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3321. Final Progress Report: Improve Safety, Quality, and Efficiency in Radiotherapy with Automated HIT System (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/yang-report.pdf
      January 01, 2024 - In many aspects, radiotherapy (RT) treatments are as complex as surgeries, times up to 40+ fractions, … Current error prevention and quality control measures in RT basically rely on human workers to follow … The purpose is 1) to speed up organ segmentation so to minimize the patient total treatment time and

3322. A Guide to Real-World Evaluations of Primary Care Interventions: Some Practical Advice (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/guide-to-real-world-evaluations.pdf
      October 01, 2014 - indicators are easiest to collect, depending on the available data systems and the feasibility of setting up … randomly assigned to use either a social worker or nurse to coordinate care, and randomly assigned to follow … up with patients within 2 days of a hospital discharge, either in person or by telephone.

3323. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
      March 31, 2008 - Therefore, system-related harm would include reported failures to follow up on missing laboratory or

3324. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
      January 01, 2024 - physicians, 66% are caused by process and charting problems (misfiled lab results, failure to schedule follow-up … most common breakdowns in the process as failure to order an appropriate test, to create a proper follow-up

3325. Third Annual CHSP CoE Workshop (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-3.pdf
      January 01, 2019 - Wrap Up and Next Steps (Mike Furukawa, AHRQ; Gene Rich, MPR) (4:00-4:30) • Establish priorities

3326. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/2014-final.html
      January 01, 2018 - new group of Hospital Engagement Networks was selected for funding by CMS and their work following up

3327. Final Report - AHRQ EvidenceNOW Technical Assistance (TA) to and Evaluation of Grant Initiative to Develop State-Level Capacity for Dissemination and Implementation of Patient-Centered Outcomes Research into Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-final-report-a.pdf
      January 01, 2025 - Experienced PFs can help determine the needs of practices and the support that sets them up for success … • Follow-up phone calls/emails between meetings to check on progress (three/month). … Appropriate and timely treatment of blood pressure and/or smoking cessation: Medication management; timely follow-up

3328. 2024 Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-workplace-safety-report-ptI.pdf
      January 01, 2024 - resources for workplace safety, and takes action to address concerns. 3 In addition to items that make up

3329. Assessing the Availability of the Preconception Component of High-Risk Obstetrical Services by Estimating the Use of Teratogenic Medications Before and During Pregnancy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
      August 07, 2018 - multidisciplinary expert panel that participated in a two round RAND/UCLA modified Delphi process, with enhanced follow-up

3330. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2020, Group Practice Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-group-practice-linkage-file-tech-doc.pdf
      January 01, 2020 - We follow the Centers for Medicare & Medicaid Services (CMS) in referring to TINs as group practices … The 2020 file includes information on 37,109 group practices (made up of 612,163 physicians) in systems … We follow the Centers for Medicare & Medicaid Services’ practice of referring to TINs, which are entities … Hospital-based settings included: • HOPD setting, made up of Off Campus-Outpatient Hospital (place … Tab order Passed All pages that contain annotations have tabbing order set to follow the logical structure

3331. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2022, Group Practice Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-group-practice-linkage-file-tech-doc.pdf
      January 01, 2022 - We follow the Centers for Medicare & Medicaid Services (CMS) in referring to TINs as group practices … The 2022 file includes information on 35,448 group practices (made up of 634,509 physicians) in systems … We follow the Centers for Medicare & Medicaid Services’ practice of referring to TINs, which are entities … Hospital-based settings included: • HOPD setting, made up of Off Campus-Outpatient Hospital (place … Tab order Passed All pages that contain annotations have tabbing order set to follow the logical structure

3332. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2021, Group Practice Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-group-practice-linkage-file-tech-doc.pdf
      January 01, 2021 - We follow the Centers for Medicare & Medicaid Services (CMS) in referring to TINs as group practices … The 2021 file includes information on 36,202 group practices (made up of 621,717 physicians) in systems … We follow the Centers for Medicare & Medicaid Services’ practice of referring to TINs, which are entities … Hospital-based settings included: • HOPD setting, made up of Off Campus-Outpatient Hospital (place … Tab order Passed All pages that contain annotations have tabbing order set to follow the logical structure

3333. Making Healthcare Safer Practices: 14. Delirium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
      March 01, 2020 - Therefore, older adults should be assessed frequently using standardized tools so that up-to-date baseline … In a subsample analysis in the postintervention period, more patients were “up to the chair” (i.e … training approach can improve participants’ perceived delirium care skills, confidence, and knowledge up

3334. Final Progress Report: A Memory-Based Approach to Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
      January 01, 2024 - During the monitoring stage, nurses must encode scheduled PM tasks, including remember to follow up to

3335. Compendium of U.S. Health Systems, 2020, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/2020-Compendium-TechDoc.pdf
      January 01, 2020 - CMS requires Medicare-certified institutional providers to submit annual cost reports, which make up … For hospital verification, IQVIA confirms with hospitals that their website is up to date. … represent promising options for constructing a detailed list of health systems and the providers that make up … Tab order Passed All pages that contain annotations have tabbing order set to follow the logical structure

3336. Compendium of U.S. Health Systems, 2021, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/2021-Compendium-TechDoc.pdf
      January 01, 2021 - CMS requires Medicare-certified institutional providers to submit annual cost reports, which make up … For hospital verification, IQVIA confirms with hospitals that their website is up to date. … represent promising options for constructing a detailed list of health systems and the providers that make up … Tab order Passed All pages that contain annotations have tabbing order set to follow the logical structure

3337. Final Progress Report: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/pines-mccarthy-report.pdf
      January 01, 2024 - EDs face both in the initial evaluation of patients and when patients are discharged and require follow-up

3338. Introduction to the Case Studies | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-intro.html
      November 01, 2014 - The second visit was to follow-up on the status and outcomes of all prospective case projects.

3339. From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
      January 01, 2004 - Introduction Up until now, most of the patient safety initiatives following the publication of the

3340. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
      January 01, 2024 - achieve a shared goal that requires coordinated action within and between teams.32 Thus, an MTS is made up … Manager Expectations & Actions Promoting Patient Safety (α = .92) 83 80 .88 Whenever pressure builds up … held against them.† 70 63 .07 When an event is reported, it feels like the person is being written up … “Teaming Up for Inpatient Falls-Risk Reduction.” … HRET HIIN falls webinar: Teaming up to jump the gap in falls.