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2421. Chapter 5. Implement the VTE Prevention Protocol | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide5.html
      October 01, 2022 - An electronic or human forcing function ensures that every patient being admitted or transferred in the … to occur at known intervals (e.g., integrating DVT prophylaxis assessments into a larger quality and safety … drive" is far more effective, however, when the pilot risk assessment and order set are applied to patient … must have a plan that ensures the VTE protocol is part of the completed admission orders for every patient … Which patients do not fit the protocol?

2422. Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/summary.html
      July 01, 2021 - HSR has helped establish an evidence base to support decisionmaking and improvements in the quality, safety … used to improve the design of health care benefits, inform health care policy, and help providers and patients … Safety, Health Information Technology (HIT) Applications and Tools, and Evidence Review and Synthesis … Effects of health care payment models on different patient populations. … of Care Developing primary care–specific measures that capture quality in ways meaningful to patients

2423. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa2.pdf
      January 01, 2018 - Annual Percent Change Standard Error P Value Data Source Number of Years None Patient … Safety Improving Average Annual Percent Change Standard Error P Value Data Source Number … Children 0-40 lb for whom a health provider gave advice within the past 2 years about using a child safety … who had diabetic foot care and patient education -12.40 0.0 0.03 OASIS 4 (2013- 2016) Women under … Safety Healthy Living Effective Treatment Care Coordination Affordable Care

2424. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa4.pdf
      January 01, 2018 - Children 0-40 lb for whom a health provider gave advice within the past 2 years about using a child safety … and acellular pertussis (Tdap) since the age of 10 years -17.48 0.028 0 NIS_TEEN 9 (2008-2016) Patients … acellular pertussis (Tdap) since the age of 10 years -18.12 0.043 0.002 NIS_TEEN 9 (2008-2016) Patients … 16-17 who received 3 or more doses human papillomavirus vaccine -3.1 -3.98 NIS_TEEN 2009-2016 Patients … 16-17 who received 3 or more doses human papillomavirus vaccine -3.1 -3.80 NIS_TEEN 2008-2016 Patients

2425. Recent Insights into CAHPS Survey Modes and Response Rates (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys.pdf
      January 01, 2020 - Caren Ginsberg, Director CAHPS & SOPS at the Center for Quality Improvement and Patient Safety at the … , patient safety, collecting patient narrative data using narrative protocols, and we're expanding this … Fry, Slide 14 Patient experience encompasses the range of interactions that patients have with the … To assess patient experience you have to find out from patients whether something that should have happened … safety.

2426. 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 - Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … rates of hospital readmissions (Srivastava, Keren, 2013), leading to higher rates of readmissions at safety-net … (see Supporting Documents) underscore the limited utility of 5-digit zip code-level socioeconomic indicators … Effect of hospital safety-net burden on cost and outcomes after surgery. … Indirect vs. direct hospital quality indicators for very low-birth-weight infants.

2427. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-2-team-leadership-facilitator-guide.pdf
      June 02, 2025 - It aims to improve healthcare quality and safety by helping teams work more effectively together. … Including patients and caregivers can add an important perspective to the exercise. … program: ● History ● Purpose ● Importance of teamwork and communication in healthcare quality and safety … the patient already in front of them. … , identify lessons learned, and collaborate and agree on methods that will improve performance and safety

2428. Developing Invitation Messages that Increase CAHPS Survey Response Rates Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-transcript.pdf
      September 01, 2019 - Safety, Agency for Healthcare Research and Quality Jack Fowler, Ph.D., Senior Research Fellow, Center … Safety at the Agency for Healthcare Research and Quality. … which is their patient focus. … Patient focus means that they measure topics that patients have told us is important to them to understand … that we had even better perhaps than the young patients.

2429. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
      January 01, 2024 - Toolkit for Engaging Patients To Improve Diagnostic Safety. Content last reviewed July 2022.. … https://www.ahrq.gov/patient-safety/settings/ambulatory/tools/diagnostic-safety/toolkit.html . … Pre-analytic error: a significant patient safety risk. … Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? … https://www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1

2430. LEARNING OBJECTIVES OF THIS WORKBOOK (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.doc
      April 01, 2006 - Workbook or its complementary Resource Guide, please contact the AHRQ Center for Quality Improvement and Patient … Safety, 540 Gaither Road, Suite 3000, Rockville, MD 20850 (phone: 301/427-1734; email: dwight.mcneill … are responsible for ensuring that the health care they pay for on behalf of State employees, Medicaid clients … The impact of disease management on outcomes and cost of care: a study of low-income asthma patients. … _______________________________ How will you measure the impact of this effort to spread change on patients

2431. Final Topic Refinement Document - Therapeutic Options for Obesity in the Medicare Population (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
      May 22, 2014 - In patients who are obese and who would be eligible for Medicare, what is the comparative effectiveness … Although they are efficacious among adults, the effectiveness and safety of these options for the people … The effectiveness and safety of obesity surgery, intragastric devices and other applications in the … disease such as sarcopenia) and including only health- related quality of life instead of a list of patient-reported … disease such as sarcopenia) and including only health-related quality of life instead of a list of patient-reported

2432. Using the Opportunity Estimator (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/estimator.html
      April 01, 2013 - per CLABSI, and one, the last, being the additional length of stay and the additional number of days patients … As staff learn how patient safety and errors are reliant on the systems we have in place, they can begin … Many of our hospitals are now posting pictures of patients who have had infections -- with, of course … I'm actually sitting here reviewing articles for the Joint Commission Journal on Patient Safety that … As somebody pointed out, this isn't the pediatric patient population and the numbers are very wide.

2433. Advancing Understanding of Health Care Delivery Using the AHRQ Compendium of U.S. Health Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/webinars/chsp-webinar-slides-011221.pdf
      January 12, 2021 - Health systems now touch all aspects of care for many patients. … Nursing homes ⁄ Geographic scope ⁄ Ownership ⁄ Teaching intensity ⁄ Extent to which hospitals are safety … net hospitals ⁄ Alternative Payment Model (APM) participation ⁄ Offers a health plan - Indicators … care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients … to transform their delivery of care while being accountable for the cost and quality of care their patients

2434. Advancing the Science and Implementation of Patient Narratives: Summary of Presentations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narratives-presentations-summary.pdf
      January 01, 2022 - Patient Narratives Research Meeting: Summary 5 Ensuring that comments from seriously ill patients are … this process conforms to longstanding guidelines about negative comments in support of a non-punitive safety … experience officers, patients, and patient advocates rank-ordered item alternatives. … , elicit ideas from patients otherwise excluded or overlooked by patient engagement initiatives, and … the Patient and Family Experience of Care survey to examine whether patients and their families were

2435. Chapter 4. Long Term Management | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
      December 01, 2017 - Environment and Equipment Safety Appendix A. References and Equipment Sources Appendix B. … Mobility The nurse should complete the Mobility and Transfer Assessment to screen residents for safety … The nurse uses the Get Up and Go Test to determine safety during rising and ambulation. … The second page, Falls Assessment Report, is a list of the safety problems found by the nurse during … Bed safety.

2436. Improving the Measurement of Surgical Site Infection Risk Stratification and Outcome Detection
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
      September 18, 2011 - risk-adjusted model in a set of procedures and then verify the model's predictive value in a second patient … post-operative leukocyte count test drawn Post-operative antibiotics not given, but the patient … Any post-operative antibiotics given, or Presence of a post-operative culture, or Patient … with research interests in SSI, representing multiple health system types (4 academic, 2 private, 2 safety … SSI* outcome noted for each patient HHSA-290-2006-00020 ACTION task order #8 * CDC/NHSN methodology

2437. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool5.html
      March 01, 2025 - Check Accuracy and Safety of Medicine Lists While the patient was in the hospital, the DE should have … confusing to patients returning home. … Patients taking more medicines will require longer calls. … Check Medicines The medicine check involves making sure patients or caregivers understand what the patients … teaching to other patients with similar regimens or conditions.

2438. 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 … Composite Measure Item Results—2025 Child HCAHPS Survey Database (Page 4 of 4) Attention to Safety

2439. Roadmap for Implementing Pediatric Quality Measures for Performance Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/roadmap/index.html
      September 01, 2021 - experts, informatics and IT experts, administrative staff, case managers, health educators, payers, patients … Guide to Patient and Family Engagement in Hospital Quality and Safety . … Implementation Team The nursing teams led the implementation on each unit and were responsible for asking patient-families … Strategies included: reconfigured visit report pull from EHR, smart forms, dot/smart phrases, asthma patient … Providers indicated that using the smart form was helpful in effectively managing patients with asthma

2440. Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
      July 01, 2023 - data Incident reports AHRQ patient safety survey Clinical process and outcome measures Review RCAs or … Survey on Patient Safety Culture, and site-specific process and outcome measures. … It is based on the idea of a patient postmortem, which can help to determine the cause of the patient … ’s demise but does not help that particular patient. … Staff should feel ownership and responsibility for supporting patient safety by applying the strategies