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361. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
     January 01, 2022 - Partici- pants reported that using the CFER-DS to describe especially complex events (e.g., multiple … Diagnostic error in medicine: analysis of 583 physician-reported errors.

362. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
     June 21, 2021 - For example, emergency department (ED) physicians in Canada reported receiving outcome feedback on … only 15% of cases they encountered.5 Among US internal medicine residents, 58% reported almost

363. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
     May 01, 2017 - Perinatal Safety Between 1996 and 2004, 34% of the cases of perinatal death or permanent disability reported

364. AHRQ Works: Building Bridges Between Research and Practice | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/cpi/about/impact/index.html
     April 01, 2017 - collects clinical data on medications, interventions, and patient outcomes and patient- and family-reported

365. 2019 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
     December 01, 2020 - For example, there were significant gains in the percentage of people who reported having health insurance

366. TeamSTEPPS® 2.0 Leadership Briefing | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
     April 01, 2017 - For example, the Joint Commission analyzed the sentinel events that were reported to them over the last … Notes: Supporting info: The Joint Commission analyzed the sentinel events that were reported to

367. Brain Based Learning Strategies to Improve TeamSTEPPS® Deployment and Health Care High Reliability | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/events/webinars/jan-2017.html
     January 01, 2017 - And 78 will die by five years." 50% Surgery 50% Radiation Study reported in NEMJ V. 306 #21, 1982 … And 22 will survive past five years." 84% Surgery 16% Radiation Change of 34% Study reported

368. America's Health Literacy: Why We Need Accessible Health Information (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/health-literacy/dhhs-2008-issue-brief.pdf
     January 01, 2008 - All reported differences were significant at the p < .05 level.

369. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - Settings https://digital.ahrq.gov/health-it-tools-and-resources/patient-generated-health-data-i-patient- reported-outcomes … TriSocietyASCChecklist.pdf https://digital.ahrq.gov/health-it-tools-and-resources/patient-generated-health-data-i-patient-reported-outcomes … practical-guide https://digital.ahrq.gov/health-it-tools-and-resources/patient-generated-health-data-i-patient-reported-outcomes

370. Detailed Methods for Medical Expenditure Panel Survey (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
     December 01, 2021 - Because of differences in the classification of race, racial estimates reported using MEPS data from … Instead, adults age 18 and over were defined as with disability if they reported a serious difficulty … Results were reported by individual health insurance status, which was defined hierarchically for the

371. The Culture of Culturing—The Importance of Knowing When To Order Urine Cultures | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
     April 01, 2017 - leg, and a fever, but you send a urine culture and that comes back positive— it may accidently get reported

372. Evidence-based Practice Center Systematic Review Protocol: Home Mechanical Ventilators (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdf
     February 02, 2018 - congruence between research and practice as it relates to applicability will be evaluated qualitatively and reported … Research gaps in the topic area will be reported by KQ. V. References 1. King AC.

373. PowerPoint Presentation
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
     January 01, 2014 - OIG Report, Nov 2010 5 Module 1 From the book “To Err is Human,” as reported from the 2010 Medicare … As we saw in the “Do No Harm” Video, families reported how the silence they experienced after the adverse

374. Module 1: Preventing Falls in Hospitals—Training Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
     September 01, 2017 - They are the most frequently reported incident in adult inpatient units. … Higher fall rates are reported in particular units, such as rehabilitation, geriatrics, and neurology

375. HHS AHRQ Freedom of Information Annual Report - FY 2010 | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/policy/foia/foiafy10.html
     November 01, 2020 - (Consultations are reported separately in Section XII of this Report.)

376. HHS AHRQ Freedom of Information Annual Report - FY 2009 | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/policy/foia/foiafy09.html
     October 01, 2014 - (Consultations are reported separately in Section XII of this report.) h.

377. HHS AHRQ Freedom of Information Annual Report - FY 2008 | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/policy/foia/foiafy08.html
     October 01, 2014 - (Consultations are reported separately in Section XII of this report.) h.

378. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
     July 01, 2023 - Perinatal Safety Between 1996 and 2004, 34% of the cases of perinatal death or permanent disability reported

379. Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2) | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
     January 01, 2020 - Staff members across the three organizations reported that the use of Lean enabled them to identify and

380. National Healthcare Quality and Disparities Report Chartbook on Rural Health Care (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/qdr-ruralhealthchartbook-update.pdf
     January 01, 2020 - ■ Whites had the lowest reported rates, with 33.1% of noncore residents and 23.7% of micropolitan … Adults who had a doctor’s office or clinic visit in the last 12 months who reported poor communication … • Change Over Time: From 2002 to 2014, the percentage of adults who reported poor communication with … In 2014, 7.2 million hospital discharges and 14.2 million ED visits were reported with diabetes as any … Adults 50-75 years who reported any type of colorectal cancer screening, by residence location, 2005