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3341. 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

3342. Timely Temperatures for All Low Birth Weight Neonates (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-116-fullreport.pdf
      November 01, 2016 - society (unrelated to cost) 4 • Fiscal burden of measure focus (e.g., clinical condition) on patients … Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care: No. l. … Since plans manage a fraction of the patients within a hospital, we have no experience looking at it … Our proposed measure is a process measure that is also a patient safety indicator. … The Golden Hour: care of the LBW infant during the first hour of life; one unit's experience.

3343. AHRQ Final Progress Report: Developing an Integrated Engineering-Based Model to Reduce Infections in the ICU (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mastrangelo-report.pdf
      January 01, 2024 - The model depicts patient population, invasive procedures performed on the patients, and primary staff … Most importantly, the safety of the patients may not be jeopardized. … ICU Simulation • Patient Occupies Bed • Patient Stays in ICU for the Length of Stay Patient Gets … Patient • Patient Remains in the Bed Figure 2. … Sixty different types of invasive procedures were performed on the patients admitted.

3344. Best Practices in the Diagnosis and Treatment of Clostridioides difficile Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-facilitator-guide.pdf
      November 01, 2019 - As a reminder, the Four Moments include: Moment 1: Does my patient have an infection that requires … The Four Moments of Antibiotic Decision Making SAY: We will begin with Moment 1, “Does my patient … Patients should be retested to confirm the patient indeed has CDI by testing specifically for the presence … Up to 30 percent of patients experience recurrent CDI within 30 days of treatment. … Before prescribing treatment, confirm that the patient has urinary symptoms.

3345. Regulation of Health Policy: Patient Safety and the States (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
      March 01, 2004 - Safety: Vol. 1 406 tensions among stakeholders (providers, payers, patients, and institutions); … Illinois, New York, and Pennsylvania require that adverse events be disclosed to patients. … of all stakeholders, with patients demanding more of clinicians; and with third-party payers raising … Patients’ and physicians’ attitudes regarding the disclosure of medical errors. … California Healthcare Foundation, Legislating medication safety: the California experience.

3346. Final Progress Report: California Intensive Care Outcomes (CALICO) Project Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/dudley-report.pdf
      January 01, 2025 - who were given recommended good practices to those patients who did not receive them across four patient … groups---myocardial infarction, community-acquired pneumonia, perioperative patients, and patients … Tables 1 and 2 below describe hospital and patient characteristics of the 11,300 patients used to construct … Patient Selection, Gender and Minority Inclusion, and Data Quality Eligible patients were adults (18 … Process Measure Selection Process measures were selected by a panel of two registered nurses with ICU experience

3347. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
      December 27, 2021 - For example, patient wait times for women’s health visits are averaging 30 minutes. 4. … to have this person colead a 5 Whys or fishbone diagramming process with you so he or she can gain experience … Is there evidence the patient tried to follow through? … Identify two-to-five patient cases that “fall out” of the performance metric in question. 2. … Patient Safety Primers. https://psnet.ahrq.gov/primer/root-cause-analysis.

3348. Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
      February 24, 2008 - worked per week, staff position, and 2 whether or not the respondent has direct interaction with patients … extent to which hospital units cooperate and coordinate with one another to provide the best care for patients … are enough staff to handle the workload, and work hours are appropriate to provide the best care for patients … Adverse events, negligence in hospitalized patients: Results from the Harvard Medical Practice Study … The nature of adverse events in hospitalized patients.

3349. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
      January 01, 2014 - Patient Safety Organizations: A Summary of 2014 Profiles Patient Safety Organizations: A Summary of … 2014 Profiles The safety of patients in health care settings remains a national priority and an important … The Patient Safety Organization (PSO) program, which was authorized by the Patient Safety and Quality … than the patient safety dimension. … Network of Patient Safety Databases Brief.

3350. 4. Overlap and Coordination of Federal Agency Research Portfolios in HSR and PCR | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
      June 01, 2020 - that have elements that are more specific to care in the VA, like multi-morbid chronic disease, or patients … But, you know, just a single kind of vanilla intervention for patients who just have diabetes is not … Another researcher described an experience in which the initial funding agency suggested a dual submission … It needs to engage the patient community in that interagency. … mental health and research on the specific issue of providers communicating critical test results to patients

3351. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
      January 01, 2024 - Nine patients required thoracic operations, including rib resection (n=9 patients), and three patients … One patient had the chest tube fall out. … As a result of our 11-year experience with video recording in this trauma center, we can contrast and … Video as research data for patient safety, 2003, Plenary Presentation, Annenberg IV National Patient … Patient Safety.

3352. PowerPoint Presentation: Learn From Defects for Sustainability
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
      December 01, 2017 - The risk must be eliminated for all patients. … What were the patients going through at the time? … SAY: Often in patient safety and quality, we focus on the practitioners and forget to ask the patients … to two patients a year. … Share publicly or with your patients.

3353. Part 2: Trends in Priorities of the Heckler Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2.html
      June 01, 2018 - Quality Strategy—National Quality Strategy Priorities Part 3: National Quality Strategy Priority—Patient … Blacks also experience many disparities in care for diabetes.

3354. Module 3: Problem Solving and Escalation - Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
      June 01, 2017 - Do these numbers match your experience?

3355. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
      January 01, 2016 - . · Document the results of the skin assessment on every patient with a standard form, noting the following … the following: · Pick a date, such as the first of the month. · Perform a detailed skin exam on each patient … The bottom portion of the chart shows a decrease in HAPIs per 1,000 patient days in the intervention … experience · Financial information · Safety and quality Pressure injuries fall under safety and quality … This requires critical thinking on the part of staff and a tailored approach to each patient based on

3356. Meeting Minutes, November 2017 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
      February 01, 2018 - The tools include a focus on the needs of patients with or at risk for opioid use disorder. … Patients in low-income communities have higher hospitalization rates, longer lengths of stay, and lower … One-half of patients with community-acquired MRSA had a diagnosis of cellulitis or skin ulcers; among … patients with hospital-acquired MRSA, the largest proportion had pneumonia. … Advance patient-reported outcomes and patient experience measures to support the ability of LHS to pursue

3357. Making Healthcare Safer Practices: 15. Care Transitions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
      March 01, 2020 - and older adult populations, who are often hospitalized; move frequently across care settings; and experience … • Patient/Family Engagement and Education: Educating and counseling patients and families to enhance … The BOOST Toolkit provides a universal patient discharge checklist for all patients being discharged … BOOST also encourages the use of a DPET (Discharge Patient Education Tool) to help patients understand … Experience from three countries: Israel, Canada, and the United States.

3358. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
      July 01, 2018 - Eisenberg Patient Safety and Quality Award, National Level. … Eisenberg Patient Safety and Quality Award, National Level. … Jt Comm J Qual Patient Saf 2012:38(7):301-10. … A comprehensive cancer center experience. J Thromb Thrombolysis 2010;30(3):286-93. … Patient education program for venous thromboembolism prevention in hospitalized patients.

3359. Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
      August 01, 2023 - clinicians “develop a partnership of mutual responsibility and trust.” 59 Such partnerships model patient … care practices will probably need to partner with academic medical centers, pediatric hospitals, and patient … Medford-Davis, et al., detail the domains in which these challenges lie: Brief, ad hoc patient encounters … pressures for the recognition and treatment of life-threatening illness as well as those related to patient … Aggregating cases with similar diagnostic process failures may allow patient safety leaders to implement

3360. TeamSTEPPS® Diagnosis Improvement: Module 6 Mutual Support - Facilitator’s Notes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-presenters-notes.pdf
      January 10, 2022 - In other cases, consider connecting patients with a patient navigator or someone from the patient‐family … • Are patients and family members encouraged to “stop the line” for diagnostic safety? … C — “I am concerned neither of us will be as effectives as we could be in caring for our patients or … Frame problems in terms of personal experience and lessons learned. • Choose the location. … They decide that patients seen in the morning will be handled by the receptionist and patients seen