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1081. 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

1082. 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?

1083. 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?

1084. 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.

1085. 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.

1086. 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.

1087. Advancing Patient Safety Through Diagnostic Excellence (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-diagnostic-excellence-webinar.pdf
      August 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

1088. 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

1089. 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.

1090. Methods (continued, 3) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3b.html
      July 01, 2018 - Conducting bedside change of shift reports is another strategy used to encourage patient and family involvement … are covered during the report, such as identifying patient priorities and team priorities. 172 Other … , the Re-Engineered Discharge (RED) program, has been adopted by the National Quality Forum as one of … For example, the widely known National Patient Safety Foundation's "Ask Me 3" and Joint Commission's … For example, one hospital system educated patients on safety issues during a National Patient Safety

1091. 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

1092. Simulation-Based Education Improves Patient Safety in Ambulatory Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
      March 12, 2008 - Wide disparities in approaches, unfamiliarity with equipment, lack of skills, and low confidence in … Give brief SBAR report to EMS. … Call report to receiving hospital/emergency department. … Washington, DC: National Academies Press; 1999. 2. … Implementation of Training Design and Implementation of Evaluation Results Immediate Self-Report

1093. Final Progress Report: Creation and validation of a training toolkit to ensure safe and proficient use of EHR by medical scribes (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/gold-report.pdf
      January 01, 2024 - Final Progress Report: Creation and validation of a training toolkit to ensure safe and proficient use … To better understand the role and functionality of scribes, we undertook a national survey of healthcare … use this information in conjunction with national experts in EHR safety and medical documentation to … Attitudes) and will be the term used throughout the remainder of this report. … Washington, DC: Institue of Medicine: National Academies Press; 2011. 5.

1094. Design Options for a Self-Management Support Program (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptmgmt/design2.html
      July 01, 2018 - Some individuals interviewed for this report also argued that nursing training frequently does not emphasize … Some access pharmacy records, lab reports, hospital admissions records, health risk assessments, and/ … recommendation for DSME follows: People with diabetes should receive DSME according to national … DSME should be reimbursed by third-party payers. 44 The national standards are structural criteria … Patients may receive action plans, visit reports, and/or tools such as calendars or diaries that combine

1095. Diagnostic Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/diagnostic-safety-issue-brief-test-result-communication.pdf
      July 01, 2024 - event reports, information technology help desk queries, and a survey of clinical staff. … Feasibility and acceptability of ChatGPT generated radiology report summaries for cancer patients. … Offerings and user demands of eHealth services in Spain: national survey. … Impact of a patient-facing enhanced genomic results report to improve understanding, engagement, and … reports.

1096. 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

1097. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
      September 26, 2019 - General methods for this report are described in the Methods section of the full report. … strategy and search-term details, are included in the report appendixes A through C. 6.1.3 Review … resources during periodic site visits, and developed national guidelines for CRE prevention. … Israeli National Policy for Carbapenem-Resistant Enterobacteriaceae Screening, Carrier Isolation and … in acute care settings Ninety-eight reports on CPE outbreaks were included, with 53 reports from

1098. A Tale of Three Practices: How Medical Groups are Improving the Patient Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/CaseStudyPatientExperience_July2011FINAL_revised20110728.pdf
      July 01, 2011 - The AVS module allows the provider to print out a summary report that can be given to the patient to … o Other improvement such as project summaries, reports and library of audio and video resources. … Aligning Forces for Quality is the Robert Wood Johnson Foundation’s signature effort to lift the overall quality … of health care in targeted communities, as well as reduce racial and ethnic disparities and provide … tested models for national reform.

1099. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
      March 01, 2016 - their quality of care and patient safety. … Oregon Health Care Quality Corporation feedback report excerpt on set of preventive screenings Clinic … for PROs under the Health Care Quality Improvement Program. … Oregon Health Care Quality Corporation. … Improving quality of care.

1100. Preparing a Questionnaire Using the CAHPS Clinician & Group Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/mhs/cahps-outpatient-mental-health-guidance.pdf
      December 01, 2024 - ethnic and racial disparities in healthcare, survey users may want to field translations of the survey … Note: Discrepancies Between Administrative Data and Self-Reports of Care In two major field tests … The survey developers continue to do research to understand why administrative data and self-reports … Improving the Quality of Health Care for Mental and Substance-Use Conditions: Quality Chasm Series. … Washington (DC): National Academies Press (US); 2006.