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1041. The Impact of Health Information Technology on Work Process and Patient Care in Labor and Delivery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Campbell_47.pdf
      March 11, 2008 - care quality.1 Little research has been done on the impact of HIT, such as EHRs and other interventions … of care.8 1 Additionally, significant barriers have been identified as limiting ready adoption … National Hospital Discharge Survey. Advance data from vital and health statistics. … Factors and forces affecting EHR system adoption: Report of a 2004 ACMI discussion. … A systematic review of computer-based patient record systems and quality of care: More randomized clinical

1042. Section 3: Selecting and Targeting Populations for a Care Management Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3.html
      October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 3: Selecting and Targeting … and obesity. … State staff can analyze data from State-specific or national data sources to identify the most prevalent … Childhood asthma in North Carolina report. Raleigh, NC. March 1999. SCHS Study No. 113.   h. … National Center for Health Statistics. Report of final mortality statistics Hyattsville, MD, 2003.

1043. Best Practices in Public Reporting No. 3: How to Maximize Public Awareness and Use of Comparative Quality Reports Through Effective Promotion and Dissemination Strategies | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/public-reporting/guide3.html
      June 01, 2017 - This report, Report 3, applies social marketing and other principles to explore how to target reports … in the design, production, promotion, and dissemination of comparative health care quality and cost … This has been demonstrated to encourage them to improve the quality of care they provide, to protect … it easier for consumers to understand and use comparative health care quality reports. … Washington, DC: National Committee for Quality Assurance; October 2008.

1044. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
      January 01, 2024 - Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment … Final Progress Report 1.0 TITLE PAGE Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive … National Cancer Institute, 90% of 3 cancer care is delivered in ambulatory settings, and more than … DFCI pharmacy staff members reviewed each DFCI safety report and pharmacy intervention – including reports … A X X X X 4 Patient fails to report side effects or incompletely reports side effects M X X X X 4

1045. Introducing the CAHPS Cancer Care Survey" Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-cancer-care-transcript.pdf
      June 01, 2017 - So, we assess the quality of care, patient experience of care from the patient's point of view across … quality for cancer patients. … and the other 13 items are substantive report items. … For example, you might be looking for disparities in experience. … use to populate reports.

1046. Final Progress Report: Team-Based Safe Opioid Prescribing (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
      January 01, 2024 - Final Progress Report: Team-Based Safe Opioid Prescribing Title Page Title of Project: Team-Based … : • Clinicians and staff described an increase in confidence and comfort in three areas: the quality … of care they provided, the work processes, and their role in caring for patients using LtOT. … The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National … Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and

1047. Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral and social determinants of health (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/zabar-report.pdf
      January 01, 2024 - Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess … team performance in responding to behavioral and social determinants of health AHRQ Grant Final Progress … Figure 1: SDoH Report The dissemination plan for these reports can be found in Figure 2. … bi-weekly to residents • Attached to other routine reports Report 3 (September 2018) • Met with … Grading and reporting health and health disparities. Prev Chronic Dis. 2010;7(1):A16.

1048. Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
      May 01, 2024 - Institute for Healthcare Quality, Safety and Efficiency Katie E. Raffel, M.D. … Institute for Healthcare Quality, Safety and Efficiency Mark Kissler, M.D. … to bring the issue of medical error, patient harm, and the need for safer systems to a national stage … National Academies of Sciences, Engineering, and Medicine; Committee on Systems Approaches to Improve … Washington, DC: National Academies Press; 2019.

1049. Chapter 6. Measure Maps and Profiles (continued, 5) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6d.html
      June 01, 2014 - developed framework for cancer care quality measures. 2 Country: United States Past or Validated … Developing a reliable, valid, and feasible plan for quality of care measurement for cancer. … Development and testing of a measure designed to assess the quality of care transitions. … Development and testing of a measure designed to assess the quality of care transitions. … National Cancer Institute Grid-Enabled Measures Database (GEM), beta.

1050. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
      July 25, 2018 - Healthcare Qualities and Disparities Report, and the Consumer Assessment of Health Care Providers and … Gandhi was President and CEO of the National Patient Safety Foundation from 2013 until 2017 when they … Gandhi is a prominent advocate for patient safety at the regional, national, and international levels … Yount has been involved in developing the database reports for AHRQ's Surveys on Patient Safety Culture … The database reports show aggregate results and participating facilities can also receive feedback reports

1051. Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
      January 01, 2024 - of care and reduce adverse medication events in the ED. … they have a positive impact on medication safety and quality of care. … Ninety-nine percent of all respondents felt that the emergency pharmacist (EPh) improved quality of care … of care and medication safety. … of care in the ED.

1052. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
      August 01, 2022 - The inherent uncertainty of the diagnostic process makes it highly susceptible to errors.4 The National … Cognition + + 4 Nurses’ Role in Diagnosis, Through the Lens of Distributed Cognition The landmark report … National Academies of Sciences, Engineering, and Medicine. Improving Diagnosis in Healthcare. … Washington, DC: National Academies Press; 2015. 6. Draft Comparative Effectiveness Review. … Review: how do hospital organizational structure and processes affect quality of care?

1053. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
      August 01, 2022 - The inherent uncertainty of the diagnostic process makes it highly susceptible to errors.4 The National … Cognition + + 4 Nurses’ Role in Diagnosis, Through the Lens of Distributed Cognition The landmark report … National Academies of Sciences, Engineering, and Medicine. Improving Diagnosis in Healthcare. … Washington, DC: National Academies Press; 2015. 6. Draft Comparative Effectiveness Review. … Review: how do hospital organizational structure and processes affect quality of care?

1054. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
      January 01, 2025 - Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults AHRQ Grant Final … In general, I am satisfied with the quality of care that I provide to older patients Strongly disagree … Macroergonomics in health care quality and patient safety. … Human factors systems approach to healthcare quality and patient safety. … Development and testing of a measure designed to assess the quality of care transitions.

1055. Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
      August 01, 2024 - The findings and conclusions in this report do not necessarily represent the official position of the … For example, research indicates racial91 and geographic disparities in blood culture contamination.92,93 … For example, van Moll and colleagues described an analysis of voluntary incident reports at an academic … Clinical Laboratory Improvement Advisory Committee: Summary Report. … to diagnostic error: a voluntary incident report analysis.

1056. Advancing Patient Safety Through Diagnostic Excellence (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-diagnostic-excellence-webinar.pdf
      June 01, 2025 - Patient Safety Through Diagnostic Excellence Advancing Patient Safety Through Diagnostic Excellence NATIONAL … that patients tell their illness story (or history) fully and completely2-7: Providers often report … Patients also report that they do not feel heard by their providers, which may also lead to a breakdown … safety events • Grounded in an AHRQ Issue Brief on operational measurement • Co-developed with national … Announcing the Next NAA Monthly National Webinar Workforce Safety and Well-Being Webinar Series (Session

1057. System Redesign Responses to Challenges in Safety-Net Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
      June 01, 2015 - health care costs is well documented in the literature, a multitude of reports, and extensive media … System leaders recognize that this arrangement is problematic for patient access and quality of care … Over the past two decades, gaps in health care quality, cost, and efficiency have received widespread … of process improvement approaches to address deficiencies and to ensure top-level patient care quality … for safety-net systems to transform patient care quality and build the new models of care and the

1058. 2015 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2015_hp-chartbook.pdf
      January 01, 2015 - The authors of this report are responsible for its content. … The “report builder” feature allows users to create and download custom reports on demand. … NCQA chose not to publicly report the Health Plan Information and Customer Service composite in 2007 … • Report builder: The report builder feature allows users to create custom reports on demand, consisting … as the AHRQ National Healthcare Quality and Disparities Reports.

1059. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
      April 02, 2008 - reports. … The distinction between “patient safety” and “health care quality” is by no means clear and is, to … of care delivered to patients with diabetes might be excluded as quality-focused. … summary reports of these data to analyze our user’s content interests. … Washington DC: Committee on Quality of Health Care in America, Institute of Medicine; National Academies

1060. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
      January 01, 2025 - Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste Transdisciplinary … Washington, DC: The National Academies Press, 2000, p.312. 11. Bally L, Thabit H and Hovorka R. … National study on the distribution, causes, and consequences of voluntarily reported medication errors … Acrobat Accessibility Report Accessibility Report Filename: 23553 Sapirstein-V1 … -508.pdf Report created by: Rhea Jones, 508 Compliance Specialist Organization: [Personal