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1. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
   teamstepps.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. Results of ARRA-Funded CER Dissemination Activities | Agency for Healthcare Research and Quality
   teamstepps.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

3. Survey on Patient Safety (facility version) (doc file)
   teamstepps.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?

4. Comparative Reports on Physicians | Agency for Healthcare Research and Quality
   teamstepps.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. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
   teamstepps.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?

6. Hospital Survey on Patient Safety (pdf file)
   teamstepps.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? .....

7. Hospital Survey on Patient Safety (doc file)
   teamstepps.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?

8. Register Now: April 25 Webinar Will Launch HHS Series on National Action Alliance To Advance Patient Safety | Agency for Healthcare Research and Quality
   teamstepps.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

9. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Infographic Summary (pdf file)
   teamstepps.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

10. Strategy 6C: OpenNotes | Agency for Healthcare Research and Quality
    teamstepps.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

11. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
    September 01, 2019 - (D2) When a mistake is made that could harm the patient, but does not, how often is this reported? … (A8R) 57% 50% 7% Added “In this unit” When an event is reported in this unit, it feels like the … (A7R) When an event is reported, it feels like the person is being written up, not the problem. … have you reported? … events have you reported?

12. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/sops/international/hospital/translators.html
    October 01, 2014 - Frequency of Events Reported ( More about this item: Refers to reports made to someone in authority … 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? … When an event is reported, it feels like the person is being written up, not the problem. … The term "rating" can be used instead of "grade." ) Number of Events Reported (No event reports,

13. Falls Dashboard | Agency for Healthcare Research and Quality
    teamstepps.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.

14. AHRQgraphic_EHRdata_phase1_update (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/data/infographics/AHRQgraphic_EHRdata_phase.pdf
    December 01, 2018 - Use of EHRs before EvidenceNOW 79% 71% 72% incorporated lab results to generate reports reported … quality measures at the practice level reported quality measures at the clinician level produced

15. Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/studies/index.html
    January 01, 2024 - The authors indicate that in the United States, excess deaths reported to non-COVID-19 natural causes … A total of 162,886 of these excess natural-cause deaths were not reported to COVID-19. … Overall, 15.8 excess deaths were reported to non-COVID-19 natural causes for every 100 reported COVID … Increases in reported COVID-19 deaths were temporally associated with increases in excess deaths reported … Excess natural-cause mortality in US counties and its association with reported COVID-19 deaths.

16. Fall Prevention Toolkit (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
    March 01, 2013 - Higher rates are reported in particular sites or wards, such as those specializing in neurology, geriatrics … Most trials of fall prevention programs have not reported any harms. … Of the 15 studies that reported the size of the setting, three were under 100 beds, five were between … Existing Infrastructure Five studies reported on the existing quality and safety infrastructure. … The majority of studies reported the recipients of any training component (15 studies), with slightly

17. New Tool Helps Manage Opioid Use in Older Adults | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/898.html
    January 01, 2024 - Register Now for Feb. 27 Webinar on Integrating Patient-Reported Outcomes Into Practice . … Register Now for Feb. 27 Webinar on Integrating Patient-Reported Outcomes Into Practice Registration … ET on strategies to expand the use of patient-reported outcomes (PROs) in health systems despite challenges … Examples will include how to implement patient-reported outcomes across rheumatology practices; understanding

18. Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-grob-prelim-phase-one.pdf
    October 29, 2018 - Thoroughness 12% Clinical Staff 13% www.ahrq.gov/cahps 0% 5% 10% 15% 20% 25% 30% Experiences Reported … 1 What’s Important to NYP Patients: Part 2 What’s Important to NYP Patients: Part 3 Experiences Reported

19. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
    June 29, 2016 - organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event • Publicly reported … organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event • Publicly reported … organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event • Publicly reported … organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event • Publicly reported … organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event • Publicly reported

20. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
    January 01, 2021 - 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 … In the past 12 months, how many patient safety events have you reported? a.