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  1. 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.
  2. 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
  3. 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
  4. www.ahrq.gov/topics/alcohol-use.html
    Topic: Alcohol Use AHRQ has research focused on unhealthy alcohol use.
  5. 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
  6. 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)
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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).
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. Tool: SSA (doc file)

    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

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