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psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
July 21, 2020 - The choice of test of course depends on the rate of bleeding, patient characteristics, and the degree … Although this patient was on anticoagulation, he should have undergone further testing to evaluate for … Being on anticoagulation does not reduce the importance of evaluating a patient with iron deficiency … June 26, 2019
Patient and visitor aggression in healthcare: a survey exploring organisational … safety culture and team efficacy.
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www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
January 01, 2024 - practices and evaluate the input of patient, practice, and physician characteristics on them. … safety and quality of care.3-5 A telephone survey of 6700 US households in 2001
found that 22% of respondents … These include chart review (paper or electronic), 13-15 patient surveys, 15-21 voluntary reporting systems … patient surveys, though more
likely to detect events that do not result in a provider visit, are subject … Efforts to estimate the sensitivity of the BI-OTT3 process are underway based on patients who are admitted
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs018420-post-final-report-2016.pdf
January 01, 2016 - This study will rely on existing hospital records
for the retrospective phase and the ED patient population … Eligible patients were screened using the screening form based on inclusion
and exclusion criteria. … Based on client input, participants perform eight-to-ten tasks using a
customized data collection template … A 12-Item Short-form health survey. … SF-36 Health Survey—Manual and Interpretive Guide.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-cancer.html
May 01, 2018 - Hispanic Health Care
Acknowledgments
Health Care For Hispanics
National Quality Strategy Priorities: Patient … Today, death statistics on Hispanics are available. … for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey … for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey … to breast and cervical cancer screening, increased use of primary care services, and high levels of patient
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www.ahrq.gov/sites/default/files/2024-12/lin-report.pdf
January 01, 2024 - The most direct evidence that current decision making is not fully patient centered is from
surveys … Cognitive interviewing was conducted on the questionnaire. … In addition, the survey was conducted on patients who had procedures in
2008. … Surveys from 461 patients who underwent elective PCI were analyzed. … , resulting in a draft 23-question survey questionnaire.
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psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - defense in detecting patient deterioration and protecting patients by recovering errors caused by other … Survey investigates role of pharmacy in technology use in hospitals [press release]. … Poon's research has focused on using health information technology to improve patient safety. … to have time to actually work on this technology to make sure that we don't expose our patients to any … I would say based on our experience that there seems to be a pretty good case, both in terms of patient
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - Immediately after the operation, the surgeon informed the patient and instructed him to lie flat on his … On postoperative day (POD) 6, the patient reported clear drainage from the surgical site. … On POD 25, the wound appeared to have dehisced, and the patient was readmitted to the hospital for advanced … pain.
6
6
Case Details (3)
On POD 42, the patient was readmitted and diagnosed after magnetic resonance … Spinal Dural Repair: A Canadian Questionnaire. Global Spine Journal. 2018;8(4):359-364.
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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 - contains
specific instructions to reporters that they should omit any information that might
identify patients … the reports, and the expected
impact on their overall patient safety efforts. … patient safety efforts, an optional anonymous survey was added to the electronic
version of the reporting … Nineteen providers have completed the survey as
of March 2004, and their responses have been overwhelmingly … The
survey items were based on a Likert scale: 1 = Strongly Disagree, 2 = Disagree,
3 = Neutral, 4
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
April 01, 2025 - For example, the office/home could be a place where patients are utilizing the patient education materials … The Staff Safety Assessment is a two-question survey:
1. … They decided to standardize how patient education on decolonization was delivered. … Slide 22
Patient Education Processes and Tools
SAY:
Patients often struggle to use decolonization … Implementing standardized, patient-centered education processes can empower and engage patients and improve
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www.ahrq.gov/ncepcr/reports/2025-annual-report/health-disparities.html
August 01, 2025 - Insights from Patients and Caregivers . Costs of Care . … health conditions among rural and urban patients. … The study team analyzes data from the National Health Interview Survey (2013-2020) and the Behavioral … The Cost of Illness: The Impact of COVID-19 on Patient Financial Outcomes (K08) PI: Nora V. … Related materials include: A Chartbook on Patient Safety .
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www.ahrq.gov/ncepcr/reports/primary-care-research/references.html
January 01, 2024 - Effect of a post-paid incentive on response rates to a web-based survey. … A comparison of health plan- and provider-delivered chronic care management models on patient clinical … A comparison of care management delivery models on the trajectories of medical costs among patients with … Developing a policy-relevant research agenda for the patient-centered medical home: a focus on outcomes … The impact of Project ECHO on participant and patient outcomes: a systematic review.
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digital.ahrq.gov/ahrq-funded-projects/anesthesiology-control-tower-feedback-alerts-supplement-treatment-actfast
January 01, 2023 - Exploring patient perspectives on telemedicine monitoring within the operating room. … Supplement Treatment (ACTFAST) Document Type: Journal Publication Research Method: Mixed Methods , Survey … centers that are on the ground. … process measures or patient clinical outcomes. … clinical outcomes of patients post-surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - Doctors
Patients
Residents
Nurses
Science of
Improving Patient Safety ‹#›
AHRQ Safety … Creating independent checks for key processes allows teams to focus on patient care and provides a roadblock … events, morbidity and mortality conferences
Perioperative Staff Safety Assessment (PSSA)
Four-question survey … As you can see, nearly 70 percent of respondents identified infection control as a source of risk for … about patient safety
Your quality team and other leaders must be ready to follow up on the defects identified
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www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
July 01, 2021 - AHRQ has prepared a draft report to Congress on strategies to improve patient safety, including ways … The related Chartbook on Patient Safety revealed improvement in patient safety overall, especially … It provides an increase of $1.8 million for expanding the Medical Expenditure Panel Survey (MEPS) while … Perhaps AHRQ could improve communication with consumers (patients and families). … The Foundation also is conducting a survey about patient trust and physician trust.
Ms.
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - pediatric sepsis.
• Identify tools to assist the clinician in recognizing sepsis in the pediatric patient … – With a fever and no crackles or wheezing on exam, the patient described above would
have had a PRS … of 3 on initial presentation, rising to a 4 on her second ED visit,
indicating a moderate risk of pneumonia … The Current and Future State of Pediatric Sepsis Definitions: An International Survey. … The Impact of Cognitive and Implicit Bias on Patient Safety and Quality.
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - Many patients prefer a trial of nonoperative management when it is an option, but these patients must … , depending on social factors and underlying disease processes. … There can be a large gap in care coordination when patients are readmitted, particularly if patients … Impact of radiotherapy on surgical repair and outcome in patients with rectourethral fistula. … Results of a choice experiment survey.
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - They do not contain radiopaque markers, are not to be placed inside patients, and are not counted. … Implant Systems Instrumentation and individual components arranged on multiple preset trays that are … Obesity may be a risk factor specifically among patients who have an abdominopelvic operation . … Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey … on United States operating rooms.
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psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - recipient has both heard the order correctly and transcribed it correctly. 1 However, an ISMP member survey … practice of recording and reading back verbal orders was not occurring as often as desired – 45% of respondents … However, patients are often uncooperative and/or violent or agitated, as illustrated here, precluding … For adult patients presenting with acute psychosis (from various causes), the most targeted emergency … ASHP Guidelines on Preventing Medication Errors in Hospitals.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
October 01, 2007 - Effects of sleep inertia on cognition. … , or not answering patients’ questions
Shanafelt TD, et al. … and On-Call Systems
When demands for care are nearly constant
Limited “on-duty” shifts with mandatory … home with return to duty if needed
Intermediate patient needs
Longer “on-duty” shifts, during which … , telephone operators, and other team members
The National Board of Medical Examiners is testing a survey
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psnet.ahrq.gov/node/49737/psn-pdf
June 01, 2015 - In a survey distributed to US hospitals about prevention of
hospital–acquired urinary tract infections … In a survey of RNs working at 7 nursing homes, 52% did not know that
routine irrigation of IUCs is contraindicated … a patient. … Urologic Patient. … products in male and female patients with urinary incontinence.