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2481. Engaging Senior Executives: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
      December 01, 2017 - These complications can take a toll on patients' health and safety and can extend postoperative hospital … This knowledge sharing and innovation is necessary to keep pace with the rate of change in health care

2482. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
      January 01, 2007 - expensive, labor-intensive, and difficult to maintain.3, 4, 5 Incident reports, required by State health … Medicaid 6 10 Uninsured 4 7 Practice group Private 7 12 Hospital based 30 50 Community health … To err is human: Building a safer health system. … Int J Qual Health Care 2004; 16: 347-352. 9 mailto:mnovember@aps-web.com Appendix Sample

2483. AHRQ Safety Program for Improving Antibiotic Use: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
      September 01, 2022 - Department of Health and Human Services. … Department of Health and Human Services. … Quality Innovators, Health Services Advisory Group, and Stratis Health, who served in the role of … Implementation Advisers Three quality improvement organizations—Health Quality Innovators, Health Services … webinar series addressed aspects of development and sustainability of AS activities, cultural and behavioral

2484. Seamless Care: Safe Patient Transitions from Hospital to Home (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
      April 18, 2004 - The linkages in these different health care facilities between readmissions and health system barriers … The linkages we found in these different health care facilities between readmissions and health system … Crossing the quality chasm: a new health system of the 21st century. … Health Care Financ Rev 1988(Special suppl):57–67. 40. Boling PA. … in health care.

2485. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/planningtool_0.pdf
      January 01, 2016 - Safety Culture PATIENT SAFETY Agency for Healthcare Research and Quality Advancing Excellence in Health … Department of Health and Human Services. … Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 http://www.ahrq.gov … The survey is an important source of information for health care organizations striving to improve patient …  Consider whether the initiative will involve training.  Talk with other health care organizations

2486. Faclearncusp (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
      January 01, 2009 - Improving culture within the health care setting requires the culture model to be based on the understanding … An infection reduction project of the Michigan Health and Hospital Association Keystone Center for Patient … Slide 13 SAY: Frontline staff There are actually two sets of activities that take place in any health … other disciplines and departments, such as pharmacy, laboratory, quality improvement, admissions, and health … Additionally, staffing and coverage issues can increase the likelihood for medication or health care

2487. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
      January 01, 2007 - of patients have Medicare or Medicaid coverage, 40 percent are Duke employees covered under a Duke health … that humans are imperfect and will make errors, attention was directed to systems that would support health … This included a wide variety of units, such as Community Health, Student Health, Occupational and Environmental … Warburton); Duke University, Division of Student Health (Dr. Sangvai). … Qual Saf Health Care 2002; 11:233-238. 14. Kripalani S, LeFevre F, Phillips CO, et al.

2488. 2. Evidence of Disparities among Ethnicity Groups | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2.html
      May 01, 2018 - and health care. … Since the release of Unequal Treatment , evidence of disparities in health and health care among racial … or health care purposes so the connections between health disparities and health care disparities can … Health-Related Differences Among Hispanic or Latino Groups Differences in dimensions of health and … The available literature includes studies of health and health care disparities between Hispanic groups

2489. Final Progress Report: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue - PERSEUS (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/kobayashi-report.pdf
      January 01, 2024 - Key Words: alert fatigue health personnel, automatic data processing; clinical alarms; data collection … manages 100,000 adult patients annually and features 12 critical care spaces, three urgent care areas, behavioral … health and fast track sections, an observation unit, two ED-dedicated CT scanners, an ED MRI scanner … collection of patient physiologic data has been sorted, de-identified/obfuscated of any protected health … Emergency Digital Health Initiative, Brown University/Emergency Medicine, November 14, 2018, Providence

2490. Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Partner Roundtable Synthesis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-synthesis.pdf
      September 01, 2025 - Department of Health and Human Services. … Policy and Payment Panel • The Milbank Memorial Fund’s focus on health equity and population health … Health systems need help prioritizing PCCP. … Challenge 7: Health information technology must adapt to support PCCP • Health information systems are … The approaches could be utilized by health systems, health care providers, federal agencies, payers,

2491. 2022 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
      October 25, 2022 - Plan Survey Database Centers for Disease Control and Prevention Behavioral Risk Factor Surveillance … or speech therapy; and the need or use of treatment or counseling for emotional, developmental, or behavioral … Maternal Health Figure 1. … or speech therapy; and the need or use of treatment or counseling for emotional, developmental, or behavioral … health care need.

2492. A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
      September 01, 2015 - National Action Plan to Prevent Health Care-Associated Infections: Road Map to Elimination. … Office of Disease Prevention and Health Promotion, U.S. … Department of Health and Human Services. www.health.gov/hcq/prevent_hai.asp. … AHRQ: 15 Years of Transforming Care and Improving Health. … Department of Health and Human Services.

2493. A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
      September 01, 2015 - National Action Plan to Prevent Health Care-Associated Infections: Road Map to Elimination. … Office of Disease Prevention and Health Promotion, U.S. … Department of Health and Human Services. www.health.gov/hcq/prevent_hai.asp. … AHRQ: 15 Years of Transforming Care and Improving Health. … Department of Health and Human Services.

2494. Implementing Antibiotic Stewardship in Your Practice – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-guide.docx
      September 01, 2022 - rewards through MIPS (or avoiding penalties) is based on quality-of-care measures, use of electronic health … Sites with an electronic health record (EHR) should be able to obtain these data with the assistance … Department of Health and Human Services.

2495. Case 5. Heights Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
      November 01, 2014 - Description of the Health System Heights Hospital is part of a safety net system, an integrated health … youth health services, mental health services, a methadone treatment program, an AIDS center, a Level … III perinatal center, and sexual health response teams. … Soon, Heights began using Lean in behavioral health because of its large presence among the hospital … Heights Hospital, value streams have included the ED, perioperative surgical services, ambulatory care, behavioral

2496. Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/mythbustingwebcast.pdf
      October 01, 2013 - They have the Minnesota Department of Health Statewide Initiative. … They are also a Health Care Home within the State of Minnesota, which has a different requirement. … Zema (opening), Slide 19 We are going to hear from Linda Sparks from Dean Health Clinic and then Rick … She came to Dean Clinic in 2007 and spent her career working in health care administration. … We have a large integrated health care delivery system and we actually were established in 2004.

2497. Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
      January 01, 2024 - Natl Health Stat Report. 2008;(5):1-20. PMID:18841653. 2. … Natl Health Stat Report. 2009;(11):1-25. PMID:19294964. 3. … Health Care Manage Rev. 2009;34(4):300-311. PMID:19858915. 25. … Int J Qual Health Care. 2010;22(5):365-370. 41. Ariadne Labs. … Qual Saf Health Care. 2004;13 Suppl 1:i27-i32. PMID:15465952. 45.

2498. Anticipatory Guidance Regarding Hydroxyurea Treatment for Children With Sickle Cell Anemia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-fullreport.pdf
      January 01, 2019 - plan quality measurement, health informatics, and health care quality measurement. … Health plan*: Can compare quality of care among health plans. … Health IT Enhancement Please describe how health IT may enhance the use of this measure. … Health IT Testing Has the measure been tested as part of an electronic health record (EHR) or other … health IT system?

2499. The Impact of Health Information Technology on Work Process and Patient Care in Labor and Delivery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Campbell_47.pdf
      March 11, 2008 - Institute of Medicine, Committee on Quality Health Care in America. … To err is human: Building a safer health system. … Advance data from vital and health statistics. … Hyattsville, MD: National Center for Health Statistics; 2005. 3. … Health Aff 2004; 23: 116-126. 16. Oren E, Shaffer ER, Guglielmo BJ.

2500. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiih.html
      June 01, 2010 - of Data Collection: N/A Total Items/indicators: 5 HCBS MS Domains: Quality of Life, Safety, Health … Mode of Data Collection: Mail survey Total Items/indicators: 17 HCBS MS Domains: Unmet Need, Health … The tool also contains six questions related to detecting potential health and safety issues. … Promotion, Disease Prevention, and Access to Health Care Strengthen Supports for Older Oregonians … with Mental Health Issues Support of Family Caregiver Affordable and Accessible Housing Options