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www.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpaccref.html
July 01, 2018 - Racial and ethnic disparities in the primary care experiences of children: A review of the literature … Medical Care Research and Review 2003;60(1):3-30.
National Center for Family-Centered Care.
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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article10.html
August 01, 2018 - An antimicrobial stewardship program (ASP) is a systematic approach for developing coordinated interventions … Supporting activities:
Review by P&T committee, formal medication reviews. … Review by P&T committee. … Select audit/review of other agents (cefepime increase when PIP/TAZO restricted). … Review by antibiotic subcommittee of P&T committee.
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Hierarchy
Say:
First-order problem solving resolves an issue for one patient, but does not reduce the systematic … Review the Learning from Defects process. … Review the original defect. … Review the brainstorming notes. … How often do you review the responses?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Hierarchy
SAY:
First-order problem solving resolves an issue for one patient, but does not reduce the systematic … Review the Learning from Defects process. … Review the original defect. … Review the brainstorming notes. … How often do you review the responses?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
January 01, 2002 - Our review of state diagrams for the pump showed that a subject could
accomplish all four tasks using … Features of
infusion device related incidents revealed by
systematic analysis of an incident reporting
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16463-Gurwitz-report.pdf
January 01, 2011 - The study was approved by the institutional
review board of the University of Massachusetts Medical … The protocol included customized methods of
identifying and highlighting residents taking warfarin, systematic … We
used the subsequent physician review process to cull incidents that were not found to identify a … administration, INR >4.5, hospitalizations, and bleeding) collected from quarterly medical record
review … Resources
submitted to CHAIN for consideration of inclusion on the site go through a careful peer review
-
www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
January 01, 2024 - The study was approved by the institutional
review board of the University of Massachusetts Medical … The protocol included customized methods of
identifying and highlighting residents taking warfarin, systematic … We
used the subsequent physician review process to cull incidents that were not found to identify a … administration, INR >4.5, hospitalizations, and bleeding) collected from quarterly medical record
review … Resources
submitted to CHAIN for consideration of inclusion on the site go through a careful peer review
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
October 01, 2024 - objectives of this presentation are:
· Discuss the importance of decolonization for MRSA prevention
· Review … the evidence behind use of chlorhexidine gluconate (CHG) for skin decolonization
· Review the evidence … This was supported by a separate systematic review by Ammerlaan et al. in 2009. … In their Cochrane review, van Rijen et al. analyzed randomized controlled trials to compare mupirocin … In the following slides, let’s review a case example of a community hospital ICU addressing rising MRSA
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www.ahrq.gov/cahps/news-and-events/events/ahrq-conference-2015/sorting-fact-fiction-slides.html
March 01, 2016 - More Objective
Easier to Interpret
Actionable
Slide 7
CAHPS Survey Development
Literature review … and review of existing measures
Input from patients; focus groups
Stakeholder feedback
Input from … surveys may be useful for expediently informing providers’ internal quality improvement efforts…
Systematic … in 2003 or 2004
Patients treated in 128 VA facilities
Slide 49
Data Sources
External Peer Review
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/ahrq-conference-2015/elliott-cleary-cahps-09-28.pdf
January 01, 2015 - •Non-specific
Reports
•More Objective
•Easier to Interpret
•Actionable
• Literature review … and review of existing measures
• Input from patients; focus groups
• Stakeholder feedback
• Input … surveys may be useful
for expediently informing providers’ internal quality
improvement efforts…
– Systematic … AMI) in 2003 or 2004
• Patients treated in 128 VA facilities
Data Sources
• External Peer Review
-
www.ahrq.gov/research/findings/studies/index.html?page=83
January 01, 2024 - Systematic literature reviews were conducted to estimate incidence and additional costs of acute kidney … The purpose of this review article was to describe a conceptual framework of communication drawn from
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
March 12, 2008 - We obtained Institutional Review Board approval to share
the results. … Preparation for the workshops included review of standardized medications and supplies. … Preparation for workshops
Review
• List of standardized medications on code carts
and in pharmacy … Features and uses of high-fidelity medical simulation
that lead to effective learning: A BEME systematic … review.
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/burnout-in-primary-care.pdf
February 01, 2023 - • Periodically review and improve workflows to minimize clinical staff frustration and
protect time … As part of a review at one organization, physicians and nurses identified more
than 300 wasteful EHR … Improve Mental Health, Well-Being,
Physical Health, and Lifestyle Behaviors in Physicians and Nurses: A Systematic … Review. … HRSA Health Center Workforce Survey: Literature Review Summary. 2020.
-
www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
February 01, 2018 - The Evidence-based Practice Centers (EPCs) produced a new systematic review on Anxiety in Children and
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - Experts recommended (1) a transparent, systematic,
and evidence-driven process with graded recommendations … One described the results of a systematic review that confirmed
the prevalence of medication discrepancy … In an early study, researchers conducted a systematic literature review to further identify
quality … These potential errors were located on different units and
facilities, demonstrating the need for systematic … However, one systematic review has been published reporting on evidence for
ambulation as a prophylaxis
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/024-assessing-evc-webinar-slides.pptx
October 01, 2024 - when implementing an EVC monitoring program
Explore roles best positioned to conduct EVC monitoring
Review … following tools can help with the data collection process for EVC as well as ensure a randomized and systematic … AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Assessing Environmental Cleaning
Case Example: Review
-
www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.pdf
September 21, 2010 - The work of the USPSTF is supported by an Evidence-based Practice Center, which
conducts systematic … public health,
health promotion, policy, and quality improvement, and Federal health agencies to peer
review … This is usually in the form of case studies for students to review,
student assignments, and questions … The Web site also
features a list of topics that are currently under review by the USPSTF. … from AHRQ, students also use the online resources regularly for drilling deeper
into the Evidence Review
-
www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
January 01, 2025 - The LEARN review revealed common risks. … According to the AIChE Guidelines, the
FMEA is a systematic tabular method for evaluating and documenting … :20 AM
Step 3: Build a database of Medium- and High-Risk Failure Modes across risk
assessments
Review … This LEARN Meta-analysis of Risk
Assessments method including the review of institutional artifacts … Factors
Woods and Holl et. al. identified a set of “child-specific risk factors” from an extensive review
-
www.ahrq.gov/sites/default/files/2025-02/dudley-report.pdf
January 01, 2025 - Literature Review 5 ................................................................................ … The SAPS II did not appear to have systematic bias in either
direction, under- or over-predicting deaths … examined the predicted mortality of the GP and NGP groups (from Model 2) in an effort to
understand any systematic … Surgical quality: review of Californian measures. BMJ
2004;328:152-3.
5. … Qualitative review of intensive care unit
quality indicators. J Crit Care 2002;17:1-12.
44.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
July 18, 2008 - include cancer in the differential diagnosis, and inadequate
followup.8
In the ambulatory setting, a review … improving quality and safety will most likely target portions of the error
chain.9
A literature review … primary care and ambulatory
practices to reduce the incidence and severity of ADEs,21, 22, 23 but the systematic … Interventions in
primary care to reduce medication related adverse
events and hospital admissions: Systematic … review and
meta-analysis.