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www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
January 01, 2024 - Methods: We visually identified CBs, FREs, and sit-to-stand-and-walk (STSW) key events and
computed … Strategies for enabling STS (bouncing, scooting, leaning) were identified,
along with discontinuities … We identified corrective behaviors used
by subjects to prevent a fall in a patient room setting. … Of these, 19
elderly participants were identified as having had a Fall Risk Episode (FRE) during one … Proximal CBs were identified for each SJerk2 event.
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-appa.pdf
January 01, 2018 - non-Federal general acute care hospital flag in the hospital linkage file denotes hospitals that
were identified … Table A.1 describes
how non-Federal general acute care hospitals were identified in each data source
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www.ahrq.gov/patient-safety/reports/engage/appd.html
March 01, 2017 - Limitations of the Environmental Scan
Model of Patient Safety in Primary Care
Methods
Gaps Identified … Consumer Reporting Systems for Patient Safety Events
Detecting, Addressing, and Learning from Patient Identified
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-group-practice-linkage-file-tech-doc.pdf
January 01, 2022 - We identified four approaches to link group practices to candidate health systems and then
combined … (identified by TINs), which we use later to help link the group practices
to systems.xiii
xiii The … We
also added MA-only NPIs to TINs previously identified in the fee-for-service MD-PPAS v2.4
file. … Of these group practices sharing a TIN with a hospital, we identified linkages to
Compendium systems … specialties identified in the 2022 MD-PPAS v2.4 file.
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-group-practice-linkage-file-tech-doc.pdf
January 01, 2021 - We identified four approaches to link group practices to candidate health systems and then
combined … (identified by TINs), which we use later to help link the group practices
to systems.xiii
xiii The … We
also added MA-only NPIs to TINs previously identified in the fee-for-service MD-PPAS v2.4
file. … Of these group practices sharing a TIN with a hospital, we identified linkages to
Compendium systems … specialties identified in the 2021 MD-PPAS v2.4 file.
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www.ahrq.gov/workingforquality/events/past-webinars.html
November 01, 2016 - Results
Completed August 19, 2014
This Webinar offered:
An overview of the nine levers identified … Priorities
Completed May 13, 2014
This Webinar offered:
An overview of the nine levers identified
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apvii.html
June 01, 2010 - measure that should be developed and validated: proportion of persons with dementia who are correctly identified … surrogate decisionmaker or a search for a surrogate/preferences, or 3) indication that there is no identified … Ideal measure that should be developed and validated: surrogate decisionmakers are identified for HCBS … surrogate decisionmaker or a search for a surrogate/preferences, or 3) indication that there is no identified … Management of comorbid medical conditions
Goal: Comorbid medical conditions are identified in persons
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www.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
December 01, 2012 - For example, at a small community hospital, staff identified issues with recruiting physician champions … By addressing patient risks identified in the Staff Safety Assessment, senior executives are partnering … List identified safety issues
One of the most effective approaches to bridge the gap between senior … As a team, the executive and other team members can investigate a staff-identified safety defect listed … How can you use those methods to address the safety issues you identified in your organization?
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-facguide.html
March 01, 2017 - The engaged senior leader works to facilitate progress toward goals and removes identified barriers. … The senior leader—
Shares information about safety risks identified at the system level. … Discusses resident risks identified in the Staff Safety Assessment with team members. … Together as a team, the senior leader and other members can investigate a staff-identified safety issue … How can you use those methods to address the safety issues you identified in your organization?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap.html
October 01, 2014 - Eligible members, who are identified through Medicaid claims data, are stratified into either high-risk … Iowa then sent letters to the identified group, but enrolled only 17 members through this method. … Serving identified high-risk Medicaid beneficiaries, the program provides disease-specific management … After patients are identified, Central Plains contacts the potential enrollees for voluntary enrollment … Interventions, which vary, are based on member-identified needs, PCCM-identified needs, and utilization
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex4.html
July 01, 2018 - Because we identified and reviewed additional articles during analysis, the numbers of articles abstracted
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/French.pdf
April 27, 2004 - Methods: As part of a larger research program on high-risk medications and
patient injuries, we identified … Results: For the 17,558 patients receiving outpatient benzodiazepines, we
identified 297 inpatient injury … Introduction
Certain medications have been identified as risk factors for fall-related
injuries, … Using the PBM data, we
Benzodiazepine Prescribing and Adverse Events
187
identified a cohort … Injury identification
We identified a cohort of all patients receiving outpatient BZD prescriptions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
March 01, 2004 - The codes were grouped
into 66 AE classes, 23 of which were identified as potentially surgery-related … Results: The 23 classes identified AEs
associated with care management during the hospital stay with … They identified AEs specifically related to surgery with a PVP of 37
percent. … identified surgery-related AEs. … ICD-9-CM code-identified adverse events confirmed by medical record
Table 2.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - Introduction
The Institute of Medicine (IOM) report on medical errors identified
computerization … We identified coprescribing that
was thought to be clinically significant and of substantial frequency … They asked that
safety alerts be clearly identified as such and not subject to clinician override. … We also identified several issues that might be important and
common to other organizations. … We were
limited in our ability to respond to all of the identified issues.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - This
group meets monthly to discuss issues related to the tool, data issues, and information identified … The PEERs system attempts to measure how events are identified. … Twenty-three percent of the reports were identified by human diligence, but
only 3 percent were identified … due to a built-in safety system; 4 percent were identified by a
quality assurance process. … Because potential events identified by built-in safety systems could be interpreted as successes
rather
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/worksheet.docx
May 01, 2017 - Identified Issues
Potential/Recommended Solutions
Resources Needed
1.
2.
3.
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-nh-linkage-techdoc.pdf
January 01, 2022 - referred to as integrated delivery networks [IDNs]
in the OneKey data) are one type of corporate parent identified … corporate parent and
Compendium health system information may exist because:
• The corporate parent identified … linkage file are parent
systems; relationships between nursing homes and subsystems are not directly identified … Relationships with organizations not considered Compendium
health systems may be identified in the corporate … the nursing home linkage
file relies on the set of nursing homes and relationships to health systems identified
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-nh-linkage-techdoc.pdf
January 01, 2020 - referred to as integrated delivery networks [IDNs]
in the OneKey data) are one type of corporate parent identified … corporate parent and
Compendium health system information may exist because:
• The corporate parent identified … linkage file are parent
systems; relationships between nursing homes and subsystems are not directly identified … Relationships with organizations not considered Compendium
health systems may be identified in the corporate … the nursing home
linkage file relies on the set of nursing homes and relationships to health systems identified
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www.ahrq.gov/prevention/resources/depression/depsum1.html
April 01, 2013 - including pharmacologic and behavioral or counseling interventions, are available for depressed patients identified … Two of the authors independently reviewed the titles and abstracts of the articles identified by the … Goldberg applied the self-administered General Health Questionnaire to 1,093 primary care patients and identified … Patients whose physicians received feedback were three times more likely to be accurately identified … Patients identified as depressed were treated with alprazolam, a benzodiazepine drug that is currently
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter5.html
June 01, 2014 - Relevant information for each section of the profile was obtained and extracted from publications identified … Once you have identified the relevant measures, go to the Measure Profiles section to examine the relevant … particularly important to review because it maps to the Patient/Family perspective of all 7 domains identified … Once you have identified each measure that maps to your intervention and evaluation mechanisms and perspectives … Example
There are 37 different measures that map to the Patient/Family perspective of the 7 domains identified