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2561. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits … 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. … I will print out the Transfer Risk Report to track the number of patients with high-risk diagnoses or … : We’ve shared a few examples where we discovered systems issues in our building that affected the safety

2562. 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

2563. 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

2564. 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

2565. 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.

2566. 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.

2567. 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

2568. 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

2569. 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

2570. 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

2571. 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

2572. 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.

2573. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
      www.ahrq.gov/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.

2574. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
      June 01, 2023 - Early identification of patients and clients at risk, 4. Transitional planning, 5. … Similarly, the Warm Handoff Plus tool is a patient safety strategy that ensures that patients and family … https://www.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy4/index.html. … Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. … /patients-families/engagingfamilies/strategy4/index.html https://www.ahrq.gov/patient-safety/reports/

2575. 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.

2576. Improving the Emergency Department Discharge Process: Environmental Scan Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
      December 01, 2014 - Johns Hopkins University School of Medicine Armstrong Institute for Patient Safety and Quality David … Suggested Citation: Johns Hopkins University, Armstrong Institute for Patient Safety and Quality. … Safety and Quality to examine the state of the ED discharge process and ways to improve it. … As such, Medicaid indicators and receipt of social services acted as proxies to determine whether a … safety in the home environment.

2577. 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

2578. 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

2579. 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

2580. Introducing a Protocol To Obtain Patient Comments Using the CAHPS® Clinician & Group Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-transcript.pdf
      January 01, 2017 - And one of our patients, who was at the meeting, said, “If you pay attention to what patients are saying … These are commercial patients. … For those patients that responded electronically. … We are doing a little work with some colleagues looking at applying an open-ended protocol to safety … Well, obviously, with patients or the public?