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461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33635/psn-pdf
     July 01, 2006 - They're also going to make sure that feedback occurs, so that these actions get back to the providers … is the methodology for making changes, which includes reliable design, the rapid cycle improvement methods … from the IHI, and the other methods such as Six Sigma and Toyota Lean. … It's the holding back and the carefully crafted, uninformative answers that anger the media and the … process from a physician writing an order to the delivering of a medication to a patient coming in for a procedure

462. Handoffs and Transitions | PSNet
     psnet.ahrq.gov/perspective/handoffs-and-transitions
     February 01, 2007 - Patient summary, Action list, Situational awareness and contingency planning, and Synthesis or read-back

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49546/psn-pdf
     October 17, 2007 - Our first response may be automatic, but with a little reflection, we call back, ask for additional … The Accreditation Council on Graduate Medical Education (ACGME) requires that residency programs teach … tracking critical incidents of unprofessional behavior, as occurred in this case, is an essential method … for tracking professionalism.(16) Another evaluation method used for medical students and residents … The new professionalism calls on physicians "to cultivate methods of personal renewal, emotional self-awareness

464. 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 - Methods A one day conference was held on October 7th, 2012 in Denver, CO, in parallel with American … Methods To accomplish the goals outlined earlier, prior to the conference, the co-chairs invited leaders … Following the conference, materials were disseminated through several methods including the posting … Summarize and report back Specifically, they honed in on using a socio-technical systems model which … Research Priorities This workgroup worked to develop a research prior prioritization of topics and methods

465. Are We Pushing Graduate Nurses Too Fast? | PSNet
     psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
     November 16, 2022 - middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical procedure … Before the new bags arrived and the CRRT could be restarted, the patient deteriorated and was taken back … CRRT is a high-risk procedure that is handled differently by different hospitals. … how to restructure the orientation and training programs to ensure that staff performing high-risk procedures … handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods

466. Transcript Deliberativemethodswebinar (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/transcript_deliberativemethodswebinar.pdf
     April 19, 2012 - So I’d like to turn it back over to Jill. JILL YEGIAN: Thank you, Jyoti. … And also, you know, the sort of dialogue, the two-way dialogue that is part of a good deliberative procedure … appropriate, given all that you’ve heard so far about the importance of goal setting, of matching the method … One is what I call the so-called kind of conflicting-experts method. … methods and each of these has key distinguishing features, so the methods vary in terms of size.

467. Final Progress Report: Deaf People and Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/barnett-report.pdf
     January 01, 2024 - Research methods consisted of qualitative and quantitative methods, translation, back-translation, cognitive … Methods Mentored Career Development Methods (Goals 1 & 2): Dr. … Other research methods: Dr. … This study brings together skills related to translation, back-translation, health literacy, use of … Role-reversal exercise with Deaf Strong Hospital to teach communication competency and cultural awareness

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33848/psn-pdf
     December 01, 2017 - The attending back-up schedule should be appropriately staffed and accessible to everyone. … surgical safety and quality with rigor, blending qualitative observations pioneered by Bosk with new methods … Furthermore, emerging evidence supports the use of video recording and review of surgical procedures … black box review after aviation crashes and near misses.(11) We should also develop and implement methods

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33728/psn-pdf
     May 01, 2012 - We published an article in JAMA back in the 1990s, where we were able to review on a daily basis all … RW: How about the specificity of those different methods? … RW: Should the other methods of error detection go away? … The pushback is that we need this method to know what's happening on the ground, and we've spent a lot … If this becomes the method for measuring the safety of an individual institution, what happens?

470. Disclosure Policy and Form (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/epc-disclosure-policy-form.pdf
     March 01, 2023 - objectivity must be maintained and the risk of bias reduced in the framing of questions and application of methods … While it is impossible to eliminate the potential for bias completely, policies and procedures can reduce … conflicts, the EPC and AHRQ may choose to institute and implement a clear COI management policy and procedures … objectivity must be maintained and the risk of bias reduced in the framing of questions and application of methods … While it is impossible to eliminate the potential for bias completely, policies and procedures can reduce

471. Breast Reconstruction Surgery for Mastectomy in Hospital Inpatient and Ambulatory Settings, 2009-2014 #228
     hcup-us.ahrq.gov/reports/statbriefs/sb228-Breast-Reconstruction-For-Mastectomy.jsp
     October 01, 2017 - Summary Trend Tables Findings-At-A-Glance Publications Information About Using HCUP Data Methods … All-listed procedures include all procedures performed during the hospital stay, whether for definitive … CPT assigns numeric codes to procedures. There are approximately 9,600 CPT procedure codes. … Procedures on inpatient hospitalization records are coded using the ICD-9-CM; procedures on ambulatory … Privacy Notice , Viewers & Players Last modified 9/19/17 Back to Top

472. HCUP Overview Course - Accessible Version
     hcup-us.ahrq.gov/HCUP_Overview/HCUP_Overview/index508.jsp
     September 01, 2025 - To better understand what this means, let's take a look back at the experience of one of our patients … (CCSR) for ICD-10-PCS procedures groups procedure codes into over 320 clinical categories Procedure … HCUP Methods Series Methods Series reports feature a broad array of methodological information on … AHRQ-authored publications and reports that rely on HCUP data, such as HCUP Method Series and Statistical … Privacy Notice , Viewers & Players Last modified 9/29/25 Back to Top

473. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
     September 26, 2019 - with CRE.1,2 Maintaining appropriate contact precautions can be challenging for patients undergoing procedures … In addition to the contact precaution practices described above—particularly during invasive procedures—contact … General methods for this report are described in the Methods section of the full report. … Awareness about infection control policies is crucial to consistently and successfully implementing these procedures … After adoption of strict infection control measures, CRE frequency fell back in 2011 and remained

474. Virtualized Homes: Tools for Better Discharge Planning - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r03hs024623-mendonca-final-report-2018.pdf
     January 01, 2018 - Methods: We developed a point cloud viewer in support to the creation the models of patient’s homes … and videos depict only the perspective of the person taking the picture or shooting the video; the method … Methods In the HOME3D project, we focused on finding an efficient way to store the large data sets … How can the results of our work best be presented back to you? … The results show that the generated method provides a better overall experience.

475. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
     May 26, 2021 - At her postoperative appointment, the surgeon informed her that the procedure was prolonged due to endometriosis … most often is not “visible” on imaging, as adhesions can be difficult to identify via this diagnostic method … Invasive and noninvasive methods for the diagnosis of endometriosis. … Invasive and non-invasive methods for the diagnosis of endometriosis. … May 7, 2014 Using the NAM diagnostic process framework to teach clinical reasoning in

476. CLABSI Investigation Process: Walk the Process (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
     April 01, 2013 - Nurses did not feel they had leadership support to stop the procedure. … A new policy and procedure or you gave the supply clerk a list of the inventory with the number that … The percent of the time the IV administration set was replaced per policy: I teach in the school of nursing … They had people that weren’t washing their hands before the procedure. … But what’s important, regardless of how you do it, the “Z” method or around, is to make that friction

477. In Conversation With… Gordon Schiff, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
     February 26, 2025 - RW : As you look back, why didn't diagnosis get the attention it deserved for the first 10 years of the … Sometimes I won't hear about a patient that I missed with back pain that ended up at another hospital … Especially a patient who you may have misdiagnosed who is angry and upset or didn't come back. … Maybe you would only hear about it from a malpractice lawsuit—not the best method for learning. … I was trying to rely on my memory or yellow post-its, but those are unreliable methods.

478. NRD Description of Data Elements
     hcup-us.ahrq.gov/db/nation/nrd/nrddde.jsp
     May 01, 2024 - Surgery Flags for Services and Procedures Tools for ICD-9-CM Clinical Classifications Software ( … Summary Trend Tables Findings-At-A-Glance Publications Information About Using HCUP Data Methods … review frequencies for all data elements planned for use in their analysis and to consider analytic methods … The HCUP Methods Series Report #2015-01 (PDF file, 871 KB) provides guidance on alternative approaches … Privacy Notice , Viewers & Players Last modified 05/08/24 Back to Top

479. Health Information Exchange Utilization and Inter-hospital Transfer Outcomes - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs026732-usher-final-report-2023.pdf
     January 01, 2023 - Methods: We took a three-pronged approach to evaluate HIE participation and use on the mortality and … rate and duplicated procedure, and imaging post following transfer. … away from home for the hope of a successful intervention, and with failure are not able to be brought back … proportion of transfers with duplicate procedures dropped significantly. … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

480. Overview of Hospital Stays in the United States, 2011 - Statistical Brief #166
     hcup-us.ahrq.gov/reports/statbriefs/sb166.jsp
     November 01, 2013 - Elixhauser Comorbidity Software Refined for ICD-10-CM Chronic Condition Indicator Refined for ICD-10-CM Procedure … Elixhauser Comorbidity Software for ICD-9-CM Utilization Flags for Revenue Center Codes and ICD-9-CM Procedure … Hospitals, 2010 Statistical Brief #149, Most Frequent Procedures Performed in U.S. … http://www.hcup-us.ahrq.gov/reports/methods/2013_01.pdf . … Privacy Notice , Viewers & Players Last modified 11/6/13 Back to Top