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41. Final Progress Report: Diagnostic Error in Dystonia (pdf file)
    www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
    January 01, 2025 - Measures Socioeconomic status (SES) was defined based on participants' self-reported education. … Frequency among cases given an incorrect diagnosis Incorrect diagnoses reported by >= 5% of primary … Self-reported frequency of misdiagnosis was also similar across categories of race/ethnicity. … Almost everyone who reported ill effects from earlier misdiagnosis reported problems with personal worry … a third reported that it adversely affected relationships with family and friends.

42. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
    March 01, 2002 - of 0.08 and 41.5 per 1,000 patient days for PHRED-reported events. … Adverse drug event categories reported in PHRED are similar to those captured in RMEES. … ) reported no preventable adverse drug events. … units reported no preventable adverse drug events into PHRED. … Insulin was not reported in any of the PHRED events.

43. 2024 SOPS Hospital Database Report Executive Summary Overview Infographic (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-summary.pdf
    January 01, 2024 - Response Rate Across Hospitals Highest Scoring Composite Measures Teamwork 81% of respondents reported … Supervisor, Manager, or Clinical Leader Support for Patient Safety 80% of respondents reported that … Lowest Scoring Composite Measures Response to Error 64% of respondents reported that staff are treated … Staffing and Work Pace of respondents reported there are enough 55% staff to handle the workload, … 47% of respondents reported at least one patient safety event in t he last 12 months. 53%

44. Appendix C: Examples of Current State of Practice | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap-apc.html
    July 01, 2013 - clinical preventive services, the project team identified several examples of relevant current practices reported … Each of these programs reported successful linkages of patients with community resources and/or improvements

45. Communication Measures: Hospital | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/measures2.html
    June 01, 2018 - Measures National Healthcare Quality and Disparities Report Adult Hospital Patients Who Reported … Poor Communication With Doctors and Nurses Adult hospital patients who reported poor communication

46. Voluntary Adverse Event Reporting in Rural Hospitals (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
    January 01, 2007 - Most AE categories were reported more frequently in CAHs and tended to increase over time. … numbers of errors, when they reported statistical information at all. … In 2005, 13/19 reporting hospitals averaged fewer than 100 reported events per quarter. … Reported rates of staff injury increased in all hospitals statewide. … Other investigators have reported total AE rates in hospitals.

47. 2017 CAHPS Clinician & Group Survey Database Chartbook Executive Summary (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2017_cg_cahps_chartbook_execsummary.pdf
    January 01, 2017 - cahps® 2017 Clinician & Group Survey Database EXECUTIVE SUMMARY How patients from medical practices reported … HIGHEST SCORING MEASURES Provider Communication 85% of patients reported that providers always … communicated clearly and listened carefully. 79% of patients reported that office staff were always … LOWEST SCORING MEASURES 67% of patients reported always receiving timely appointments, care and … information. 73% of patients reported that providers always helped to coord inate their care.

48. Measures, Data, and Funding for Shared Decision Making Research | Agency for Healthcare Research and Quality
    www.ahrq.gov/sdm/measures-data-funding/index.html
    February 01, 2025 - Previously developed measures of SDM include patient-reported, clinician-reported, and observer-reported … Patient-Reported SDM Measures SDM-Q-9 A 9-item SDM questionnaire that measures the extent to which patients … A clinician-reported scale (see below: SDM-Q-Doc ) was developed alongside this instrument. … Clinician-Reported SDM Measures SDM-Q-Doc A 9-item SDM questionnaire that measures physicians' perceptions … A patient-reported scale (see above: SDM-Q-9 ) was developed alongside this instrument.

49. Final Progress Report: Partnering With Patients To Find Adverse Events (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
    January 01, 2024 - None were reported in the hospital incident reporting system; 39% of patients reported service quality … Learning from patient-reported incidents. J Gen Intern Med 2005; 20:830-36. 8. … Patient reported safety and quality of care in outpatient oncology. … Learning from patient-reported incidents. J Gen Intern Med 2005; 20:830-36. 17. … Patient reported safety and quality of care in outpatient oncology.

50. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
    January 01, 2023 - reported?” … Following the previous example, DE3: “What is being reported?” … , No harm was reported most frequently (47.0%; 781,254 / 1,661,223). … Out of 1,661,223 reported Incidents, 4.5% (74,714) did not have any data on EXTENT OF HARM reported. … Out of 1,661,223 reported Incidents, 4.5% (74,714) did not have any data on EXTENT OF HARM reported.

51. CAHPS 2024 Research Meeting Summary (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2024-virtual-research-meeting-summary-prems-proms.pdf
    January 01, 2024 - Assessment of Healthcare Providers and Systems (CAHPS®) 2024 Research Meeting Summary Patient-Reported … Both are patient-reported measures, but they serve different purposes. … Patient-reported measures are crucial for driving optimal patient outcomes. … The strategy refresh ultimately drives patient-reported measurement activities. … Implementing patient-reported measures isn’t easy for either providers or patients.

52. Final Progress Report: (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
    January 01, 2024 - Prescribers reported lower safety scores compared with nurses (p<.001). 2. … Pain severity was the next most frequently reported toxicity to be assessed as severe or very severe … Outcomes This study was descriptive in nature, so no outcomes changes are reported. … Specifically, prescribers reported lower safety scores compared with nurses; however, prescribers reported … outside of the usual data reported in clinical trials with strict eligibility criteria.

53. Tutorial on the SOPS Data Entry and Analysis Tools Webcast-Theresa (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/Excel_Tool_Slides_2020-2-Theresa.pdf
    January 01, 2020 - Demographics Composite Measure 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 … witlh Patients 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

54. NPSD Data Spotlight - Falls: Associated Factors and Clinical Outcomes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
    March 01, 2023 - Of the 1,637,560 voluntarily reported events, 237,305 (14.5%) were falls. … From the 237,305 reported falls, data elements (DEs) for the following clinical outcomes and factors … viii Age group distribution for reported falls can also be found in the 2022 NPSD Chartbook. … Multiple injuries made up a small share of Other injuries reported (46 / 627; 7.3%). … and 40.3% (1,919 / 4,760) of reported falls for male patients.

55. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
    www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
    January 01, 2024 - Approximately 96% of the incidents reported by Massachusetts hospitals during 1999-2004 involved one … In general, hospitals reported corrective actions for 40% of reported incidents. … improvements for patient safety, and 91% of the CTR team leaders reported the same. … an internally reported patient safety incident should be reported to the state agency (DPH, HFD, AHCA … A summary of the patient self-reported AE was provided in the data tool.

56. PQMP Measures | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/index.html?page=6
    Pediatric Quality Measures (CAPQuaM) Pediatric Global Health Measure (PGH-7) Measure Domain: Patient-Reported … Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) Measure Domain: Patient-Reported … Endorsement Number: 2548 Pediatric Oral Health Pain/Inflammation Measure Domain: Patient-Reported … Philadelphia (CHOP) Pediatric Oral Health-Related Well-Being and Distress Measure Domain: Patient-Reported … ) Adolescent Assessment of Preparation for Transition (ADAPT) Survey Measure Domain: Patient-Reported

57. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/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

58. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
    March 01, 2004 - Medication errors represent approximately 50 percent of all patient safety events reported by military … by civilian health care facilities and represent approximately half of all errors reported in DoD. … Some MTFs routinely reported five or fewer medication events per month, while others consistently reported … of nationally reported events were classified as near misses. … Percentage of inpatient and outpatient events, stratified by harm and reported Table 2.

59. 2021 CAHPS Child Hospital Survey Database Chartbook Executive Summary (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2021-childhcahps-infographic.pdf
    January 01, 2021 - Measures Privacy When Talking with Doctors, Nurses, and Other Providers 89% of respondents reported … Communication Between You and Your Child's Doctors 88% of respondents reported that doctors always … Low Scoring Measures Responsiveness to the Call Button 67% of respondents reported that they received … Quietness of Hospital Room 65% of respondents reported that the area around their child's hospital

60. 2018 Hospital SOPS Database Report Executive Summary Infograpic (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsrptexecsum_0.pdf
    March 01, 2018 - 65% Areas of strength for most hospitals 820/o Teamwork Within Units 82% of respondents reported … and do not overlook patient safety problems 720/o Organizational Learning 72% of respondents reported … information is not lost during transfers or shift changes 530/o Staffing 53% of respondents reported … 67% positive Mid-Atlantic (lowest) 61% positive Bed Size Smaller hospitals (6·24 beds) reported … the highest percent positive Larger hospital (500+ beds) reported the lowest percent positive