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2821. Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
      January 01, 2024 - variety of reasons for this, including feeling poorly from their disease and its treatment or the belief … enhancements based on lessons learned during Aim 1, and adaptations to take into account the specific culture … and errors may hesitate to alert the healthcare institution or other entities to what went wrong, just … has provided WWTK message to patients all along, WWTK just gives it a name Perception that patients … Hospital Survey on Patient Safety Culture.

2822. Use of Electronic Personal Health Records as a Health Risk-Reduction Discussion Tool - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r36hs023057-jackman-final-report-2016.pdf
      January 01, 2016 - Intentional beliefs for receiving electronic STD results (OR=14.7; p<0.001), beliefs that PHRs improve … that discussion would be awkward 47 (28.1) 53 (28.3) 100 (28.3) Belief that people can lie either … Belief that PHRs are beneficial to partner communication were held by 92.3% of adopters and 71.2% of … There was also a significant association between this belief and gender. … Just over half, (53.8%) of adopters and 39.0% of rejecters believe that peers will influence dyadic

2823. Case Studies of Exemplary Primary Care Practice Facilitation Training Programs (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/pfcases.pdf
      August 01, 2014 - management and relationship-building skills needed to successfully facilitate transformation to a culture … “[Coaching] is not something [that just] anyone can do. … The eventual goal is to extend this community to include PFs nationwide and not just those affiliated … driver implementation scale [KDIS], etc.) 3 Planning and facilitating effective practice visits 3 Custom … ) ▲ Custom report writing, extracting clinical improvement measures data from EHR ▲ QI data (e.g.

2824. Tools for Reducing Central Line-Associated Blood Stream Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
      January 01, 2013 - interpersonal communication improved aviation safety, the same is not yet true in health care’s hierarchical culture … CLABSI in clear, real terms and present the actual number of infections over a period of time, not just

2825. Documentation and Coding for the AHRQ Pediatric Quality Indicators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
      March 15, 2016 - Expert Coding Coders should be encouraged and empowered to focus on the quality of coding, not just … successfully used a variety of structures for their CDI program, depending on their specific needs and cultures … X PDI 10 Postoperative Sepsis X Negative or inconclusive blood cultures do not preclude a diagnosis

2826. Managing Personal Health Information: An Action Agenda (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/AHRQ_Personal_Health_InfoFinalReport_FINAL508compliant.pdf
      March 01, 2010 - User motivation (including beliefs and preferences). … PHIM is not restricted to just the home or the doctor’s office; its inherent tasks and activities occur … developers need to consider the full range of potential users who can benefit from consumer health IT, not just … physicians’ role in managing health information and making health care decisions; and physicians’ beliefs … improvements would make consumer health IT tools and systems widely available to all consumers, not just

2827. Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
      January 01, 2024 - family, referring providers, proceduralists, information resources, technology, prevailing safety culture … priority population in the US healthcare 1 It is important to note that control mechanisms include not just … influence through policies, shared values, perceptions, tolerance, and other aspects of organizational culture

2828. Using the Electronic Health Record To Identify Children Likely To Suffer Last-Minute Surgery Cancellation - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs024983-pratap-final-report-2019.pdf
      January 01, 2019 - psychosocial research.4 In view of the differences between local communities and institutional policies and cultures … similarities in policies and culture … All cases had a valid patient identifier for tracking with just 35 (0.068%) excluded for missing data

2829. Disposition of Comments for Evidence Report #208 Part 5 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/public-reporting-quality-improvement_disposition-comments.pdf
      July 26, 2012 - Internet and health information, it would seem likely that more recent research examined consumer beliefs … I am not arguing that the study should be removed from the report, but just that its importance is … of the outcomes) in what study populations, and include citations that identify these studies (not just … Assume this means not just individual clinicians, but also perhaps system-level changes in quality

2830. Operational Redesign Through Workflow Analysis (pdf file)
      digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_operational_redesign_patient_flow_worksheet.pdf
      January 01, 2007 - They just need to incorporate an electronic way of documenting that care. … Responsibilities and Common Practices by Role You want to have a picture of the current documentation “culture … They just need to incorporate an electronic way of documenting that care.

2831. AHRQ Summit to Address Emergency Department Boarding (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
      March 01, 2025 - There were just probably no staff for those beds. … And I just remember thinking, “This can’t be American healthcare.” … Carr: I have to ask myself now [in my new role], not just - am I going to prioritize the patient in … And … from the ED perspective, that might feel just fine. … experts in health services research, economics, sociology, ethnography, medical ethics, organizational culture

2832. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
      psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
      June 28, 2023 - These transitions are not just between physical locations, but between providers with different procedural … December 3, 2008 Effect of a central call center on employee perceptions of safety culture

2833. The Relationship Between Hospital Workload and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
      January 01, 2024 - This is just one equation – one model. … However, seven of those infections had positive microbiology culture results that could have been used … The specimen codes used by those cultures were not codes used by the computer logic to identify wound … Thus, seven wounds were missed by computerized surveillance when study patients had positive culture … terms used for specimen and body site screening by computer surveillance were not included in those culture

2834. Appendix E to the Final Report Barriers to Meaningful Use in Medicaid: Analysis and Recommendations (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixE.pdf
      October 31, 2013 - We just want to hear what you have to say. … Guide.): • Awareness of peers who have had success with EHRs • Belief there is evidence that EHRs … scope of change – Costs (financial and otherwise) – Lack of leadership – Risks – Organizational culture

2835. Combining Performance Feedback and Evidence-based Educational Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
      January 01, 2004 - and communicated throughout a system characterized by complex operations, established organizational culture … The feedback-only group of 60 hospitals receives just the semiannual surveillance reports. … baseline data; identify areas for improvement; establish goals; and plan for change, i.e., create a culture … In 2001, JCAHO patient safety standards required hospital leadership to create a nonpunitive culture … include dissemination intensity, past experience with data, performance achieved, and organizational culture

2836. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
      September 01, 2019 - Surveys on Patient Safety Culture™ and SOPS™ are trademarks of AHRQ. … Measures and Associated Items Dropped From HSOPS 2.0 Overall Perceptions of Patient Safety It is just … provider and staff list, is explained in Chapter 3 of the AHRQ Hospital Survey on Patient Safety Culture … to administer the surveys and analyze the data, refer to the AHRQ Hospital Survey on Patient Safety Culture … in scores that are due to changes that were made in HSOPS 2.0 rather than changes in patient safety culture

2837. Appendix F. Interventions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
      January 01, 2015 - Patient safety culture in primary care: developing a theoretical framework for practical use Yes No … Moderate Evidence synthesis with recommendations for improving safety culture. … Is ambulatory patient safety just like hospital safety, only without the "stat"? … Building a culture of engagement for Medicare/Medicaid enrollees: health plan approaches Yes Yes Suggestive

2838. Patient Readiness to Use Internet Health Resources (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/k08hs017948-koopman-final-report-2014.pdf
      January 01, 2014 - Domains and factors include not just measures of computer and internet ability and media literacy that … Validating this work for use in other languages and cultures would likely need to examine this cultural

2839. The SHARE Approach: Facilitator's Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/share-facilitator-guide.pdf
      October 01, 2024 - Introduction for your group (read aloud) An important conceptual barrier to shared decision making is the belief … > The treatments I just described are not always effective for everyone, and the chances of having

2840. The Facilitation Primer: Strategies, Tools & Considerations to Get You Started (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/stakeholders-engagement-others_research-2012.pdf
      January 01, 2012 - Stakeholders are interested in different outcomes, come from different cultures, and often use different … already-occurring meetings of consumers Individual interviews 9 Focus and Staying on Track Just