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  1. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
    June 02, 2025 - 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?
  2. www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
    January 01, 2024 - An increase in reported allergies to ACE inhibitors and statins is noteworthy. 2. … In total, 580,456 HSRs were reported, of which 53.1% were immediate reaction phenotypes. … Drug HSRs were reported in 13.8% of patients. … Almost one half of reported immediate HSR phenotypes were hives, and almost all reported delayed HSR … We found that the most frequently reported ADRs matched the most frequent patients' concerns.
  3. www.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).
  4. www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
    December 01, 2017 - Slide 23 Reverse-Worded Items Score reported is “percent positive”: Percentage of responses … Image: Bar chart depicting results for the three items in the HSOPS Frequency of Events Reported Composite … 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? … When an event is reported, it feels like the person is being written up, not the problem. 36% 3.
  5. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
    June 01, 2023 - Which Aspects of Diagnosis-Related Experiences Should Be Elicited and Reported? … Illustrations of persisting sequelae of diagnostic mishaps reported in elicited patient narratives … Virtually every respondent who reported a persisting harm identified at least one action they wished … But only 14 percent more reported such an event from 2 to 5 years before the survey (less than half of … To establish which aspects of diagnostic experiences can be reliably reported, elicitation techniques
  6. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-sops101-webcast-2023-tyler.pdf
    January 01, 2023 - 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
  7. www.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.
  8. 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.
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
    June 02, 2025 - 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?
  10. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T3-Antibiogram_specifications_Phase_2.doc
    June 02, 2025 - Because many nursing homes will have smaller sample sizes, the result would be many species not being reported … If some antibiotics are tested occasionally, they should not be reported in the antibiogram, as their … Antimicrobial sensitivity results from clinical culture specimens are frequently reported in three categories … The antibiogram should be reported as the percentage of each species that is susceptible to each antibiotic … S.aureus specimens should be reported as two populations: (1) all S. aureus isolates and (2) just MRSA
  11. www.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
  12. www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
    January 01, 2024 - Patients with high ESDP scores reported more problems after discharge (p = 0.02), reported a lower quality … Compare self-reported quality of life between patients in a regional community hospital with high ESDP … Because problems and unmet needs are self-reported, patients with dementia identified in the medical … Problems and unmet needs are reported both as ‘any at all’ and as the average number reported (overall … Self-reported quality of life (see Table 3).
  13. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-infographic.pdf
    January 01, 2024 - Rate Highest Scoring Composite Measures Patient Care Tracking/ Followup 86% of respondents reported … OTHER FINDINGS Overall Ratings on Quality Highest Rated Equitable 80% of respondents reported that … Lowest Rated Timely 54% of respondents reported that their medical office is "Excellent" or "Very
  14. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
    June 02, 2025 - 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? .....
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
    June 02, 2025 - 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?
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
    June 02, 2025 - 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? .....
  17. 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.
  18. www.ahrq.gov/teamstepps-program/resources/additional/check-back.html
    July 01, 2023 - Limited English Proficiency Safety: Checkback (57 seconds) Clarifying the meaning of a patient’s reported … , is reinforced when a Spanish-speaking translator intervenes to clarify the meaning of a patient’s reported
  19. www.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
  20. www.ahrq.gov/ncepcr/reports/grants-transform/key-themes.html
    March 01, 2017 - Health Outcomes Reported in Transforming Primary Care Studies Transformation Is an Ongoing … 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

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