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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
November 01, 2006 - site.( 4 , 5 ) When taught to health care providers, I have found that the concepts of human factors … In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … DN: The health care setting is particularly difficult for several different reasons. … RW: How would you try to apply this thinking in a health care organization? … DN: The same philosophy has to be used to get computers in health care, or you're apt to make the problems
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www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/cognitive-impairment-older-adults
March 06, 2025 - They should not be construed as an official position of the Agency for Healthcare Research and Quality … What is the accuracy of screening instruments to detect cognitive impairment in community-dwelling older … What are the harms of screening for cognitive impairment in community-dwelling older adults? … What are the harms of interventions for cognitive impairment in community-dwelling older adults? … reported in the literature.
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psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
October 01, 2013 - 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 … Getting patients more engaged partly means understanding that everything we do in health care—be it imaging … Nowadays, imaging is ubiquitous in health care, and patients with a wide spectrum of afflictions benefit … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - , hospital-acquired conditions (HACs) continue to have a high financial burden on the health care system … to Prevent Health Care-Associated Infections: Road Map to Elimination, 3 and the National Action Plan … HHS reestablished patient safety as a national health care priority area and sought to eliminate HACs … to Prevent Health Care-Associated Infections: Road Map to Elimination, 3 and the National Action Plan … There is broad consensus on the importance of accurately measuring the incidence and impact of HACs from
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024556-vest-final-report-2019.pdf
January 01, 2019 - avoidable use of health care services. … The evidence that both HIE types are
applied in health care delivery highlights a potential US health … avoidable use of health care services. … to improve health care delivery. … use of health care services.
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www.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
January 01, 2024 - failure (ALF) in an integrated healthcare system; (2) develop and validate a highly sensitive
model … acute liver failure (ALF) in an integrated healthcare system; (2) develop and externally
validate a … ALF of 1.61 per million person-years in an integrated healthcare system that
approximates a population-based … health care system. … health care system.
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effectivehealthcare.ahrq.gov/sites/default/files/c-difficile-update_disposition-comments.pdf
March 29, 2016 - Comments to Research Review
The Effective Health Care (EHC) Program encourages the public to participate … its contents, and do not necessarily represent
the views of the Agency for Healthcare Research and … Peer Reviewer #5 Introduction Page 8, line 25: correction: up to half of
healthcare onset (not associated … have failed is of
significant importance. … On the other
hand, in the context of a local facility or
healthcare system, knowledge of the data and
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
April 01, 2025 - Current guidelines from the Society for Healthcare Epidemiology of America (SHEA), the Centers for Disease … this toolkit
Slide 11
Maintain Normothermia
SAY:
This section reviews the importance of and techniques … In looking at hyperglycemia on the day of surgery, receiving insulin during the day of surgery mitigated … Any practice described in this presentation must be applied by health care practitioners in accordance … These practices are offered as helpful options for consideration by health care practitioners, not as
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
April 01, 2025 - Current guidelines from the Society for Healthcare Epidemiology of America (SHEA), the Centers for Disease … this toolkit
Slide 11
Maintain Normothermia
SAY:
This section reviews the importance of and techniques … In looking at hyperglycemia on the day of surgery, receiving insulin during the day of surgery mitigated … Any practice described in this presentation must be applied by health care practitioners in accordance … These practices are offered as helpful options for consideration by health care practitioners, not as
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hcup-us.ahrq.gov/db/nation/neds/NEDS_Introduction_2017.jsp
January 01, 2017 - The ED serves a dual role in the U.S. healthcare system infrastructure, as a point of entry for approximately … The ED serves a dual role in the U.S. healthcare system infrastructure, as a point of entry for approximately … Columbia Hospital Association
FL
Florida Agency for Health Care Administration
GA
Georgia … facility, (6) home health care, (7) against medical advice, (9) admitted as an inpatient to this hospital … facility, (6) home health care, (7) against medical advice, (20) died in hospital, (99) discharged alive
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effectivehealthcare.ahrq.gov/sites/default/files/10_obesity_potential_high_impact_june_2012.pdf
January 01, 2012 - the highest potential for
impact on clinical care, the health care system, patient outcomes, and costs … exist to
understand their potential impact on clinical care, the health care system, patient outcomes … health care system. … as
having potential for high impact on some aspect of health care or the health care system (e.g., … disrupt the current health care delivery infrastructure.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-247-interventional-treatments-acute-chronic-pain-evidence-summary_0.pdf
September 01, 2021 - over 65 years in the trials. … For the other interventional procedures evaluated in this report, the major limitation
was the small … However, an important limitation of the evidence is the absence of
sham-controlled trials of kyphoplasty … Rockville, MD: Agency for Healthcare Research and
Quality; September 2021. … Posted final
reports are located on the Effective Health Care Program search page.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/food-insecurity-screening
July 28, 2022 - system (e.g., primary care, specialty care, emergency department)
Conducted in the United States … KQs 1–3: Screening conducted in clinical setting or identified through healthcare delivery or payment … No link with healthcare system
Conducted outside the United States
Study designs … /or the intervention itself is provided directly via a healthcare system, based within a healthcare system … , or delivered in partnership with a healthcare system. § Does not apply to pre-post study design.
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effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1512.pdf
December 01, 2015 - the
highest potential for impact on clinical care, the health care system, patient outcomes, and costs … exist to
understand their potential impact on clinical care, the health care system, patient outcomes … 2 years
after initial entry into the health care system. … as having potential for high impact on some aspect of health care or the health care system (e.g., … You don’t even need to get undressed.”25
Health care delivery infrastructure and patient management
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/alcohol-misuse-drug-therapy_executive.pdf
January 27, 2012 - for men and 8 percent for women.13
Effective Health Care Program
The Effective Health Care Program … The object is to help
consumers, health care providers, and
others in making informed choices
among … disorders in the U.S. health care system;
it is estimated that fewer than one in three individuals … Assessing the risk
of bias of individual studies in systematic reviews of health care
interventions … --Agency for Healthcare Research and Quality
and the Effective Health-Care Program.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdf
January 01, 2019 - In healthcare, we currently lack the methods and data necessary to answer these
questions in situ with … The
challenge of detecting and profiling specific provider order entry errors in a regional healthcare … delivery
network as large as MedStar Health, is analogous to finding the proverbial needle in a haystack … Wrong Side
Wrong sided surgeries are a never event in modern healthcare yet they continue to happen … Healthcare is quickly moving away from the “Name, Blame and
Shame” attitude of pointing fingers at
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/brca-related-cancer-risk-assessment-genetic-counseling-testing
April 11, 2024 - They should not be construed as an official position of the Agency for Healthcare Research and Quality … What are the potential adverse effects of interventions to reduce risk for BRCA1/2 -related cancer in … men, in addition to the potential benefits and harms of testing family members of the index case. … What is the prevalence of pathogenic BRCA1/2 mutations in common ancestry groups in the United States … representative of the U.S. population, including individuals in groups based on age; sex and gender;
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-new_sops_diagnostic_safety-yount.pdf
October 20, 2021 - Test the new diagnostic safety items in medical offices
Conduct psychometric analysis of the pilot … measures
► Most of the overall ratings of health care quality and patient safety
57
Diagnostic … on Patient Safety Culture
(sops) composite measures assessed in t he Agency for Healthcare Research … to
improve healthcare access, and the move toward a person-centered model of care. … Pilot Study in Medical Offices
What were the goals of the pilot study?
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/screening-depression-suicide-risk-adults
June 20, 2023 - health care systems may either have no impact on suicide attempts or paradoxically increase the risk … of these communities. 174-181 The health care system has contributed to these inequities through bias … The use of technology for mental healthcare delivery among older adults with depressive symptoms: a systematic … Racial-ethnic differences in psychiatric diagnoses and treatment across 11 health care systems in the … )
A very large (n = 18,882) study conducted in 4 US health care systems found that 2 separate suicide
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025005-snyder-final-report-2019.pdf
January 01, 2019 - Agency for Healthcare
Research and Quality grant number R21HS025005. … views of the Agency for Healthcare
Research and Quality. … in data collection for one or more parts of the study. … All of the alerts warning about
effectiveness-related MTPs resulted in the identification of an MTP, … , are the alerts placed on the
screen in the order of their importance?