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141. Key Themes Across Grants | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/themes.html
     October 01, 2015 - 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

142. Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-237-fullreport.pdf
     October 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.

143. How Does the NPSD Work? | Agency for Healthcare Research and Quality
     www.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

144. 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

145. 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

146. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
     March 05, 2008 - Results: In the first year, 80 errors were reported, compared with only 5 errors reported during the … The team reviewed each reported event to identify contributing factors and seek root causes. … Results During the first 12 months of the project, 80 medical errors were reported. … reported plus unreported errors. … Confidential clinician-reported surveillance of adverse events among medical inpatients.

147. Title of Presentation: (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
     September 24, 2015 - Annual Dental Visits ADV - Rate - Total 71.4 72.3 72.2 0.0420* Adolescent Well-Care Visits AWC - Reported … Rate 12.6 17.9 27.7 0.0000*** Developmental Screening -screened by 24 months of age DSC2 - Reported … Rate 9.4 16.3 31.8 0.0000*** Developmental Screening -screened by 36 months of age DSC3 - Reported … Rate 1.6 3.6 10.6 0.0000*** Total Eligible Who Received Preventive Dental Services PDS - Reported … measures annually to PA • Measures had to be reported directly from the provider organization’s EHR

148. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
     June 30, 2004 - We also describe the nature of the data reported to ASIPS. … First, we transformed the data from a list of codes associated with a reported event to a dataset of … Reported events are only a subset of all medical errors that occur. … Because diagnostic testing errors were reported so frequently, nearly half of all reports resulting … Thus, reported diagnostic testing errors are both common and associated with harm or the possibility

149. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa2.pdf
     January 01, 2018 - or never showed respect for what they had to say -3.32 0.0 0.00 MEPS 15 (2002- 2016) Adults who reported … to describe how they will follow the instructions -1.8 0.0 0.00 MEPS 6 (2011- 2016) Adults who reported … Annual Percent Change Standard Error P Value Data Source Number of Years Adults who reported … Annual Percent Change Standard Error P Value Data Source Number of Years Adults who reported … health providers in the last 2 months of care -0.11 0.0 0.759 HHCAHPS 6 (2012- 2017) Adults who reported

150. CHIPRA 133: Section 6, Tables 4 to 6 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-section-6-tables-4-6.pdf
     June 02, 2025 - SUBURBAN 3, 4, 5, 6 442 84% 12% 13% RURAL 7, 8, 9 105 * * 1* * For all tables, results are only reported … 9% SUBURBAN 3, 4, 5, 6 369 87% 10% 3% RURAL 7, 8, 9 85 * * * * For all tables, results are only reported

151. Data Submission Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2024.xlsx
     January 01, 2024 - Documented Timing of First Pressure Ulcer Risk Assessment by Most Advanced Stage of Pressure Ulcer or sDTI Reported … Documented Timing of First Pressure Ulcer Risk Assessment by Most Advanced Stage of Pressure Ulcer or sDTI Reported … Timing of first pressure ulcer risk assessment Most advanced stage of pressure ulcer or sDTI reported

152. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
     March 27, 2008 - Between 2003 and 2005, 347 events were reported. … Results In 2003, 2004, and 2005, 347 wrong-side, wrong-site, or wrong-procedure events were reported … In 3 years, 337 cases were reported in New York State. … Sentinel event trends: Wrong-site surgeries reported by year. … Reported on Joint Commission teleconference on Wrong Site Surgery, June 21, 2007.

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

154. Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
     January 01, 2025 - Patient-reported quality of life was affected as early as 30 days after acute PE. … reported the proportion with disagreements. … We reported and compared the diagnostic accuracy for the outcome variable of the presence or absence … We applied the best performing RVD variable to the PE risk stratification model and then reported on … /10.1371/journal.pone.0260036).23 We reported on the diagnostic accuracy of https://doi.org/10.1371

155. Healthcare Spending Higher Among Adults Who Had Adverse Childhood Experiences | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/926.html
     August 01, 2024 - Register Now: September 17 Virtual Research Meeting on the Use of Patient-reported Experience and Outcome … —found that in 2021, 62.6 percent of adults reported at least one ACE, such as household members' substance … Register Now: September 17 Virtual Research Meeting on the Use of Patient-reported Experience and Outcome … ET to explore the differences between patient-reported experience measures and patient-reported outcome

156. Technologically Enhanced Community Health Worker Delivery of Personalized Decision Aid: iDecide.Decido (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/heisler.pdf
     December 19, 2014 - 3) Examine the computer-tailored program's effects on participants’ changes in medications, self-reported … Findings Both the iDecide group and the print summaries group reported improved medication decisional … Participants in the iDecide group reported significant within-group and between-group improvements in

157. Identifying Barriers to the Success of a Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
     March 01, 2004 - Eighty percent of the physicians and 47 percent of the nurses reported working weekends. … Eighty-two percent of the physicians reported seeing patients at least 5 days a week. … Physicians reported working the most hours per week (average of 55 hours) and reported the longest workday … A potential explanation for the low percentage of physicians who reported having used the mandatory … This finding remained strong despite busy schedules reported by care providers.

158. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
     January 01, 2004 - Four priority areas were developed from the baseline data: (1) increase the overall number of reported … The electronic system’s deliberate anonymity and ease of use, coupled with its ability to expedite reported … First, the data suggested the overall number of reported medication errors was low and needed to be … Reported errors increased to an average of 79.9 per month, using the Web-based electronic form. … Data from the paper-based collection period indicates 92.5 percent of all reported medication errors

159. Grants to Enable Diagnostic Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
     January 01, 2021 - 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

160. Understanding SOPS® Surveys: A Primer for New Users - Hare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-hare.pdf
     January 01, 2022 - 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