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psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care-providers-older
April 11, 2011 - August 2, 2015
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … complexities of communication at hospital discharge of older patients: a qualitative study of healthcare … December 8, 2021
The nature of reported safety events related to care coordination in … the operating room setting in a tertiary academic center. … November 17, 2021
Medication reconciliation in the geriatric unit: impact on the maintenance
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psnet.ahrq.gov/primer/electronic-health-records
March 15, 2025 - they have failed to appreciate and account for the complexity of patients and health care processes … work of health care; and the cognitive load created by the poor usability 6 of current systems. … Several resources are available to assist health care organizations in this effort. … SAFER guides are designed for use in all types of health care settings. … May 8, 2019
A Crisis in Health Care: A Call to Action on Physician Burnout.
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www.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
October 01, 2023 - The study was published today in the New England Journal of Medicine. … Given the growing concern of harm from antimicrobial-resistant germs in nursing homes, the impact of … CDC’s Division of Healthcare Quality Promotion, and technical advisory panel member for the trial. … the healthcare system. … in the New England Journal of Medicine on October 10, 2023.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
November 01, 2019 - This step emphasizes the importance of demonstrating
that your ASP can improve antibiotic use and that … They
should provide feedback about these successes and
emphasize the importance of the team that
participated … This
recognition establishes the importance of the ASP and
its relevance to improving the safety of … • Any practice described in this presentation
must be applied by health care practitioners in … These practices are offered as
helpful options for consideration by health care
practitioners, not
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
April 01, 2025 - Shining a Light: Safer Health Care Through Transparency
https://www.ihi.org/resources/publications/shining-light-safer-health-care-through … the WHO Multimodal Hand Hygiene Improvement Strategy and the My Five
Moments approach in health-care … Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety
Practices … or other health-care providers. … collaborative to demonstrate performance by the group of health care
providers.
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psnet.ahrq.gov/issue/impact-medication-reconciliation-improving-transitions-care
June 19, 2019 - at the time of hospital discharge , most of which involved a pharmacist-mediated intervention. … A previous commentary discussed the challenges in implementing effective medication reconciliation … January 23, 2019
The impact of pharmacists-led medicines reconciliation on healthcare … October 18, 2016
Health-care providers want patients to read medical records, spot errors … May 11, 2014
Frequency, type and clinical importance of medication history errors at
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … The scenario described in this case is common—skilled and well-intentioned health care providers diligently … of alarms in the hospital setting. … Alarm safety is a National Patient Safety Goal, highlighting the importance of developing institutional
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digital.ahrq.gov/ahrq-funded-projects/developing-and-using-valid-clinical-quality-metrics-health-information
January 01, 2023 - Care
Ambulatory Care
Health Care Theme
Quality Measurement
This project … The ability to do so has taken on new importance given the Centers for Medicare & Medicaid Service's … with HIE on improving health care quality. … care quality over time in a federally qualified health center. … Electronic health records and health care quality over time in a federally qualified health center.
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hcup-us.ahrq.gov/reports/statbriefs/sb55.pdf
July 01, 2008 - encounter-level collection of longitudinal health care data (inpatient, ambulatory surgery, and
emergency … Corporation
Illinois Health Care Cost Containment Council and Department of Public Health
Indiana … Washington State Department of Health
West Virginia Health Care Authority
Wisconsin Department of … health care
databases that are publicly available. … , and quality of health care in the United
States.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/thromboembolism-update_research-protocol.pdf
February 17, 2016 - The choice of outcomes
to be evaluated by network meta-analysis was based on their importance to clinicians … AHRQ Methods for Effective Health Care:
Grading the Strength of a Body of Evidence When Assessing Health … Care
Interventions for the Effective Health Care Program of the Agency for Healthcare
Research and … Review of Key Questions
AHRQ posted the Key Questions on the Effective Health Care Web site for public … Statements in the report should not be construed as endorsement by the Agency
for Healthcare Research
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
December 01, 2004 - to divorce the discussion of patient safety from the
discussion of health care quality. … Self-reporting systems
There is growing recognition of the potential value to health care of incident … A report of
the Committee on Quality of Health Care in America,
Institute of Medicine. … Health care quality,
geographic variations, and the challenge of supply-
sensitive care. … Institute of Medicine, Committee on Quality of Health
Care in America.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023395-kent-final-report-2017.pdf
January 01, 2017 - ability of health
care professionals to identify early wound infection from photographs. … loss, or death.3,4 It also produces
increased health care costs and is the leading cause of unplanned … After in-person evaluations, nine health care professionals used digital images to examine all 80
postoperative … Home health care services quarterly.
2003;22(3):1–17.
16. … Int J Qual Health Care 2010;22:365-70.
28. Cutting K, White R.
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digital.ahrq.gov/ahrq-funded-projects/cchs-east-huron-hospital-cpoe-project
January 01, 2023 - No statement in this report should be construed as an official position of AHRQ or of the U.S. … East Cleveland, a grant from the Agency for Healthcare Research and Quality (AHRQ) is helping one of … the quest to integrate IT into health care. … to use the hospital emergency room as their main access point for health care. … a PC lab in the Huron Hospital School of Nursing.
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2011
January 01, 2011 - Individuals with Complex Healthcare Needs Through Health Information Technology (MCP)
Grant Number … refinement, and testing of the clinical alerts and messages in the EMR. … laboratory monitoring of cardiovascular medications , published in the September volume of Annals of … *
Strategic Goal: Develop and disseminate health IT evidence and evidence-based tools to support patient-centered … care, the coordination of care across transitions in care settings, and the use of electronic exchange
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-pancreas_executive.pdf
September 01, 2014 - Care Program
The Effective Health Care Program
was initiated in 2005 to provide
valid evidence about … The object is to help
consumers, health care providers,
and others in making informed
choices among … Effective
Health Care
nonspecific symptoms such as malaise,
fatigue, and appetite loss. … Health Care Program
2
advanced to permit surgical resection,5 and the median
survival for patients … and the Effective Health Care Program.
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effectivehealthcare.ahrq.gov/sites/default/files/dementia-horizon-scan-high-impact-1406.pdf
February 01, 2015 - the
highest potential for impact on clinical care, the health care system, patient outcomes, and costs … These health care interventions are
still in the early stages of development or adoption, except in … exist to
understand their potential impact on clinical care, the health care system, patient outcomes … care system. … as having potential for high impact on some aspect of health care or the health care system (e.g.,
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/018-revision-summary-contact-precautions.docx
October 01, 2024 - percent of interactions with such patients and/or their environment.4-8 The odds of healthcare personnel … A recent simulation study found that, in the absence of hand hygiene, healthcare personnel who become … patient contact in 20 ICUs.11 The study did not show a difference in the primary outcome of MRSA and … of healthcare personnel entry into patient rooms but had no significant impact on the rate of adverse … gloves are used in situations and settings within a hospital where the risk of contamination of healthcare
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/making-healthcare-safer-IV.pdf
August 04, 2023 - system - from hospitals to primary care practices, long-term care facilities, and other healthcare … The TEP included 15 experts in patient safety with representatives of governmental agencies,
healthcare … In the prioritization process, the Making Healthcare Safer IV TEP noted that the infection
surveillance … of health care
services (focusing on the
main utilization measure
reported in the study)
Implementation … Building an interactive geospatial visualization
application for National Health Care-Associated Infection
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psnet.ahrq.gov/node/49511/psn-pdf
May 01, 2006 - Healthcare
Organizations (JCAHO) National Patient Safety Goal. … to
the indication for and dosage of Bicitra, along with the potential differences in the citric acid … The nurse in this case provided the patient with the entire bottle of Polycitra, thinking it was a single-dose … [go to PubMed]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare … Readers should not interpret any statement in this report as an official position of AHRQ or
of the
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appa.html
July 01, 2018 - acknowledge the magnitude of this "implementation gap":
The AHRQ report, Making Health Care Safer … Association (APHA) recommends that physicians and other health care providers be aware of risk factors … of VTE in the hospital. … care practitioners. … Rockville, MD: Agency for Healthcare Research and Quality. August 2004.