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2061. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
      January 01, 2024 - Am J Health System Pharm 1995; 10 52: 400-403. Blick KE. … Workarounds in health care settings: Literature review and research agenda. … Health Care Manage Rev 2008; 33: 2-12. Hunter K, Hari S, Egbu C, et al. … Res Nurs Health 1995; 18: 179-183. Thomas EJ, Studdert DM, Burstin HR, et al. … Advances in Health Care Manage 2000; 3, 87-113.

2062. Potential Measure Development Methodology | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas2.html
      October 01, 2020 - Measure 14: Patients referred to a community health educator referral liaison (CHERL) A-18. … The terms patient and client are used in the current context of primary health care reform as described … Primary Care and Public Health: Exploring Integration to Improve Population Health. March 2012. … An Evidence-Based Definition for Participatory Public Health. … Am J Public Health : December 2001, Vol. 91, No. 12, pp. 1929-1938.

2063. NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
      June 18, 2024 - The Relationship Between Patient Safety & Health Equity http://www.ihi.org/SafetyActionPlan Safer … Helping people live healthier lives and helping make the health system work better for everyone. … our organization to drive our quality and safety strategy – including hospitals, ambulatory clinics, behavioral … health, urgent care, pharmacies, pharmacy benefits, and payer. … Nieblas - Occupational Safety and Health Administration (OSHA) • Missy Danforth – Leapfrog Group •

2064. Final Progress Report: Midcoast Maine Patient Safety and IT Integration (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
      January 01, 2024 - Investigator: Maureen Buckle y, PhD, RN – Vice President of Patient Care Team Members: Northeast Health … Scope: Northeast Health implemented a Meditech HIT system and experienced both technical and cultural … is the community-based, rural health network serving midcoast Maine. … Implement E-MAR across the entire NEH system  Implement Community- wide Scheduling  Implement Behavioral … Quality – Northeast Health adheres to limited best practices and evidence-based medicine.

2065. Improving the Value of Patient Safety Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
      June 12, 2008 - Yet, individual hospitals and health care systems cannot do this alone. … Unfortunately, such strong interventions are rare in health care. … Health care must spend its resources more efficiently. … Miller); Department of Health Policy & Management, The Johns Hopkins Bloomberg School of Public Health … To err is human: Building a safer health system.

2066. References (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-references.pdf
      August 12, 2012 - Initial, recommended set of children’s health care quality measures. Rockville (MD); 2010 Jan. … Monitoring Equity in Health and Healthcare: A Conceptual Framework. … J Health Popul Nutr; 2003: Sep;21(3):181-192. … Policy Interventions to Address Child Health Disparities: Moving Beyond Health Insurance. … Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement.

2067. 2023 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-hp-chartbook.pdf
      January 01, 2023 - Medi ca id and Chi ldren's Health Insurance Program (CHIP) health plan respondents assess their health … * Response Options • Yes • No Does your child’s personal doctor understand how these medical, behavioral … Does your child’s personal doctor understand how your child’s medical, behavioral, or other health conditions … health plan. … Health Plan Suppression If there are fewer than 20 completed surveys for a given health plan, the health

2068. Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
      November 01, 2016 - and health care. … and health care. … and health care. … health records. … actually funded by AHRQ, where four of our members came together to design best practices in integrating behavioral

2069. Appendix: State Overviews | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap.html
      October 01, 2014 - These staff members can be lay health workers, social workers, or nurses. … Program Planning The goals of Illinois' disease management program are to improve health outcomes, … working with providers, the State has reached out to physician organizations, nurse organizations, behavioral … health providers, and their sister health agencies. … Medicaid and the Department of Health jointly assume responsibility for managing the program.

2070. Presentation: Optimize Your Briefings and Debriefings
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
      December 01, 2017 - In health care and other industries, people struggle with speaking up when they have a concern or are … Briefings & Debriefings ‹#› AHRQ Safety Program for Surgery – Implementation SAY: When the World Health … Implementation SAY: You may be familiar with the surgical safety checklist developed by the World Health … Making health care safer II: An updated critical analysis of the evidence for patient safety practices … Health Organization.

2071. Simulation-Based Education Improves Patient Safety in Ambulatory Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
      March 12, 2008 - Introduction In response to the Institute of Medicine (IOM) report “To Err is Human: Building a Safer Health … Institute of Medicine: To err is human: Building a safer health system. … Crossing the quality chasm – a new health system for the 21st century. … Qual Saf Health Care 2004; 13 (suppl 1): i85-i90. 6. Raemer D. … Qual Saf Health Care 2004; 13 (Suppl 1): i2-i10. 14. Fanning RM, Gaba DM.

2072. Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
      September 01, 2023 - Department of Health and Human Services. … Department of Health and Human Services. … A learning health system relies on such information to act. … Committee on Diagnostic Error in Health Care; Board of Health Care Services; Institute of Medicine; … Creating a learning health system for improving diagnostic safety: pragmatic insights from U.S. health

2073. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
      March 01, 2017 - An example is if a staff member caring for a resident noticed some subtle changes in their health status … The program was first used in the military and was then used successfully in many health care environments … Concepts 3 Say: The TeamSTEPPS program for long-term care teaches the following tools to help health

2074. Engage the Senior Executive Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
      December 01, 2012 - care, and Willing to listen, learn, and work with staff to improve patient safety and the quality of health … Creating high reliability in health care organizations. … Health Serv Res . 2006;41 (4, pt 2):1599-1617. [ D ] Select for Text Description

2075. Preventing-Cauti-Icu-Setting-Facilitators-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
      September 01, 2015 - Agent 67 Introduction Catheter-associated urinary tract infections, or CAUTI, are a large problem in health … The Health Research and Education Trust, working in partnership with the Association for Professionals … From a public health standpoint, CAUTIs pose another risk, namely that their frequency leads to additional

2076. Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
      July 01, 2023 - Engaging Patients and Families in Their Health Care. … Quality and the Johns Hopkins University Contract Number HHSP233201500020I in collaboration with the Health … Resources and Services Administration and the Alliance for Innovation on Maternal Health. 36 Hospital

2077. Situation Monitoring: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - Engaging Patients and Families in Their Health Care. … Quality and the Johns Hopkins University Contract Number HHSP233201500020I in collaboration with the Health … Resources and Services Administration and the Alliance for Innovation on Maternal Health.

2078. Surveys on Patient Safety Culture (SOPS) Hospital Workplace Safety: 2022 Updated Results, Appendix C (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/2022-HSOPS-WPS-database-report-appendix-508.pdf
      January 01, 2022 - Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract … Department of Health and Human Services (HHS). … Department of Health and Human Services.

2079. Strategies for Improving Patient Experience with Ambulatory Care: Internet Access for Health Information and Advice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6d.pdf
      July 07, 2017 - Guidance on Assessing Health- Related Web Sites • National Institutes of Health, Office of Dietary … and Health Care. … health advice from a clinician. … They can also research health conditions, take personal health assessments (e.g., disease risks, healthy … Internet Access for Health Information and Advice July 2017 6.D-5 Resources About Health Information

2080. ChartBook On Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
      March 04, 2016 - (AHRQ), Sharl Talan (Truven Health Analytics), Kathleen Whitley (Truven Health Analytics), Naomi Yount … (n=10,555) Medication (n=8,287) Monitoring (n=5,329) Anesthesia (n=4,276) Equipment (n=1,161) Behavioral … (n=10,555) Medication (n=8,287) Monitoring (n=5,329) Anesthesia (n=4,276) Equipment (n=1,161) Behavioral … Patient Safety  Anesthesia (4,276),  Equipment or products (1,161),  Behavioral …  Most of the behavioral health-related payments were for emotional harm (45.7%) or death (33.8%