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1. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
   healthcare411.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
   January 01, 2004 - Results: One hundred fifty-five patients (70.5 percent) reported no missed warfarin doses during the … perfect 30-day adherence, with those who reported non-adherence. … perfect 30-day adherence, with those who reported non-adherence. … Among those patients who reported perfect 30-day adherence, a comparison of patients who reported a … Comparing patients who reported a regimen greater in strength than that reported by the clinician (n

2. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
   healthcare411.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
   January 01, 2024 - Diagnostic test errors appeared in 47% of reported events; medication errors appeared in 35.4%; and … A subanalysis of 608 reported events showed that 6.4% were associated with discomfort or inconvenience … Although participants reported that the system was easy to use, lack of time and competing demands … LIMITATIONS The ASIPS project relied on reported events from busy clinicians. … Communication errors (39.6%) and medication errors (39.6%) were frequently reported.

3. Disseminating Breast Cancer Prevention to African American Women (pdf file)
   healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/hugheshalbert.pdf
   December 19, 2014 - There were significant reductions in distrustAt baseline, 57% of women reported distrust of their providers … Similarly, 67% reported that they trusted researchers almost all or most of the time, but at follow-up … , 77% reported that trust.. … At baseline, 61% of women reported that being physically inactive increases risk of developing breast … Ninety-five percent of community-based dissemination adopters reported that they were extremely satisfied

4. Comparative Reports on Physicians | Agency for Healthcare Research and Quality
   healthcare411.ahrq.gov/talkingquality/resources/comparative-reports/physicians.html
   October 01, 2022 - Performance scores are reported on the website for preventive care, care for chronic conditions such … Patient experience scores are also reported for some physician groups and ACOs. … Performance scores are reported on the website using symbols and numeric data. … Clinical quality measures are reported for asthma care, cancer screening, diabetes care, mental health … Performance scores are reported on the website using word icons.

5. Using Patient Input to Improve Diagnostic Safety | Agency for Healthcare Research and Quality
   healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-bell.html
   March 01, 2022 - five patients reporting a perceived serious mistake following a review of their post-visit notes, as reported … Bell and her team developed and tested the framework for patient-reported diagnostic breakdowns that … After analyzing more than 2,000 patient-reported errors from 25,000 respondents, researchers identified … Among patients who reported a diagnostic error, the most common contributing factor patients reported … Drawing on data from the framework of patient-reported breakdowns, Dr.

6. Results of ARRA-Funded CER Dissemination Activities | Agency for Healthcare Research and Quality
   healthcare411.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

7. TeamSTEPPS® Teamwork Attitudes Questionnaire Manual | Agency for Healthcare Research and Quality
   healthcare411.ahrq.gov/teamstepps/instructor/reference/teamattitudesmanual.html
   April 01, 2017 - Of these, n=175 or 44.3 percent reported they deliver inpatient care, n=89 or 22.5 percent reported they … 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 … An additional seven respondents reported working specifically in a neonatal ICU. … Due to this issue, valid percentages are not reported. iii.

8. Survey on Patient Safety (facility version) (doc file)
   healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
   November 15, 2019 - When an event is reported, it feels like the person is being written up, not the problem (1 (2 (3 … questions when something does not seem right (1 (2 (3 (4 (5 SECTION D: Frequency of Events Reported … In your work area/unit, when the following mistakes happen, how often are they 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?

9. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
   healthcare411.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

10. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
    healthcare411.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?

11. Hospital Survey on Patient Safety (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
    December 22, 2017 - When an event is reported, it feels like the person is being written up, not the problem ......... … 1 2 3 4 5 SECTION D: Frequency of Events Reported In your hospital work area/unit, when the … following mistakes happen, how often are they 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? .....

12. 2018 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2018_cg_cahps_chartbook.pdf
    January 01, 2018 - OVERVIEW How 31.3,706 patients from 2,024 medical practices reported 6 measures of patient experience … that office staff were always helpfu I and respectful. 73% of patients reported that providers … , car e, and information. 55% of patients reported that providers always talked about their health … ZIP code was self-reported at the practice-site level. … This information was self-reported at the practice-site level.

13. Hospital Survey on Patient Safety (doc file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
    June 09, 2016 - When an event is reported, it feels like the person is being written up, not the problem (1 (2 (3 … questions when something does not seem right (1 (2 (3 (4 (5 SECTION D: Frequency of Events Reported … In your hospital work area/unit, when the following mistakes happen, how often are they 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?

14. Register Now: April 25 Webinar Will Launch HHS Series on National Action Alliance To Advance Patient Safety | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsletters/e-newsletter/858.html
    April 01, 2023 - Nurse Staffing Gaps Reported in Hospitals With More Vulnerable Maternity Patients, Study Finds . … Nurse Staffing Gaps Reported in Hospitals With More Vulnerable Maternity Patients, Study Finds Most … hospitals adhere to nurse staffing guidelines, but gaps in staffing are reported more frequently at … They found that nurses reported strong adherence to staffing guidelines in their hospitals; but higher … They concluded that gaps in staffing were reported more frequently at hospitals serving the most vulnerable

15. How Does the NPSD Work? | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/npsd/how-does-npsd-work/index.html
    February 01, 2024 - Only data for CFER-H have been reported to the PSOPPC/NPSD; therefore, they are the only source of data … NPSD Data Are Unique The data presented by the NPSD differ from clinical quality measures reported … Clinical quality measures reported by other agencies typically focus on all eligible members of the population

16. Diagnostic Safety Grants Awarded in FY 2019 | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/diagnostic-safety/research/grants-2019.html
    March 01, 2024 - patient-centered framework co-designed with patients/families and care partners to measure and categorize patient-reported … apply this new analytic tool to establish the incidence, types, and contributing factors to patient-reported … use and impact of this method on the diagnostic process measuring safety (incidence/types of patient-reported

17. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Infographic Summary (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
    January 01, 2023 - response Highest Scoring Composite Measure: Feedback and Communication About Incidents 83% reported … Lowest Scoring Composite Measure: Staffing 39% reported they “strongly agree” or “agree” there

18. Strategy 6C: OpenNotes | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6c-opennotes.html
    March 01, 2020 - one-year pilot for OpenNotes indicated that 80% of patients chose to read their notes and two-thirds reported … Moreover, 86% of patients reported that the availability of clinical notes would determine their choice … researchers at Geisinger Health System, more than two-thirds of patients who took medication during the study reported … For example, less than 8% of doctors reported taking more time to address patients' questions outside … of scheduled visits, and less than 20% of doctors reported taking more time writing notes. 6 Despite

19. Falls Dashboard | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/npsd/data/dashboard/falls.html
    September 01, 2023 - This dashboard includes information organized by fall at-a-glance (by age), commonly reported patient … activities prior to fall, and commonly reported risk factors for fall.

20. Step Up App Challenge: Advancing Care Through Patient Assessments | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/challenges/past/step-up-app/index.html
    January 01, 2022 - About the Challenge Patient-reported outcomes (PROs) are defined as "any report of the status of a … AHRQ provided a copy of the Patient-Reported Outcomes Measurement Information System (PROMIS®) physical … approach, benchmarked pain and function scores from the National Institutes of Health (NIH) Patient-Reported … to provide sought-after data through "Campaigns" (e.g., Chronic Disease Management Campaign, Patient-Reported … activity, cliexa®'s Platform for Chronic Care Management enables clinicians to fully leverage patient-reported