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461. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (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-Simmons_66.pdf
     April 03, 2008 - approach engaged frontline staff in a fun, friendly competition on inpatient nursing units as they reported … Each season runs from January to June and from July to December (Figure 1). 5 Categories Reported … .22 Sensemaking also assists in categorizing and prioritizing the risk knowledge that comes from reported … employees that although they continually intervened to ensure safe care, the “fixes” needed to be reported … Executive Leadership Support The Good Catch Program Executive Leadership Support Results Categories Reported

462. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-Compendium-TechDoc-update.pdf
     January 01, 2018 - PECOS and IRS 990 data are timely and publicly available, and they contain information reported directly … Hospitals reported as being affiliated with only one health system were assigned to that health system … If one source reported 40 physicians and another reported 70 physicians, we opted to use the count of … System hospitals were counted if they were reported with a CCN or AHA ID in one or both of the two … For example, a national parent system operating multiple local subsystems is reported in the list as

463. Findings | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3.html
     July 01, 2018 - in a survey conducted by the Kaiser Family Foundation (KFF), fewer than half of individuals surveyed reported … For example, in one survey of physicians and nurses, participants reported the perception that involving … study of patients receiving regular chemotherapy treatments in an outpatient clinic found that they reported … One systematic review of the literature found that patients and family members reported being unsure … For example, a survey of patients found that patients who reported being "very comfortable" with specific

464. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/corbett.html
     August 01, 2017 - She reported taking 16 medicines at home. … Brown reported as her usual home medication dose. Mrs. … The patient reported taking nine home medicines, including warfarin. … A home care nurse reported that “ Patients want to take the same (medicines) because they are at home … In regard to health system-level barriers, stakeholders reported that poor communication, limited staff

465. Section 7: Measuring Value in a Care Management Program | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm7.html
     October 01, 2014 - Self-reported data. Care management reports and logs. … Self-reported data. Ultimate purpose of care management programs. … Often self-reported and less reliable. … Self-reported data sometimes unreliable. … Begin Collecting Data Early States have reported that unexpected data issues are common and that a

466. Prologue: Laying the Foundation (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-Prologue_Henriksen_Vol1.pdf
     July 10, 2008 - discoverability and confidentiality do not exist, that reporting systems are not burdensome to use, that reported … not disappear into data graveyards, and that useful information for system improvement is faithfully reported

467. Appendix C: Examples of Current State of Practice | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap-apc.html
     July 01, 2013 - clinical preventive services, the project team identified several examples of relevant current practices reported … Each of these programs reported successful linkages of patients with community resources and/or improvements

468. Noninvasive Positive Pressure Ventilation in the Home: Research Review: Disposition of Comments (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/comments/hmv-disposition-of-comments.pdf
     March 14, 2019 - Observational studies were reported on; how do they differ from those types excluded? … We excluded studies that just reported outcome rates/measurements for just one cohort of patients, … We agree that SAEs might be under reported but we do not have a definite conclusion on that. … will be included, but this was not uniformly done and reported on. … We evaluated device type by device settings used as reported in the literature.

469. Team Training in Healthcare and TeamSTEPPS at Johns Hopkins
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-dec2013.pptx
     January 01, 2013 - TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS Systematic Review 3,679 articles  33 studies included (reported … based safety program (CUSP) 72% significantly improved safety culture survey scores 11 studies also reported … patient outcomes 55% sig. improvement Rates of reported errors resulting in pt. harm (Abstoss et al

470. Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-fullreport.pdf
     November 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? No. … In Use: Have measure results been reported at this level previously? … In Use: Have measure results been reported at this level previously? No.

471. Follow-Up Referral After Positive Developmental Screen (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-204-fullreport.pdf
     January 01, 2014 - 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.

472. 2020 CAHPS Health Plan Survey Database Chartbook (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2020_hp_chartbook.pdf
     January 01, 2020 - The summary results presented in this Chartbook are compiled from data reported in the CAHPS Health … These questions are not publicly reported due to lack of data. … Adult Medicaid version 4.0. (2) From 2013-2020, the Database reported Adult Medicaid version 5.0. … Child Medicaid version 4.0. (2) From 2013-2020, the Database reported Child Medicaid version 5.0. … CHIP Medicaid version 4.0. (2) From 2013-2020, the Database reported CHIP Medicaid version 5.0.

473. How are CHIPRA quality demonstration States improving perinatal care? Evaluation Highlight No. 12 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight12.pdf
     January 01, 2020 - Florida reported lower rates of health care–associated infections in newborns. … In Figure 1, we present outcomes from the initiative as reported by the FPQC.13 Evaluation Highlight … Grantee-Reported Outcomes from NCLABSI in 16 Florida Hospitals Evaluation Highlight No. 12, May 2015 … Note: Data reported by the Florida Perinatal Quality Collaborative13 and not independently validated. … Grantee-Reported Measures in Nine Florida Hospitals for FPQC Golden Hour Initiative Golden Hour

474. Section 8: The Care Management Evidence Base | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8.html
     October 01, 2014 - For example, seven studies implementing self-management and monitoring interventions reported significant … Seven studies implementing self-management and monitoring interventions reported significant improvements … Four studies investigating telephonic care management reported significant utilization data. … One study reported a significant increase in need-based primary care visits, while another demonstrated … ROI of 3.37 (significance not reported). 30 , 39 Conclusion The majority of the relevant articles

475. A Study of Adverse Occurrences and Major Functional Impairment Following Surgery (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
     March 15, 2004 - The control group consisted of patients not reported to NYPORTS. … Although deaths were reported to NYPORTS, we excluded them from this report to examine specifically … (or not-reported, for controls) NYPORTS codes. … The variability in hospital case coding or what they reported could not be assessed. … Overall, the nurses agreed with the coding for 75 percent of the hospital-reported cases and 85 percent

476. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-10 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-10.pdf
     December 14, 2010 - Yes No x NR Not Reported.

477. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
     April 01, 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. … In Use: Have measure results been reported at this level previously?

478. Slide 1
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-090914.pptx
     January 01, 2014 - CAUTI (Chitnis, Infect Control Hosp Epidemiol 2012; 33(10):993-1000) More VRE (faecalis) isolates were reported … No significant difference in CRE CAUTI isolates between LTACHs and ICUs, but 42% of LTACHs reported a … sp 12.5%, CRE E. coli 2.3%, VRE faecium 86%, fluoroquinolone resistant E. coli 67% 20% of facilities reported … CAUTI: NHSN 2009-10 (Sievert, Infect Control Hosp Epidemiol 2013; 34: 1-14) 17 Selected organisms reported

479. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vae-tool.docx
     January 01, 2017 - The number of VAEs and total IVACs should be reported to the National Healthcare Safety Network (NHSN

480. Translating Patient Safety Research into Clinical Practice (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Magid.pdf
     January 01, 2004 - This study reported a total of 1,383 patients who met the eligibility criteria for participation in … Most studies in the medication safety literature have reported the efficacy of interventions. … An example of a medication safety study that also reported on negative outcomes was a computer alert … In the medication safety domain, persistence is seldom reported once a program is adopted in a real- … Information of this type needs to be reported, as a means of gauging the public health impact of medication