-
www.ahrq.gov/patient-safety/settings/hospital/match/figure-txt.html
July 01, 2022 - Any discrepancies or issues identified are resolved with prescriber. … Any discrepancies or issues identified are resolved with prescriber.
-
www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
January 01, 2024 - The index identified safety
threats during care transitions and targeted transitions for intervention … We focused on two crucial care processes identified in
preliminary work: (1) information management … SHHC providers rated each risk identified in SA1 on (1) its importance to ensuring
safety during care … Risks were identified based on frequency that something
happens (rarely, sometimes, very often). … We identified numerous consequences resulting from IM-related process failures (e.g., delays in
care
-
www.ahrq.gov/cahps/news-and-events/events/2020-meeting-summary.html
December 01, 2020 - Neighborhood identified a need to focus on improving customer service by oversampling plan members, analyzing … They then implemented over a dozen interventions to address the identified problems. … Based on a trend analysis, Kaiser Permanente identified the CAHPS “medication communication” composite … They identified the need to improve scores on the “listening carefully regarding care problems” composite … They also identified some barriers to making improvements, including the lag time between when the CAHPS
-
www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-d.html
June 01, 2020 - List of Other Research Gaps Identified by Study Participants
Health Services and Primary Care
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6h.html
June 01, 2014 - FE)
Purpose: To measure primary care quality and the extent to which it meets consumer needs, as identified … IT-enabled coordination: I3
Development and Testing: No testing was described in the sources identified … versions. 1, 2
Link to Outcomes or Health System Characteristics: None described in the sources identified … PE)
Purpose: To measure primary care quality and the extent to which it meets consumer needs, as identified … IT-enabled coordination: I3
Development and Testing: No testing was described in the sources identified
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-7-tables-5-8.pdf
June 02, 2025 - available for 17 members due to missing or
unmatched ZIP code, yielding n=1,563
***Among children identified … available for 17 members due to missing or
unmatched ZIP code, yielding n=1,563
***Among children identified
-
www.ahrq.gov/research/findings/evidence-based-reports/nutritn2tp.html
April 01, 2018 - , performed a literature search on the questions to identify potentially relevant publications, and identified … Challenges identified in this exercise include prioritizing and defining research questions when the
-
www.ahrq.gov/patient-safety/reports/engage/limitations.html
March 01, 2017 - Limitations of the Environmental Scan
Model of Patient Safety in Primary Care
Methods
Gaps Identified … Much of the work identified draws on expert panel recommendations, technical expert panel reports, and
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - Slide 22: Hospital Case Study
Subtitle slide: [Hospital not identified by name or location.] … Types of issues identified:
Incorrect procedures in the electronic scheduling system. … Issues identified:
Disposable light handles were changed. … Issues identified:
Count sheet mismatch to number of instruments in tray. … Issues identified:
Outdated preference card caused delay in case.
-
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-17.html
October 01, 2013 - proportion of eligible patients who received referrals to a CHERL by a clinician if the patient was identified … Practice; Primary Care – Internal Medicine
Denominator:
Number of eligible patients (those identified … selected for convenience in three Michigan communities were eligible for CHERL referral if a patient was identified
-
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-18.html
October 01, 2013 - proportion of eligible patients who received referrals to a CHERL by a clinician if the patient was identified … Practice; Primary Care – Internal Medicine
Denominator:
Number of eligible patients (those identified … selected for convenience in three Michigan communities were eligible for CHERL referral if a patient was identified
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
January 01, 2018 - In order to implement activities identified, goals and objectives should be specific, measurable, achievable … Activity:
Challenges identified:
Consider:
What does success look like … Implement cultural intervention of T.E.A.M.S. component that focuses on: Assess What's Working
Challenges identified
-
www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
April 01, 2018 - For example, if Hispanic patients were identified as a particular risk group from the literature, the … Any differences in the context of care identified during the site visits helped inform the probabilistic … For example, a patient-level factor (e.g., diabetes) was identified from the literature, a staff-level … factor (e.g., preoperative screening) was identified by the technical experts. … If the same contributors are identified after the sensitivity analyses, the model's integrity can be
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 02, 2025 - A problem was identified with inconsistent or absent documentation of present on admission (POA) skin … With the implementation of the EHR, the Team identified inconsistencies in documenting skin integrity … How is risk identified at shift handoff? … Validity means that research studies showed the tool accurately identified patients at increased risk … Care planning based on identified risk.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-self-assess-tool.pdf
June 02, 2025 - Before routine clinic
patients on LtOT…
visits, …are not identified. … …are sometimes identified,
but there is no discussion or
advance preparation for
visits with patients … …are identified, and a
discussion or chart review
to prepare for the visit
sometimes occurs. … …are consistently identified
and discussed before the visit. … resources to ensure that patients who develop OUD or who need mental and behavioral health resources are identified
-
www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
January 01, 2025 - Total themes identified = 15
• Equipment and supplies missing or not working properly
(2, 13.33%)
• … Total themes identified = 11
• The built environment is full of obstacles that make RAS
challenging … Total themes identified = 7
• Remove unnecessary equipment and personnel from the
ORs (4, 57.14%)
• … Total themes identified = 7
• Teams will be focused on using more clear
communication – closed-loop … Themes identified in open-ended reactions to the RAS Olympics
Reaction question Themes identified (n,
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-170-prenatal-screening-specifications.pdf
January 01, 2012 - within
the Denominator
All Patients
Identified within
the Exclusions
A
nd
N
ot
DIAGNOSTIC … Numerator
(N)
Identify Patients who have valid
Denominator Exceptions * (EXCEP)
All Patients
Identified … within
the Denominator
A
nd
All Patients
Identified within
the Denominator
A
nd
N
ot
No … Valid
Denominator
Exceptions for
this Measure
P
a
g
e All Patients
Identified within
2 DIAGNOSIS … within
the Denominator
A
nd
All Patients
Identified within
the Exclusions
A
nd
N
ot
LABORATORY
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
April 01, 2022 - = 6
AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI
QI in Action ׀ 6
Review of Gaps as Identified … what’s stopping your unit from delivering safer care
Brainstorm list of questions to ask from gaps identified … Program for ICUs: Preventing CLABSI and CAUTI
QI in Action ׀ 20
20
NCH Action Planning: The Gap
Identified … risk for CLABSI
Staff suggested it and want to own designing, implementing, and monitoring it
Staff identified … Staff identified this as the milestone they are reaching for, with the ultimate goal of reaching and
-
www.ahrq.gov/patient-safety/reports/engage/methods.html
March 01, 2017 - Limitations of the Environmental Scan
Model of Patient Safety in Primary Care
Methods
Gaps Identified … to improve patient safety,
Qualitative evaluation of effectiveness and usability of interventions identified … and Surveys
We conducted informal interviews and surveys first with our project team and then with identified … Intervention identified (Yes/No).
Include for further review (Yes/No). … Once resources were categorized, a team of patient safety domain experts reviewed and identified interventions
-
www.ahrq.gov/hai/cusp/modules/engage/exec-slides.html
December 01, 2012 - Collaborates To Develop and Implement a Plan Addressing Safety Issues
Considers patient risks identified … List identified safety issues in the Safety Issues Worksheet for Senior Executive Partnership or a tracking … How can you use those methods to address the safety issues you identified in your organization? … rounds, the patient safety team, senior executive, and unit providers should review any safety issues identified