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1981. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
      January 28, 2011 - ’ participation 50 Partnering With Patients and Families To Accelerate Improvement: Readiness Assessment … include improvements in overall systems and processes of care. … systems breakdowns as opposed to an individual’s mistake. … We do this by working in active partnership with our health care providers to: Strengthen communication … for health systems, providers, and consumers.

1982. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
      January 01, 2002 - The advent of small, cheap microprocessors led to the development of infusion pump systems that were … A comparison of manual and semi-automated infusion systems Manufacturers typically represent their … Comparing members of the sample with averages for the sample gives a fair assessment of subject performance … Attempts have been made to create adverse event reporting systems to capture and analyze incidents … A comparison of manual and semi-automated infusion systems Figure 2.

1983. Pediatric Patient Safety Consortium (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_XIII.pdf
      January 01, 2014 - care provider using a parent-completed development tool (Bethell et al., 2011) … informal assessment or screening done by a health care provider with or without the use of a validated … Measure: Standardized developmental and behavioral screening: proportion of children whose health care … care providers for diagnostic or therapeutic purpose)? … health information between healthcare providers.

1984. Pediatric Patient Safety Consortium (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_XIII.pdf
      August 25, 2014 - care provider using a parent-completed development tool (Bethell et al., 2011) … informal assessment or screening done by a health care provider with or without the use of a validated … Measure: Standardized developmental and behavioral screening: proportion of children whose health care … care providers for diagnostic or therapeutic purpose)? … health information between healthcare providers.

1985. Pediatric Patient Safety Consortium (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_XIII.pdf
      August 13, 2014 - care provider using a parent-completed development tool (Bethell et al., 2011) … informal assessment or screening done by a health care provider with or without the use of a validated … Measure: Standardized developmental and behavioral screening: proportion of children whose health care … care providers for diagnostic or therapeutic purpose)? … health information between healthcare providers.

1986. Section 8: The Care Management Evidence Base | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8.html
      October 01, 2014 - Providers Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems … Disparities Reports Technology Assessment Program AHRQ Research Studies … Tools Featured Clinicians & Providers Hospitals & Health Systems … Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning Health Systems … interventions, and 3 examined the impact of a combination of patient and provider interventions.

1987. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.pdf
      January 28, 2011 - working with advisors include improvements in overall systems and processes of care. … systems breakdowns as opposed to an individual’s mistake … We do this by working in active partnership with our health care providers to: Strengthen communication … and Quality provides a variety of patient safety resources for health systems, providers, and consumers … and to identify areas in which patient and family advisors can help improve systems and processes.

1988. The Mobile Mock Operating Room: Bringing Team Training to the Point of Care (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
      January 24, 2008 - a larger research protocol targeting simulation-based training and assessment. … • Training in real world environments promotes incorporation of systems-based practice. … , assessment, followup, refinement) while holding multiple and competing responsibilities has been a … effectively, enhancing efficacy, and maximizing assets to achieve optimal benefits to health care providers … actual health care delivery systems and strengthening collaborative partnerships between academia and

1989. Perspectives on Implementing Quality Improvement Collaboratives Effectively: Qualitative Findings from the CHIPRA Quality Demonstration Grant Program (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/perspectives-quality-improvement-collaboratives.pdf
      January 01, 2018 - US Department of Health and Human Services, Office of the Secretary. … Policy Research and by the White House’s Office of Management and Budget. … ; CG-CAHPS, Clinician and Group Consumer Assessment of Healthcare Providers and Systems. … US Department of Health and Human Services, Office of the Secretary. … Some of our findings are new, and fall into all three of our categories.

1990. Change Management (Instructor Guide) (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module8/ts2-0ltc_module8_ig_chmgmt.pdf
      June 09, 2017 - on the importance of safety; and • Confidence in the efficacy of preventive measures. … Creating a vision and implementing change are time consuming and a great deal of hard work. … Slide Change Management (OPTIONAL) EMPOWER OTHERS TO ACT SAY: Leaders must change the systems … To realize the vision, you may have to change systems, structures, and policies that don’t fit together … 1: Setting the stage and deciding what to do— Assessment Phase 2: Making it happen—Training and

1991. Integrating Primary Care Practices and Community-based Resources to Manage Obesity (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
      May 01, 2014 - Clinicians/Nursing – Establish and lead Plan Do Study Act (PDSA) cycles regarding increasing assessment … However, the BMI provides you with an objective measure of obesity status rather than a subjective assessment … Five of the six clinics changed electronic medical record systems. … Two clinics changed ownership, becoming part of hospital systems. … Addressing this problem requires support from individual clinics, the community, and health systems.

1992. Diagnostic error in mental health: a review (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
      April 15, 2024 - Seeing the complete picture: a systematic review of mental health consumer and health professional … Predictors of diagnostic delay: assessment of psychiatric disorders in the clinic. … Assessment of documentation of DSM-IV-TR criteria A for diagnosis of schizophrenia in psychiatric unit … Obsessive- compulsive disorder Misdiagnosis among mental Healthcare providers in Latin America. … A randomized controlled trial of cognitive Debiasing improves assessment and treatment selection for

1993. CAHPS Program: Improving Response Rates and Representativeness - AHRQ’S CAHPS Program (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-rr-webcast-011124-bakdash.pdf
      February 05, 2024 - development agency in the US Department of Health and Human Services ► Core competencies: Health … does not require use of tools, products, and databases • Encourage CAHPS database submissions for Quality … Improvement • AHRQ’s investment is in patient experience of care survey development, research, and … hosting databases for selected CAHPS surveys 6 Patient Experience ASPECTS OF PATIENT EXPERIENCE … revision • Extensively tested with patients 8 CAHPS Surveys Measuring patient experience of care

1994. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
      January 01, 2003 - The study of proximate causes of errors and other sudden-onset events may be Advances in Patient … Subjects were first asked the dates and times of the shift on which the error occurred and the prior … and prevention of patient care errors. … Nurse staffing levels and the quality of care in hospitals. … Objective assessment of sleep and alertness in medical house staff and the impact of protected time

1995. Introducing the CAHPS Cancer Care Survey" Transcript (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-cancer-care-transcript.pdf
      June 01, 2017 - Ginsberg, Slide 10 So, CAHPS stands for Consumer Assessment of Healthcare Providers and Systems. … And good day to all of you. … And really applying some of the rigorously tested and used instruments that have been used in lots of … The first field test, there was several comprehensive cancer centers, health systems that were collections … And so then, the person sort of moves out of that window.

1996. Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
      July 28, 2016 - Incorporate into regular discharge planning assessment and referrals. … Time Required Incorporate into regular discharge planning assessment and referrals. … transitional care planning] [Patient-Centered Medical Home 2] [Point person] [XXX] [Practice has systems … Reliability of Hospital-Based Needs Assessment • How many patients were identified to have a need [ … Assessment [Drivers of repeated utilization, resource(s) in place] [Provide interdisciplinary assessment

1997. Chartbook on Hispanic Health Care: Slide Presentation—Part 4 | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt4.html
      March 01, 2020 - Providers Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems … Disparities Reports Technology Assessment Program AHRQ Research Studies … Tools Featured Clinicians & Providers Hospitals & Health Systems … Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning Health Systems … 48 and 49, respectively, out of the 50 States and the District of Columbia.

1998. Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
      April 23, 2004 - Office-based practices are literally devoid of the safety systems that parallel those developed for … Office environment Primary care offices have not developed systems for ready access to drug information … Lack of access to and adequate breadth of drug information resources at the point of care was evident … through integration of systems to a common electronic patient medical record. … Evidence report/technology assessment: number 43.

1999. The Business Case for CUSP (Transcript) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/business-case.html
      April 01, 2013 - Providers Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems … Disparities Reports Technology Assessment Program AHRQ Research Studies … Tools Featured Clinicians & Providers Hospitals & Health Systems … But yet, like developing safe health care systems, this is a science, no doubt about it, and that science … We’ve seen around the world where fee-for-service systems incentivize doing more stuff for patients,

2000. Preventing Pressure Ulcers in Hospitals: A Toolkit - Section 7, Tools and Resources (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
      January 01, 2004 - Use: Use the results of this assessment to identify issues that you need to deal with, and formulate … Prompt assessment and treatment b. … Use: Use the results of this assessment to identify issues that you need to deal with, and formulate … of head-to-toe skin assessment and pressure ulcer risk (Braden Scale or Braden Risk Assessment) on … accurate assessment and documentation of head-to-toe skin assessment and pressure ulcer risk (Braden