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www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
January 01, 2024 - Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement
Improving the Safety of Primary Care by Measuring Adverse Events and Improvement
Principal Investigator:
Donald A. Kennerly, MD, PhD
Study Team:
Kenneth Bruce Bayley, PhD
Ashley Collinsworth, MPH
Teri Cowlin…
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www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
September 01, 2015 - innovation loses its separate identity as a
project and becomes embedded into daily work flow, and the improvements … Too often, well-meaning staff and clinical teams undertake patient safety projects, achieve
improvements … , and then fail to maintain those improvements over time. … A Framework for Spread: From Local
Improvements to System-Wide Change.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-facguide.html
March 01, 2017 - of Resident and Family Engagement 1
Say:
Resident and family engagement supports a variety of improvements … These improvements occur as a result of engaging the unique perspectives of residents and families in … It is also important to share that change can be difficult and that all improvements involve some change … State is required to have an Ombudsman Program that addresses resident complaints and advocates for improvements
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
September 01, 2015 - innovation loses its separate identity as a
project and becomes embedded into daily work flow, and the improvements … Too often, well-meaning staff and clinical teams undertake patient safety projects, achieve
improvements … , and then fail to maintain those improvements over time. … A Framework for Spread: From Local
Improvements to System-Wide Change.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
September 01, 2015 - the team includes representatives of staff in operational areas that will help implement the
desired improvements … thousands of changes possible
those that are most likely to be “high yield” and lead to the greatest improvements … existing workflows and assist the QI team and practice to redesign various workflows to
support desired improvements … next set of goals that they may want
to work on, which should include continued monitoring of the improvements
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www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - There were significant improvements (all p-values < .05) in the follow-up surveys compared with the baseline … The precise impact of the training on these improvements cannot be determined from this study; nevertheless … truthful information about minor harmful errors, and organizations may benefit from committing to quality improvements … The improvements in minor error disclosure culture and serious error disclosure culture observed between
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
January 01, 2007 - Although reviews demonstrate improvements, compliance with algorithms
is rarely measured in real time … performance
not found in other quality improvement processes.13
Future Implementation
Possible Improvements … Conclusion
The need for improvements in real-time medical decision support is recognized in both the … Compliance
Impact of the TR & R Project on Advancing Decision Support
Future Implementation
Possible Improvements
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapn.html
April 01, 2018 - Has feedback/reporting from such a system led to improvements in care where you practice?
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-5-table-2.pdf
May 01, 2010 - appropriate follow-up are associated with
more accurate parental perception of child
overweight and improvements
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-5-table-2.pdf
May 01, 2010 - appropriate follow-up are associated with
more accurate parental perception of child
overweight and improvements
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www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirement1.html
February 01, 2014 - CMS considered the SNAC recommendations and advised the Secretary of HHS on potential improvements to
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/appb.html
October 01, 2015 - How are CHIPRA quality demonstration States using quality reports to drive health care improvements for
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/fl.html
March 01, 2019 - Highlight No. 11 : How are CHIPRA quality demonstration States using quality reports to drive health care improvements
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
February 01, 2005 - strategies could yield significant benefits in medical error research as
well as major operational improvements … Such improvements could take place through new kinds of contractual
arrangements with physicians and
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-fullreport.pdf
April 01, 2018 - In States where this reporting already exists through
other methods, the HIE reporting will enable improvements … In States where this
reporting already exists through other methods, the HIE reporting will enable improvements
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - Further, stakeholders agreed that health systems had a responsibility to ensure that errors invoke system improvements … Evaluating and monitoring system use and resulting clinical care improvements were a significant focus
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www.ahrq.gov/sites/default/files/2024-01/jones1-report.pdf
January 01, 2024 - Our study suggests that improving pain assessment practices
may be easier to achieve than improvements … environment, and
regulatory culture and climate must all be addressed and overcome before quality
improvements
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www.ahrq.gov/sites/default/files/2024-12/nishimi-report.pdf
January 01, 2024 - ongoing for a physician
demonstration project that increases payment if there are measurable outcome
improvements … She noted several improvements
in healthcare quality, including the following:
• Children today are
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
July 01, 2016 - We cannot assume direct causal links between the
CHIPRA Quality Demonstration Grant Program and
improvements … How are CHIPRA quality
demonstration states using quality reports to drive health care
improvements
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www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
April 01, 2013 - Investigation and ownership of outcomes and improvements; this is a crucial piece because we all need … do get more of a robust culture built around using CUSP, and that in order to target the unit-based improvements