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3621. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
      January 01, 2004 - Initially, all staff, physicians, patients, visitors, and families were allowed to enter data. … Adverse drug events in hospitalized patients: excess length of stay, extra cost, and attributable mortality … The cost of adverse drug events in hospitalized patients. JAMA 1997;227(4):307–12. 7. … The New York Patients Reporting and Tracking System 2000/2001. … Going paperless with custom-built Web- based patient occurrence reporting.

3622. Final Progress Report: Quality Factors in Nursing Home Choice (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
      January 01, 2024 - HCPs were asked how they assisted their patients in choosing a NH. … Although participants discussed interventions such as hygiene, pain control, and patient safety, they … were very positive, and the participants requested copies to use and share with their families and clients

3623. High-Risk Deliveries at Facilities with 24/7 In-House Physician Coverage Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified to Provide Obstetrical Anesthesia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-fullreport.pdf
      October 01, 2019 - • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public and private … On-site blood banking services/transfusion services that are always available for obstetrical patients … Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care: No. l. … Their significance raises them to concerns about patient safety. … All else equal, we would expect women who live in more medically dense communities to experience greater

3624. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/arra/arracer-slides.pptx
      October 15, 2013 - Benefits 32 Focus Groups Focus groups were conducted with the following stakeholder groups: Consumers/patients … including commercial and government-sponsored research The majority of clinicians had little to no experience

3625. 2015 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2015_cg_cahps_chartbook.pdf
      January 01, 2015 - Core Survey combined with the core questions from the 12-month and 6-month Adult 2.0 Survey with Patient-Centered … Core Survey combined with the core questions from the 12-month and 6-month Child 2.0 Survey with Patient-Centered … 4 2. 2015 CG-CAHPS DATABASE COMPOSITION The 2015 CG-CAHPS Database includes a total of 636,468 patient … experience survey responses submitted voluntarily by 2,829 unique medical practices. … Providers' Use of Information to Coordinate Patient Care Q13 In the last 6 months, how often did this

3626. Presentation: Engaging Senior Executives
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
      December 01, 2017 - It asks frontline providers the following: How will the next patient be harmed? … These complications can take a toll on patients' health and safety and can extend postoperative hospital … infections is not just about giving the right antibiotic at the right time, but also about making sure patients … Until our staff is engaged rather than simply compliant when it comes to checking boxes, our patients … Legend notes: Appropriate hair removal Surgery patients needing hair removed from the surgical area before

3627. Chartbook on Care Coordination: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
      June 01, 2018 - receives appropriate care and support, when and how the patient needs and wants it. … the person's experience and leads to better long-term health outcomes, as demonstrated by fewer unnecessary … patients who had a stroke. … For AMI, low Black patient share is defined as 0% and high as < 22%. … For AMI and stroke, low Medicaid patient share is defined as ≤8% and high as ≥30%.

3628. Pressure Injury Prevention Program Implementation Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
      October 01, 2017 - They should: Have QI training and experience. Be advocates of teamwork. … Responsiveness (Does this address a need expressed by patients, family, or staff?) … Risk (How much of a risk does this issue pose to the well-being of patients?) … in patient care, were expected to attend. … The boards are visible to staff, patients, and visitors.

3629. Section 5, Tables 8 and 9 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
      January 01, 2013 - Patient data from 41 hospitals were obtained from the Pediatric Health Information System. … transfer of the patient discharge form to nurses at the primary care provider site; (3) telephone … hospital discharge to enhance patient care: a randomized controlled study. … with CHF and (2) patient- reported experiences with discharge planning. … They used the Department of Veterans Affairs Patient Treatment File and medical records.

3630. Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
      February 06, 2008 - SNF), SBAR implementation helped avert breakdowns in communication that had previously resulted in patients … It was utilized to provide “kudos” for staff accomplishments, as a framework for reporting on patients … safety issues, cost and quality of care issues, setting daily goals of care, and communicating with patients … Given the volume of patients and daily communications that occur on the ACU, a 21 percent decrease in … She won’t be dancing anyway: A study of surgeons, surgical nurses, and elder patients.

3631. Overuse of Imaging: Policy for ALARA Specific to Imaging Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-243-fullreport.pdf
      August 01, 2019 - In particular, professional practice and patient advocacy groups, as well as international scientific … In a 2009 study, it was estimated that compared with a patient aged 40 years, the risk of cancer from … a radiation imaging test is doubled for a patient aged 20 years and 50 percent lower for a patient … Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care: No. l. … has ordered a radiologic imaging test that may subject the patient to more or unnecessary radiation

3632. Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
      December 17, 2019 - Overuse has been defined as use in any patient who undergoes a procedure or test for an inappropriate … Professional practice and patient advocacy groups—including the American College of Radiology (ACR), … It is possible a child may experience an allergic reaction to IV contrast or subcutaneous fluid leakage … Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care: No. l. … Ten Things Physicians and Patients Should Question. 2013.

3633. Appendix C. Detailed Descriptions of Agency Research Portfolios | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-c.html
      July 01, 2021 - health insurance (e.g., coverage of cessation services) and health care providers (e.g., linking of patients … In addition to research on linking of patients within health care systems to public health interventions … clinicians, hospitals, and other health care providers to coordinate and improve care for Medicare patients … through a periodic Health Center Patient Survey. … outcomes research among underserved patient populations.

3634. Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
      January 01, 2024 - Scope: All adult patients who were admitted to the two study hospitals were included. … The hospitals provide care for patients from the city of Worcester and from elsewhere in Worcester … days 1000 patient days 1000 patient days 1000 patient days 1000 patient days 1000 patient … The triggers, interventions, and disposition of the patients are detailed in Table 5. … , 18 the calls are coming in for patients who are well into a clinical decline.

3635. Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-fullreport.pdf
      November 01, 2017 - Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive … Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care: No. l. … Evaluate the charts in the patient sample to see whether the patients meet the denominator criteria … This patient does not meet the measure. 4. … White patients (N=3) and Hispanic patients (N=3) were more likely than black patients (N=0) or patients

3636. Education in Proper Use of New Asthma Medication Delivery Device for Children With Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
      March 01, 2019 - Pediatric patients with asthma are seen across the health care spectrum. … Technique failure occurs at both the patient and provider levels. … Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … Patient medical records were sent to a centralized location for data abstraction. … Patient-Level Sociodemographic Variables Patient-level demographic and socioeconomic characteristics

3637. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
      July 05, 2023 - using copayment structures to steer patients to providers with better performance on diagnostic safety … ; (2) payers could require certain at-risk patients, or patients with unusual diagnoses, to obtain second … information in patient portals [ 35 ]; (4) incentives might be directed to encourage patients to … Hospitals, patients benefit when providers treat quality like a financial report. … Inviting patients to identify diagnostic concerns through structured evaluation of their online visit

3638. Anticipatory Guidance Regarding Hydroxyurea Treatment for Children With Sickle Cell Anemia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-fullreport.pdf
      January 01, 2019 - , and lack of capacity in medical delivery systems to support the volume of patient encounters necessary … Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … Second, the role of the patient and of patient portals is only beginning to emerge. … Enable a user to electronically select, sort, retrieve, and output a list of patients and patients' … contact with the health system via a patient portal or personal health application.

3639. Imp-Handouts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
      June 02, 2025 - DON: The Medical Director comes once a week to make rounds on his patients. … He goes to each unit and makes rounds to see patients with the nurse manager. … The recent experience for the resident that you described, Jill [Nurse Manager A], and our high rate … Implementation Facilitator: Well, good, but I’m sorry you and the resident had to have that experience … I will print out the Transfer Risk Report to track the number of patients with high-risk diagnoses

3640. Nutritional Research Series: Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp5.pdf
      October 01, 2011 - It is likely that most RCTs are conceived and designed at least a year before randomizing the first patient … For both examples, at least two RCTs enrolled their first patient before or on the same calendar year … Vitamin E supplementation and cardiovascular events in high-risk patients. … The majority included predominantly male patients with mean ages in the early 60s. … The majority included predominantly male patients with mean ages in the early sixties.