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2321. Final Progress Report: Putting a Face on Hospital Medical Errors: Communication (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
      January 01, 2024 - Keywords: medical error disclosure, doctor-patient communication, patient safety, quality. … First, there is the topic of patient safety. … To improve patient safety, defined as “freedom from accidental injury,”1 hospitals and some states … To overcome this problem, broader tracking systems were put into place; as a result, patient safety … Presentation made of preliminary results to the Governor of Oregon Commission on Patient Safety, October

2322. AHRQ Comparative Health System Performance Initiative: Annual Workshop (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/chsp-annual-workshop1-slides.pdf
      September 29, 2016 - drugs • Includes additional beneficiary enrollment information including entitlement, managed care indicators … • Where do patients get their care, and how many patients are truly getting their care from integrated … overall health care costs for patients with preference sensitive conditions? … Taxonomy • Do patients receiving care from physicians associated with different kinds of systems have … safety X X X Patient experience X X X 9797 Data sources • Alignment of data sources – Claims (

2323. Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
      January 01, 2024 - As the prescription details varied from patient to patient, each individual’s compliance was assessed … Limitations: Patients were recruited from a single site in an urban area with a patient population that … For all patients combined, patient report of counseling in the ED was high for medication name and indication … Patient education and counseling. 2019;102(4):749-52. 3. … Pharmacoepidemiology and Drug Safety. (in press) 5.

2324. Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/healthited-issuebrief.pdf
      February 01, 2021 - e PATIENT SAFETY Issue Brief 4 Health Information Technology for Engaging Patients in Diagnostic … Center for Innovations in Quality, Effectiveness, and Safety (IQuESt), Michael E. … funded under contract HHSP233201500022I/75P00119F37006 to MedStar Health Institute for Quality and Safety … in diagnostic decision making.1 Patient engagement refers to the concept of patients being actively … Electronic Patient Portals Patient portals have become more accessible over the last decade.10 Patients

2325. Depression Screening and Follow-up for Adolescents and Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-246-fullreport.pdf
      December 01, 2019 - Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … Measuring and tracking depressive symptoms is important to improve patient outcomes (Knaup, Koesters … Additionally, a provider at the visit can verbally ask the patient the questions following prompts in … Is it time for clinicians to routinely track patient outcome? A meta-analysis. … An Act: The Patient Protection and Affordable Care Act; 2010.

2326. Final Progress Report: Improving patient safety through leadership and team performance in simulations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-report.pdf
      January 01, 2024 - Final Progress Report: Improving patient safety through leadership and team performance in simulations … 1R18HS020295 Final Progress Report: Fernandez R, PI Title of Project: Improving patient safety through … Teamwork and communication errors are primary threats to patient safety. … safety. … safety.

2327. Research on Improving Patient Experience | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/research/index.html
      March 01, 2025 - Learning from Patients: The Impact of Using Patient Narratives on Patient Experience Scores. … and safety. … care experiences and safety. … Pediatric Quality and Safety 8(3): e648. DOI: 10.1097/pq9.0000000000000648.  … Pediatric Quality and Safety 8(3): e648. DOI: 10.1097/pq9.0000000000000648. 

2328. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
      January 01, 2007 - Were there any consequences for the patient? … The value of educating physicians, house staff, and medical students about patient safety cannot be … Safety, Dana-Farber Cancer Institute, Boston, MA; Harvard Medical School, Boston, MA. … Disruptive behavior in obstetrics: A hidden threat to patient safety. … Physician perception of hospital safety and barriers to incident reporting.

2329. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
      September 01, 2024 - Safety US Steven Coffee, M.A., E.M.C.Q.S.L., Patients for Patient Safety US Ilene Corina, BCPA, Pulse … Lessons learned from a systems approach to engaging patients and families in patient safety transformation … Co-Design With Patients for Improving Patient Safety: Strategies, Barriers, and Pitfalls. … /patient-safety/the-patient-evolution-and-revolution/. 48. … Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families: Environmental

2330. Final Progress Report: Measurement of Decision Quality in Coronary Artery Disease (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/lin-report.pdf
      January 01, 2024 - of patients after PCI. … not only a spectrum of disciplines but also a variety practice settings (academic, community, and safety … There was one preferences measure specific to preferences of CAD patients (Patient Preferences for Angina … These instruments used a variety of methods to assess patient preferences, including presenting patients … Less than 1% of patients got six questions right, and no patient answered all the questions correctly

2331. Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
      April 06, 2008 - Over 250 physician-owners deliver care to 225,000 patients in 14 ambulatory locations. … Downtime procedures should include processes for patient registration, patient charting, and handwritten … Retail Pharmacies At the time of implementation, retail pharmacies that served clinic patients were … safety. … of patient care.

2332. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
      January 01, 2021 - Evidence-based information for the primary care setting to reduce readmissions and improve patient safety … The purpose of this project was to address the important and unfulfilled need to improve patient safety … The full environmental scan can be found on the AHRQ website at https://www.ahrq.gov/patient-safety/ … /default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf Final Report: Potentially Preventable … • Client postdischarge needs and relevant services delivered by the agency • Number of joint clients

2333. Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
      October 01, 2018 - Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, … Safety at AHRQ. … , patient engagement and patient safety as well as on best methods for collecting experience data, for … And can we link their survey scores to our target indicators, which is three questions that are chosen … Patients get better when we listen. We’re listening here.

2334. Strategy 4: IDEA Discharge Planning (Tool 1) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
      January 01, 2010 - and Family Engagement :: 2 Guide to Patient and Family Engagement :: 1 Evidence for engaging patients … and families in discharge planning Nearly 20 percent of patients experience an adverse event within … Rehospitalizations among patients in the Medicare fee-for-service program. … More and more, hospitals are focusing on transitions in care as a way to improve hospital quality and safety … Make sure that patients have an easy-to-read, printed medication list to take home.

2335. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
      January 01, 2024 - safety work. … Key Words: patient safety, emergency medicine, errors, adverse events, harm Principal Investigator … Surprisingly, there remains a paucity of information related to patient safety in ambulatory care settings … safety research. … RAs were further trained about patient safety principals and practiced querying caregivers before initation

2336. Module-7-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-implementation-guide.pdf
      June 02, 2025 - from initiating service # Of clients referred from initiating service # Of clients seen at initiating … service # Of referred clients seen at referring service # Of clients referred from initiating … o There is a risk of poor patient outcomes if these cardiac patients could have used CR to become healthier … • Have you tested the process with test patients both in the EMR and with patient education about the … safety issues and how they pertain to leadership, workflow, provider engagement, training, data interfaces

2337. Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
      January 01, 2025 - Child-Specific Risk Factors and Patient Safety. The Journal of Patient Safety. 2005;1(1):5. 3. … Patient Safety. … Patient safety in the emergency department. ACEP Patient Safety Task Force. … Child Specific Risk Factors in Patient Safety. The Journal of Patient Safety. 2005;1(1):17-22. 85. … Anatomy of a patient safety event: a taxonomy for pediatric patient safety.

2338. Operational-Adjustments-Event-Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdf
      July 02, 2020 - adjustments have you made to patient waiting, intake processes or patient screening? … For additional safety, staff also document the types of masks used by patients, provide surgical ones … to increase patient volume at the moment. … Guidance on releasing patient information to contact tracers. … Patient Reflections (from Event Chat) Consider forming or using your patient advisory board to get

2339. 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 - Adding costs and savings can add extra incentives to patient safety and quality efforts. … Educate new nurses on the Pressure Injury Prevention Program and other patient safety efforts. … Solution: Hold a Patient Safety Fair and provide education for all hospital staff. … The facility plans to hold an annual Patient Safety Fair for all employees. … and other patient safety issues with all staff.

2340. Archived Announcements About CAHPS Surveys | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/news-and-events/news/archive/index.html
      June 01, 2024 - Safety reveals trends in patient experience with provider communication as well as disparities by race … percent of Hispanic patients and 9.1 percent of non-Hispanic Black patients reported that their healthcare … Learn more on pages 71-80 of the 2023 Chartbook on Patient Safety . … Users who want to learn about patients' experiences with patient portals and/or other technology may … In addition, a random sample of patients (about 300 patients per provider per year) also receives surveys