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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/leanprimarycarewebinar/webinar_lean_redesigns-slides.pptx
March 01, 2017 - “You have to say please trust me because if we all do it the same way and we all follow the same rules … Bottom-up
Inner setting
Organizational culture
Standardization
Local leadership
Employee engagement
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
June 30, 2025 - Pilot studies of postdischarge follow-up were
performed. … medication reconciliation, plain-language
discharge instructions, patient education, and telephone follow-up … together to coordinate hospital
discharge, educate patients, and reconcile medications led to fewer follow-up … readmission
was observed in the academic facility but not at community hospitals, possibly due
to short follow-up
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Sampling-Weighting-Synthetization-Methodologies.pdf
December 01, 2023 - SyH-DR reports up to 25 diagnosis codes for each claim, although the
number of diagnosis codes varies … These codes make up about 1.2% and
1.8% of all diagnosis codes in the Medicaid Outpatient and Inpatient … To enhance user accessibility of the diagnosis
codes, they were moved up to lower number spots if diagnosis … ICD Procedures
The source files report up to 25 ICD procedure codes for each claim, although the number … The source data files report up to 35 CPT procedure codes for each claim,
with the exception of the
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section2.html
October 01, 2015 - Incentives included $10,000 per measure reported from an EHR for the base year (up to 18 measures, or … $180,000) and $5,000 for each percentage point improvement per measure, up to five points, or $25,000
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4b.html
May 01, 2018 - the subcommittee's charge to make recommendations about specific interventions that may or may not follow … Some find this approach desirable because a single free-response box takes up minimal space. … Contra Costa Health Plan uses a system in which typing the initial letter of a language brings up one … commonly encountered languages (top 15 languages), such that typing an "s," for example, would bring up … Spanish; if the desired response is not in the first grouping, a second keystroke on "s" will bring up
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
July 01, 2022 - data in this tool, please click “Enable Content” if the yellow ribbon with a SECURITY
WARNING pops up … As detailed individual
resident and staff vaccination data contains protected health information, follow … Follow steps 1 through 9 outlined in the previous section.
REPORTING
1. … Follow steps 1 through 9 outlined in the previous section.
REPORTING
1. … The vaccination administration data entered in each week is rolled up into summary tables, charts, and
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www.ahrq.gov/sites/default/files/2025-02/dudley-report.pdf
January 01, 2025 - throughout the project through initial and subsequent training of data
collectors using in-person training, follow-up … The variables are collected at the time of admission or up
to 1 hour after to the ICU. … differences in the risk of death at admission (and in the case of the
APACHE III at admission and up
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-fullreport.pdf
September 01, 2018 - children with asthma and an ED visit also demonstrated low rates of corticosteroid use and
outpatient follow-up … controller medication in the month of or the month after the urgent
visit, and only 12 percent had followed up … Low rates of controller medication initiation and
outpatient follow-up after emergency department visits
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www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
January 01, 2024 - Sequence: 24 Administer Chemotherapy & Follow-up Treatment
Accomplished by: Ambulatory infusion … by incorrect route of administration RPN score: 200
24.2 Failure of nurse to provide patient follow-up … score: 200
Sequence: 17 Prepare Medication
Accomplished by: Pharmacy tech
Activities: Draw up … Potential failures identified from FMEA:
17.1 Incorrect amount of drug drawn up into syringe RPN
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www.ahrq.gov/sites/default/files/2024-01/mosaly-report.pdf
January 01, 2024 - Errors in RT are estimated to occur in up to ≈ 5% of the >
≈600,000 patients receiving RT per year in … The workspace was set up to emulate the current (baseline) clinic configuration for workflows (2
RTTs … pretreatment quality assurance (QA) tasks (time-out), and identification of embedded
errors with appropriate follow-up … pretreatment quality
assurance (QA) tasks (time-out) and identification of embedded errors with appropriate follow … -
up actions.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
August 01, 2010 - on that plan, patients feel more
secure, and are more likely to
participate in their own care and
follow … If the patient speaks up and
asks the visitor to remain, then the report can proceed. … If these concerns come up frequently and prevent
nurses from conducting the report at the bedside, consider … This way, the choice is up to the patient rather
than an assumption by the nurses. … Anne Arundel Medical
Center also provided mechanisms for staff to give feedback, including setting up
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
January 01, 2017 - Encourage frontline staff to speak up about safety concerns?
Engage the entire team?
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www.ahrq.gov/sites/default/files/2024-01/lipsitz-report.pdf
January 01, 2024 - We also evaluated length of SNF stay (up to 100 days) and total SNF
costs for a subset of patients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-roleplay-final508.pdf
June 02, 2025 - When he takes it everyday, he can’t walk around the block without having to pee, and
he gets up at least
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www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
January 01, 2024 - that an organization
demonstrates successful implementation, it receives a 2% renewal premium credit up … if a medical error
13
happened that there would be something in place that organizations would
follow … managers and people who sit in on behalf of the clinicians, the physicians or
whomever, and they come up
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/primary-care-research-conference-proceedings.pdf
January 01, 2023 - • Make sure that data is reliable, accurate, up to date, and useable. … • Rethink/rework issues related to racism, other groups; and to follow from that—provide culturally … • Need bottom-up approaches to complement top-down approaches/solutions. … If zero-sum, who gives up money?
What is the right transition model? … • How do we set up a national primary care database?
-
www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
January 01, 2024 - medication-related articles relevant to the practice of emergency medicine as well as their provision of follow-up … The database was stored on a highly secure hospital network, which had an automatic
back-up system every … The database was stored on a highly secure hospital network, which had an automatic back-up system ..
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-guide.docx
September 01, 2022 - Taking antibiotics can cause changes to the microbiome composition that can last for up to a year.
-
www.ahrq.gov/ncepcr/tools/obesity/obpcp1.html
May 01, 2014 - But, don't throw up your hands and surrender.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
November 01, 2017 - Yes
No
The Hendrick II Fall Risk Model
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Timed Get Up and Go Test
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