TY - JOUR. T1 - Surgeon-Reported Complications vs the AHRQ Patient Safety Indicators. T2 - A Comparison of Two Approaches to Identifying Adverse Events. AU - Anderson, Jamie. AU - Utter, Garth H. AU - Romano, Patrick S. AU - Jurkovich, Gregory. PY - 2018/1/1. Y1 - 2018/1/1. N2 - Background: Traditionally, clinicians present complications at surgical morbidity and mortality (M&M) conferences, and the AHRQ Patient Safety Indicators (PSIs) use inpatient administrative data to identify certain adverse outcomes. Although both methods are used to identify adverse events and inform quality improvement efforts, these 2 methods might not overlap. Study Design: This is a retrospective observational study of all hospitalizations at a single academic department of surgery (including subspecialties) in 2016 involving a PSI-defined event (PSIs 03, 05 to 15) identified by surgery faculty and residents for review by departmental M&M conference or administrative data (according to AHRQ, version 6.0). Pediatric ...
April 9, 2012 Agency for Healthcare Research and Quality. A type of exercise called pelvic floor muscle training is effective for treating adult women with urinary incontinence (the involuntary loss of urine) without risk of side effects, according to a new report from the U.S. Department of Health and Human Services (HHS) Agency for Healthcare Research and Quality (AHRQ). The report also found that drug-based treatments can be effective, but the degree of benefit is low and side effects are common.. The report, a comparative effectiveness review prepared for AHRQs Effective Health Care Program by the Minnesota Evidence-based Practice Center, was published today in Annals of Internal Medicine. The full report and summary publications for consumers and clinicians are available at http://www.effectivehealthcare.ahrq.gov. "Urinary incontinence can affect women in a variety of ways, including physically, psychologically and socially-and some of these impacts can be severe," said AHRQ Director ...
Disclaimer: The findings and conclusions in this article are those of the authors, who are responsible for its content, and do not necessarily represent the views of the Agency for Healthcare Research and Quality. No statement in this article should be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.. Acknowledgment: The authors thank the following persons for their contributions: Carol Spooner (screening, data extraction, and research support), Tamara Durec (searching), Andrea Milne (searching), and Teodora Radisic (article retrieval).. Grant Support: By the Agency for Healthcare Research and Quality (contract 290-2007-10021-I).. Potential Conflicts of Interest: Mr. Vandermeer: Grant: Agency for Healthcare Research and Quality. Dr. Korownyk: Grant: Agency for Healthcare Research and Quality. All other authors have no disclosures. Disclosures can also be viewed at ...
The Agency for Healthcare Research and Quality has pursued its commitment to evidence-based practice through research and programs that have produced important new information about the benefits, risks, costs, and cost-effectiveness of specific treatments and technologies for common and costly conditions such as back pain, prostate disease, and pneumonia (5-7). Perhaps the most visible commitment to evidence-based practice was AHRQs support of a clinical practice guideline program that produced 19 guidelines from 1990 to 1996 (http://www.ahrq.gov/clinic/cpgonline.htm) on important conditions such as heart failure and otitis media (8). A program initially requested by Congress, the guidelines proved popular with many stakeholders, and their explicit methods helped elevate the standards for evidence-based guidelines. At the same time, they also revealed limitations of centrally developed, government-sponsored guidelines. The process of convening individual panels, commissioning background ...
The Agency for Healthcare Research and Quality (AHRQ) is the lead Federal agency charged with improving the quality, safety, efficiency, and effectiveness of health care for all Americans.
Document and assess the experiences of 104 Agency for Healthcare Research and Quality (AHRQ)-funded health information technology (health IT) grantees in planning and implementing health IT systems.
Internet Citation: Guide for Developing a Community-Based Patient Safety Advisory Council. Content last reviewed December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapf. ...
The Agency for Healthcare Research and Qualitys (AHRQ) mission is to produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and to work within the U.S. Department of Health and Human Services and with other partners to make sure that the evidence is understood and used ...
LightBridge Healthcare Research provides scientifically-based educational materials for caregivers and persons with Alzheimers disease and other dementias to enhance and promote quality of life.
LightBridge Healthcare Research provides scientifically-based educational materials for caregivers and persons with Alzheimers disease and other dementias to enhance and promote quality of life.
Below is a list of PSOs that are currently listed by AHRQ. A health care provider can only obtain the confidentiality and privilege protections of the Patient Safety Act by working with a Federally-listed PSO. Use the categories on the left to filter the list of PSOs or search a PSO name.. Note: AHRQ updates the PSO information contained within the directories weekly, as needed; changes are made when there are newly listed PSOs and/or when existing information requires revision. Changes that would otherwise be effective on a weekend day or holiday will be effective on the next business day. Information contained in the directories is based on attestations that the PSOs provide. To update PSO contact information, please use the Change of Listing Information form; to update profile information, please go to the PSO PPC Web site.. There are 94 total PSOs listed by AHRQ.. ...
Below is a list of PSOs that are currently listed by AHRQ. A health care provider can only obtain the confidentiality and privilege protections of the Patient Safety Act by working with a Federally-listed PSO. Use the categories on the left to filter the list of PSOs or search a PSO name.. Note: AHRQ updates the PSO information contained within the directories weekly, as needed; changes are made when there are newly listed PSOs and/or when existing information requires revision. Changes that would otherwise be effective on a weekend day or holiday will be effective on the next business day. Information contained in the directories is based on attestations that the PSOs provide. To update PSO contact information, please use the Change of Listing Information form; to update profile information, please go to the PSO PPC Web site.. There are 93 total PSOs listed by AHRQ.. ...
Darryl T. Gray, MD, ScD, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850, (301) 427-1326, [email protected] Introduction: The Agency for Healthcare Research and Quality (AHRQ)s annual NHQR tracks changes in the quality of health care provided for several key conditions. This abstract describes 2005 NHQR data from the Medicare Quality Improvement Organization (QIO) Program on process measures of the quality of inpatient care provided for AMI patients, along with mortality data from AHRQs Nationwide Inpatient Sample (NIS). Methods: Within states and equivalent jurisdictions, the QIO Program annually reviews medical records of stratified random samples of up to 750 fee-for-service Medicare discharges for AMI. Data abstracted include receipt of widely recommended care components not contraindicated in individual patients. AMI care components include: aspirin administered within 24 hours of hospital arrival ...
The case above highlights the fact that diagnostic errors contribute to the excess mortality experienced by individuals with mental health and substance use diagnoses.(13) Multiple categories of interventions can reduce diagnostic errors; three types may be effective to improve care for this patient population.(14) Educational interventions that augment teaching in health professional training about how to optimize care for individuals affected by mental illness and substance use disorders are needed, with an emphasis on this populations increased risk of comorbid medical illness and mortality. In addition, specific techniques such as motivational interviewing can be introduced as a part of curricula to improve patient-provider communication. Case conferences to review actual examples of diagnostic overshadowing can help to alert providers of this bias. Technology-based systems interventions, such as the use of text or pager alerts to communicate critical laboratory values or vital signs, may ...
Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. Jones PM, Cherry RA, Allen BN, et al. JAMA. 2018;319:143-153.. The hidden cost of regulation: the administrative cost of reporting serious reportable events. Blanchfield BB, Acharya B, Mort E. Jt Comm J Qual Patient Saf. 2018 Jan 3; [Epub ahead of print].. What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. Liberati EG, Ruggiero F, Galuppo L, et al. Implement Sci. 2017;12:113.. Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. Mohan D, Farris C, Fischhoff B, et al. BMJ. 2017;359:j5416.. Association of hospitalist years of experience with mortality in the hospitalized Medicare population. Goodwin JS, Salameh H, Zhou J, Singh S, Kuo YF, Nattinger AB. JAMA Intern Med. 2017 Dec 26; [Epub ahead ...
ver historia personal en: www.cerasale.com.ar [dado de baja por la Cancillería Argentina por temas políticos, propio de la censura que rige en nuestro medio]// www.revistamedicos.com.ar // www.quorumtuc.com.ar // www.sectorsalud.com.ar // www.maimonides.edu // weblog.maimonides.edu/farmacia/archives/UM_Informe_Autoevaluacion_FyB.pdf - // weblog.maimonides.edu/farmacia/archives/0216_Admin_FarmEcon.pdf - // www.documentalistas.org.ar // www.cpcesfe2.org.ar // www.nogracias.eu // www.estenssorome.com.ar // www.cuautitlan.unam.mx/descargas/licenciaturas/bqd/plandestudio_bqd_ // www.latamjpharm.org/trabajos/25/2/LAJOP_25_2_6_1_M4M6Z9746D.pdf // www.nogracias.eu/v_juventud/informacion/informacionver.asp?cod= // www.colfarse.com.ar // www.proz.com/kudoz/english_to_spanish/art_literary/523942-key_factors.html - 65k - // www.llave.connmed.com.ar/portalnoticias_vernoticia.php?codigonoticia=17715 // www.frusculleda.com.ar/homepage/espanol/activities_teaching.htm // ...
Supports the dissemination and implementation of research projects related to AHRQs mission to produce evidence to make healthcare safer, higher quality, more accessible, equitable, and affordable. AHRQs priorities include an interest in rural and frontier healthcare delivery. Sponsored by U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality.
This website contains links to other federal and state agencies and private organizations. The Agency for Healthcare Research and Quality (AHRQ) cannot attest to the accuracy of information provided by these nonfederal website links. Linking to nonfederal sites does not constitute an endorsement by AHRQ or any of its employees of the sponsors or the information and products presented on the sites. You will be subject to the destination sites privacy policy when you leave the AHRQ website. Thank you for visiting epss.ahrq.gov. ...
The Patient Safety and Quality Improvement Act of 2005, 42 U.S.C. 299b-21 to b-26, (Patient Safety Act) and the related Patient Safety and Quality Improvement Final Rule, 42 CFR part 3 (Patient Safety Rule), published in the Federal Register on November 21, 2008, (73 FR 70732-70814), provide for the formation of Patient Safety Organizations (PSOs), which collect, aggregate, and analyze confidential information regarding the quality and safety of health care delivery. The Patient Safety Rule authorizes AHRQ, on behalf of the Secretary of HHS, to list as a PSO an entity that attests that it meets the statutory and regulatory requirements for listing. A PSO can be ``delisted by the Secretary if it is found to no longer meet the requirements of the Patient Safety Act and Patient Safety Rule, when a PSO chooses to voluntarily relinquish its status as a PSO for any reason, or when a PSOs listing expires. AHRQ has accepted a notification of voluntary relinquishment from Piedmont Clinic, Inc. of its ...
Funding levels reported in the Fiscal Year 2013 Intra-Agency Collaborations Reporting System (CRS) may not be consistent with funding levels reported under the Estimates of Funding for Various Research, Condition, and Disease Categories (RCDC) at the NIH Office of Budget Website at https://report.nih.gov/categorical_spending.aspx. The current process, implemented in 2008 through the Research, Condition, and Disease Categorization (RCDC) system, uses sophisticated text data mining (categorizing and clustering using words and multiword phrases) in conjunction with NIH-wide definitions used to match projects to categories. RCDC use of data mining improves consistency and eliminates the wide variability in defining the research categories reported. The definitions are a list of terms and concepts selected by NIH scientific experts to define a research category. The research category levels represent the NIHs best estimates based on the category definitions ...
This project developed a natural language processing electronic health record search tool that automatically identifies and ranks relevant clinical information based on a patients presenting complaint within the emergency department setting.. ...
This project developed a patient-centric tool called the Surgical Risk Preoperative Assessment System to estimate the risk of adverse operative outcomes.. ...
Patients hospitalized with sepsis-an overwhelming infection-are among the most critically ill patients in any hospital, and this study demonstrates that they are also at increased risk of experiencing a preventable adverse event. The authors used the AHRQ Patient Safety Indicators to demonstrate that patients with sepsis are at substantially elevated risk of adverse events, and the risk increased with escalating disease severity.
2014 National Healthcare Quality and Disparities Report - Chartbook on Care Coordination (PDF) Source: Agency for Healthcare Research and Quality This Care Coordination Chartbook is part of a family of documents and tools that support the National Healthcare Quality and Disparities Reports (QDR). The QDR includes annual reports to Congress mandated in the Healthcare Research ...
PPRNet is a primary care practice-based learning and research organization designed to improve health care in its member practices while conducting research important for the entire primary health care system. Established in 1995, PPRNet links practices across North America in its work which has led to revitalization of primary care practices, sustained federal research funding, numerous publications, and national recognition. All PPRNet practices use Electronic Health Records (EHR) and many long-time members were pioneers in EHR use. PPRNet has 3 primary aims: 1) To turn EHR data into actionable information for clinicians and practice staff. 2) To empirically test theoretically sound primary care quality improvement interventions. 3) To disseminate interventions that improve primary health care.. Our network strives to achieve these aims by providing members with performance reports on nearly 100 clinical measures, by conducting federally funded research projects involving our member practices, ...
Better Health is a network of healthcare professional blogs, offering commentary on news, research, health policy, healthcare reform, true stories, disease management and expert interviews.
Brazil currently spends over $80 million on PACS and integrated PACS systems, considering only the software involved. The overall penetration is increasing, although adoption varies significantly among geographical regions and by the size of institutions. While large-size hospitals and diagnostic centers are almost fully penetrated and are almost entirely in a replacement-only stage, ready for their second or even third-generation PACS solution, a good number of medium- and small-size healthcare institutions are still first-time purchasers. Between May and August 2017, Frost & Sullivan conducted primary research with 24 healthcare institutions, including hospitals and diagnostic centers, from different segments and sizes, spread in the various parts of Brazil. In-depth discussions were also conducted with all relevant PACS vendors in the Brazilian market, from multinational companies and established local players to new entrants. Our research found that only a little more than 15% of all PACS ...
9. Gilchrist,V., Miller,R.S., Gillanders,W.R., Scheid,D.C., Logue,E.E., Iverson,D.C., Oprandi,A.M., Weldy,D.L., Krell,M.A. Does family practice at residency teaching sites reflect community practice?. J Fam Pract. 37: 555-63. 12/ 1993. ...
Dedicated to performing scientific research on pain and allergy treatment that produces reliable results, leading to improved healthcare worldwide.
Books and book chapters. Traynor, M. in preparation Critical Resilience for Nurses: an evidence-based guide to survival and change in todays NHS. Routledge.. Allan, H., Traynor, M., Kelly, D., Smith, P. (2016) Understanding Sociology in Nursing. Sage. ISBN 9781473913592. Traynor, M. (2013) Nursing in Context: policy politics profession. Basingstoke, Palgrave. ISBN: 978-0-230-36873-6. Traynor, M (2013) Discourse Analysis. in Ed. Beck, C. The Routledge International Handbook of Qualitative Nursing Research. ISBN-13: 978-0415673563. Traynor, M (2010) Why Healthcare Research? in Eds. Roberts, P & Priest, H. Healthcare Research: a handbook for students and practitioners. Oxford, Wiley. ISBN: 978-0-470-51932-5. Traynor, M. (1999) Managerialism and nursing: beyond profession and oppression. London, Routledge. Rafferty, A.M., Newell, R and Traynor, M. (2004) Research and development: Policy and capacity building. In Nursing Research in Context; appreciate, application and professional development. Eds. ...
The executive summary provides detailed insights about the report and the market in general. This elaborate executive summary provides a glimpse into the present scenario of the global womens health rehabilitation products market, which includes a market snapshot that provides overall information of various segments and sub-segments. The executive summary also provides overall information and data analysis of the global womens health rehabilitation products market with respect to market segments based on product type as well as geographic regions. The market size and forecast in terms of US$ Mn for each product type has been provided for the period from 2016 to 2024. This report on the womens health rehabilitation products market also provides the compound annual growth rate (CAGR %) for each market segment for the forecast period from 2016 to 2024, considering 2015 as the base year ...
Some of the major driving factors for the growth of this market include high prevalence of pertussis especially in low to medium income countries, high number of deaths among infants, increasing number of vaccination programs and rising demand for advanced therapeutics. According to the World Health Organization (WHO) estimates, around 16 million cases of pertussis were recorded worldwide in 2008, of which 95% cases were in developing nations. It was also estimated that it killed more than 195,000 children globally that year. Infant immunization programs that utilize different pertussis vaccines of listed quality have proven extremely successful in preventing pertussis in infants all over the world for several decades. However, according to Centers for Disease Control and Prevention (CDC), U.S., more than 48,000 cases of pertussis were reported only in the U.S. in 2012, where many cases also went undiagnosed and unreported. And, according to the CDC estimates it was concluded that this was the ...
Treatment via a robotic approach to abdominal surgery is useful for benign and malignant gynecologic conditions. Urologic and abdominal disease conditions are being treated increasingly with robotic surgery. Challenges still exist at a systems level. Implementation of a robotic program has a long learning curve. Resistance by surgeons on the team who are not adept at using the systems, quality of life, and financial challenges are being addressed in the industry. Challenges arise because of high capital expense, and organizational challenges continue to exist on an ongoing basis ...
Surveys are critical to discovering data trends and encouraging modifications in clinical treatment guidelines. The questions should focus on set
Computer tomography angiography and digital subtraction angiography as two valuable methods in the early diagnosis and treatment of intracranial aneurysms - a comparative ...
A new project by the Agency for Healthcare Research and Quality (AHRQ) aims to examine the relationship between health information technology and ambulatory workflows, according to the agencys Oct. 31 Federal Register notice.
A weekly compilation of articles appearing in recently released journals and newsletters, including articles funded by AHRQ or authored by AHRQ researchers, mentioning or discussing AHRQ staff, activities, and publications/products, or other research using AHRQ data or products.
Hospitals with low nurse staffing levels tend to have higher rates of poor patient outcomes such as pneumonia, shock, cardiac arrest, and urinary tract infections, according to research funded by the Agency for Healthcare Research and Quality (AHRQ) and others.
Patients have a varying understanding of their disease processes, and it is well known that after an encounter with a provider, patients can forget more than half of what they were discussing. While a picture is worth a thousand words, an immersive VR experience is worth a million. Using immersive experiences to visualize their disease, patients can gain a significantly better understanding of the illness, allowing them to feel more empowered and therefore more willing to follow through with their treatment. Understanding their condition is also critical for "informed consent.". The process of educating a patient to the details of a treatment or procedure and its risks, benefits and alternatives, is required by law in all 50 states. It has been recognized as a critical and highly effective patient safety practice by the Agency for Healthcare Research and Quality and the National Quality Forum, both highly respected organizations which are influential in healthcare policy and practices. Patients ...
This report is based on research conducted by the Johns Hopkins University Evidence-based Practice Center under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-02-0018). The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. ...
The primary findings of this study relate to the substantial differences in reported practices between physicians with different training backgrounds. These differences were present even though the survey was distributed after the dissemination of guidelines for the management of CHF [3], and the majority of physicians in each group expressed familiarity with the results of the clinical trials on which these guidelines were based. Furthermore, in the months before the survey, reports containing the guideline recommendations appeared in the published general medical data [22, 23]as well as in numerous closed-circulation publications. The principal recommendations of the AHCPR guidelines are summarized in Table 1, and for each of these recommendations, the present study demonstrates highly significant differences in self-reported management practices for CHF among physicians with varying degrees of specialization, with the cardiologists responses conforming more closely than those of the ...
The Agency for Healthcare Research and Quality has released its updated version of common data formats to enable electronic reporting of patient safety data.
The Agency for Healthcare Research and Quality (AHRQ) investigates the ways that patients are harmed, why this harm occurs and how to prevent it. AHRQ translates the results of this research into practical tools, such as this series of videos, which can be used in the field to make healthcare safer.. In addition to videos. ...
Disclaimer: The inclusion of a tool in the Innovations Exchange does not constitute or imply an endorsement by the U.S. Department of Health and Human Services, the Agency for Healthcare Research and Quality or Westat of the tool or of the submitter or developer of the tool. Read more.. ...
Disclaimer: The inclusion of a tool in the Innovations Exchange does not constitute or imply an endorsement by the U.S. Department of Health and Human Services, the Agency for Healthcare Research and Quality or Westat of the tool or of the submitter or developer of the tool. Read more.. ...
The aggregate annual cost of patient care for U.S. community hospitals rose 0.9% in 2006 after adjusting for inflation, according to a new report on hospital-based care from the Agency for Healthcare Research and Quality. Thats down from an average...
... Prepared for: The Agency for Healthcare Research and Quality (AHRQ) Training Modules for Systematic Reviews Methods Guide www.ahrq.gov
The AHRQ (formerly the Agency for Health Care Policy and Research [AHCPR]) is the federal governments focal point for research to enhance the quality, appropriateness, and effectiveness of health care services and access to those services. AHRQs research projects examine the availability, quality, and costs of health care services and ways to improve the effectiveness and appropriateness of clinical practice ...
Summary: The Agency for Healthcare Research and Quality (AHRQ) is interested in funding a diverse set of projects that develop, test and evaluate various simulation approaches for the purpose of improving the safe delivery of health care. Simulation in health care serves multiple purposes. As a training technique, it exposes individuals and teams to realistic clinical challenges through the use of mannequins, task trainers, virtual reality, standardized patients or other forms, and allows participants to experience in real-time the consequences of their decisions and actions. The principal advantage of simulation is that it provides a safe environment for health care practitioners to acquire valuable experience without putting patients at risk. Simulation also can be used as a test-bed to improve clinical processes and to identify failure modes or other areas of concern in new procedures and technologies that might otherwise be unanticipated and serve as threats to patient safety. Yet another ...
Research!America is the nations largest not-for-profit public education and advocacy alliance working to make research to improve health a higher national priority. We urge Congress and the administration to increase funding for the National Institutes of Health (NIH), Centers for Disease Control and Prevention (CDC), Agency for Healthcare Research and Quality (AHRQ), Food and Drug Administration (FDA) and National Science Foundation (NSF) at levels that keep pace with scientific opportunity.