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4761. Appendix A. Literature Review | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
      April 01, 2018 - Results The study included 3,209 cases of which 182 developed SSI. … Methods The developed risk index score ranges from 0 to 3 and depends on the number of risk factors … wound infections vs 82 of 1,576 (5.2%) patients with negative cultures during surgery developed wound … Of 276 patients with positive cultures during surgery, 38 (13.8%) subsequently developed wound infections … Orthopedic surgical procedures accounted for 41.8% of surgeries. 1684 patients developed an SSI (1.2%

4762. Appendix VII: Public Comments Submitted Between March 7 and March 21, 2008 (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apviia.html
      June 01, 2010 - The format was developed with significant input from state executive branch associations, including the … Organized within a "Quality Framework," a broad series of quality measures were developed and revised … years, specific programs, services, providers, funding mechanisms and state/local agencies have been developed … All of the areas that are mentioned are covered within CMS's Quality Framework, a format that was developed … A broad series of quality measures were developed and revised for seniors and individuals with developmental

4763. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
      March 01, 2016 - Feedback reports developed by health care providers Hospitals and large medical practices have developed … Figure 2 below displays an excerpt of a feedback report developed by HPMG, which set an improvement … A growing number have either developed or plan to develop some kind of provider feedback report. … Confidential Physician Feedback Reports 9 Physician feedback reports developed by regional health … Figure 4 is an excerpt of a feedback report developed by a multi-stakeholder regional collaborative

4764. Executive Summary: Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/takeheart-executive-summary.pdf
      August 01, 2023 - • Finally, the TAKEheart website was developed to promote awareness of CR generally and to serve … • Developed a 10-module online training curriculum with “how-to” implementation guides based on … • Developed “how-to” guidance and considerations for hybrid CR including tools for determining fit … During the year following the start of the PHE, TAKEheart developed and used a readiness tool to help … The TAKEheart team developed materials and resources using CRCP and engaged CR leaders in their review

4765. AHRQ Safety Program for End-Stage Renal Disease Facilities – Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/esrd/resource.html
      January 01, 2015 - Audit Tools Patient and Family Engagement About the Toolkit Development The ESRD Toolkit was developed

4766. Chipra202-Materials Iiib (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_IIIB.pdf
      August 13, 2014 - Developed by NCINQ for use in the AHRQ PQMP Consortium. 7.

4767. Chipra204-Materials Iiib (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_IIIB.pdf
      August 13, 2014 - Developed by NCINQ for use in the AHRQ PQMP Consortium. 7.

4768. Chipra205-Materials Iiib (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_IIIB.pdf
      August 13, 2014 - Developed by NCINQ for use in the AHRQ PQMP Consortium. 7.

4769. Pressure Ulcer Prevention Toolkit (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/putoolkit_module1_tools.docx
      March 01, 2013 - Reference: Developed by Boston University Research Team.

4770. Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/methods.html
      March 01, 2017 - was to identify individual clinics and other independent exemplars that may have promising locally developed … To remove irrelevant material, we developed a screening protocol with specific inclusion and exclusion … The two groups met and developed a consensus approach to article/intervention inclusion ( Table 2 ). … Once we developed the final set of inclusion/exclusion criteria, we trained a team of abstractors and … providers, and primary care practice staff—who were the intended audience for the deliverables to be developed

4771. Transitioning Newborns from NICU to Home: A Resource Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicutoolkit.pdf
      January 01, 2004 - The aim of this program, which was originally developed and tested as the “Safe Passages” program at … The materials are developed by the Health Coach based on the examples provided in Appendix A. … ■ Focuses on feeding, sleeping habits, and infant temperament, which can be developed according to … that PCPs will need to manage in the ambulatory setting, additional clinical materials may need to be developed … This step is done using a survey tool that was developed based on the Care Transitions Measure of Eric

4772. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
      September 01, 2008 - The VTE Safety Toolkit was developed based on clinical evidence and established guidelines. 4 … Integrated pathways for DVT management, which were developed prior to the development of the VTE Safety … The dissemination plan has been developed using the planning tool developed by the AHRQ Patient Safety … As described earlier, we used the evidence-based planning tool developed by the AHRQ Patient Safety … Conclusion VTE continues to be a national patient safety issue, and we have developed two educational

4773. Measuring Pressure Ulcer Rates and Prevention Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar7_pu_measuringrates.pdf
      April 01, 2011 - Percentage of people who developed a pressure ulcer after admission to your facility. … patients with pressure ulcer  100 Total # patients surveyed Incidence Number of patients who developed … – – 38 Root Cause Analysis • • • Helps you understand why a patient developed a pressure ulcer

4774. CHIPRA - Spotlight on Colorado (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/co-statesum.pdf
      July 01, 2015 - picture of the health risks facing adolescents, demonstration staff in Colorado and New Mexico— • Developed … For example, one SBHC found a higher-than-expected rate of substance abuse at its school and developed … In conjunction with New Mexico, Colorado— • Developed and fielded the Youth Engagement with Health

4775. The PeaceHealth Ambulatory Medication Safety Culture Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
      January 01, 2007 - A number of safety culture (or climate) surveys have been developed to assess the degree to which a … procedures, (3) staffing, (4) communication, and (5) reporting.5 Although many of these surveys were developed … 13, 14 Despite the known importance of patient safety in outpatient clinics, few surveys have been developed … specifically related to medication management is needed before interventions to improve safety can be developed … measuring the degree to which a culture of medication safety is present in a clinical practice was developed

4776. 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 - Additionally, the National Healthcare Quality Report,6 developed by the Agency for Healthcare Research … The most comprehensive of these is a package of quality indicators developed by the AHRQ. … We developed a systematic data abstraction sheet, which was maintained in Microsoft® Excel. … • Purpose for which the indicators were developed. … Data systems that use standard definitions would need to be developed to consistently capture these.

4777. 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 - Duke University’s Department of Community and Family Medicine has developed and implemented a practical … Systems were developed as needed to prevent recurrences. 3 M & M conferences, held roughly … Building on this previous research and our reported cases, we developed a simplified taxonomy around … Beginning in 2004, the system developed for the Family Medicine Center was rolled out and adapted for … The taxonomy developed here is functional for this clinical setting.

4778. Understanding CAHPS® Surveys: A Primer for New Users - Intro (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys-primer-webcast.pdf
      January 11, 2018 - • Discuss what the CAHPS surveys are and what their purpose is • Describe how CAHPS surveys are developed

4779. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/case-study.docx
      March 01, 2017 - During her last course of antibiotics, Valerie developed a Clostridium difficile infection.

4780. Using the AHRQ Pharmacy Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/sorraslides.pdf
      January 01, 2014 - surveys • Interviewed experts and pharmacy staff • Identified key areas of patient safety culture • Developed … with 479 staff • Conducted psychometric analyses • Consulted with AHRQ and TEP to finalize survey • Developed