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2481. Continuity of Insurance: Duration of First Observed Enrollment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-fullreport.pdf
      June 01, 2018 - • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public and private … In specific patient populations, there are also disparities. … Fiscal Burden of Condition on Patients, Families, Public and Private Payers, Society, Currently and … Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … volume of tabulated results that underscore the limited utility of 5-digit zip code-level socioeconomic indicators

2482. Final Progress Report: Contextual Factors Associated with Implementation Effectiveness within a Quality Improvement Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/lindenauer-report.pdf
      January 01, 2024 - Scope Background and Context The need to improve the quality and safety of hospital care in the United … practices, ranging from “sepsis bundles” to rapid response teams, intended to improve survival for patients … De-identified patient-level data on observed and risk-adjusted mortality and complications were obtained … Risk-adjusted complication rate using the AHRQ  composite Patient Safety Indicator (PSI)  PSI #07: … Multivariable models were developed for the outcome defined as the percent of eligible patients that

2483. 2024 Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-workplace-safety-report-appendix.pdf
      January 01, 2024 - 2024 Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items … for Hospitals Part II 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Workplace … Surveys on Patient Safety Culture® and SOPS® are registered trademarks of the U.S. … Highlights are based on results for the six patient safety culture composite measures and four single … Interaction With Patients (Tables B-26, B-29, B-30) • Respondents without direct patient interaction

2484. Low Tidal Volume Ventilation 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/ltvv-mvpguide.pdf
      January 01, 2017 - the adaptive elements of patient safety culture. … more information about patient safety culture and multidisciplinary coordination of care … in Practice “About a year ago, our facility hired a nurse trained in quality and patient safety. … Ventilator-associated events surveillance: A patient safety opportunity. … AHRQ-Patient Safety Network Web site. https://psnet.ahrq.gov/perspectives/perspective/78.

2485. Meeting Minutes, November 2018 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2018-11-nac/nacmtg1118-minutes.html
      April 01, 2019 - Fain, J.D., M.P.P., Betsy Lehman Center for Patient Safety Tina M. … Safety Steven C. … The FY 19 appropriation provides $72.3 million for patient safety, $70 million for the Medical Expenditure … Chesley responded that the support for grants includes other areas, including general patient safety … AHRQ will support an upcoming Patient Safety Organizations (PSOs) summit to address the opioid crisis

2486. AHRQ Strategic Plan for Health System Transformation To Optimize Health, Functional Status, and Well-Being Among Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/aging-well-strategic-plan.pdf
      August 01, 2024 - Priorities include research to 1) improve healthcare quality and patient safety, 2) improve healthcare … • AHRQ’s Surveys on Patient Safety Culture (SOPS®), which ask healthcare providers and other staff … The surveys can be used to raise awareness of and improve an organization’s patient safety culture. … • AHRQ’s Quality and Safety Review System, a patient safety surveillance system, which relies on clinical … to promote shared understanding and safety in patients with type 2 diabetes, including older adults.

2487. References (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
      January 01, 2017 - clinical practice guidelines for the prevention of healthcare-associated pneumonia, including VAP 4 AHRQ Safety … tracheal secretion that accumulates in patient’s subglottic area. 13 SSD-ETT Literature Review AHRQ Safety … showed that subglottic secretion drainage significantly reduces the incidence of VAP in a variety of patient … If each patient required two tubes during ventilation, the cost would be €1,383.69 ($1,542.94) per averted … This finding raises significant questions concerning the safety of aspiration of subglottic secretions

2488. Research on Person-Centered Care
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
      June 27, 2024 - Health Worker support patient Patients connected to Community Programs Health Risk Assessment … Food security Transportation Housing stability Dental care Intimate partner violence Neighborhood safety … 187 intervention patients 270 control patients 36 Findings – Everyone Had a Risk! … Patient access and utilization of referred services Systems in place to prevent patients falling through … “…we also provide Narcan® and medication safety boxes. Gun safety boxes and stuff.

2489. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
      August 01, 2010 - Introduction The Guide to Patient and Family Engagement in Hospital Quality and Safety is a resource … Care, Consumers Advancing Patient Safety, the Joint Commission, and the Health Research and Educational … Other organizations contributing to the project included Planetree, the Maryland Patient Safety Center … Bedside shift report can improve: Patient safety and quality. … .1 Studies have shown that bedside shift report improves patient safety and service delivery.2,3 For

2490. Final Progress Report: Shared Decision Making in Surgery To Improve Patient Safety and Reduce Liability (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
      January 01, 2024 - Final Progress Report: Shared Decision Making in Surgery To Improve Patient Safety and Reduce Liability … Shared Decision Making in Surgery to Improve Patient Safety and Reduce Liability Karen B. … We compared institutional resource consumption and patient safety outcomes between patient complaints … Summary and Conclusions Patient complaints reveal significant potential for improvement of patient safety … Making health care safer: A critical analysis of patient safety practices.

2491. Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
      July 28, 2016 - )  Lack of safety and security within or outside the home FINANCIAL INSECURITY  Difficulty paying … Has a client services manager and case manager on staff who provide referrals for housing, mental health … Clients may be eligible once every 30 days with proper documentation. … across providers (patients with chronic pain syndromes, behavioral or safety concerns, other rare management … Time Required Target 30 minutes per patient to develop a care plan (the first 10 patients may require

2492. 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 (

2493. Access to Outpatient Child and Adolescent Psychiatrists, Neurodevelopmental Pediatricians, and Developmental-Behavioral Pediatricians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-236-fullreport.pdf
      October 01, 2018 - society (unrelated to cost). 5 • Fiscal burden of measure focus (e.g., clinical condition) on patients … Diagnoses may be difficult to determine at the population level, as patients may be seen in a variety … In order to fulfill these obligations, it is imperative that providers are available to treat patients … Measure Topic – patient safety: No. 8 k. Measure Topic – family experience with care: No. l. … are no known existing quality measures that assess the availability of such specialists to pediatric patients

2494. Chapter 4: Defining Language Need and Categories for Collection, cont. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4b.html
      May 01, 2018 - approaches have been used for some national purposes; for example, section 118 of Medicare Improvements for Patients … check on the proportions of different language groups; they can also reveal the languages of potential patients … For example, the California Health and Safety Code requires that general acute care hospitals in the … with no specific language identifiers is not useful for understanding the language needs of individual patients … safety.

2495. 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

2496. Best Practices in Public Reporting No. 3: How to Maximize Public Awareness and Use of Comparative Quality Reports Through Effective Promotion and Dissemination Strategies | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/public-reporting/guide3.html
      June 01, 2017 - They do not want to be blindsided if a patient asks about a recently issued report. … Providers must recommend the right care; patients have to follow through. … safety, while another reports on patient experience for an identical or similar set of providers. … Return to Contents References 2008 Update on consumers' views of patient safety and quality information … Public reporting of hospital patient satisfaction: the Rhode Island experience.

2497. Best Practices in Public Reporting No. 3: How to Maximize Public Awareness and Use of Comparative Quality Reports Through Effective Promotion and Dissemination Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-3-public-reporting.pdf
      June 01, 2010 - They do not want to be blindsided if a patient asks about a recently issued report. … Providers must recommend the right care; patients have to follow through. … safety, while another reports on patient experience for an identical or similar set of providers. … References 1. 2008 Update on consumers’ views of patient safety and quality information. … Public reporting of hospital patient satisfaction: the Rhode Island experience.

2498. 2019 National Healthcare Quality and Disparities Report Quality Trends (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-core-measures-quality.pdf
      January 01, 2019 - These measures include patient experience of care measures that examine communication between patients … Hospital Measures Among the 11 core Patient Safety measures, 3 measures were improving and 8 were not … 3.7% in 2017 -12.1 0.298 Medication Safety Hospital patients who received a hypoglycemic agent who … in 2002 9.6% in 2017 -4.3 0 https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety … Updated-hacreportFInal2017data.pdf https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety

2499. 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.

2500. Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_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 … Engaging Patients and Families in Their Health Care. … 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