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ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
August 01, 2022 - Was the problem reported? To whom?
What happened when the problem was reported? … ; what happened when an event was reported; and the impacts or consequences of the event. … To be accountable to consumers providing reports means that reported information is actively used to … In this context, systems have a responsibility to actively use reported information in the pursuit of … These two purposes are linked, as use of reported information to design meaningful changes in patient
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ce.effectivehealthcare.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - Frequency of Events Reported
( More about this item: Refers to reports made to someone in authority … When a mistake is made, but has no potential to harm the patient, how often is this reported?
D3. … When a mistake is made that could harm the patient, but does not, how often is this reported? … When an event is reported, it feels like the person is being written up, not the problem. … The term "rating" can be used instead of "grade." )
Number of Events Reported
(No event reports,
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - (D2)
When a mistake is made that could harm the
patient, but does not, how often is this reported? … (A8R) 57% 50% 7%
Added
“In this unit”
When an event is reported in this unit, it
feels like the … (A7R)
When an event is reported, it feels like the person is
being written up, not the problem. … have you reported? … events have you
reported?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
February 14, 2018 - This measure has been reported for HEDIS for three years as of January 2018. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6c.pdf
March 01, 2017 - -
year pilot for OpenNotes indicated that 80% of patients chose to read their notes and
two-thirds reported … Moreover, 86% of patients reported that
the availability of clinical notes would determine their choice … at Geisinger Health System, more than two-thirds of patients who took
medication during the study reported … For example, less than
8% of doctors reported taking more time to address patients’ questions outside … of
scheduled visits, and less than 20% of doctors reported taking more time writing notes.6
Despite
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-alaska-state-snapshot.pdf
January 01, 2018 - All
three practices reported increases in their MHI scores
(Figure 1).1 One practice was recognized as … Practices
reported measures three times during the CHIPRA
quality demonstration, improving their ability … Using its well-child
visit rate to measure performance, the practice reported
an increase from 15 percent … • Reported 16 of 26 Child Core Set measures to CMS. … the average Medical Home Index
Score for three participating practices in Alaska
Note: Data were reported
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-8a.pdf
January 01, 2011 - each state
Managed care claims data is sometimes absent from MAX, and what managed care data is
reported … Of the 43 states we analyzed, 18 states reported S-CHIP data to MAX. … care and fee-for-service appendicitis claims
in all states
Results of matched analysis comparing reported … States were eliminated if the entire 95% CI for the rate of reported claims for
appendicitis in managed … All claims data in these states
is reported via FFS or PCCM, wherein claims are billed as FFS.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report.pdf
January 01, 2022 - Example of Computing Number of Events Reported and Patient Safety Rating . 48
Table N2. … safety events
they reported in the past 12 months. … patient sa fety events have you reported? … These include the number of events reported and overall rating on patient safety items. … Table 6-3 presents statistics for the number of patient safety events reported.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
January 01, 2004 - Measures of success for HFHS would
include a substantial increase in the volume of reported patient … At
HFHS, for instance, the average number of events reported each month was
difficult to calculate … The average monthly
number of reported events jumped to more than 650 following the implementation … Figure 1 shows a
monthly trended increase in reported events across the various HFHS divisions. … This attitude is gradually giving way to one of “if it is not reported, I can’t do
anything about it
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-169-fullreport.pdf
February 01, 2017 - In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously? … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/4_mark_schlesinger.pdf
June 25, 2014 - www.cahps.ahrq.gov
Assessing Our Elicitation Efforts:
Fulsomeness 1
38
Figure 1: Fulsomeness of Reported … www.cahps.ahrq.gov
Assessing Our Elicitation Efforts:
Fulsomeness 2
39
Figure 2: Varied Fulsomeness of Reported
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
March 30, 2008 - events with major outcomes and an
increase in reported near-miss medication events that were corrected … Areas Affected: All staff taking verbal orders, telephone orders and
critical test results reported … The proportion of reported
medication near misses to
total reported events also
increased. … Whether the
number of near misses
doubled or the number
reported was simply better,
the improved … Improved near miss reporting
Year
Total reported
events
(N)
Medication
near missesa
(N)
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-5.8.pdf
January 01, 2014 - Patients who reported
more positive safety experiences were
more satisfied with their care. … Parents reported communication and
involvement in discussions about
treatment as important aspects … Outcome
measures included objective health
outcomes, self-reported health,
adherence to treatment, … Assessments of
self-reported health were based on
responses to questions adapted from the
Medical … Data were gathered from Adult HCAHPS
surveys reported in March 2008 and
March 2009.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-243-fullreport.pdf
August 01, 2019 - In Use: Have measure results been reported at this level previously? … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/2021-Compendium-TechDoc.pdf
January 01, 2021 - Hospitals reported as being affiliated with only one health system were assigned to that
health system … Of the 6,725 unique hospitals with a CCN or AHA ID reported in the two
data sources, several hundred … If one source reported 40 physicians
and another reported 70 physicians, we opted to use the count of … We report the number of outpatient centers reported in the OneKey
data (AHA data does not report the … System hospitals
were counted if they were reported with a CCN or AHA ID in one or
both of the two
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-5.pdf
December 14, 2010 - x Yes No NR
General Performance Data Reported. … Yes No x NR
Not Reported.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-2-team-leadership-participant-worksheet.pdf
June 28, 2023 - 30 minutes Individual reflections
Small group discussions
Small group sharing - Key takeaways reported … 22
Prepare key takeaways - to be reported out by a member of each small
group
~8 minutes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-II-508.pdf
January 01, 2021 - Highlights were based on
results for the 10 SOPS composite measures, number of events reported, and … • Nongovernment hospitals had a higher percentage of respondents who reported one or
more events … • Mountain hospitals had the highest percentage of respondents who reported one or
more events in … (Item A6*)
63% 68% 61% 61% 57% 59% 57%
When an event is reported in this unit, it feels like the … (Item A6*) 63% 63% 61% 63% 61% 57%
When an event is reported in this unit, it feels like the person
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-SOPS_101_Webcast-FAMOLARO.pdf
January 01, 2020 - istakes
Teamwork
Management Support for
Patient Safety
Staff Training
92%
of respondents reported … 93%
of respondents reported that before the start of
procedures, team members stopped to d iscuss the … of respondents reported that before the start of
procedures, the doctor encouraged team members to … speak up at any time.
76% of respondents reported that immediately after procedures, team members discussed
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0237-technicalspecs.pdf
February 12, 2020 - by a State program may take any form that clearly
conveys the results of this question; it may be reported … alone, or as one component of a
broader array of parent-reported availability and access measures that