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1221. Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
      April 23, 2004 - remedial educational efforts are directed toward all clinical staff after an error has occurred, not just … At a societal level, the culture of error issues blame and exacts penalties, which stifles the open … This is a no-cost improvement dependent upon change in professional and local cultures.

1222. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
      September 01, 2017 - Infection             23 IV fluids given         1 1 24 Blood cultures … On 3/8/15, he had just returned to the nursing home from a prior hospitalization.

1223. Developmental Screening and Follow-Up: Follow-Up Referral Tracking (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-205-fullreport.pdf
      January 01, 2014 - These high scores indicate participants’ belief that this measure accurately represents the concept … it important that critical children are referred for further evaluation and interventions but it is just

1224. Using Home Visits to Understand Medication Errors in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
      May 28, 2008 - could be expanded to measure rates of errors in medication use among the entire family, rather than just

1225. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
      May 01, 2011 - consumers and providers to work collaboratively to achieve health care that is safe, compassionate, and just … cultural barriers to reporting and making it available for health care workers and witnesses, not just … Pilot testing will need to assess not just whether these system design features are feasible, but whether

1226. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
      May 01, 2011 - consumers and providers to work collaboratively to achieve health care that is safe, compassionate, and just … cultural barriers to reporting and making it available for health care workers and witnesses, not just … Pilot testing will need to assess not just whether these system design features are feasible, but whether

1227. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
      January 01, 2024 - available with user assignment • Curated Search: Aging resources and health information filtered through a custom … One system design was based on the belief that families are the key to the community of care around … Not Just For The Millennials: A Cross-Sectional Analysis Of Secure Messaging Use Among Elders, Families

1228. Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions, Version 2: Evaluation Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ecareplan/reports/ecare-plan-for-mcc-v2.pdf
      January 01, 2025 - A custom interceptor modifies the server’s behavior, enabling efficient management of endpoint-level … organizations involved in the intervention, including structural characteristics, networks and communications, culture … The process lasted just under 11 months, which is within the expected time frame of 6–18 months. … These proportions improved to 93.9% and 6.1%, respectively, when limited to just those participants … Developing workarounds and custom solutions to address specific vendor limitations and continuously

1229. Depression Screening and Follow-up for Adolescents and Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-246-fullreport.pdf
      December 01, 2019 - According to the CDC, if an individual experiences just one episode of depression, he or she is at a

1230. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
      October 27, 2014 - Exhibit A3 shows just the percent change in HACs from the 2010 baseline to the interim 2013 rate. … Culture and Redesign. Rockville, MD: Agency for Healthcare Research and Quality; 2008.

1231. Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
      January 01, 2024 - practice to test the ability of an ambulatory care patient safety program to improve patient safety culture … This 4- to 6-hour study period occurred the week just prior to the chart reviews were to begin.

1232. Final Progress Report: Pediatric Emergency Assessment Tool (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/gorelick-report.pdf
      January 01, 2024 - Importantly, a risk adjustment index should be applicable to all pediatric emergency patients, not just … fluids (including blood tests, urine tests, lumbar puncture) -- exclude urine pregnancy test or throat culture

1233. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
      January 01, 2024 - Patient safety culture, health information technology implementation, and medical office problems that … Improving test result follow-up through electronic health records requires more than just an alert.

1234. Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-245-fullreport.pdf
      December 01, 2019 - The Centers for Disease Control and Prevention (CDC) noted that if an individual experiences just one

1235. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
      October 01, 2015 - Exhibit A3 shows just the percent change in HACs from the 2010 baseline to the 2013 rate. … Culture and Redesign. Rockville, MD: Agency for Healthcare Research and Quality; 2008.

1236. Attachments 5.1 through 5.5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-v-a.pdf
      June 25, 2014 - Nearly 10% stated they did not have enough information and just over 4% indicated ‘suspected ADHD’.

1237. Health Assessments A Primary Care Practice Improvement Activity (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_ha.pdf
      February 05, 2015 - improvement and the importance of pursuing meaningful synergism of these activities within a broader culture … Key Health Assessment Implementation Quality Aims • Use them with a broad range of patients, not just … • Focus on just a few health assessment topics in your baseline data that you want to work on to

1238. Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/estimating-costs-primary-care-transformation.pdf
      July 31, 2015 - meet the standards of care necessary to obtain certification; however, other practices implemented just … In addition to the practice organizational survey, the research team also used an organizational culture

1239. 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 - They go beyond just recording the live learning collaborative session, and instead ask presenters to

1240. Ncinqtobaccousehelpform (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelpForm.pdf
      August 01, 2012 - Just over half of the sample was female (51.8%). … suggested that structural attributes should include organizational characteristics such as leadership and culture