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41. Cost Effectiveness of a Multifaceted Program for Safe Patient Handling (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
    January 10, 2005 - In early 2001, VISN 8 provided financial support for a project aimed at reducing the number of injuries … It is VA policy that employees who are seriously injured qualify for leave from duty, while less seriously … To ensure that the two time periods for comparison purposes were indeed distinct, we used the period … purposes. … Further support was provided by the VHA Medical Centers in VISN 8.

42. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
    January 01, 2025 - To our knowledge, this is the first study to report incident reporting processes in the NH setting. … through the analysis of data.7 This process requires standardized definitions of the incident, data … improvement purposes is for the healthcare team to regularly review the incidents for potential individual … improvement purposes. … To our knowledge, this is the first study to report incident reporting processes in the NH setting.

43. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
    April 20, 2004 - The particular ICU setting described in this study is a combined medical- Advances in Patient Safety … This project is sponsored by the National Aeronautics and Space Administration (NASA) Patient Safety … drills were done for demonstration purposes. … .20, 21 Baseline data collected by our BCMA Collaborative Team in September 2003 indicated that 60 percent … We would like to offer special recognition for the assistance provided by our colleagues on the BCMA

44. Final Progress Report: Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home (pdf file)
    www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
    January 01, 2025 - The vast majority of healthcare is provided in the clinic and home, however, where few intervention … majority of ambulatory care is provided at home, not in clinic. … In preparation for the visit, the nurse reviewed the medical record to identify all current medications … record for the subsequent month.33 Using standardized forms in REDCap, the nurse recorded information … This monitoring is largely done by the patients and families in an outpatient setting, and the assessment

45. Final Progress Report: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients (pdf file)
    www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
    January 01, 2024 - Using patient-reported outcome measures (PROMs) and clinical data from the electronic health record … Figure 2 illustrates the extent of missing data for some of the variables recorded by the activity … In the case of geolocation data, the 2-10 locations designated as “healthy” and “healthcare” by each … Missing heart rate and activity data The distribution of classes in the classification dataset is … The utility of geolocation data for risk prediction modeling was especially limited by technical, operational

46. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
    January 01, 2024 - This is in part due to the difficulties in such investigations posed by the nature of primary care: … , because extensive review of legal and medical records is required, this data source suffers from the … The delay in this aim (the reason for which is described below) will allow use of more recent AE data … With data now for 4 years (2005-2008) involving more than 20,000 randomly chosen ambulatory records, … However, the additional data we were able to collect for 2008 during these delays have provided us with

47. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
    August 01, 2025 - The significance of this study is that it provides the first population-based data describing important … medical records at the Centers for Medicare & Medicaid Services (CMS) Clinic Data Abstraction Center … records and administrative data. … The data provided by the MPSMS is used by AHRQ’s National Healthcare Quality Report (NHQR) and National … No such methods existed at the time, and the use of IT for such purposes has been limited.

48. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
    March 01, 2002 - This information is provided by the person reporting the event. … For this study, medications involved in preventable adverse drug events were coded according to the … Five events (2 percent) had invalid medical record numbers, precluding any linkage to demographic data … This analysis depended heavily on the event details provided in the RMEES database, some of which were … records.

49. Appropriate Antibiotic Prophylaxis for Children With Sickle Cell Disease (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-fullreport.pdf
    April 01, 2018 - (MAX) administrative claims data provided by the Centers for Medicare & Medicaid Services (CMS). … The reproducibility of our results based on claims data was supported by medical record review. … in which it has been used, and purposes for which it has been used. … The information for this measure is already captured by existing EHR systems. … Health IT Standards Are the data elements in this measure supported explicitly by the Office of the

50. Final Progress Report: The National Quality Forum National Annual Policy Conference 2007 (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
    January 01, 2025 - This panel described the vital link between quality measures and electronic health records and how they … ” • Better Quality Information for Medicare Beneficiaries: This program is run by CMS and works to … In addition, the team provided the data and participated in advocacy efforts that resulted in upgrades … Funders: Agency for Healthcare Research and Quality (AHRQ) with additional funds provided by the Alliance … provided by practitioners, such as physicians and midwives, as well as care provided by facilities,

51. Appendix C: The Health Care Safety Hotline: Operations Manual (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
    July 01, 2015 - Entered Patient Safety Events In Step 7, for research and summary purposes, the hotline generates … Record this date and time in columns F and G. a. … Record this date and time in columns H and I. a. … If Q2.2 is being scrubbed, then record this information in the relevant columns of the tracking spreadsheet … If Q6.1.1 is being scrubbed, then record this information in the relevant columns of the tracking spreadsheet

52. Final Progress Report: Pediatric Emergency Assessment Tool (pdf file)
    www.ahrq.gov/sites/default/files/2024-10/gorelick-report.pdf
    January 01, 2024 - For this study, the key outcome variable is the amount of care provided to the patient in the emergency … mandated by The Joint Commission.12 In the proposed study, only variables included in this list … For the purposes of this study, then, severity refers to the need for emergent evaluation and treatment … 55 making this modeling technique inappropriate for the data. … Any retrospective study is limited by the availability and quality of data recorded in the medical record

53. Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
    October 01, 2024 - The Toolkit for MRSA Prevention in ICU & Non-ICU Settings was developed by a multidisciplinary team of … You can also draw on other valuable data, such as from your electronic health records and event reporting … · How will we collect and track these data? · What is our target based on this metric? … The video is produced by Johns Hopkins Medicine and hosted on YouTube. … precautions is recommended by the CDC to interrupt MRSA transmission.

54. Safe Practices for Better Health Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
    April 01, 2004 - used by the NQF in endorsing these first-ever national voluntary consensus standards for patient safety … A contract to execute this work was finalized by the Federal Government in December 2000, and the NQF … In this vein, a “safety leap” is the term used by the Leapfrog Group to signify a major improvement … In this regard, it is encouraging that in April 2004, the Leapfrog Group adopted a market basket approach … Nonetheless, for purposes of stability and consistency of program implementation, the set of Safe Practices

55. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - Measurement serves several purposes. … In addition, local data can raise the health care team's awareness of the need for improvement and can … Final judgment: Is the current prophylaxis the patient is receiving appropriate, as defined by the VTE … Which data collection strategy is best for performance tracking? … stoplight method . 5 , 6 The medication administration record or an automated report is generated identifying

56. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - Measurement serves several purposes. … In addition, local data can raise the health care team's awareness of the need for improvement and can … Final judgment: Is the current prophylaxis the patient is receiving appropriate, as defined by the VTE … Which data collection strategy is best for performance tracking? … stoplight method . 5 , 6 The medication administration record or an automated report is generated identifying

57. Timeliness of Antibiotic Prophylaxis for Children With Sickle Cell Disease (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-135-fullreport.pdf
    February 01, 2017 - This measure is implemented using data maintained by State universal NBS programs. … Note that the data required for this measure are tracked by NBS programs for follow up of SCD cases … in which it has been used, and purposes for which it has been used. … Health IT Standards Are the data elements in this measure supported explicitly by the Office of the … Reliability for the measure is supported by the comprehensive nature of NBS data, which by law, is collected

58. Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
    March 01, 2004 - more readily available in medical records and existing administrative data sets. … While all of these are important, the focus of this paper is on how such measures can be used for quality … The results of our literature search are provided in Figure 1. … global fees and not reported in consistent, secondary data such as ICD codes on billing records. … For this reason, process measures are not included in large administrative data sets, which are used

59. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
    December 01, 2017 - Nurse Manager: We put it in the nurses' notes in the medical record and on the 24-hour report. … What is the process for this team to make decisions and determine interventions? … sheets in each resident's record. … She loves to look at data and is very interested in seeing On-Time implemented. … Laura's role is to promote the use of data in the nursing home.

60. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)
    www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
    January 01, 2025 - Through this pipeline, best-of-breed solutions can be provided to industry for scaling and dissemination … Curate the factors data for use in analysis. 3. … In reality, we know that this is not true. … The AUC for each algorithm is given in the text. 16 Table 2 is a comparison of the logistic regression … The calibration of this analysis is only fair and is limited by a number of factors, such as a missing