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81. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - The report date, or the date that the event is reported into a system by a provider, indicated that … all 80 records with this limited information were reported between March 2020 and May 2020. … For incidents that involved a patient, the PSOs reported patient age and sex for 26 (8.6%) records, … with race and ethnicity not being reported for any records. … Many of the patient safety concerns reported where COVID-19 was identified in the description of the

82. CHIPRA 81: Pediatric Global Health-7 Measure Report (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-081-fullreport.pdf
    April 01, 2019 - 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? No.

83. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
    August 01, 2019 - 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? … When a mistake reaches the patient and could have harmed the patient, but did not, how often is this reported … Reliability of this composite measure—Cronbach’s alpha (3 items) = .72 Number of Events Reported … In the past 12 months, how many patient safety events have you reported?

84. Understanding SOPS® Surveys: A Primer for New Users - Hare (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-hare.pdf
    January 01, 2022 - Respondent Demographics Composite Measure Results Item Results Patient Safety Rating Number of Events Reported … Comparative Results Composite Measures Results Item Results Patient Safety Rating Number of Events Reported … Staff Position Composite Measure Results Item Results Patient Safety Rating & Number of Events Reported … Unit/Work Area Composite Measure Results Item Results Patient Safety Rating & Number of Events Reported … Unit/Work Area Composite Measure Results Item Results Patient Safety Rating & Number of Events Reported

85. How did CHIPRA quality demonstration States employ learning collaboratives to improve children's health quality? Evaluation Highlight #13 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight13.pdf
    September 08, 2015 - These States implemented learning collaboratives and subsequently reported quantifiable improvements … We also report on quantitative improvements realized by practices by mid-2014 based on self-reported … Findings State and practice staff reported that a combination of strategies described below helped … Learning collaborative leaders and participants in all nine States reported that a combination of … Increase in reported immunization rates is statistically significant (p<0.05).

86. References | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-references.html
    June 01, 2023 - Using patient reported information to improve clinical practice. … Racial disparities in preventable adverse events attributed to poor care coordination reported in a national … gap in safety metrics: development of a patient-centred framework to identify and categorize patient-reported … Comparing patient-reported hospital adverse events with medical record review: do patients know something … Patient Reported Measures: Potential and Peril for Assessing Diagnostic Excellence (Expert Convening

87. Attachment 9.1: Table 1. Questions About the Measure's Use at Different Levels of Aggregation for Quality Reporting (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-ix.pdf
    January 11, 2017 - In Use: Have measure results been reported at this level previously? … Validity: Is there published evidence about the reliability and validity of the measure when reported … In Use: Have measure results been reported at this level previously? … Validity: Is there published evidence about the reliability and validity of the measure when reported

88. Can We Talk? Priorities for Patient Care Differed Among Health Care Providers (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf
    January 01, 2003 - Midafternoon, approximately 50 percent of physicians and RNs reported discussing the patient with each … discussing patient with RN 48.9 RN reported discussing patient with physician 51.9 RN reported discussing … patient with PCT 92.7 PCT reported discussing patient with RN 90.3 Physician could name RN 22.8 … Examples of reported priorities of physicians and nurses are given in Table 3. … Previous studies have reported cases of communication breakdown, have reported health care providers

89. Title of Presentation: (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
    September 24, 2015 - Annual Dental Visits ADV - Rate - Total 71.4 72.3 72.2 0.0420* Adolescent Well-Care Visits AWC - Reported … Rate 12.6 17.9 27.7 0.0000*** Developmental Screening -screened by 24 months of age DSC2 - Reported … Rate 9.4 16.3 31.8 0.0000*** Developmental Screening -screened by 36 months of age DSC3 - Reported … Rate 1.6 3.6 10.6 0.0000*** Total Eligible Who Received Preventive Dental Services PDS - Reported … measures annually to PA • Measures had to be reported directly from the provider organization’s EHR

90. Technologically Enhanced Community Health Worker Delivery of Personalized Decision Aid: iDecide.Decido (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/heisler.pdf
    December 19, 2014 - 3) Examine the computer-tailored program's effects on participants’ changes in medications, self-reported … Findings Both the iDecide group and the print summaries group reported improved medication decisional … Participants in the iDecide group reported significant within-group and between-group improvements in

91. Patient Element | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3-2.html
    October 01, 2013 - This measure may be reported as the percentage of patients within a community who report a usual source … This measure may be reported as the percentage of patients achieving adequate health literacy. … This measure may be reported as the percentage of patients achieving adequate health numeracy. … Calculation method This measure may be reported as the percentage of patients of a clinical practice … This measure may be reported as the average level of awareness about availability of community resources

92. Key Themes Across Grants | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/ncepcr/reports/grants-transform/key-themes.html
    March 01, 2017 - 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

93. Dashboard Information | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/npsd/data/dashboard/info.html
    June 01, 2019 - There are 10 CFER-H modules: one Generic module applies to all reported events, and nine event-specific … Data Elements refer to the concepts reported in the CFER-H and captured through individual questions … asked of reporters for each patient safety concern (e.g., “What is being reported?” … Following the previous example, the Data Element “What is being reported?”

94. Introduction | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.html
    June 01, 2023 - there are no current policy or practice initiatives to supplement patient safety data using patient reported … patients” as still in the exploratory stage methodologically, with limited availability of patient-reported … this brief mirrors the variability embodied in narratives themselves, emphasizing that learning from reported

95. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (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-Faltz_56.pdf
    March 27, 2008 - Between 2003 and 2005, 347 events were reported. … Results In 2003, 2004, and 2005, 347 wrong-side, wrong-site, or wrong-procedure events were reported … In 3 years, 337 cases were reported in New York State. … Sentinel event trends: Wrong-site surgeries reported by year. … Reported on Joint Commission teleconference on Wrong Site Surgery, June 21, 2007.

96. Chapter 3. Description of Methods | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
    August 01, 2022 - Types of events that can be reported. Investigations of reported events. … Responses to reported information. … Only a minority of systems indicate that they investigate reported events. … Many systems do not specify how (or whether) reported information is disseminated. … Full public dissemination of reported information appears to be uncommon.

97. Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid: Final Report (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-238-fullreport.pdf
    October 01, 2019 - 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. … In Use: Have measure results been reported at this level previously? No.

98. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-6 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-6.pdf
    December 14, 2010 - During 2004, a total of 25,827 cases of pertussis were reported in the U.S. and 8,897 of those (34%) … Yes No x NR Not Reported. … Yes No x NR Not Reported.

99. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
    July 01, 2023 - This brief, the first of two on learning from patient experiences, explores: ■ How patient-reported … by Others: Accounts of patient experience related to safety are often (40%-60% of cases) reported by … Types and prevalence of patient/family-reported diagnostic errors Frequency of Reported Concerns by … Using patient reported information to improve clinical practice. … Racial disparities in preventable adverse events attributed to poor care coordination reported in a

100. TeamSTEPPS® Teamwork Attitudes Questionnaire Manual (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamattitudesmanual.pdf
     October 01, 2008 - Of these, n=175 or 44.3 percent reported they deliver inpatient care, n=89 or 22.5 percent reported … reported they work as registered nurses and 27 as advanced practice nurses. … Respondents reported working predominantly in intensive care: 260 respondents reported working in some … Due to this issue, valid percentages are not reported. 4 (n=242 or 54.3 percent) reported they … Poor communication is the most common cause of reported errors. 27.