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3581. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
      April 08, 2004 - health care team, learning from mistakes, disclosure of errors and injuries to patients and families … The bottom five topics were methods of disclosure to patients, family, and/or media; establishing and … safety, they can result in significant harm, the percentage of patients receiving medication management … This course discusses the nature and magnitude of hazards to patients in various health care settings … safety problems in order to improve care for all patients.

3582. 6. Implementation (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6a.html
      May 01, 2018 - providing ambulatory health care, behavioral health care, home care, and hospice care) have required that patients … The response from the field, while supportive of recording this information for each patient, argued … when given the option to select one or more races), rather than losing that detail by only offering patients … Having race, ethnicity, and language data for their own patients would also enable providers to review … Table 4: Patients by socioeconomic characteristics .

3583. 1. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1.html
      April 01, 2018 - Its patient population includes persons of Somali, Mexican, Ecuadorian, Russian, Vietnamese, and Bosnian … Patient-Provider Encounter Lack of standardization of categories. … Some worry that soliciting the information may put them at risk for offending patients, or if disparities … they do not understand and cannot adequately explain if patients challenge the need for these data. … Patients, meanwhile, may be hesitant to provide race, ethnicity, and language data because of concerns

3584. AHRQ Hospital Survey 2.0 User's Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
      January 01, 2021 - AHRQ Hospital Survey 2.0 User's Guide PATIENT SAFETY HOSPITAL SURVEY ON PATIENT SAFETY CULTURE VERSION … staff position, unit/work area, hospital tenure, unit/work area tenure, work hours, interaction with patients … the other background items (hospital tenure, unit/work area tenure, work hours, and interaction with patients … Your hospital’s experience with web surveys. … The tool will also produce results broken out by unit/work area, staff position, interaction with patients

3585. CHIPRA 230: Documentation of BMI Percentile and Weight Classification for Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-fullreport.pdf
      July 01, 2019 - A diagnosis of pregnancy during the measurement year excludes the patient from the calculation. … Children who are overweight experience more teasing than those who are not, and they are vulnerable … Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … in order to foster more complete information being recorded at each patient visit. … contact with the health system via a patient portal or personal health application

3586. Module 20: Creating Quality Improvement Teams and QI Plans (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-20-creating-qi-teams.pdf
      September 01, 2015 - Figure 20.1 shows a program-level key driver model for improving outcomes for patients with diabetes … at every visit ~ Identify needed services for each patient Recall patients for follow-up Planned … suppopatients for follow-up ~ i e-arur e-'> o l SU< … patient goilb collabornti,"1y • Document & monitot· patient progress tou'illd goals • Link '"ith … Communicating with patients. Education.

3587. Hypertension Screening for Children Who Are Overweight or Obese: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-fullreport.pdf
      February 01, 2020 - A diagnosis of pregnancy during the measurement year excludes the patient from the calculation. … Children who are overweight experience more teasing and are vulnerable to bullying (Daniels, et al., … patient as an adult, allowing organ damage to progress. … Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … - initiated contact with the health system via a patient portal or personal health application

3588. Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
      May 13, 2019 - variables used to impute were length of stay, days per NICU CPT code, complications, and whether the patient … health conditions, such as bronchopulmonary dysplasia (BPD) and necrotizing enterocolitis (NEC), also experience … Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … The 24 rule about the ability to retrieve patient demographic data—including preferred … The effects of patient volume and level of care at the hospital of birth on neonatal mortality.

3589. AHRQ CONFERENCE GRANT PROGRAMS (R13): Angela Smith (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/smith-angela-r13-hs026679-01.pdf
      March 31, 2020 - receiving similar surgeries, and emphasize the growing need for greater patient and physician education … Develop physician and patient-facing educational programs and materials Scientific Need, Timeliness … receiving similar surgeries,2,6,7 and emphasize the growing need for greater patient and physician … Success of Prior AUA Quality Improvement Summits The AUA Quality Improvement and Patient Safety (QIPS … Such patients are more likely to experience issues with opioids due to increased medication sensitivity

3590. Daily Care Processes Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
      January 01, 2017 - The Four Es Drawing from the published literature and experience, clinicians at the Johns Hopkins Hospital … They take great pride in their patient care.” … not prevent patient harm. … factors all have a role in patient outcomes. … Daily Care Guide patient.

3591. Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-fullreport.pdf
      June 01, 2019 - Infants with complications or other health conditions, such as BPD and NEC, also experience higher rates … Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … First, differences in rates may result from differences in illness severity (Lorch 2010) or other patient … The rule about the ability to retrieve patient demographic data, including preferred language, gender … The effects of patient volume and level of care at the hospital of birth on neonatal mortality.

3592. 2025 Child HCAHPS Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2025-child-hcahps-chartbook.pdf
      January 01, 2025 - Child HCAHPS Survey The Child HCAHPS Survey assesses the inpatient care experiences of pediatric patients … The survey focuses on aspects of pediatric inpatient care that are important to patients and their parents … , and for which patients and their parents are generally the best source of information. … voluntarily submitted data sets may produce biased estimates of the overall inpatient pediatric care patient … experience in the U.S.

3593. Final Progress Report: Risk Assessment of the Testing Processes of Access Community Health Network (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/eder-report.pdf
      January 01, 2024 - diversity of its patients. … Patient phone survey. … Almost all patients whom we could contact participated in the survey, and approximately 15% of the patients … Finding: Patients do not consistently receive notification of test results, nor do patients consistently … Medical Office Survey on Patient Safety Culture.

3594. NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
      June 18, 2024 - leadership, governance, and safety and improvement efforts Ensure • Equitable engagement for all patients … , families, and care partners Promote • A culture of trust and respect for patients, families, and … Workforce Safety Safety reporting systems Job Descriptions Learning System Safety goals Engaging patients … representative of the patient population • Patients have comprehensive access to their own medical records … Teamwork & Communication Foster open dialogue among leaders, staff, patients, members and families

3595. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
      March 01, 2020 - to patients. … There was also assigned transport of patients. … The prevalence of CRE-colonized patients on these occasions exceeded 50%. … Because of the low prevalence of CRE in Toronto, there is limited experience managing CRE infected … /colonized patients from an infection control perspective.

3596. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/access/qrdr2015-chartbookaccess.pptx
      January 01, 2020 - adherence regardless of patient–physician racial/ethnic composition. … relationships can yield better outcomes for patients; however, not all providers and patients can establish … Importance: Patients who receive health care in health centers may experience greater disparities in … Do patients choose physicians of their own race? … The effect of patient-provider communication on medication adherence in hypertensive Black patients:

3597. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Healthcare Facility Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-rev.pdf
      November 01, 2023 - design requires consideration of technical requirements, as well as the necessary flows of providers, patients … activity (i.e., related to falls and fall risk) in hospital rooms of older patients … • Evaluate approaches to involving patients, families, and frontline staff in the design process … The paper also offers a proactive problem-solving approach to reduce STFs by patients in acute hospitals … The second study examined the effect of hospital bed height as it relates to falls for patients with

3598. Tk3 T5 Minimum Criteria Nursing Staff Training (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK3_T5_Minimum_Criteria_Nursing_Staff_Training.docx
      October 01, 2016 - asymptomatic bacteriuria (residents with a true positive test result but no symptoms) offers no benefits to patients … (If hands are raised, ask audience members to explain their experience with this tool and what they know

3599. Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
      January 01, 2024 - Customized patient intervention Patients assigned to Patient Intervention groups (Groups A and C) received … A caveat indicates that benefits are based on group experience and may not apply equally to all individuals … In the two groups that received the patient intervention, older patients tended to have lower A1c … Intervention Group Patients ALL N=3703 Control N=847 Patient N=869 Provider N=1041 Both N=946 … relative to the control (M=100) and patient (M=97) intervention groups; patients not using insulin

3600. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
      April 01, 2018 - Vail was noted to have the lowest risk patients and a very low SSI rate. … Again, more accurate estimates would require sophisticated patient case mix adjustment and a much larger … Ideally (for statistics, but not for patients), there would be enough events, so that the rate could … Some adjustments can be made if patient-case mix is considered. … Acquiring the data for and developing valid models that adjust for patient-case mix is a large endeavor