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3941. AHRQ Patient Safety Roundtable: Research Priorities for Patient Safety Improvement in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ahrq-summit-agenda-2020.pdf
      January 01, 2020 - Safety Improvement in the Ambulatory Setting - 1 - Agency for Healthcare Research and Quality … Leader’s Intent Speaker: Gopal Khanna Director, Agency for Healthcare Research and Quality 12:15

3942. Experiences From the Frontline: Case Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
      May 01, 2015 - Teamwork Across Units and Hand-offs and Transitions measures decreased, which may be due to the fact … that TeamSTEPPS was not yet rolled out to other units because these two measures assess transitions … One component of this index, the Unanticipated Operative Procedure measure, decreased by 51 percent. … The weighted adverse events included in the measure are in-house maternal death, in-house neonatal … physicians and nurses who would be using the equipment, the team purchased new delivery drapes and scales

3943. EvidenceNOW: Advancing Heart Health in Primary Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/summary.html
      September 01, 2017 - EvidenceNOW are ambitious and include-- Helping primary care practices implement evidence to improve the quality … incorporate other patient-centered outcomes research findings in the future Studying how external quality … Shared learning collaboratives or peer-to-peer learning Expert consultation How Will EvidenceNOW Measure … It is helping them to learn how to extract data from their electronic health records and use it for quality

3944. Guide to Patient and Family Engagement in Hospital Quality and Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/engagingfamilies/guide.html
      December 01, 2017 - Guide to Patient and Family Engagement in Hospital Quality and Safety Research shows that when … patients are engaged in their health care, it can lead to measurable improvements in safety and quality … To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient … work as partners with patients and families to improve quality and safety. … resource to help hospitals work as partners with patients and families to improve quality and safety

3945. Asthma 1: Emergency Room Visits for Children between 3 and 21 with identifiable asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sas-code.pdf
      October 31, 2018 - These are the lists of NDC codes and drug information for "Asthma Medications" from the Hedis measure … They can be accessed here: http://www.ncqa.org/hedis-quality-measurement/hedis-measures. 5) Comorbidity … Claims Table: All (unfiltered) medical claims for at least the patients in the measure cohort. … dates; %let lookstart = 01Jan&lookyear.; *First date of the lookback year; http://www.ncqa.org/hedis-quality-measurement … /hedis-measures %let evalstart = 01Jan&evalyear.; *First date of the evaluation year; %let evalend

3946. EvidenceNOW in Action | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
      March 01, 2021 - EvidenceNOW in Action EvidenceNOW cooperatives have provided tailored support to small practices in their regions to help them use evidence and data to enhance patient care. For example, external consultants helped practices use their electronic health record data to identify at-risk patients and improve care. …

3947. Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
      February 01, 2017 - Using structured assessments of sedation and delirium through validated scales might more effectively

3948. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
      April 04, 2008 - and have been described in detail in numerous articles.2, 6, 7 PSIs have been found to be reliable measures … Although there may be multiple hospitalizations per veteran, we did not control for repeated measures … Comorbidity measures for use with administrative data. Med Care 1998; 36: 8-27. 13. … Reinventing VA health care: Systematizing quality improvement and quality innovation. … Evaluating diagnosis-based case-mix measures: How well do they apply to the VA population?

3949. Summary of Survey Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-summary.html
      August 01, 2024 - Figure 1 shows the percent positive responses for each composite measure domain. Figure 1. … **Agency for Healthcare and Quality (AHRQ), data from Survey on Patient Safety Culture Diagnostic Safety

3950. Teaching Implementation Planning | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
      January 01, 2024 - Teaching Implementation Planning     Present Slide 22, "Implementation Planning"; use this slide to transition to implementation planning. Note that you need to consider measurement when implementing TeamSTEPPS, but it is not the only thing. Explain that implementation planning will equip trainees with a 10-s…

3951. Healthcare Safety Competencies Affinity Group | Agency for Healthcare Research and Quality
      www.ahrq.gov/action-alliance/competencies-affinity-group/index.html
      May 01, 2025 - Mercado, CAE, CPHQ, Chief Executive Officer/Executive Director National Association for Healthcare Quality … ARNP, Chief of Health Systems Strengthening, Resilience, and Training Branch, Division of Healthcare Quality … Organization Monika Haugstetter, M.H.A., M.S.N., R.N., CPHQ, Health Scientist Administrator, Center for Quality … Improvement and Patient Safety Agency for Healthcare Research and Quality   Jennifer Trallo Schreiber

3952. National Academy of Medicine (NAM) Reports | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/national-academy-medicine.html
      February 01, 2018 - recommendations from experts in the field regarding activities and future directions for health care quality … Future Directions for the National Healthcare Quality and Disparities Reports A 2011 report that studied … of both the state and the science of child and adolescent health and health care quality measurement … Preventing Medication Errors: Quality Chasm Series  Released: July 20, 2006 According to one estimate … Quality Through Collaboration: The Future of Rural Health is a 2004 report that examines the quality

3953. State at a Glance: Colorado | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/demostates/co.html
      March 01, 2019 - State at a Glance: Colorado Learn more about the CHIPRA quality demonstration projects being … the quality of health care for children? … Testing an approach to quality improvement of the State's own design. … implement a quality improvement strategy tailored to each center. … was developed by CHIPRA quality demonstration staff in Colorado to measure adolescents’ experiences with

3954. Study Shows Strong Link Between Smoking, Opioid Use | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/923.html
      July 01, 2024 - The National Healthcare Quality and Disparities Report (NHQDR) shows opportunities for improving healthcare … quality and reducing disparities. … Development of patient safety measures to identify inappropriate diagnosis of common infections. … This service is provided to you at no charge by the Agency for Healthcare Research and Quality (AHRQ

3955. Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
      January 01, 2004 - For dose adjustment in renal insufficiency, the outcome measure for patients with study-defined renal … For drug interactions, the outcome measure is the number of the targeted contraindicated coprescribing … Results Implementation and outcome measures Fifteen primary care group practices are participating … dose adjustment in renal insufficiency, patients with chronic kidney disease25 were those with two measures … Computerized physician order entry and quality of care.

3956. Combining Performance Feedback and Evidence-based Educational Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
      January 01, 2004 - Plan for prevention: measure, analyze, and review prior research and baseline data; identify areas for … A key measure of the impact of intervention will be the comparison of medical injury rates in the intervention … A series of different measures of medical injury occurrence will be used: any medical injury, four major … categories of medical injuries (drug, device, procedure, and radiation), and measures designed to reflect … We provide hospitals with important measures of medical injuries that are scientifically sound and robust

3957. Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use (July 8, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-transcript.html
      December 01, 2017 - Kennedy, who is a Colon and Rectal Surgeon and Associate Professor of Surgery and the Vice-chair for Quality … And that last option reflects it back that as part of the in-patient CMS quality reporting program, all … Currently, it's one of 12 of these clinical process of care measures that will have in fiscal year '15 … We also had a team leader from the C Suite; this was our vice-president of quality. … I know that our nurses who look at, on a monthly basis in all of our units, process of care measures

3958. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/baker.html
      August 01, 2017 - However, for the AMI domain, RAND was unable to recommend any outcome measures related to teamwork. … the degree of risk, likelihood of liability, and the requirement for teamwork using 5-point Likert scales … should test whether such judgments are also valid by comparing such judgments to independent, objective measures … Agency for Healthcare Research and Quality. TeamSTEPPS Website. Rockville, MD: AHRQ.  … Outcome Measures for Effective Teamwork in Inpatient Care: Final Report.

3959. Mod4-System-Focused-Event-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
      April 01, 2016 - This response is ineffective in improving quality of care and patient safety for several reasons. … Ensures the quality of the final documentation. 2. … At the end of this meeting, we will walk away with specific process changes and measures to evaluate … ■ The goal is to create specific process change recommendations and create measures to evaluate their … If we do not have accurate information in our database, our redundant safety measure of scanning the

3960. Chipra204-Materials Viia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VIIA.pdf
      August 25, 2014 - 0.00% 0.00% All Centers Site A Site B Site C Site D l-dimarco Typewritten Text Attachment 7A.1 Measure … Agency for Healthcare Research and Quality. National Healthcare Disparities Report. U.S.