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3321. Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
      August 01, 2017 - Electronic health records (EHRs), patient information cards, and phone calls to patient providers are … They may not be receiving prophylactic antibiotics to help prevent bacterial infections, and they may experience … Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care: No. l. … Combined, these centers serve the vast majority of SCD patients in Michigan. … Enable a user to electronically select, sort, retrieve, and output a list of patients and patients'

3322. Surgical Complication Prevention Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
      December 01, 2017 - Often, we hear that these complications are inevitable—our patients are old, our patients are sick. … of your patients. … Program for Surgery Surgical Complication Prevention Guide The Four Es Drawing from evidence and experience … Patient stories provide a powerfully effective way to connect staff with their patients and the impact … patient harm.

3323. Episiotomy (Overuse): Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
      March 01, 2016 - Numerator Statement Patients who underwent an episiotomy. 1.H. … • Experience of pain and tenderness. • The healing period. … Measure Topic – patient safety: No. k. … Measure Topic – family experience with care: No. 7 l. … Data being used in the analysis are from a patient population of 12,108 for 2010.

3324. Episiotomy (Overuse) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0083episiotomy.pdf
      March 01, 2016 - Numerator Statement Patients who underwent an episiotomy. 1.H. … • Experience of pain and tenderness. • The healing period. … Measure Topic – patient safety: No. k. … Measure Topic – family experience with care: No. 7 l. … Data being used in the analysis are from a patient population of 12,108 for 2010.

3325. Continuity of Insurance: Duration of First Observed Enrollment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-fullreport.pdf
      June 01, 2018 - • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public and private … In specific patient populations, there are also disparities. … Fiscal Burden of Condition on Patients, Families, Public and Private Payers, Society, Currently and … Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … Findings indicated that continuously uninsured children were three times as likely to experience unmet

3326. Puh-Implementation-Factraining-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
      June 02, 2025 - We understand that to be in this training you already have experience with quality improvement programs … o During QAPI meetings, the Delayed Healing report can be added to introduce discussion of patients …  The Facilitator may experience some resistance from the change team participants regarding potential

3327. Quality Improvement in Action Slides
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
      April 01, 2022 - care; staff in this unit work longer hours than is best for patient care Communication openness: 53% … feedback; those asked were concerned about causing pneumothorax w/subclavian insertion because these four patients … Consider impact of each type of infection Relevance: the extent to which addressing this harm would impact patients … (SAQ) Manchester Patient Safety Assessment Framework (MaPSaF) Other – Please specify source: Process … Staff feel closure of this gap is feasible in a rapid manner and will decrease the length of time patients

3328. Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
      January 01, 2024 - in both the outpatient and the inpatient settings.1 It is estimated that 770,000 people each year experience … did not answer the question about her racial category; two other female patients and one male patient … To date, we have completed data collection for 432 patients, including patient recruitment, telephone … The medication adherence rate was higher for PMR patients than for EMR patients. … The difference in medication adherence rates between EMR and PMR patients indicates that patient characteristics

3329. 3. What are the best practices in pressure ulcer prevention that we want to use? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
      October 01, 2014 - Make sure the patient is comfortable. … These include pediatric patients, patients with spinal cord injury, palliative care patients, and patients … Putting results on patient card or daily patient care worksheet. … For example, some facilities have color-coded the patient wristband, placed stickers on the patient chart … Experience has shown tremendous variability among staff even when evaluating the same patient.

3330. 3. What are the best practices in pressure ulcer prevention that we want to use? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
      October 01, 2014 - Make sure the patient is comfortable. … These include pediatric patients, patients with spinal cord injury, palliative care patients, and patients … Putting results on patient card or daily patient care worksheet. … For example, some facilities have color-coded the patient wristband, placed stickers on the patient chart … Experience has shown tremendous variability among staff even when evaluating the same patient.

3331. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave-references.html
      July 01, 2025 - multicentre clinical outcomes. evaluation of real-world patient data from US hospitals. … Artificial Intelligence–Generated Draft Replies to Patient Inbox Messages. … The effect of using a large language model to respond to patient messages. … Opportunities and risks of artificial intelligence in patient portal messaging in primary care. … in Patient Safety.

3332. Core Principles for the PCA Diagnostic Team | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-6.html
      July 01, 2023 - Triad To Improve Diagnostic Safety Introduction The Patient-Clinician Dyad The Patient-Artificial … receive information from patients and clinicians, and patients and clinicians receive information from … Within the PCA triad, mutual trust is needed between patients and clinicians, and patients and clinicians … compared with Black patients, despite Black patients being sicker. 38 To mitigage bias and increase … Patients and clinicians may address this issue during followup visits or via patient- or clinician-initiated

3333. Recovering After Emergency Laparotomy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/laparotomy-patient.pdf
      November 01, 2023 - Recovering After Emergency Laparotomy Recovering After Emergency Laparotomy e Emergency Laparotomy Patient … Education Guide 1 Recovering After Emergency Laparotomy Patient Name ___________________________ … Emergency Laparotomy Patient Education Guide 5 As shown below, there’s also a large piece of fatty … Emergency Laparotomy Patient Education Guide 11 Call, Don’t Fall! … You may feel grateful that you were treated quickly, but it can also be an upsetting experience.

3334. Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/mincer.html
      August 01, 2017 - Poor communication between health care providers and patients represents a risk to patient safety. … In order to accomplish this aim, we developed and disseminated patient activation and DAs to patients … patients and targeted to spine patients. … Patient mailings to new patients included more generic materials, and the staff preparing them did not … Patients, providers, and systems need to acquire a specific set of competencies to achieve truly patient-centered

3335. 4. Assessment of the Intervention | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen4.html
      April 01, 2018 - Patient Perspective We designed the intervention focusing on a patient-centered approach. … Based on the patient focus groups, many patients noted that they liked the ease of the at-home stool … Based on the patient focus groups, this was true. … Based on the patient focus groups, however, we learned that many patients did not receive notification … practices' EMRs were not usable varied, but for some it related to the fact that they did not have the experience

3336. Final Progress Report: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/vaughan-report.pdf
      January 01, 2024 - and maintenance, including EQUIPPED adaptability, external policies aimed at prescribing quality and patient … (PIM) upon discharge from the ED ranges from 5.6%-13%.2-7 Prescribing new medications for elderly patients … major reasons for repeat ED visits, hospitalization, or death.1-8 A systemwide approach to increase patient … program, sites were selected based on champions at each site with previous VA EQUIPPED implementation experience … Drug interactions in at-risk emergency department patients.

3337. Final Progress Report: Impact of state policies on nursing home patient safety culture (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
      January 01, 2024 - Final Progress Report: Impact of state policies on nursing home patient safety culture Title of Project … : Impact of state policies on nursing home patient safety culture Principal Investigator: Yue Li, … This has shifted patient safety improvement efforts from targeting individual staff to re-engineering … Though important efforts have been made to improve the patient safety culture in hospitals, relatively … Social media ratings of nursing homes associated with experience of care and “Nursing Home Compare”

3338. AHRQ-Funded Patient Safety Project Highlights (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
      July 01, 2024 - AHRQ-Funded Patient Safety Project Highlights AHRQ-Funded Patient Safety Project Highlights Improving … to improve patient safety by reducing harm and identification errors among patients … ■ An AHRQ Patient Safety Learning Labiv (PSLL) developed an electronic Fall TIPS Tool to help patients … with chronic kidney disease, people taking high-risk drugs, and older patients. … Simplified intuitive workflow for patients and families who may experience barriers to navigating apps

3339. 5. Improving Data Collection Across the Health Care System (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5a.html
      May 01, 2018 - helps improve patients' comfort level. … information, such as the member's address and phone number, are being verified. 12 Contra Costa's experience … potential uses of indirect estimates, ranging from those that posed very little risk of harm to the patient … Collecting patient race/ethnicity and primary language data in ambulatory care settings: A case study … A national profile of patient safety in U.S. Hospitals. Health Affairs 22(2):154-166.

3340. Chapter 6. Measure Maps and Profiles (continued, 4) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6c.html
      June 01, 2014 - Client Perception of Coordination Questionnaire (CPCQ) Care Coordination Measure Mapping Table …       Legend: ■ = ≥ 3 corresponding measure items □ = 1-2 corresponding measure items Client … comprehension, and client capacity). … Construct validity, comprehensibility, and internal consistency were demonstrated for all scales but client … Construct validity was further supported by the finding that patients with chronic pain syndromes reported