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  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
    January 01, 2024 - Americans’ Experiences With Medical Errors and Views on Patient Safety. … Challenges and opportunities facing medical education. … Focused ethnography of diagnosis in academic medical centers. … Frequency that laboratory tests influence medical decisions. … Diagnostic error as a result of drug-laboratory test interactions.
  2. www.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
    April 01, 2021 - clinicians and leadership in the health system. 1 The ASCENT Lab's innovations included creating test … population management software that allowed healthcare professionals to actively track subcritical test … Are patients electronically accessing their medical records? … Certified medical interpreters’ perspectives on relationship-centered communication in safety-net care … Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods
  3. www.ahrq.gov/news/newsletters/e-newsletter/923.html
    July 01, 2024 - AHRQ Seeks Nursing Homes for Pilot Test of Surveys on Patient Safety Culture Nursing Home Survey 2.0 … Adults Have Had Long COVID New data from AHRQ’s Medical Expenditure Panel Survey indicate that about … The Medical Expenditure Panel Survey (MEPS) explores health insurance coverage, healthcare use, and … AHRQ Seeks Nursing Homes for Pilot Test of Surveys on Patient Safety Culture Nursing Home Survey 2.0 … AHRQ seeks nursing homes to participate in a pilot test of an update to the Surveys on Patient Safety
  4. www.ahrq.gov/patient-safety/reports/engage/addresources.html
    April 01, 2018 - from across the country were developed: Open Notes is a tool that gives patients access to their medical … original intervention materials were field tested initially with 15 practices (12 completed the field test … Feedback from the field test was used to improve the materials to enhance the adoption of the strategies
  5. www.ahrq.gov/sops/news.html
    March 01, 2025 - Medical Office Survey on Patient Safety Culture : Sept. 2 – 19 .  … Medical offices can also submit data from the:  Diagnostic Safety Supplemental Items . … The report displays results from 102 medical offices with 760 providers and staff. … of workplace safety in nursing homes, an overview of the supplemental item set, results from a pilot test … Results from a pilot test  (PDF, 3 MB) of the Workplace Safety Supplemental Item Set in 48 U.S. nursing
  6. www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
    March 11, 2022 - consultant for the Division of Patient Safety and Clinical Risk Management and is also looking to hire a medical … VA • The External Peer Review Program is being used to determine the quality of test results communication … o The aim is to accelerate the improvement of test result communication in the VA. … SAFER Guides to assess their forthcoming electronic health record (EHR) implementation, including test
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
    May 01, 2023 - Diagnostic Safety Resource List Improving Diagnostic Safety in Medical Offices: A Resource List for … https://www.improvediagnosis.org/practice-improvement-tools/surenet/ The SureNet program identifies test … Communicating Critical Test Results Toolkit http://www.macoalition.org/Initiatives/CCTRToolkit.shtml … Loop Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era Communicating Critical Test … Communicating Critical Test Results Toolkit 2.
  8. www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
    January 01, 2025 - Based on participant feedback and findings from this initial test of our clinical cases, we further … test necessary to correctly diagnosis the patient. … history, not conducting a complete medical exam, ordering a less diagnostic but faster test to expedite … Future research is needed to further test this and other cognitive interventions. … The Impact of Rudeness on Medical Team Performance: A Randomized Trial.
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-MOSOPS-Database-Report-Part-II-508.pdf
    January 01, 2022 - (Item A7) 79% 86% 82% 77% 70% 70% 59% Diagnostics and Tests The results from a lab or imaging test … (Item A8) 82% 84% 82% 77% 73% 77% 68% A critical abnormal result from a lab or imaging test was not … (Item A7) 79% 67% Diagnostics and Tests The results from a lab or imaging test were not available … (Item A8) 79% 73% A critical abnormal result from a lab or imaging test was not followed up within … (Item A8) 80% 62% 71% 75% 82% 74% 86% 87% A critical abnormal result from a lab or imaging test was
  10. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-3.html
    June 01, 2020 - While diagnostic errors occur across the spectrum of medical practice, measurement should be strategic … While diagnostic errors occur across the spectrum of medical practice, measurement should be strategic … targets may be in line with: Published literature (e.g., research showing a high rate of missed test … they could conduct additional activities related to quality improvement, such as: Better managing test … they are acted on. 105 Conducting a self-assessment of reliability of communication and reporting of test
  11. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_II_508.pdf
    January 01, 2020 - The results from a lab or imaging test were not available when needed. … The results from a lab or imaging test were not available when needed. … The results from a lab or imaging test were not available when needed. … The results from a lab or imaging test were not available when needed. … The results from a lab or imaging test were not available when needed.
  12. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/american-indian-eng-851.docx
    March 04, 2009 - In the last 12 months, did you call a [NAME OF PROVIDER] clinic for medical help or advice after regular … , when you called a [NAME OF PROVIDER] clinic after regular office hours, how often did you get the medical … 12 months, how often did the specialists you saw seem to know the important information about your medical … , or other test? … In the last 12 months, when a health professional sent you for a blood test, x-ray, or other test, how
  13. www.ahrq.gov/patient-safety/resources/learning-lab/optimizing-safety-long-desc.html
    June 01, 2020 - The laboratory carried out four interrelated projects to: Develop and test an optimal neonatal resuscitation … Develop and test an optimal maternal data display. … The display—linked to the electronic medical record (EMR)—provides easily recognizable visual cues (e.g … Medical device design education: identifying problems through observation and hands-on training . … Evaluation of electronic medical records on nurses' time allocation during cesarean delivery .
  14. www.ahrq.gov/prevention/chronic-care/decision/research-centers/rce_profile_petithomme.html
    November 01, 2013 - Chicago When Anita Petit-Homme learned about the opportunity to be a part of a training program for medical … This was one of the few on-campus opportunities for medical students to work on issues related to health … (FOBT is a relatively low cost colorectal cancer screening test that is an alternative to a more invasive
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/tool4b_pc-setting.pptx
    January 10, 2017 - decision after diagnosis is to determine the appropriate site of care.” c Outpatient Hospitalization on a medical … CRB-65 Criteria for 30-Day Mortality The CRB-65 test provides a severity of illness score.f It requires … presenting with symptoms consistent with pneumonia: Element Specifications Confusion Based on specific test … The CRB-65 is adapted from the CURB-65 test, and is an acceptable alternative when BUN testing is unavailable … Demonstration CAP CDS alert for the primary care setting using CRB-65 Demonstration of the CAP CDS Alert Medical
  16. www.ahrq.gov/news/newsletters/e-newsletter/925.html
    August 01, 2024 - Issue Brief Addresses Electronic Test Result Communication in the Era of the Cures Act. … Gail Sept 10 to 12: Medical Expenditure Panel Survey (MEPS)-Household Component Workshop will provide … Issue Brief Addresses Electronic Test Result Communication in the Era of the Cures Act A new issue brief … Healthcare organizations now routinely make test results available within patient portals when results … than those who were eligible before the ACA was passed, according to an analysis of data from AHRQ's Medical
  17. www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
    January 01, 2020 - Focusing on Microsystems One useful way for health plans and medical groups to approach the process … This step involves monitoring outcomes to test the validity of the plan for signs of progress and success … Short-cycle, small-scale tests, coupled with analysis of test results, are helpful because microsystems … Innovative thinking for the improvement of medical systems . Ann Intern Med 1999;131:438-44. … stage of the cycle is to develop and test specific changes.
  18. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_cg_cahps_chartbook.pdf
    January 01, 2016 - Follow-up on Test Results Q22/Q27 In the last 12/6 months, when this provider ordered a blood test … , x-ray, or other test for you, how often did someone from this provider’s office to give you those … Sometimes  Usually  Always Q17/Q18 In the last 6 months, when this provider ordered a blood test … , x-ray, or other test for you, how often did someone from this provider’s office follow up to give … , x-ray, or other test for your child, how often did someone from this provider’s office follow up
  19. SOPS Program Brief (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-program-brief-2024.pdf
    January 01, 2024 - SOPS Surveys Five SOPS surveys are available: Hospitals, Nursing Homes, Medical Offices, Community …  Value and Efficiency (Hospital; Medical Office). …  Diagnostic Safety (Medical Office). …  Develop and cognitively test draft items. … Draft survey items and cognitively test the items with healthcare providers and staff to determine
  20. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
    March 01, 2016 - Hummel is a general internist who has more than 30 years of medical experience, including extensive … He currently helps practices adapt their electronic medical records to workflow processes that improve … One by one, the Medical Director and her DBA figured out and corrected the cause of each error. … Laboratory results will be linked with the corresponding order for the test. … • The most recent date and value for a blood test is not included in a report because the test

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