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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
April 01, 2016 - Purpose: To help teams adopt a system-focused approached to event investigation and analysis. … System-Focused Event Investigation and Analysis Guide – 3
Other high-risk industries, such as aviation … System-Focused Event Investigation and Analysis Guide – 5
7. … 10 – System-Focused Event Investigation and Analysis Guide
6. … The agreed-upon visual model will keep the team focused.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-2.pdf
September 01, 2011 - ADAPT to Adult-Focused Health Care … ADolescent Assessment of Preparation for Transition (ADAPT) to
Adult-Focused … ADolescent Assessment of Preparation
for Transition (ADAPT) to Adult-Focused
Health Care
Sampling … The survey is designed to be completed by 16- and 17-year-old patients
receiving care in a pediatric-focused … ADAPT to Adult-Focused Health Care
Introduction
Overview of Development of the ADAPT Survey
Generation
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/example-newsletters_v2.pdf
November 01, 2023 - Examples of Urinary Incontinence-Focused Patient Participant Newsletters
``` … Examples of Urinary Incontinence-Focused … Newsletters
Examples of Urinary
Incontinence-Focused
Patient Participant
Newsletters
EMPOWER … Examples of Urinary Incontinence-Focused Newsletters
Resource Description: These are examples of … UH is one of
five AHRQ award recipients across the country for studies
focused on the management
-
www.ahrq.gov/topics/alcohol-use.html
Topic: Alcohol Use
AHRQ has research focused on unhealthy alcohol use.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-3.html
September 01, 2020 - Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
Content-Specific Versus Process-Focused … for Diagnostic Error Reduction
Introduction
Rationale for Use
Content-Specific Versus Process-Focused … checklists, but the effects are often small or apply only to a subgroup of clinicians. 10 , 11
Process-focused … diagnostic accuracy based on clinical vignettes. 13 Similarly, most studies that evaluated process-focused … content-specific checklist that suggested differential diagnosis for the case at hand or (2) a process-focused
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - System-Focused Event Investigation and Analysis Guide
AHRQ Communication and Optimal Resolution … Toolkit
Purpose : To help teams adopt a system-focused approached to event investigation and analysis … interviews and observations, the event reviewer will model to staff that safety and risk leaders are focused … The agreed-upon visual model will keep the team focused. … However, avoiding those solutions that are focused solely on individuals (those in the red circle)
-
www.ahrq.gov/patient-safety/reports/issue-briefs/dxchecklists-table1.html
September 01, 2020 - for Diagnostic Error Reduction
Introduction
Rationale for Use
Content-Specific Versus Process-Focused … Process-Focused Checklists
O’Sullivan and Schofield,
2019 13
Mnemonic tool (SLOW) focused … Compared Content-Specific and Process-Focused Checklists
Study
Description of the Checklist … interpretation checklist (content specific) compared with a cognitive debiasing checklist (process focused … Experimental
No overall significant differences between the content-specific checklist, process-focused
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-fullreport.pdf
January 01, 2020 - Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care
1
Adolescent … Assessment of Preparation for Transition
(ADAPT) to Adult-Focused Health Care
Section 1. … to adult-focused health care.
1.D. … model; and (3) intake to the adult-focused health
system. … Poor quality health care transition (HCT) from pediatric-focused to adult-focused care delivery
may
-
www.ahrq.gov/pqmp/about/pediatric-quality-measurement-importance.html
June 01, 2018 - Historically, quality measures have been focused on adults or the elderly, while existing child measures … and application of quality measures, including the Pediatric Quality Measures Program (PQMP)—which is focused … Medicare & Medicaid Services (CMS)—was formed and continues to support public and private partners focused … currently funded under the 2015 Medicare Access & CHIP Reauthorization Act (MACRA), the work has been focused
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight01.html
March 01, 2019 - A list of additional studies on child-focused quality measurement is also included below. … Top of Page
Contents
Maine's Approach to Child-Focused Quality Measurement
Massachusetts' Approach … to Child-Focused Quality Measurement
North Carolina's Approach to Child-Focused Quality Measurement … Pennsylvania's Approach to Child-Focused Quality Measurement
Additional Resources on Child-Focused … Quality Measurement
Maine's Approach to Child-Focused Quality Measurement
Maine aims to integrate
-
www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - Implementation focused on MU Health Care’s 390-bed University Hospital, the only Level I trauma center … the need for hospital-acquired pressure injury (HAPI) reduction and the system’s readiness to create focused … The project spanned two phases: the first focused on general HAPI prevention (February 2019 - July 2020 … ) and the second focused on reducing risk related to equipment (February 2021 - September 2021).
-
www.ahrq.gov/sites/default/files/2025-02/lofland-report.pdf
January 01, 2025 - Final Progress Report: Patient Focused Outcomes: Quality of Life and Lost Productivity
PATIENT FOCUSED … ,
productivity
1
PURPOSE:
The overall study objectives were to examine and measure the patient-focused … The coursework focused on health services
research, health policy, and outcomes research with an educational … Health
Serv Res. 2000;35:1061-69.
18
http://www.winsteps.com/
PATIENT FOCUSED OUTCOMES: QUALITY OF
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
September 04, 2020 - Content-Specific Versus Process-Focused
Checklists
Checklists used in the diagnostic reasoning process … diagnostic accuracy based on clinical vignettes.13 Similarly,
most studies that evaluated process-focused … , the content-specific (knowledge-based) checklist as described
before was compared with a process-focused … all this research into account, content-specific checklists seem to be more promising than process-
focused … Process-Focused Checklists
O’Sullivan and
Schofield, 201913
Mnemonic tool (SLOW)
focused on slowing
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/appc.html
October 01, 2015 - Of the 17 States participating in Category C, 12 focused on PCMH models, three were focused on finding … new strategies for funding CMEs or developing new ones (Maryland, Georgia, Wyoming), and two were focused
-
www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
July 01, 2010 - adverse effects
Type of Health IT: Registry
(vaccination), clinical/medication
reminders (provider-focused … Using Precision Performance
Measurement To Conduct Focused
Quality Improvement
Estimated Total Funding … Focus Area(s): Patient self-management
of chronic illness
Type of Health IT: Telehealth (patient-
focused … ), human/machine interface,
clinical/medication reminders (patient-
focused)
Principal Investigator: … Focus Area(s): Patient self-management
of chronic illness
Type of Health IT: Telehealth (patient-
focused
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p012-ef.pdf
January 01, 2015 - Measure: Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care
Measure … : Adolescent Assessment
of Preparation for Transition (ADAPT)
to Adult-Focused Health Care
Measure … Measure Importance
● The lack of effective transition from pediatric to adult-focused health care may … evaluate adolescent and
young adult experiences of health care during the period of transition to adult-focused
-
www.ahrq.gov/patient-safety/news-events/summit-research-2020/index.html
March 01, 2021 - In late 2020, the Agency for Healthcare Research and Quality (AHRQ) hosted two virtual meetings focused … encompasses the full continuum of care and transitions across health care settings, discussions also focused
-
www.ahrq.gov/patient-safety/settings/index.html
December 01, 2024 - Patient Safety Resources by Setting
AHRQ has developed a wealth of materials focused on a wide
-
www.ahrq.gov/hai/tools/mvp/modules/technical/head-bed-elevation-lit-review.html
January 01, 2017 - Study focused on medical and respiratory patients who required mechanical ventilation in the intensive … Observational Study
(Orozco-Levi, 1995) 9
PRO: Observational study focused on adult, critically … Cohort Study
(Kollef 1993) 10
PRO: Cohort study focused on medical, surgical, and cardiothoracic … Crossover Trial
(Torres, 1992) 11
PRO: Crossover trial focused on patients requiring mechanical … Study focused on 255 patients intubated within 24 hours of intensive care unit admission and required
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
January 01, 2017 - Study focused on medical and respiratory patients who required mechanical ventilation in the intensive … Clinical Review
(Kollef, 2004)15
Clinical review focused on clinical methods used for prevention of … CON: Observational trial – Study focused on the angle of the head of bed in adult patients requiring … Study focused on 255 patients intubated within 24 hours of intensive care unit admission and required … PRO: Multivariate analysis – Study focused on 227 patients requiring mechanical ventilation for more