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3421. Diagnostic Safety Grants Awarded in FY 2019 | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/research/grants-2019.html
      March 01, 2024 - Diagnostic Safety Grants Awarded in FY 2019 Congress authorized $2 million in fiscal year 2019 for AHRQ to initiate a research agenda to understand and solve the problem of diagnostic errors. In 2019, AHRQ awarded the four grants below that will more precisely define the scope of diagnostic errors. Utility o…

3422. Implementing Evidence-based Heart Health Care in Asheville | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/east-asheville.html
      March 01, 2021 - Implementing Evidence-based Heart Health Care in Asheville East Asheville (NC) Family Health Care is a two-provider primary care practice in this North Carolina retirement mecca. Like many of America's small- and mid-size practices, East Asheville's clinicians are on the front lines of the rapid pace of change …

3423. Table 4.8. Effect Size of SATIS-PHI/CRC Intervention on Screening Rates | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-8.html
      April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests Table 4.8. Effect Size of SATIS-PHI/CRC Intervention on Screening Rates Previous Page Next Page Table of Contents Health Care Systems for Tracking Colorectal Cancer Screening Tests Executive Summary 1. Introduction 2. Descripti…

3424. 101-Or-Traffic-One-Pager (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/101-or-traffic-one-pager.docx
      April 01, 2025 - Operating Room Traffic Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries What Is Operating Room (OR) Traffic?1-3 · Number of people within OR · Movement of people within and into/out of the OR · Opening the OR door Why Is OR Traffic Important?4-6 · Airborne contaminants can cau…

3425. Diagnostic Error in the Testing Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
      August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Diagnostic Error in the Testing Process Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the …

3426. Public Reporting of Patients' Comments with Quality Measures: How Can We Make It Work? (Webcast) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/news-and-events/events/20140603_QI/webcast_06_03_14_qi.html
      July 01, 2018 - Public Reporting of Patients' Comments with Quality Measures: How Can We Make It Work? (Webcast) June 3, 2014 Summary Speakers and PowerPoint Slides Recording Transcript Related Material Summary This Webcast focused on the collection of patient comments and their use in public reports that are…

3427. Preface | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/preface.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Preface Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Res…

3428. Diagnostic Terminology: Challenges and Opportunities | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology10.html
      April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Diagnostic Terminology: Challenges and Opportunities Previous Page Next Page Table of Contents Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Introduction Perspectives on Diagnostic Impro…

3429. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
      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 - While the vast majority of medication errors do not result in adverse patient outcomes, various studies

3430. Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
      January 01, 2025 - In simulation studies, telemedicine influenced the perceived stability of neonates during transport,

3431. Overuse of Imaging: Policy for ALARA Specific to Imaging Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-243-fullreport.pdf
      August 01, 2019 - have contributed to a substantial increase in the diagnostic applications and accuracy of CT imaging studies … reducing the medical radiation dose and exposure to children as much as possible by performing imaging studies … Some studies suggest that as many as a third of pediatric CT scans are unnecessary, and that eliminating … Evidence may include rigorous systematic reviews of research literature and high-quality research studies … ACR Position Statement on recent studies regarding CT scans and increased cancer risk, December 15,

3432. Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
      January 01, 2025 - Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach Title: Infection Prevention in Emergency Care: A Systems Approach Principal Investigator: Jeremiah D. Schuur, MD, MHS Team Members: Conference Co-Chair: Connie Price, MD Project Coordinator: Corine Sinnette, MA Organization: Brigh…

3433. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Ventilator-Associated Event Surveillance SAY: This module will focus on ventilator-associated event surveillance and how it can be used in your unit. Slide 1 Learning Objectives SAY: After this se…

3434. References (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-litreview.docx
      January 01, 2017 - AHRQ Safety Program for Mechanically Ventilated Patients Relevant Studies, 1990–2015 Study Type … 13 articles (1 randomized controlled trial and 12 observational studies) that studied tidal volume as … Eight studies showed decreased progression to ARDS when a lower tidal volume strategy was utilized. … The search yielded 1,704 studies, of which 13 were included in the final analysis. … One randomized controlled trial was found; the remaining 12 studies were observational.

3435. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
      April 02, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Issue Brief 1 Operational Measurement of Diagnostic Safety: State of the Science PATIENT SAFETY Operational Measurement of Diagnostic Safety: State of the Science Prepared for: Agency for Healthcare Research and Quality 5600 Fishers L…

3436. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
      April 02, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Issue Brief Operational Measurement of Diagnostic Safety: State of the Science PATIENT SAFETY Operational Measurement of Diagnostic Safety: State of the Science Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lan…

3437. AHRQ’s Digital Healthcare Research Program Is Identifying the Technology To Advance Care Quality, Safety, and Effectiveness | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/digital-healthcare-research-program.html
      September 01, 2023 - year in review, Improving Healthcare Through AHRQ’s Digital Healthcare Research , showcases several studies … Patient engagement, a key factor in better health outcomes, is the thrust of one of our featured studies—Vanderbilt

3438. Section 5: Evidence, Attachment 1: AAP Guideline Evidence (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-1.pdf
      January 01, 2009 - identified a more persistent effect of stimulants on decreasing growth velocity than have most previous studies … ranging from 11 to 59 children, with a total of 269 children; 7 of the 10 single-site studies demonstrated … Some studies of BPI combined with clinic-based BPT report positive effects on parent ratings of ADHD … effect size for behavioral peer interventions is not reported, because the effect sizes for these studies … Evidence for the effectiveness of behavior therapy in children with ADHD is derived from a variety of studies

3439. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
      January 01, 2004 - Studies in ambulatory settings have demonstrated that medication-related errors are common.1 Among older … Studies in internal medicine and cardiology private practices have found discrepancies between self- … Instrument, shortened version (s-CASI).24 The s-CASI has been validated in international dementia studies … p < 0.05 comparing improvement in concordance rates to English speakers Discussion While several studies … ,5, 34, 39 and concordance rates are similar to those reported in the few studies of regimen discordance

3440. Treating Tobacco Use and Dependence | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/update/index.html
      April 01, 2013 - and Additions to the 2008 Guideline Update General References  ( PDF Version  [ - 191.43 KB] ) Studies