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41. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
    September 01, 2005 - Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from … the ASIPS Collaborative 105 Using Reported Primary Care Errors to Develop and Implement Patient … harm of all error types reported).14 Malpractice data corroborated these findings … to ASIPS involved a diagnostic test (the most frequent of all errors reported).14 Of all reported … Using Reported Errors to Develop Interventions 119 11. Pace WD, Staton EW, Higgins GS, et al.

42. Table 4-2. Correlations Between Self-Reported English Ability in Speaking, Reading, and Writing | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/iomracereport/reldata4tab4-23.html
    May 01, 2018 - Correlations Between Self-Reported English Ability in Speaking, Reading, and Writing … Correlations Between Self-Reported English Ability in Speaking, Reading, and Writing Previous … Relationship of Speaking and Reading Ability Reported English-Speaking Ability Percent Who Say They … Correlations Between Self-Reported English Ability in Speaking, Reading, and Writing.

43. Survey on Patient Safety (facility version) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
    November 18, 2019 - When an event is reported, it feels like the person is being written up, not the problem .......... … In your work area/unit, when the following mistakes happen, how often are they reported? … When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported … When a mistake is made, but has no potential to harm the patient, how often is this reported? … When a mistake is made that could harm the patient, but does not, how often is this reported?

44. Fallpxtool3D (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3d.docx
    January 29, 2013 - You may need to change the people to whom the hazard is reported based on your local organizational setup … Form To: Nurse Manager Equipment or Condition Presenting Hazard: Location of Hazard: Date Hazard Reported … : Hazard Reported by (your name): Corrective Action Taken (describe what you did to eliminate the … Completed on: Work Order Completed by: Action Taken to Eliminate Future Occurrences: Hazard Reported

45. I. Introduction | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/intro1.html
    May 01, 2016 - In the late 1990s, up to 42 percent of the respondents in a Louis Harris Poll reported that they or a … that the medical error resulted in serious health consequences. 5 Most of the reported errors (75 percent … In an early study, Weingart and colleauges 31 found that 8 percent of inpatients reported adverse events … As reported by Research Triangle Institute (RTI) and Consumers Advancing Patient Safety (CAPS) for AHRQ … Compare and contrast those events reported by consumers with those reported by health care professionals

46. Results of ARRA-Funded CER Dissemination Activities | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/cpi/about/mission/arra/index.html
    December 01, 2014 - Consumers reported a statistically significant increase in awareness of AHRQ from wave 1 to wave 2 (4% … Clinicians reported a statistically significant increase in awareness of AHRQ from Wave 1 to Wave 2 ( … Clinicians also reported a statistically significant increase in awareness of the EHC Program (8% to … Of those who had heard of the EHC Program Web site, the number of clinicians who reported visiting the … Clinicians reported a slight increase in their intention to use EHC Program clinician products in the

47. Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Impact of the Intervention on Staff Experience (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-nembhard.pdf
    July 03, 2023 - narratives 41.4% frequently experienced at least HALF of learning options 27 Finding 2: Reported … Both forms of empathy seen frequently in narratives: 11.5% 42.4 % 33 Reinforcing Feedback and Reported … Staff Burnout Correlation between Reinforcing Feedback and Reported Staff Burnout: Regression Adjusted … Respondents had multiple learnings from patient narratives that facilitate improvement Finding 2: Reported … Staff Burnout Correlation between Reinforcing Feedback and Reported Staff Burnout: Regression Adjusted

48. 2018 Hospital SOPS Database Report Executive Summary Infograpic (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsrptexecsum_0.pdf
    March 01, 2018 - 65% Areas of strength for most hospitals 820/o Teamwork Within Units 82% of respondents reported … and do not overlook patient safety problems 720/o Organizational Learning 72% of respondents reported … information is not lost during transfers or shift changes 530/o Staffing 53% of respondents reported … 67% positive Mid-Atlantic (lowest) 61% positive Bed Size Smaller hospitals (6·24 beds) reported … the highest percent positive Larger hospital (500+ beds) reported the lowest percent positive

49. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
    March 01, 2002 - of 0.08 and 41.5 per 1,000 patient days for PHRED-reported events. … Adverse drug event categories reported in PHRED are similar to those captured in RMEES. … ) reported no preventable adverse drug events. … units reported no preventable adverse drug events into PHRED. … Insulin was not reported in any of the PHRED events.

50. Person-Centered Care Among Asian and Native Hawaiian/Pacific Islander Home Health Patients Needs Improvement (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-asian-nhpi.pdf
    June 01, 2020 - Being Treated With Courtesy and Respect Adults who reported that home health providers always treated … ◆ In 2017, 84.3% of Asian adults and 88.5% of NHPI adults reported that home health providers always … ◆ From 2012 to 2017, the percentage of adults who reported that home health providers always treated … Being Treated as Gently as Possible Adults who reported that home health providers always treated them … ◆ In 2017, 79.6% of Asian adults and 84.4% of NHPI adults reported that home health providers always

51. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (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-Jones_91.pdf
    July 17, 2008 - by critical access hospitals (CAHs) to those reported by non-Federal, general community hospitals. … CAHs that reported 8,087 medication errors and 143 NFCHs that reported 159,519 errors (Table 2). … NFCHs and <1 percent of reported errors from the CAHs. … to those reported by the NFCHs (Table 2). … Second, errors reported by the NFCHs may be misclassified.

52. CHIPRA Measure 240: Parent Report of Discussion of Weight Concerns for Child (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-bmi-parent-full-report.pdf
    February 01, 2020 - Parent-reported height and weight calculated BMI ≥85th percentile based on height and weight reported … Calculated BMI ≥85th percentile, based on height and weight reported by a parent. 2. … In Use: Have measure results been reported at this level previously? Not available. … In Use: Have measure results been reported at this level previously? Not available. … In Use: Have measure results been reported at this level previously? Not available.

53. Key Themes Across Grants | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/themes.html
    October 01, 2015 - Solberg reported that the Practice Advisory Group for 120 health care homes in Minnesota realized only … Of the 14 TPC grants, eight reported that all of the participating practices had already achieved PCMH … In addition, a number of financial incentives were reported as motivating transformation initiatives, … Donahue et al reported that a committed mid-level manager in addition to strategic or visionary leaders … Front-line staff at Palo Alto Medical Foundation reported feeling overwhelmed by the number of changes

54. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
    March 01, 2004 - Medication errors represent approximately 50 percent of all patient safety events reported by military … by civilian health care facilities and represent approximately half of all errors reported in DoD. … Some MTFs routinely reported five or fewer medication events per month, while others consistently reported … of nationally reported events were classified as near misses. … Percentage of inpatient and outpatient events, stratified by harm and reported Table 2.

55. Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-slides.html
    January 01, 2016 - * Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents Reported … 53.0 0.0000*** Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life W34 - Reported … 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. … Slide 35 Project Outcomes Child-Serving Physicians' Reported Experiences with and Attitudes Toward

56. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
    February 16, 2021 - Frequency of Events Reported (Never, Rarely, Sometimes, Most of the time, Always) D1. … 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? 9. … When an event is reported, it feels like the person is being written up, not the problem. … Number of Events Reported (No event reports, 1 to 2 event reports, 3 to 5 event report, 6 to 10 event

57. Clinic/Clinician-Patient Relationships | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3-4.html
    October 01, 2013 - clinician-patient) Data source Patient/individual survey Calculation method This measure may be reported … It may be targeted to patients participating in a clinical-community relationship or be reported more … The measure will be reported as the average level of patient-centeredness of the care received from clinic … clinician-patient) Data source Patient/individual survey Calculation method This measure may be reported … It may be targeted to patients participating in a clinical-community relationship or be reported more

58. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
    January 01, 2003 - ; and the estimated percentage of medication errors actually reported. … Reasons why medication errors are not reported (16 items). 3. … Estimated percentage of medication errors actually reported. … Data from the 1994 survey have been reported,26, 42 while only data on why errors are not reported and … Understanding why medication administration errors may not be reported.

59. Connecting the Dots: Improving Unit Safety Culture to Stop HAI | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
    December 01, 2017 - (U) Number of Events Reported (O) Just Culture - management will support and reward reporting … Slide 23 Reverse-Worded Items Score reported is “percent positive”: Percentage of responses rated … When a mistake is made, but has no potential to harm the patient, how often is this reported? … 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. 36% 3.

60. Understanding CAHPS® Surveys: A Primer for New Users - Shaller (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/webinar-012220-shaller.pdf
    February 06, 2020 - Patients reported how often their nurses communicated well with them during their hospital stay. … Star rating for this measure Patients who reported that their nurses "Always" communicated well … Patients who reported that their nurses "Usually" communicated well Patients who reported that