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341. 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

342. 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.

343. 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.

344. 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.

345. 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

346. 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.

347. 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

348. 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

349. 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

350. 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.

351. 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

352. 2019 Hospital Survey Pilot Test Results Part II (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-test-partii.pdf
     September 01, 2019 - When a mistake is caught and corrected before reaching the patient, how often is this reported? … When a mistake is caught and corrected before reaching the patient, how often is this reported? … When a mistake is caught and corrected before reaching the patient, how often is this reported? … When an event is reported in this unit, it feels like the person is being written up, not the problem … When a mistake is caught and corrected before reaching the patient, how often is this reported?

353. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
     April 09, 2004 - The majority (1,556) of these sentinel events were reported from general hospitals. … In addition, a total of 149,697 occurrences have been reported to the NYPORTS system since 1998. … , as compared to 18 cases reported to JCAHO20 from 1995 to 2003. … Events are reported to a national nonregulatory agency. … Self-reported events by State, January 1995 through December 2003.

354. Best Practices in the Management of Patients With Antibiotic Allergies – Facilitator Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-guide.docx
     September 01, 2022 - cross-reactivity between antibiotic classes, and · Describe approaches to evaluating patients with reported … agents to which allergies are reported—in about 10 percent of the U.S. population. … Patients who reported a penicillin allergy and went on to receive second-line perioperative antibiotic … First, determine that the reaction reported is a real allergy. … Document the specific allergy reported for each antibiotic and remove incorrect allergies such as hives

355. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/896.html
     January 01, 2024 - AHRQ Antibiotic Stewardship Program Led to Increased Activity, Openness to Change Clinicians reported … Clinicians reported statistically significant increases in antimicrobial stewardship importance (71 percent … Is there room for individual patient-specified preferences in the patient-reported outcome measurement

356. Chapter-3 - Sepsis Recognition (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
     March 01, 2020 - The most widely reported were sensitivity and specificity. … However, there is no reported evidence about these effects. … on mortality as an endpoint, 13 reported Intensive Care Unit (ICU) admission, and 9 reported the … One study reported significant decrease in mortality and risk of death. … One study reported a significant decrease in mortality and risk of death.

357. Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Final Report (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
     November 01, 2019 - In Use: Have measure results been reported at this level previously? Not applicable. … In Use: Have measure results been reported at this level previously? Not applicable. … In Use: Have measure results been reported at this level previously? No. … In Use: Have measure results been reported at this level previously? Not applicable. … In Use: Have measure results been reported at this level previously?

358. Health IT and Digital Health | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/research/health-it/index.html
     September 01, 2022 - focuses on usability, consumer-focused digital healthcare, clinical decision support, safety, patient-reported … Care : Toolkit designed to help healthcare systems govern, integrate, and report electronic patient-reported

359. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
     March 01, 2020 - Research examining outcomes focuses primarily on compliance with protocols and procedures, as reported … During the follow-up period, over 90 percent compliance was reported for the two audit criteria: patient … During the followup period, over 90% compliance was reported for the two audit criteria: “patient … No reviewed study reported a 100% compliance rate. … Reporting of wrong-site surgery is voluntary and those that are reported represent only a portion of

360. Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2022 Virtual Research Meeting Summary: Assessing Patient Experience for Insights into Enhancing Equity in Healthcare (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-virtual-research-meeting-summary_2022.pdf
     January 01, 2022 - Variation in Caregiver-Reported Hospice Care Experiences by Race and Ethnicity Rebecca Anhang Price, … Special methods are needed to measure race and ethnicity when valid self-reported data are not provided … The main reason respondents reported declining to provide race and ethnicity data was that they do not … Variation in Caregiver-Reported Hospice Care Experiences by Race and Ethnicity Rebecca Anhang Price … Compared with White enrollees, minority enrollees reported significantly worse care experiences.