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psnet.ahrq.gov/node/44586/psn-pdf
June 21, 2016 - patient safety initiatives, with reporting requirements and Medicare nonpayment leading to significant
efforts … These improvements coincided with nationwide efforts to reduce adverse events,
such as the Partnership … psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
https://psnet.ahrq.gov/issue/efforts-improve-patient-safety-result
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/exh1.html
October 01, 2015 - Drawbacks/Challenges:
Claims data do not necessarily reflect costs of primary care transformation efforts … incurred by clinics
Changes in cost trends can be caused by factors other than PCMH transformation efforts … Pre-established rapport with clinics providing data
Web-based data collection tools for data collection efforts
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-brady-sops-action-planning-tool.pdf
June 02, 2025 - as a central body to galvanize
stakeholders and act as a focal point to prioritize
patient safety efforts … such as
leadership and culture
• AHRQ’s SOPS Program and Action Planning Tool
aligns with these efforts
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Tools and Resources
Because pressure ulcer care is complex, efforts to improve pressure … monitoring pressure ulcers increased awareness among the staff and helped them better target their efforts … , the list of resources needed is likely to be broad and will require refinement as the improvement efforts … Supporters who have a sense of urgency have been identified
Efforts are underway to generate a sense … Leadership support has been assessed
If necessary, efforts are underway to generate this support
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Tools and Resources
Because pressure ulcer care is complex, efforts to improve pressure … monitoring pressure ulcers increased awareness among the staff and helped them better target their efforts … , the list of resources needed is likely to be broad and will require refinement as the improvement efforts … Supporters who have a sense of urgency have been identified
Efforts are underway to generate a sense … Leadership support has been assessed
If necessary, efforts are underway to generate this support
-
www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/southwest.html
March 01, 2021 - practice assessment to determine the practice's culture, recent, or ongoing practice transformation efforts … materials
Additional coaching to incorporate patient engagement activities into practice transformation efforts … patient and family advisory councils and other activities, to ensure that practices' quality improvement efforts … The qualitative data collection efforts are robust and involve practice facilitator field notes, a quarterly … Community Health [Annual Family Medicine Weekend, U of Oregon Health Services Center, 2016]
Collective Efforts
-
psnet.ahrq.gov/node/42530/psn-pdf
December 30, 2014 - psnet.ahrq.gov/issue/what-attributes-patients-affect-their-involvement-safety-key-opinion-leaders-
perspective
Efforts … to engage patients in safety efforts have thus far achieved mixed results, with several studies noting … leaders to identify key traits of patients who
could effectively partner with clinicians in safety efforts
-
psnet.ahrq.gov/node/44925/psn-pdf
July 27, 2018 - national attention to the issue of patient safety and is
often credited with catalyzing widespread efforts … This commentary highlights progress made in patient safety and suggests that future
efforts should focus … psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
-
www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - Century
From Quality Measures to Quality Care: Examples of Quality Improvement at Work
Private Sector Efforts … It demonstrates that public and private sector quality improvement efforts spawned by measurement and … The Need for a National Effort
While there have been successful efforts to improve health outcomes, … But it notes that, "despite a growing number of efforts to measure and report on health care quality, … As a result of early detection efforts, the incidence of invasive cervical cancer has decreased ( CDC
-
psnet.ahrq.gov/issue/standardized-orders-titrating-vasopressors-do-efforts-improve-safety-slow-delivery-care
March 20, 2019 - Commentary
Standardized orders for titrating vasopressors: do efforts to improve … Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? … Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care?
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psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer-assessment-hazard
May 24, 2012 - multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts … Multimethod Approach to Peer Assessment, Hazard Identification, and Prioritization of Patient Safety Efforts … Multimethod Approach to Peer Assessment, Hazard Identification, and Prioritization of Patient Safety Efforts
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psnet.ahrq.gov/issue/designing-abstraction-instrument-lessons-efforts-validate-ahrq-patient-safety-indicators
January 13, 2010 - Commentary
Designing an abstraction instrument: lessons from efforts to validate … Designing an abstraction instrument: lessons from efforts to validate the AHRQ patient safety indicators … Designing an abstraction instrument: lessons from efforts to validate the AHRQ patient safety indicators
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psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-adverse-medical-events-and-monitoring
July 11, 2018 - Resources From the Same Author(s)
Progress Made Towards Improving Opioid Safety, But Further Efforts … May 4, 2016
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce … May 27, 2020
Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. … July 25, 2018
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess
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psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability
July 11, 2018 - Resources From the Same Author(s)
Progress Made Towards Improving Opioid Safety, But Further Efforts … May 4, 2016
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce … July 25, 2018
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess … December 6, 2017
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to
-
psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
November 22, 2017 - Resources From the Same Author(s)
Prescription Opioids: Medicare Needs to Expand Oversight Efforts … May 4, 2016
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess … May 27, 2020
Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. … April 29, 2020
Progress Made Towards Improving Opioid Safety, But Further Efforts to
-
www.ahrq.gov/patient-safety/reports/engage/start.html
July 01, 2018 - Identify a practice champion
A practice champion is needed who can lead the implementation efforts. … improvement planning is the Model for Improvement. i This approach seeks to accelerate change improvement efforts … Talk with patients about the importance of engagement and the practice’s engagement efforts and reinforce … Step 6: Evaluate Implementation Effectiveness
Recognize your team’s efforts and successes
Talk about … Celebrate clinician and practice staff wins and publicly recognize efforts to improve patient safety.
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/forming-cusp-team-slides.html
February 01, 2017 - Slide 6: Why Engage Across Disciplines
Successful efforts are—
Informed by science. … implement new policies and procedures to achieve quality improvement goals and sustain patient safety efforts … Learns about CUSP and the Science of Safety, developing the lenses to lead change efforts. … Helps the team to understand the organization’s strategic goals and to align their efforts with those … Staff owns safety—use unit-level data and staff inputs to drive improvement efforts.
-
psnet.ahrq.gov/node/43653/psn-pdf
January 01, 2015 - evaluating-inpatient-mortality-new-electronic-review-process-gathers-
information-front-line
Early efforts … review of individual cases of patient deaths;
mortality reviews remain a core aspect of hospital safety efforts … can provide and underscores the need to improve
existing clinical documentation to support safety efforts
-
www.ahrq.gov/patient-safety/reports/advances/preface.html
July 01, 2022 - this compendium is an important component of AHRQ and DoD's ongoing collaboration and our strategic efforts … The 140 articles in the 4-volume set represent the efforts of AHRQ-funded patient safety researchers … Our hope is that the information and knowledge contained in these volumes will fuel the momentum of efforts
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mestateataglance.pdf
March 01, 2012 - reporting and use of the initial core set of children quality measures will
build on its continuing efforts … Maine will also extend current statewide efforts to promote medical homes by enhancing access to
child‐specific … information from Maine to address a wide range of questions
about the implementation and outcomes of their efforts … To what extent were Maine’s efforts to enhance the child focus of its ongoing medical home
project