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321. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
     January 01, 2024 - and conclusions as of August 31, 2017, relevant to the three aims and a descriptive paper about the reported … The contingency team process measure was the post-fall huddle rate, which was the proportion of reported … .87) 64 56 .05 Staff feel like their mistakes are held against them.† 70 63 .07 When an event is reported … Reference category = gait belt was identified as an intervention to prevent a reported fall Table … Reference category = either bed or chair alarms were in use as interventions in use to prevent a reported

322. Racial and Ethnic Minorities | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/topics/racial-ethnic-minorities.html
     March 23, 2023 - A recent study found that 67 percent of non-Hispanic White women reported prior screening compared with … For example, a 2020 study found that Asian Americans, including Asian ethnic-groups, reported lower rates … In a 2022 study, 19 percent of American Indian or Alaska Native individuals living in rural areas reported

323. Community Resource Element | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3-3.html
     October 01, 2013 - Calculation method This measure may be reported as the percentage of community resources within a community … This measure will be reported as the percentage of the target population for the marketing effort that … This measure may be reported as the percentage of community resources in a community willing to participate … This measure may be reported as the percentage of community resources within a community that have infrastructure … This measure may be reported as the percentage of community resources that have been able to initiate

324. Exhibit 1. Consumer reporting system summary design features | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh1.html
     August 01, 2022 - The event can be reported locally or reported nationally. The report flows toward the system hub.

325. Appendix A, Pt. 2 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
     April 01, 2018 - Hyperglycemia and other fluctuation in the levels of blood glucose have been reported as predispositions … In the literature, infection rates are reported as 0.04% to 3.4%. … Results Reported rates of infectious complications following arthroscopy range from 0.01% to 0.48%. … The most noted complication was hemarthrosis, with 104 cases reported (>60% of all complications). … Results Reported complication rate of 14.6% in open procedures.

326. What We Learned | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/index.html
     October 01, 2020 - Providers who used the eSHQ reported it produced more complete risk data and facilitated referrals between … These States implemented learning collaboratives and subsequently reported quantifiable improvements … Associations Between Practice-Reported Medical Homeness and Health Care Utilization Among Publicly Insured … Researchers from the National Evaluation Team used practice-reported PCMH assessments and Medicaid claims … Researchers from the National Evaluation Team used practice-reported PCMH assessments and Medicaid claims

327. Chartbook on Person- and Family-Centered Care: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pcc-slides.html
     June 01, 2018 - Note: Measures that achieve 95% performance will no longer be reported in the chartbook. … Children who had a doctor’s office or clinic visit in the last 12 months whose parents reported poor … Trends: From 2002 to 2013, the percentage of children whose parents reported poor communication with … Groups With Disparities: Among all adults who reported difficulty understanding their doctor during … their last visit, the percentage who reported language was the reason was higher for individuals who

328. Results | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/engage/results.html
     March 01, 2017 - From the perspective of our key informants, patients and providers reported similar characteristics of … Here, communication breakdowns, slips, and lapses were the most commonly reported determinants of patient … Each of the 23 key informants reported that a major factor to improve patient safety in primary care … Themes around patient ownership of their medical record were reported by patients, physicians, practice … Other commonly reported interventions included medication reconciliation and medication lists, models

329. AHRQ CAHPS Program: Addressing Emergining Needs for Patient Experience Measurement & Improvement webcast-EDGEMAN-LEVITAN (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/addressing-emerging-needs-09132023-edgeman-levitan.pdf
     October 01, 2023 - Team: Nembhard IM, Matta S, Shaller D, Lee YSH, Grob R & Schlesinger M 36 Reinforcing Feedback and Reported … Providers’ use of narratives linked to patient and workforce experiences Reinforcing Feedback and Reported

330. Webinar Transcript - National Quality Strategy Webinar: Using Measurement for Quality Improvement | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/workingforquality/events/webinar-using-measurement-for-quality-improvement.html
     November 01, 2016 - Personally, I'm stepping out of my role and saying, "I think it's patient-reported outcomes." … CMS Activities on Patient-Reported Outcome Measures (PROMs) [Slide 21] Kate Goodrich:  And finally … , just a few words about patient-reported outcome measures. … ": Patient-Reported Outcomes [Slide 24] Kevin Larsen:  So you'll hear a theme from all of us that … patient-reported outcomes are a key priority for HHS.

331. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of 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-Singh_69.pdf
     April 04, 2008 - Errors reported in this way would populate a “visual database,” providing the ability to disseminate … Such information, reported internally for quality and safety improvement purposes, potentially has more … A reported event can consist of one or more errors, together with causes and consequences. … Similarly, and perhaps even more importantly, those errors that are reported most frequently are not … Rates and types of events reported to establish incident reporting systems in two U.S. hospitals.

332. AHRQ Safety Program for Ambulatory Surgery Final Report (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
     May 01, 2017 - Twelve percent of unexpected events reported across cohorts 3–7 were hospital transfer/admission and … Self-reported rating of difficulty implementing QI at facility Has the facility ever administered a … Cohort 6 provided additional data for the events, reported in Table 21. … Nineteen unplanned intervention events reported a “sedation-related issue.” … Reported rates for all outcome measures are very low with many at or close to 0 percent.

333. NPSD Dashboards | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/npsd/data/dashboard/index.html
     October 01, 2023 - NPSD dashboards were initially published in June 2019 and were based on more than 1.1 million records reported … Summary Dashboard , which provides a high-level overview of the frequency of patient safety events reported … risk for pressure ulcer following a risk assessment; and the timing of the first risk assessment for reported

334. HCUP Visualization of Inpatient Trends in COVID-19 and Other Conditions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/data/hcup/hospital-trends-covid-19.html
     December 01, 2022 - Trends are reported by the month of discharge from the hospital beginning with January 2018 except for … COVID-19, where trends are reported beginning with April 2020.

335. Post Award Grants Management | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/funding/grant-mgmt/index.html
     December 01, 2022 - -425) submitted via the Payment Management System (PMS)  must exactly match the final expenditures reported … The expended funds reported on the FFR must exactly match the disbursements reported on the grantee's … requires that all inventions made in the course of or under any PHS research grant be promptly and fully reported … to HHS and, in any event, be reported prior to the publication of any description of the invention.

336. CAHPS Bibliography | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/cahps/bibliography/index.html?page=2
     January 01, 2024 - Measuring patient-reported shared decision-making to promote performance transparency and value-based … The influence of collecting patient-reported outcome measures on visit satisfaction in rheumatology clinics … The relationship between primary care physician burnout and patient-reported care experiences: a cross-sectional … Relationship between patient-reported hospital experience and 30-day mortality and readmission rates

337. Program Evaluation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
     July 01, 2023 - state rates are shared with AIM □Maternal deaths are rare events, and thus maternal mortality is not reported … state rates are shared with AIM • Maternal deaths are rare events, and thus maternal mortality is not reported … measures • Number of unit drills • % providers trained on AIM bundle topic Hospital-generated data Reported … overall and bundle‐specific, i.e., women with hemorrhage or preeclampsia) Hospital discharge data Reported … and • performance of multidisciplinary case reviews These data are generated by the hospitals and reported

338. Program Evaluation - PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8_program-evaluation.pptx
     July 01, 2023 - state rates are shared with AIM Maternal deaths are rare events, and thus maternal mortality is not reported … state rates are shared with AIM Maternal deaths are rare events, and thus maternal mortality is not reported … Existence of debriefs process Performance of multidisciplinary case reviews Hospital-generated data Reported … Process measures Number of unit drills % providers trained on AIM bundle topic Hospital-generated data Reported … (overall and bundle-specific, i.e., women with hemorrhage or preeclampsia) Hospital discharge data Reported

339. Program Evaluation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
     July 01, 2023 - state rates are shared with AIM □Maternal deaths are rare events, and thus maternal mortality is not reported … State rates are shared with AIM • Maternal deaths are rare events, and thus maternal mortality is not reported … measures • Number of unit drills • % providers trained on AIM bundle topic Hospital-generated data Reported … overall and bundle‐specific, i.e., women with hemorrhage or preeclampsia) Hospital discharge data Reported … and • performance of multidisciplinary case reviews These data are generated by the hospitals and reported

340. Infographic - Fractures Were Higher In Adult Women (Aged 18 and Older) Than In Men The Same Age (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/falls-infographic.pdf
     December 31, 2021 - Older as for Men in the Same Age Group Source: Network of Patient Safety Databases (NPSD), events reported