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921. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiref.html
     April 01, 2018 - Use of national surgical quality improvement program data as a catalyst for quality improvement. … Linkage of microbiology reports and hospital discharge diagnoses for surveillance of surgical site infections … nosocomial infections are missed if identification is restricted to patients with either microbiology reports … National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through … Should national standards for reporting surgical site infections distinguish between primary and revision

922. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
     January 01, 2024 - Summary reports of adverse events are distributed in the majority of sampled hospitals and significantly … While nearly all hospitals indicate that they produce summary reports of adverse events, the use of … There is substantial variation in the frequency with which summary reports are distributed, and the … believed that the summary reports (of adverse events) disseminated by their hospital are helpful in … policy making at the local and national level.

923. Chapter 6. Measure Maps and Profiles (continued, 22) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6u.html
     June 01, 2014 - care quality that are important to parents in the area of preventive care for their children. … The information can be stored to provide automated feedback reports, identifying quality improvement … feedback report that provides guidance on questions to ask at their next well child visit. … Toward Appropriate, Meaningful and Valid Measurement of Differences in Health Care Quality Across Culturally … Diverse Populations Using Consumer Reported Measures of Health Care Quality.

924. Part Two: Design of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
     February 01, 2016 - A frequently-used comparator is the national, regional, or practice average. … A national, regional, or practice average also could be a benchmark, if the report developer views the … of Care™), if they are further bounded by a time increment, but may be less likely in others (e.g., national … is logical and clear, and the landing page (for a Web-based report) or the table of contents (for a … hard copy report) clearly explains how the report is organized and where to find specific elements (

925. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - • “SBAR Report to Physician About a Critical Situation” is a worksheet/script a provider can use … ensuring that staff members continue to report safety issues. … Defining transparency as “the free flow of information that is open to the scrutiny of others,” this report … Incident Decision Tree supports the aim of creating an open culture, where employees feel able to report … - Safety/Pages/National-Action-Plan-to-Advance-Patient-Safety.aspx (requires free account setup and

926. Final Progress Report: Improving Patient Safety by Examining Pathology Errors (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
     January 01, 2025 - Final Progress Report: Improving Patient Safety by Examining Pathology Errors Improving Patient Safety … Amended report resulting from an interpretation error: a case report and review of the literature. … Amended reports: development and validation of a taxonomy of defects. … Using a validated taxonomy of amended reports to study and improve surgical pathology practice. … A quality report.

927. Analysis of Requirements for Coverage With Evidence Development (CED) - Topic Refinement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-topic-refinement.pdf
     November 01, 2022 - the quality of healthcare in the United States. … National Institute of Minority Health and Health Disparities Bethesda, M.D. Kathryn A. … Registries are also registered in the Agency for Healthcare Quality (AHRQ) Registry of Patient Registries … The National Academies Collection: Reports funded by National Institutes of Health. … The National Academies Collection: Reports funded by National Institutes of Health.

928. AHRQ Slide Template-Regular
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/assessing/takeheart-summary-presentation.pptx
     April 26, 2023 - addressing disparities in referral and enrollment by engaging members of CR community in peer-to-peer … Was Accomplished: Recruitment Partnered with national organizations AHA/HRET (sub and lead), Million … resources for launching and operating a successful HYCR program Final Scan Report summarizing what is … skill to interpret, summarize and integrate with quantitative reports Most participating CR programs … “Conducting a National Dissemination and Implementation Project during the Pandemic: Learnings from TAKEheart

929. State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
     January 17, 2024 - hearing loss.44 The National Council on Aging reports that 94.9 percent of adults age 60 or older have … of care, and quality of life associated with better communication strategies.123 Evidence-based interventions … Establishing payer-related policies to improve healthcare quality and value. … Missed diagnosis of liver cirrhosis leads to disparities in care for older patients. … National Alliance for Caregiving and AARP. Caregiving in the U.S. 2020 Report.

930. 2024 Network of Patient Safety Databases Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
     January 01, 2024 - used in this report. … PSOs collect voluntary reports from healthcare providers and submit data to the PSO Privacy Protection … Medication and Other Substance reports were divided into three groups: Incident where the event reached … The remainder of this report will reflect a focus on Medication or Other Substance reports described … Incorrect actions include patient safety reports that are Incidents and Near Misses.

931. Chapter 6. Discussion and Policy Implications | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
     August 01, 2022 - This report presents the draft consensus recommendations from the Technical Expert Panel (TEP) and … Pilot testing will also yield insights with regard to the number and volume of consumer reports, which … What evidence will be needed to garner support at local, State, and national levels for the system? … incorporation of such reports into their quality and patient safety improvement efforts. … Parallel to the process created for the development and operation of PSOs, State or national legislation

932. Session 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
     October 01, 2014 - According to the National Center for Injury Prevention and Control, "fall prevention takes a combination … But even if you think a mistake may have happened, you must report the change. … Residents are most protected from harm or injury when providers openly report anything that might affect … worry that if we report the problem our job performance could be questioned or we might get punished … Boston, MA: National Patient Safety Foundation; 1997.

933. Chipra202-Materials Vib (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_VIB.pdf
     January 01, 2013 - Sinai Pediatrics Murray State University National Association of Pediatric Nurse Practitioners Naval … Research Analyst School Nurse and PNP Senior Advisor, Child Health and Quality Improvement Senior … for Developmental Surveillance and Screening. … National Collaborative for Innovation in Quality Measurement Center of Excellence (NCINQ). … Rates of parent-centered developmental screening: disparities and links to services access.

934. America's Health Literacy: Why We Need Accessible Health Information (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/dhhs-2008-issue-brief.pdf
     January 01, 2008 - This brief summarizes key findings and presents some policy implications of the first ever National … n Address health literacy as part of disparities initiatives. … Health literacy improvement should be a high priority in disparities initiatives, and cultural and … National standards designed to improve primary and high school students’ health literacy skills have … Over 19,000 adults from 38 states and the District of Columbia participated in the national and State-level

935. Table 18G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18g.html
     December 01, 2012 - Table 18: Outcome Indicators by State Prevalence of Any Disability, 2005 a Select for: Table 18A: National … persons in the States of Arizona, Maine, Washington, and Wisconsin. … Dually eligible = dually eligible for Medicaid and Medicare. … Elsewhere in this report we refer to this condition as part of the I/DD subpopulation. … eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

936. Table 18B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18b.html
     December 01, 2012 - Table 18: Outcome Indicators by State Prevalence of Any Disability, 2005 a Select for: Table 18A: National … persons in the States of Arizona, Maine, Washington, and Wisconsin. … Dually eligible = dually eligible for Medicaid and Medicare. … Elsewhere in this report we refer to this condition as part of the I/DD subpopulation. … eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

937. Table 18D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18d.html
     December 01, 2012 - Table 18: Outcome Indicators by State Prevalence of Any Disability, 2005 a Select for: Table 18A: National … persons in the States of Arizona, Maine, Washington, and Wisconsin. … Dually eligible = dually eligible for Medicaid and Medicare. … Elsewhere in this report we refer to this condition as part of the I/DD subpopulation. … eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

938. Table 18E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18e.html
     December 01, 2012 - Table 18: Outcome Indicators by State Prevalence of Any Disability, 2005 a Select for: Table 18A: National … persons in the States of Arizona, Maine, Washington, and Wisconsin. … Dually eligible = dually eligible for Medicaid and Medicare. … Elsewhere in this report we refer to this condition as part of the I/DD subpopulation. … eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

939. Table 18C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18c.html
     December 01, 2012 - Table 18: Outcome Indicators by State Prevalence of Any Disability, 2005 a Select for: Table 18A: National … persons in the States of Arizona, Maine, Washington, and Wisconsin. … Dually eligible = dually eligible for Medicaid and Medicare. … Elsewhere in this report we refer to this condition as part of the I/DD subpopulation. … eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

940. Learn About CUSP | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/learn/sl-cusp.html
     December 01, 2012 - CUSP Aligns With and Supports Other Quality and Safety Tools Slide 6. … Quality and state and national-level innovators in patient safety. … Dovetails with, and supports, a range of quality and safety improvement models. … other national projects to apply the CUSP model. … Eliminating CLABSI: A national patient safety imperative a progress report on the National On the CUSP