt documented in the notes had a corresponding
-
effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/impact-healthcare-algorithms-racial-ethnic-disparities-March-2.pdf
May 15, 2023 - For each algorithm, describe the type of algorithm, its purpose (e.g., screening, risk
prediction, diagnosis … 2
[Pasquenelli 2021]
[Han 2020]
USPSTF-2013 PLCOm2012 N
(Y for
comparator)
Lung cancer screening … lung cancer screening. … a risk of 40%,
the actual overdose/suicide-
related incidence rate should
also be 40% … , Rockies NLP
► NAII Datasheets and Model Cards
• Next steps for suicide and overdose prediction models
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psnet.ahrq.gov/issue/prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and
October 17, 2017 - Review
Prevention by design: construction and renovation of health care facilities for … and unit construction on health care–associated infection , this review describes infection control risk … 30, 2014
Use of unsolicited patient observations to identify surgeons with increased risk … for postoperative complications. … Use of administrative data to find substandard care: validation of the complications screening
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/infectious-diseasees
January 01, 2025 - Implement Routine Screening for Infectious Diseases
During the initial intake process, you can … in patient status, and for those engaging in continued high-risk behaviors, more frequent screening … For patients at high risk of HIV, PrEP may be a valuable option to reduce the risk of infection. … Screening and Diagnosis for Hepatitis C
This page from the Centers for Disease Control and Prevention … clients for hepatitis A, hepatitis B, and hepatitis C infections and educating clients about their risks
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt1.html
September 01, 2014 - The Problem
Youth with complex behavioral health needs face a range of challenges and are at risk … friendships, drop out of high school, come in contact with the juvenile justice system, and attempt suicide … such as foster care, are often taking more than one psychotropic medication, putting them at increased risk … States often use a standardized screening tool, such as the Child and Adolescent Service Intensity Instrument … For example, several studies found that wraparound services are more beneficial for some youth, such
-
psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - Pica with sharp metal objects may represent a suicide attempt (e.g., in major depressive disorder) if … guidelines has not been identified as a risk factor
for aspiration in the literature.18,21
The duration … The hectic nature of the ED environment increases the
risk for communication errors. … Ascertainment of iron deficiency and depletion in blood donors
through screening questions for pica … Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the
Risk
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psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality-measure
July 31, 2013 - September 2, 2009
State sepsis mandates—a new era for regulation of hospital quality. … June 21, 2017
Are physicians safely prescribing opioids for chronic noncancer pain? … Suicide Risk Assessment
November 27, 2019
Sepsis quality in safety-net hospitals … high-risk therapies in hospitalized children. … October 30, 2010
Understanding pharmacist decision making for adverse drug event (ADE
-
www.ahrq.gov/news/newsletters/e-newsletter/932.html
October 01, 2024 - Practice Facilitation Boosts Screening for Unhealthy Alcohol Use . … Practice Facilitation Boosts Screening for Unhealthy Alcohol Use Primary care practices in Virginia that … implemented AHRQ’s EvidenceNOW Model increased the use of recommended screening instruments for unhealthy … Lack of knowledge of antibiotic risks contributes to primary care patients' expectations of antibiotics … Electronic health record-based screening for intimate partner violence: a cluster randomized clinical
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psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - risks over- and under-triage. … (CMS) and The Joint Commission (TJC), demand screening for suicide risk, travel to high-risk countries … Patients with high-risk complaints (e.g., stroke symptoms) are prioritized for triage. … These patients should be considered “high risk,” and clinicians should have a low threshold for abdominal … Geriatric screening, triage urgency, and 30-Day mortality in older emergency department patients.
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/c97uqjXbUHjNuoNDkvChZu
August 01, 2013 - , which provides personalized feedback
about the risks and consequences of excessive drinking. … mortality as a result of trauma,
including falls, drownings, fires, motor vehicle crashes, ho-
micide, and suicide … vehicle crash resulting in
injury or death increased sharply after attainment of a BAC
of about 0.08% (relative … the
presence of alcohol use problems in patients, screen for risk
factors for development of alcohol … For pregnant women and those
at risk for pregnancy, it is important that obstetrician-
gynecologists
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/anxiety-children_research-protocol.pdf
September 12, 2016 - Studies
included by either reviewer will be retrieved for full-text screening. … Assessment of Methodological Risk of Bias of Individual Studies
We will evaluate the risk of bias of … For
RCTs, we plan to apply the Cochrane Collaboration’s Risk of Bias tool to assess
sequence generation … the methodological
limitations of the studies (i.e., risk of bias); precision (based on the size of … Clinical response and risk for reported
suicidal ideation and suicide attempts in pediatric antidepressant
-
effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/standardized-library-depression-white-paper.pdf
May 01, 2020 - Survival Death from suicide Patient with a diagnosis of major depression or dysthymia who died from suicide … Supplemental assessments of suicide ideation and behavior should be completed for
patients who screen … positive for suicide ideation on the PHQ-9 or when a clinician has
concerns about suicidality. … should be completed using
an appropriate, brief, validated instrument, such as the Concise Health Risk … Includes nonfatal suicide attempts/suicide attempt behaviors,
planning/preparatory acts, active suicidal
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/standardized-library-depression-white-paper.pdf
May 01, 2020 - Survival Death from suicide Patient with a diagnosis of major depression or dysthymia who died from suicide … Supplemental assessments of suicide ideation and behavior should be completed for
patients who screen … positive for suicide ideation on the PHQ-9 or when a clinician has
concerns about suicidality. … should be completed using
an appropriate, brief, validated instrument, such as the Concise Health Risk … Includes nonfatal suicide attempts/suicide attempt behaviors,
planning/preparatory acts, active suicidal
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psnet.ahrq.gov/issue/blame-culture-just-culture-health-care
January 23, 2017 - September 1, 2016
NICU medication errors: identifying a risk profile for medication errors … September 23, 2020
View More
Related Resources
Systems approach to suicide … January 11, 2023
Developing the Safer Dx Checklist of Ten Safety Recommendations for … May 4, 2022
The morbidity and mortality conference: opportunities for enhancing patient … September 23, 2020
Selected medication safety risks that can easily fall off the radar
-
integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes
January 01, 2013 - The ultimate goal of providing medications to treat patients' OUD is to save lives by reducing risk … discusses ways to monitor the effectiveness of MOUD treatment toward the goals of reducing overdose risk … be more feasible for more comprehensive practices that provide whole-person care for people with OUD … Operational Systems and Workflows
Screening and Diagnosis
Engaging Patients in Treatment … for OUD
Pharmacotherapy
Mitigating Overdose Risk
Prevent and Respond to
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - limited to delayed recognition of and deterioration following breakdown of an anastomosis , patient fall risk … Agency for Healthcare Research and Quality. September 7, 2019. … Patient Safety Innovations
System Approaches to Social Determinants of Health Screening … September 23, 2024
Patient Safety Innovations
Suicide … Bundle
May 29, 2024
Patient Safety Innovations
Suicide
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - Medicare and Medicaid patients had significantly higher risk-adjusted rates of adverse events for a majority … Managed care and patient safety: risks and opportunities. … Before a provider is included in the health plan network, we are screening for quality and safety. … We look for any safety risks, especially when new drugs and devices first come out. … For example, if a state health department indicates lead screening as important for the state, they may