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1021. PowerPoint Presentation: Learn From Defects Through Sensemaking
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
      December 01, 2017 - ASK: Why do they have to rely on a temporary procedure to take care of a patient? … This is a robust method for determining how the defect happened. … For instance, if you want to mandate a followup antibiotic after specific procedures, place the order … This is a very strong educational method. … Your interdisciplinary team can identify methods for engaging their colleagues.

1022. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
      January 01, 2025 - Methods: This study was conducted at ambulatory healthcare facilities associated with a large academic … Methods A. … Although the most common step was imaging procedure (54% of reports), potential harm occurred more in … Methods IV. Results V. … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

1023. Final Progress Report: AUA 2022 Quality Improvement Summit: Opportunities to Improve Care in Urology (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/gore-report.pdf
      January 01, 2024 - He proposed that interventional pain management procedures may be underutilized. … Delivering bad news is like performing an invasive procedure; both are life-changing events for the … Moreover, there are economic incentives to perform more procedures and a fear of litigation if one chooses … The third strategy is to establish a method of screening patients to identify those who would benefit … Back A, Arnold R, and Tulsky J: Mastering communication with seriously ill patients, 1st ed: Cambridge

1024. Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
      January 01, 2025 - Methods: A committee of experts in EMS, emergency medicine, and health policy guided agenda development … Develop methods for turning EMS research into practice by incorporating perspectives and concerns of … This body of research began with investigations into specific clinical issues involving procedure effectiveness … They recommended the development of continuing education programs that teach the basics of conducting … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

1025. Ptsd-Adult-Treatment Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-adult-treatment_executive.pdf
      April 01, 2013 - Methods Literature Search Strategy We searched MEDLINE®, the Cochrane Library, the PILOTS database … The psychological risks of Vietnam for U.S. veterans: a revisit with new data and methods. … Bringing the war back home: mental health disorders among 103,788 US veterans returning from Iraq … Methods Guide for Comparative Effectiveness Reviews. AHRQ Publication No. 12-EHC047-EF. … In: Methods Guide for Effectiveness and Comparative Effectiveness Reviews.

1026. Research Spotlights - Archives
      hcup-us.ahrq.gov/reports/spotlights_archive.jsp
      December 01, 2019 - Summary Trend Tables Findings-At-A-Glance Publications Information About Using HCUP Data Methods … Spotlights from: 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 Go to back … Classifications Software (CCS), and the Cost-to-Charge Ratio Files (CCR) to show a refined cost-estimation method … Admissions for CABG Procedure in the Elderly: Was There a Change in Access to Teaching Hospitals After … Privacy Notice , Viewers & Players Last modified 12/5/19 Back to Top

1027. Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-improving-management-of-individuals-with-complex-health-care-needs-through-health-it-grant-initiative.pdf
      February 20, 2014 - Vera Rosenthal, M.P.H., Program Manager, Health IT, and lead for the MCP initiative, whose feed- back … conditions through a series of patient and clinician focus groups, and used clinical care specialists to teach … By facilitat- ing information sharing about diagnoses, procedures, the identities of clinicians on the … The system focuses on three specific transitions—the transition back to the primary care provider ( … The information communicated includes diagnoses, procedures, clinicians on the care team, and scheduled

1028. Compendium of U.S. Health Systems, 2016, Hospital Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp_linkage_file_tech_doc.pdf
      October 01, 2018 - An overview of the data collection methods for HCOS, SK&A, and AHA can be found in the Compendium of … When using the list, users should bear in mind a few caveats and limitations to the current methods … The sources use different data collection methods; also, AHA data were from 2015, whereas those from … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

1029. Psychological and Pharmacological Treatments for Adults with Posttraumatic (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/ptsd-adult-treatment-update_research-protocol.pdf
      December 31, 2017 - After 10 to 12 eye movements (back and forth), the clinician asks the patient to rate the strength of … Energy psychology is a holistic method focused on the mind-body connectedness of thoughts, behaviors … similarity of groups at baseline, masking, attrition, whether intention-to-treat analysis was used, method … Comparative Effectiveness Review Methods: Clinical Heterogeneity Methods Research Report (Prepared … "[MeSH] OR "Double-Blind Method"[MeSH] OR "Random Allocation"[MeSH]) #14 Search (#12 and #13) #15

1030. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
      January 01, 2024 - Procedures and Measures Aim 1 – Conduct a prospective, observational pilot study of NICU and OR teams … performances and provide constructive feedback A nurse monitors a doctor’s performance during a procedure … that spans time (preoperative to postoperative) and crosses clinical settings (NICU to OR and back … Method agreement analysis: a review of correct methodology. Theriogenology. … Procedures and Measures A trained RA measured CM in the interdisciplinary teams after two different

1031. In Conversation With… Ashish K. Jha, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
      May 01, 2013 - that really lowers my bar for saying I'm willing to live with the warts that come with risk adjustment methods … AJ : Two things that have really held us back on progress on patient safety: one is incentives, which … At this point, the goals we are trying to achieve are clearer than the best methods to reach them.

1032. Compendium of U.S. Health Systems, 2020, Hospital Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/2020-hospital-linkage-techdoc.pdf
      January 01, 2020 - An overview of the data collection methods for the OneKey and AHA data can be found in the Compendium … When using the linkage file, users should bear in mind a few caveats and limitations to the current methods … development of the hospital linkage file vary in ways (for example, they use different data collection methods … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back … Distinguishable Links Passed Is this link distinguished by a method other than color?

1033. Implementation Guide for Enhancing Care Coordination for Cardiac Rehabilitation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
      March 01, 2023 - patient who has been referred, including: name of patient’s clinician; CR qualifying diagnosis or procedure … o Ask patients to teach-back what they learned. … o Use a variety of communication methods with patients, including visual and written materials.

1034. Preventing Wrong-Drug and Wrong-Patient Errors with Indication Alerts in CPOE Systems – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs024945-lambert-final-report-2022.pdf
      January 01, 2022 - Methods: Indication alerts were applied to two Electronic Health Records (EHRs) during pre- and post- … The prevalence and rate of wrong-drug errors vary depending on the measurement method, the clinical … additional interface innovations, such as indication alerts, could reduce the rate even further.15,17-19 METHODS … method (RAR)17 and the abandon-and-reorder method (AAR).10,23 We describe them below, along with our … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

1035. Patient-Centered Data Visualizations for Diabetes - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs023865-lee-final-report-2018.pdf
      January 01, 2018 - Methods: We assessed the data visualization landscape, conducted ethnographic interviews with teens … Methods Specific Aim 1a: A focus group of experienced health information experts and diabetes care … Specific Aim 1b: We conducted a comprehensive literature review of existing methods for visualizing … Not to mention that physicians are seeing patients back-to-back and the data format may be switching … Methods Specific Aim 1a: Specific Aim 1b: Specific Aim 2: Specific Aim 3a: Specific Aim 3b

1036. Pediatric Lower Respiratory Infection Readmission Measure (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
      April 05, 2017 - Readmissions for planned procedures (as measured by our planned procedures algorithm, described in Section … , Procedure Coding System (ICD-10-PCS) procedure codes are used for the primary procedure. 3 … Explain your rationale for selecting the methods you have chosen, show how you used the methods chosen … evaluate readmissions (although the NACHRI case mix data only allow identification of readmissions back … Explain your rationale for selecting the methods you have chosen, show how you used the methods chosen

1037. Disposition of Comments for Psychological Treatments and Pharmacological Treatments for Adults With Posttraumatic Stress Disorder (PTSD) (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-adult-treatment_disposition-comments.pdf
      April 03, 2013 - After approximately 30 back and forth eye movements, the clinician asks the patient to report any associations … The clinician follows standardized procedures to monitor and guide the patient’s associative process … Eye movement desensitization and reprocessing: Basic principles, protocols and procedures (2nd ed.). … is a primary author in the study of that method. … This tends to be a limitation of the AHRQ/GRADE method and not this document, per se.

1038. Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
      January 01, 2024 - Before the start of each study, volunteers received a detailed explanation of the special procedures … study in order to minimize the possible effect of uncertainty about the experimental procedures on … NPs and PAs rotated back and forth from 7c to 7d every couple of weeks, with time off occurring between … errors and adverse events: 1) Direct Observation: Direct observation on morning rounds was the first method … The methods for evaluating medical errors and adverse events will be modeled on the methods employed

1039. Case 1. Lakeview Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case1.html
      November 01, 2014 - So we work from the operations [target] back[wards]." … As part of the training, management engineers and Six Sigma Black Belts teach a segment on the process … The Lean project teams met with the staff of each affected unit to describe the new procedure. … Communication About Lean Communicating about Lean requires staff to be flexible in both their method … Lean is a companion to other quality improvement methods; methods should be selected based on suitability

1040. Title (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/mental-illness-adults-prisons_research-protocol.pdf
      September 13, 2012 - detained in a jail, prison, or forensic hospital or who are transitioning from one of these settings back … The goal of MTC is to teach individuals how to live/function within the greater society and within their … Methods A. … Studies published before 1990 are likely to describe procedures and treatments no longer in common use … We will categorize each study as “Low,” “Medium,” or “High” risk of bias using the following method: