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241. Reducing Waste and Inefficiency in Health Care Through Lean Process Redesign: Literature Review | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/leanprocess/leanprocess.html
     May 01, 2018 - and gray literature) displayed the following methodological limitations: Although many studies reported … Instead, most studies reported on case studies without documenting the use of rigorous case study methodologies … All but three documents reported positive outcomes from implementing Lean/TPS. … however, reveal the following trends that merit further investigation * : Implementation of Lean was reported

242. Table 3b. Examples of Evaluation Measures; Additional Categories | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation-table3b.html
     July 01, 2018 - Self-reported severity of symptoms. Shortness of breath. Depression scale. … Self-reported health. Fatigue. Pain. Activity limitation. Migraine disability.

243. Metabolic Monitoring for Children and Adolescents on Antipsychotics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
     February 14, 2018 - This measure has been reported for HEDIS for three years as of January 2018. … 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.

244. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
     January 01, 2004 - Forty-two physicians reported 343 incidents over 10 weeks. … Nine of the reported errors Advances in Patient Safety: Vol. 3 124 Table 1. … Errors in the first two studies were reported only by physicians, but errors in the third study were … reported by physicians, staffs, and patients. … Most coding to date has focused on the primary error being reported.

245. CHIPRA 119 Section 2, Detailed Measure Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-2.pdf
     June 02, 2025 - All temperatures are analyzed using degrees Celsius and reported to one decimal place. B. … Step 6: Identify which numerator stratum to which the reported temperature should be assigned: The … Each is determined by the number of children whose reported temperature falls within the criteria for … Percents should be reported to 2 decimal places. … Reporting strata with denominator samples less than N=15 should not be reported. Step 9.

246. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2022 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report-appendixes.pdf
     January 01, 2022 - Highlights were based on results for the 10 SOPS composite measures, number of events reported, and … • Investor owned hospitals had the highest average percentage of respondents who reported one or … • West North Central hospitals had the highest average percentage of respondents who reported one … • Telemetry had the highest average percentage of respondents who reported one or more events in … (Item A6*) 58% 63% 61% 61% 60% When an event is reported in this unit, it feels like the person is

247. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.html
     June 01, 2023 - there are no current policy or practice initiatives to supplement patient safety data using patient reported … patients” as still in the exploratory stage methodologically, with limited availability of patient-reported … this brief mirrors the variability embodied in narratives themselves, emphasizing that learning from reported

248. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
     www.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? … (A7R) When an event is reported, it feels like the person is being written up, not the problem. … Number of Events Reported No wording change In the past 12 months, how many patient safety … events have you reported? … events have you reported?

249. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
     July 01, 2023 - Observations will not necessarily be reported on surveys or other mechanisms for collecting experiential … Which Aspects of Diagnosis-Related Experiences Should Be Elicited and Reported? … Illustrations of persisting sequelae of diagnostic mishaps reported in elicited patient narratives … But only 14 percent more reported such an event from 2 to 5 years before the survey (less than half … Using patient reported information to improve clinical practice.

250. CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-5.8.pdf
     January 01, 2014 - Patients who reported more positive safety experiences were more satisfied with their care. … Parents reported communication and involvement in discussions about treatment as important aspects … Outcome measures included objective health outcomes, self-reported health, adherence to treatment, … Assessments of self-reported health were based on responses to questions adapted from the Medical … Data were gathered from Adult HCAHPS surveys reported in March 2008 and March 2009.

251. 142. Treatment Recommendations: Medications-Nicotine Nasal Spray | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide142.html
     October 01, 2014 - -Some 94% of users report moderate to severe nasal irritation in the first 2 days of use; 81% still reported … Nasal congestion and transient changes in sense of smell and taste also were reported.

252. Christiana Care Health System: Safety Mentor Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
     March 30, 2008 - events with major outcomes and an increase in reported near-miss medication events that were corrected … Areas Affected: All staff taking verbal orders, telephone orders and critical test results reported … The proportion of reported medication near misses to total reported events also increased. … Whether the number of near misses doubled or the number reported was simply better, the improved … Improved near miss reporting Year Total reported events (N) Medication near missesa (N)

253. Depression Remission or Response for Adolescents and Adults: Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-244-fullreport.pdf
     December 01, 2019 - This measure has been reported for HEDIS® for 3 years as of September 2019. … In Use: Have measure results been reported at this level previously? No. … In Use: Have measure results been reported at this level previously? … In Use: Have measure results been reported at this level previously? Yes. … This measure assesses important patient-reported outcomes for depression.

254. Executive Summary of SNAC Healthcare Quality Measurement Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-hqm-report-exec-summary.pdf
     November 17, 2021 - addition to the four gap areas in the field identified by the SNAC (i.e., health equity, patient-reported … definitions regarding what data should be collected for quality measurement and how it should be reported … To date, most patient-reported outcome measures were developed without the consumer perspective and … field of quality measurement that the SNAC identified in the SNAC report: health equity, patient-reported … the four gap areas in the measurement field identified by the SNAC (i.e., health equity, patient-reported

255. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
     www.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? … 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,

256. C1 Prioritization Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
     June 02, 2025 - 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

257. Section 8.A, Data Availability (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-8a.pdf
     January 01, 2011 - each state Managed care claims data is sometimes absent from MAX, and what managed care data is reported … Of the 43 states we analyzed, 18 states reported S-CHIP data to MAX. … care and fee-for-service appendicitis claims in all states Results of matched analysis comparing reported … States were eliminated if the entire 95% CI for the rate of reported claims for appendicitis in managed … All claims data in these states is reported via FFS or PCCM, wherein claims are billed as FFS.

258. Spotlight on Alaska -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-alaska-state-snapshot.pdf
     January 01, 2018 - All three practices reported increases in their MHI scores (Figure 1).1 One practice was recognized as … Practices reported measures three times during the CHIPRA quality demonstration, improving their ability … Using its well-child visit rate to measure performance, the practice reported an increase from 15 percent … • Reported 16 of 26 Child Core Set measures to CMS. … the average Medical Home Index Score for three participating practices in Alaska Note: Data were reported

259. Overuse of Imaging: Policy for ALARA Specific to Imaging Children (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-243-fullreport.pdf
     August 01, 2019 - In Use: Have measure results been reported at this level previously? … 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.

260. The CAHPS Ambulatory Care Improvement Guide: Open Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6c.pdf
     March 01, 2017 - - 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 … 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