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201. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
     January 01, 2007 - The top five types of errors reported by U.S. family physicians are: 1 1. … All significant adverse events (e.g., unexpected deaths and hospitalizations) were to be reported for … Building on this previous research and our reported cases, we developed a simplified taxonomy around … For example, reported inconsistencies in communication and recommended followup for abnormal Pap … The most common errors reported in one setting may not match other settings.

202. Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
     January 01, 2023 - Approximately 9 million households per year are affected by patient-reported diagnostic mishaps, with … Moreover, respondents reported that experiencing both problems and mistakes increased the likelihood … No racial differences in self-reported gaps in care coordination were found. … differed by level of burnout reported (p-values<0.05). … Nearly 40% reported experiencing at least one gap in care coordination in the prior 12-months.

203. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
     ce.effectivehealthcare.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 - Self-reported race is by definition the “gold standard” in race identification and is preferable to … 2003-027, which mandated that self-reported race and self-reported ethnicity be gathered separately … If self- reported race values were inconsistent, the race recorded in the majority of cases was used. … The self-reported race collected since 2003 is based on six race variables and one ethnicity variable … Veterans whose self-reported ethnicity was Hispanic or Latino and self-reported race was white, African

204. Serious Reportable Adverse Events in Health Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
     December 01, 2000 - required reporting, such events are grossly underreported, due in part to ambiguity about what is to be reported … In 1999, the Institute of Medicine (IOM) recommended that health care errors and adverse events be reported … Reporting in this context is a different matter than whether or how the reported information might be … disclosed to the public after being reported to the responsible agency. … Without additional specification, the events may be interpreted and reported differently.

205. Using Quality Measures to Drive Improvement: Lessons from the CHIPRA Quality Demonstration | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-slides.html
     January 01, 2016 - Based on a standardized process, five other provider organizations reported measures annually to PA. … Measures had to be reported directly from the provider organization's EHR. … Among physicians in participating systems, 76 percent reported generating internal quality reports, 86 … percent felt that quality reports are effective, 92 percent reported receiving external quality reports … , and 88 percent reported pursuing quality improvement efforts in the previous 2 years, compared with

206. AHRQgraphic_EHRdata_phase1_update (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/AHRQgraphic_EHRdata_phase.pdf
     December 01, 2018 - Use of EHRs before EvidenceNOW 79% 71% 72% incorporated lab results to generate reports reported … quality measures at the practice level reported quality measures at the clinician level produced

207. What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
     July 01, 2016 - Results All four states increased the number of Child Core Set measures reported to CMS during the … The Child Core Set measures were first voluntarily reported by state Medicaid/ CHIP agencies for … All ten measure- focused demonstration states increased the number of measures reported over time; … We used these publicly available reports to identify the number of measures states reported to CMS … In 2013, measure-focused demonstration states reported a median of 23.5 of the 26 measures, versus

208. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
     January 01, 2004 - Critical incident studies in anesthesia have found that around 80 percent of reported incidents involve … The grade of trainee was not reported in 5 percent of cases. … One consultant reported it was difficult to use the ANTS System when the consultant was required to … Thirteen consultants reported making notes during or immediately after the case. … They reported that it would not be appropriate when a trainee was inexperienced in that situation (

209. Episiotomy (Overuse): Report (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
     March 01, 2016 - 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? … In Use: Have measure results been reported at this level previously? No.

210. Spotlight on Utah -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-utah-state-snapshot.pdf
     January 01, 2018 - When some practices reported challenges in integrating the externally-hired coordinators into the practice … Practices reported that they benefited from their family partner; however, some faced challenges integrating … The practices improved their self-reported Medical Home Index (MHI) scores on all six domains over … scores for 12 practices that participated in Utah’s PCMH learning collaborative Note: Data were reported … Portal staff reported that they were able to expand the site’s content by at least three-fold and that

211. Understanding the Transformation Experiences of Small Practices With National Committee for Quality Assurance Medical Home Recognition | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/hudsonscholle.html
     December 01, 2017 - Approximately 85 percent of practices reported receiving some form of physician and staff training. … Key Impacts of Transformation Quality of Care In the case studies, physicians reported that they … Physicians and staff reported that these were instrumental to PCMH transformation. … Staff reported that having the authority to make decisions empowered them to be more involved in patient

212. Outcomes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4.html
     January 01, 2013 - A total of 1,185 adult ICUs reported at least one data point. … Units that formally withdrew were excluded (n=50) 3 , and units that never reported post-baseline data … At baseline 30 percent of units reported a rate of zero. … hospitals (n=23) experienced one infection in 284 central line days (the lowest number of central line days reported

213. Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
     August 01, 2023 - When an event is reported in this unit, it feels like the person is being written up, not the problem … (negatively worded) • More about this item: When an event is reported, it feels like the person is … When a mistake is caught and corrected before reaching the patient, how often is this reported? … Number of Events Reported (None, 1 to 2, 3 to 5, 6 to 10, 11 or more) D3. … In the past 12 months, how many patient safety events have you reported?

214. 5. Improving Data Collection across the Health Care System | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/iomracereport/reldata5.html
     May 01, 2018 - More than 87 percent of surveyed CHCs reported inquiring about a patient's need for language services … , and 73 percent reported recording this information in the patient record ( Gallegos et al., 2008 ); … In 2006, only 26 percent of surveyed CHCs reported some EHR functionality, yet 60 percent reported plans … After the project, participants reported a greater appreciation for the importance of collecting race … For example, one physician reported, "You guys have taught me that it is not illegal to identify race

215. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-1 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-1.pdf
     December 14, 2010 - National mean all women 81.37%, 10th percentile, 67.15%, 90th percentile 91.67% NVSS data, reported … Yes No x NR Not Reported.

216. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
     November 01, 2017 - When the RR was not reported or could not be calculated, we used the OR value to approximate RR, based … Excess mortality is reported as the number of deaths per case of HAC. … For example, we excluded studies that only reported attributable cost and significance level because … There was significant variability in reported mortality between studies, due mainly to variation in … Not reported Not reported Not reported 3.4 (1.2, 12.3) 3.07 (1.36 – 6.90) SE(logRR)/SE(logOR) 0.414

217. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
     May 01, 2011 -  Was the problem reported? To whom?  What happened when the problem was reported? … to Reports – Dissemination of reported information – Responses to reported information  Strategies … Only a minority of systems indicate that they investigate reported events. … Full public dissemination of reported information appears to be uncommon. …  Was the problem reported? To whom?  What happened when the problem was reported?

218. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2021 User Database Report Part I (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-I-508-rev0921.pdf
     January 01, 2021 - Example of Computing Number of Events Reported and Patient Safety Rating . 36 Table N3. … Item Results Average Percentage Response on the Number of Patient Safety Events Reported in the Past … Reporting Patient Safety Events Mistakes of the following types are reported: (1) mistakes caught and … safety events they reported in the past 12 months. … Table 6-3 presents statistics for the number of patient safety events reported.

219. CHIPRA 81: Notes and Citations (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-81-pgh-7-notes-citations.pdf
     October 09, 2018 - insecurity was assessed with a single item based on work by Kushel and colleagues who found that self-reported … Construction of the Pediatric Asthma Impact Scale (PAIS) for the Patient-Reported Outcomes Measurement … Self-reported Pediatric Measures of Physical Activity, Sedentary Behavior, and Strength Impact for PROMIS … Self-reported Pediatric Measures of Physical Activity, Sedentary Behavior, and Strength Impact for PROMIS … Development of physical and mental health summary scores from the patient-reported outcomes measurement

220. Appendix C: Detailed Results of Measure Selection Process | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpaccapc.html
     July 01, 2018 - No validity or reliability testing of this version is reported, but it is very similar to the PCAT-CE … No validity or reliability testing of this version is reported, but it is very similar to the PCAT-AE … Scores for these sub-scales may be reported separately, although psychometric testing of sub-scales is … not reported. … No validity or reliability testing of this version is reported, but it is very similar to the PCAT-CE