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121. I. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/intro1.html
     May 01, 2016 - In the late 1990s, up to 42 percent of the respondents in a Louis Harris Poll reported that they or a … that the medical error resulted in serious health consequences. 5 Most of the reported errors (75 percent … In an early study, Weingart and colleauges 31 found that 8 percent of inpatients reported adverse events … As reported by Research Triangle Institute (RTI) and Consumers Advancing Patient Safety (CAPS) for AHRQ … Compare and contrast those events reported by consumers with those reported by health care professionals

122. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
     January 01, 2013 - Frequency of Events Reported Frequency of Events Reported Supervisor Manager Actions Promoting Safety … Frequency of Events Reported Frequency of Events Reported Supervisor Manager Actions Promoting Safety … When a mistake is made, but has no potential to harm the patient, how often is this reported? … When an event is reported, it feels like the person is being written up, not the problem. … When an event is reported, it feels like the person is being written up, not the problem.

123. IV. Evaluation Aims, Methods, and Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/eval4.html
     May 01, 2016 - Analysis of Patient-Reported Events The research team abstracted and tabulated the following kinds … In 20 of the 37 completed reports, at least one medical mistake m was reported. … Seventeen patients and caregivers reported that staff did not listen to the patient, 17 reported that … seem to work well together as a team, and 11 reported that they lacked followup. … Table 4.4 also shows the duration of the harm associated with these reported events.

124. Maternal and Child Health Care: Person-Centered Care & Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mchpcc-ps.html
     June 01, 2018 - Providers Children who had a doctor’s office or clinic visit in the last 12 months whose parents reported … Overall Rate: In 2013, 3.4% of parents reported poor communication with their children’s health provider … Trends: From 2002 to 2013, the percentage of children whose parents reported poor communication with … Between 2002 and 2013, the percentage of children whose parents reported poor communication decreased … In 2013, 2.1% of parents of privately insured children reported poor communication compared with 5.6%

125. Wisconsin Collaborative for Healthcare Quality | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/priorities-in-action/wisconsin-collaborative-for-healthcare-quality.html
     March 01, 2017 - sites—including 65 percent of primary care providers in the State—participating in the Collaborative have reported … the voluntary public reporting undertaken by WCHQ members results in quality improvement across the reported … member organizations saw significant improvement across diabetes and cardiovascular disease measures reported … Weeks, et al., "Publicly Reported Quality-of-Care Measures Influenced Wisconsin Physician Groups to Improve

126. Patient Safety Organization Drives Inpatient Rehabilitation Quality Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201705.html
     April 01, 2017 - Alan Zaph, P.T., coordinator of the PSO, noted that the most significant improvement reported has been … "From 2010 to 2015, the reported rate of unassisted falls per 1,000 patient days improved by 18.9 percent … In 2010, the reported rate was 5.39 unassisted falls per 1,000 patient days, and in 2015 the rate dropped … Overall improvement has also been reported from 2010 to 2015 in rates of restraint use, which dropped

127. Findings form the 2022 Surveys on Patient Safety Culture (SOPS®) Medical Office Database Overview Infographic (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/MOSOPS-2022-Overview-Infographic-508.pdf
     January 01, 2022 - Response Rate Highest Scoring Composite Measures Patient Care Tracking/ Followup 85% of respondents reported … OTHER FINDINGS Overall Ratings on Quality Highest Rated Equitable 83% of respondents reported that … Lowest Rated Timely 57% of respondents reported that their medical office is "Excellent" or "Very

128. 2020 SOPS Medical Office Database Report Executive Summary Overview Infographic (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Infographic.pdf
     January 01, 2020 - Support for Patient Safety Teamwork Highest Scoring Composite Measure 88% of respondents reported … Highest Rated Equitable 84% of respondents reported that their medical office is "excellent" or … Lowest Rated Timely 56% of respondents reported that their medical office is "excellent" or "very

129. 2021 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
     December 01, 2021 - • Adults age 18 and over are defined as with disability if one reported with serious difficulty … prescription medicines in the last 2 months of care them HHCAHPS 2019 Adults who about when reported … they first started getting home health care they would get HHCAHPS 2019 Adults the last who reported … that 2 months of care home health care providers talk about pain in HHCAHPS 2019 Adults who reported … that 2 months of care home health care providers talk about pain in HHCAHPS 2019 Adults who reported

130. Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
     January 01, 2024 - First, the 25 Group 1 and Group 2 CAHs voluntarily reported 10,081 errors to MEMARX from July 2005 … through June 2007, and the 10 Group 3 CAHs reported 812 errors from August 2006 through June 2007 ( … that reported 8,087 medication errors and 143 NFCHs that reported 159,519 errors. … Harmful errors (categories E through I) accounted for approximately 2% of reported errors from the … NFCHs and less than 1% of reported errors from the CAHs.

131. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/refs.html
     May 01, 2016 - Comparing patient-reported hospital adverse events with medical record review: do patients know something … Patient-reported medication symptoms in primary care. … Learning from patient-reported incidents. J Gen Intern Med2005 Sept; 20(9):830–6. 31. … Patient-reported service quality on a medicine unit. … Patient-reported safety and quality of care in outpatient oncology.

132. Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
     January 01, 2025 - (The model performance will be reported in publications.) … The majority of reports examined were reported by lawyers, followed by consumers and providers. … Among patients who reported being pregnant and underwent reoperation, more than half reported device … Two- thirds of patients undergoing reoperation reported patient events only. … One fourth of patients reported both patient and device events (Figure 1).

133. How did CHIPRA quality demonstration States employ learning collaboratives to improve children’s health care quality? | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight13.html
     June 01, 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 … Increased immunization rates reported by Maine for learning collaborative practices 12 Note: Data … Increase in reported immunization rates is statistically significant (p<0.05). Peer networking.

134. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
     www.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.

135. Pediatric Oral Health-Related Well-Being and Distress (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-211-fullreport.pdf
     August 01, 2019 - 60 measures of patient- reported health. … 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. … PROMIS has developed more than 60 measures of patient-reported health.

136. Illinois Blue Cross/Blue Shield Puts AHRQ's Quality and Patient Safety Indicators Into Its Quality Reporting | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cdom0503.html
     October 01, 2014 - It reported selected indicators based on the AHRQ Quality Indicators, using all-payer data. … The Second Annual Profile, sent to hospitals in 2004, reported selected Inpatient Quality Indicators … data is not currently available for Illinois, the AHRQ indicators for the Second Annual Profile were reported … For rural hospitals, some indicators are not reported.

137. Duke’s Private Diagnostic Clinic Used TeamSTEPPS to Improve Teamwork and Communications | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/202101.html
     June 01, 2021 - at Private Diagnostic Clinic (PDC), a multispecialty physician practice affiliated with Duke Health, reported … Across the system, 80 percent of leaders reported fewer breakdowns in communication, 90 percent felt … better equipped to manage disagreements, and 84 percent reported that disagreements were handled appropriately

138. Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-slides.html
     January 01, 2016 - 95.8 96.3 97.3 0.0000*** Developmental Screening -screened by 12 months of age DSC1 - Reported … 12.6 17.9 27.7 0.0000*** Developmental Screening -screened by 24 months of age DSC2 - Reported … Based on a standardized process, five other provider organizations reported measures annually to PA. … Measures had to be reported directly from the provider organization's EHR. … Slide 35 Project Outcomes Child-Serving Physicians' Reported Experiences with and Attitudes Toward

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

140. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=163
     January 01, 2024 - More than half of the patients reported potentially low health literacy. … Current patient-reported outcome measures for itch are limited and may not capture its full impact on … Development, validation, and interpretation of the PROMIS Itch Questionnaire: a patient-reported outcome … reported nonphysical harms only. … Health care provider factors associated with patient-reported adverse events and harm.