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2301. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/downloads/pub/advances/vol2/Schiff.pdf
      January 01, 2005 - AHRQ Patient Safety Indicators directly measures failure to diagnose.33 Nonetheless, for each of AHRQ … Advances in Patient Safety: Vol. 2 264 Figure 1. … Advances in Patient Safety: Vol. 2 272 T ab le 4 . … How the public perceives patient safety. … Advances in Patient Safety: Vol. 2 278 82. McDonald J.

2302. Data Collection Instruments and Analysis | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/collection.html
      March 01, 2021 - There were also optional items for cooperatives to field including items related to patient-centered … electronic reminders, standardized treatment protocols) and population management (e.g., outreach to patients … cooperative asked practices about their experience in the initiative and how the practice supports patients … core set of items including the Adaptive Reserve item set, as well as questions about the measures, patient … needs, psychological safety, burnout, and readiness for change. 

2303. Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship (June 10, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
      December 01, 2017 - antibiotics very soon, and we know that antibiotic overuse is a big contributor of adverse effects for the safety … safety and other adverse events associated with antibiotic overuse. … They have been shown to optimize patient safety while simultaneously reducing resistance and controlling … this patient has? … think you spent a lot of time working on CUSP, learning about CUSP and trying to work on improving your safety

2304. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
      June 10, 2014 - antibiotics very soon, and we know that antibiotic overuse is a big contributor of adverse effects for the safety … safety and other adverse events associated with antibiotic overuse. … They have been shown to optimize patient safety while simultaneously reducing resistance and controlling … this patient has? … think you spent a lot of time working on CUSP, learning about CUSP and trying to work on improving your safety

2305. Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
      January 01, 2024 - of ADEs was identified as a critical patient safety metric in the Institute of Medicine’s 2004 report … on patient safety(12) and in their National Healthcare Quality Report. … Patient safety: Achieving a new standard for care. … Profiles in patient safety: medication errors in the emergency department. … Patient safety events during pediatric hospitalizations. Pediatrics 2003; 111(6 Pt 1):1358-1366.

2306. Key Themes Across Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/themes.html
      October 01, 2015 - , and issues related to patient access. … safety. 32 Cronholm et al (PI: Gabbay) reported that the greatest tension from shifts in mental models … more quickly, but not necessarily with a patient’s regular primary care provider. 10 The study of safety … In their study of safety net clinics in New Orleans, declines were observed in the areas of access, quality … and safety, and care coordination and integration once clinics were no longer eligible for redesign

2307. Key Themes Across Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/grants-transform/key-themes.html
      March 01, 2017 - , and issues related to patient access. … safety. 32 Cronholm et al (PI: Gabbay) reported that the greatest tension from shifts in mental models … more quickly, but not necessarily with a patient’s regular primary care provider. 10 The study of safety … In their study of safety net clinics in New Orleans, declines were observed in the areas of access, quality … and safety, and care coordination and integration once clinics were no longer eligible for redesign

2308. Final Progress Report: Auditory Perception of Drug Names: Neighborhood Effects (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/lambert3-report.pdf
      January 01, 2024 - Key Words: drug name confusion, nomenclature, patient safety, auditory perception, medication errors … Thirty-two lay people were recruited from among the employees, patients, and patient companions in the … Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia. Lambert, B.L. … Annual Congress of the National Patient Safety Foundation. Washington, DC; 2007. … Doing what counts for patient safety: Federal actions to reduce medical errors and their impact.

2309. Final Progress Report: Improving Safe Use of Direct Oral Anticoagulants: A Population Health Approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/barnes-report.pdf
      January 01, 2024 - to inform the deployment of the DOAC Dashboard in additional health systems, aiming to enhance the safety … health, implementation science, medication error 2 PURPOSE Our primary goal was to improve the safety … and Maintenance, we received data from the VHA Pharmacy Benefits Management Center for Medication Safety … New health systems looking to implement similar population health dashboards for medication safety must … Conclusions A population health approach to ensuring medication safety through pharmacist use of a DOAC

2310. Situation Monitoring: Severe Hypertension - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
      July 01, 2023 - Central to Patient Safety and Quality Improvement: Learn from unit-based drills (Readiness) Immediate … As such, debriefs are a critical tool for improving patient safety and quality improvement within your … Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/patient-safety/patients-families … Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/patient-safety/reports … Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/patient-safety/patients-families

2311. Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
      November 01, 2016 - the program has developed a new performance reporting and management system based on 11 core quality indicators … CDC works closely with many partners to improve patient safety and health care quality, including health … care outbreak response, infection control, medication safety, immunization safety, and blood organ and … tissue safety. … Back in 2012, we begin our efforts with the partnership for patients in ensuring timely prenatal care

2312. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
      March 01, 2002 - Minimizing or eliminating medication errors is vital to improve patient Advances in Patient Safety … Advances in Patient Safety: Vol. 1 154 T ab le 4 . … In: Beyond State reporting: Medical errors and patient safety issues. … Advances in Patient Safety: Vol. 1 160 51. Billings C. … A tale of two stories: contrasting views of patient safety.

2313. Primary Care Practice Facilitation Curriculum Module 31: Facilitating Panel Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-31-facilitating-panel-management.pdf
      September 01, 2015 - Seattle, WA: Safety Net Medical Home Initiative; May 2013. … The Safety Net Medical Home Initiative also has a set of procedures that can guide your clinic in implementing … How many patients are in this panel? 2. What information is available on each patient? 3. … Assigning Patients New Patients Call Center: Schedules patient visit for next available/open provider … Provides the Patient Handbook to new patients.

2314. Meeting Minutes, March 2021 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
      July 01, 2021 - Safety Joel W. … Safety, AHRQ Dr. … AHRQ has prepared a draft report to Congress on strategies to improve patient safety, including ways … The related Chartbook on Patient Safety revealed improvement in patient safety overall, especially … Value is linked to both quality and safety. Dr.

2315. National Healthcare Quality and Disparities Reports | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/index.html
      July 01, 2024 - related to access to care, affordable care, care coordination, effective treatment, healthy living, patient … safety, and person-centered care.

2316. Strategy 6H: Tools To Help Patients Communicate Their Needs | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6htools.html
      April 01, 2023 - Proponents believe that this intervention has the potential to increase compliance, improve patient safety … Patient Question Lists (a.k.a. … Patients can also use the form during the visit to write down what they and the doctor agreed the patient … Patient-Centered Guides, 1998. Korsch BM, Harding C. … Expanding patient involvement in care. Effects on patient outcomes.

2317. Primary Care Practice Facilitation Curriculum Introduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-0-introduction.pdf
      September 01, 2015 - • Part 5: Implementing the Care Model and Patient-Centered Medical Home, Modules 24 through 32. … Both the Care Model and the PCMH promote changing delivery systems to encourage responsiveness to patients … Introduction to Practice Organization and Management Module 5: Special Considerations When Working With Safety … https://pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-5-working-with-safety-net-practices.pdf … Module 31: Facilitating Panel Management Module 32: Improving Self-Management Support and Engaging Patients

2318. Prevehosp-Implementation-Ig (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-implementation-ig.pdf
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: Preventable Hospital and ED Visits 1 On-Time Preventable … Hospital and ED Visits: Implementation AHRQ’s Safety Program for Nursing Homes: On-Time Facilitator … AHRQ’s Safety Program for Nursing Homes: Preventable Hospital and ED Visits 2 On-Time Preventable … AHRQ’s Safety Program for Nursing Homes: Preventable Hospital and ED Visits 4 On-Time Preventable … o The Facilitator helps the team think through how they would add discussions of the patients included

2319. Section 4. Identifying Strategies | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/section4.html
      July 01, 2018 - Do patients typically wait for hours for a physician specialist consult? … After reviewing its data, ED leaders found that 87 percent of LWBS patients were triaged as Emergency … Further, this subset of ESI 3 patients had an average length of stay of 426 minutes, compared with an … average of 294 minutes for all ED patients. … seen is a major patient-safety and quality-of-care concern.

2320. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
      December 01, 2017 - Are patients and families included in [inaudible 00:33:01] that are focused on safety issues. … and safety performance improvement teams. … all areas of patient safety, especially in CAUTI? … and families as partners in safety. … patients, their families, as well as staff.