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5921. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guideref.html
      July 01, 2018 - The potential effect of surveillance bias on reported DVT rates after trauma.

5922. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
      July 01, 2018 - The potential effect of surveillance bias on reported DVT rates after trauma.

5923. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
      April 07, 2008 - risks and prioritize actions. 1 Our literature review indicates that no published study has ever reported

5924. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
      September 01, 2008 - collection period of the VTE Safety Toolkit and On-line Provider Training Module on VTE Prophylaxis will be reported

5925. New Models of Primary Care Workforce - Case Example #6: Henry Ford Health System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
      October 01, 2016 - New Models of Primary Care Workforce - Case Example #6: Henry Ford Health System New Models of Primary Care Workforce and Financing Case Example Henry Ford Health System6 New Models of Primary Care Workforce and Financing Case Example #6: Henry Ford Health System Prepared for:…

5926. Case Example #6: Henry Ford Health System | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-6.html
      July 01, 2019 - Case Example #6: Henry Ford Health System This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD…

5927. Strategy 2: Communicating to Improve Quality (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docx
      April 30, 2013 - Strategy 2: Communicating to Improve Quality (Implementation Handbook) Communicating to Improve Quality Implementation Handbook Strategy 3: Bedside Shift Report (Implementation Handbook) [Type text] [Type text] [Type text] Strategy 2: Communicating to Improve Quality (Implementation Handbook) Guide to Patient and …

5928. Wisconsin Critical Access Hospital Sees Big Results with AHRQ’s CUSP, RED and TeamSTEPPS® | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201520.html
      July 01, 2015 - Jackson reported. … CUSP checklists and "Staff Safety Assessment" have been particularly helpful, reported Ms. Jackson.

5929. Consumer Assessment of Healthcare Providers and Systems Hospital Survey--Child Version (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-fullreport.pdf
      November 02, 2017 - 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.

5930. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation-Appendix E (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appe.pdf
      January 01, 2019 - another system could have been identified as offering an insurance product because one of its hospitals reported … groups: • Systems that offered any insurance product; that is, at least one hospital in the system reported … Among the 626 systems on the list, only 4 percent (26 systems) had no reported information on insurance … If a hospital reported an insurance product owned by another hospital in a purchasing affiliation and … As with all self-reported data, the accuracy of the measure depends on the knowledge of the informant

5931. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
      April 04, 2008 - Errors reported in this way would populate a “visual database,” providing the ability to disseminate … Such information, reported internally for quality and safety improvement purposes, potentially has more … A reported event can consist of one or more errors, together with causes and consequences. … Similarly, and perhaps even more importantly, those errors that are reported most frequently are not … Rates and types of events reported to establish incident reporting systems in two U.S. hospitals.

5932. Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
      February 24, 2008 - Nearly three- quarters of the respondents reported direct patient contact at baseline and remeasurement … For all dimensions but two (“Frequency of Events Reported” and “Handoffs & Transitions”), administrative … At remeasurement, in only “Frequency of Events Reported” did nursing staff continue to score more positive … At remeasurement, in only “Frequency of Events Reported” did nursing staff continue to score more positive … high levels of teamwork with nurses, only 40 percent of nurses reported high levels of teamwork with

5933. Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
      August 01, 2017 - 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.

5934. Appropriate Emergency Department Fever Management for Children With Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-fullreport.pdf
      February 01, 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. … In Use: Have measure results been reported at this level previously? No.

5935. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
      May 17, 2016 - Postoperative wound dehiscence occurs in about 8 per 10,000 pediatric surgical discharges.1 • The reported … o Reported pain (if old enough to verbalize) or increased heart rate not accounted for by other factors … o Pulling or ripping sensation reported by patient (if old enough to verbalize).

5936. Appendix 1-A. Suggested Slides for Module 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1a.html
      October 01, 2014 - What would you have reported and to whom? … It is more important to report anything that might matter than to get the amount of reported information … Are there any changes that should be watched for or reported?

5937. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
      May 17, 2016 - Postoperative wound dehiscence occurs in about 8 per 10,000 pediatric surgical discharges.1 • The reported … o Reported pain (if old enough to verbalize) or increased heart rate not accounted for by other factors … o Pulling or ripping sensation reported by patient (if old enough to verbalize).

5938. NQMC Measure Domain Definitions | Agency for Healthcare Research and Quality
      www.ahrq.gov/gam/summaries/domain-definitions/index.html
      July 01, 2018 - Example: The percentage of adult inpatients that reported how often their doctors communicated well. … Example: The percentage of adult inpatients that reported how often their doctors communicated well. … Costs may be reported directly (i.e., actual costs) or estimated based on the volume of resource units … Example: The percentage of smokers in a county who reported that they were able to access a smoking-cessation … Costs may be reported directly (i.e., actual costs) or estimated based on the volume of resource units

5939. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
      January 01, 2003 - Some subjects reported using point-of- care information technology, i.e., personal digital assistant-based … On average, the physicians reported that 83.9 percent of their workweek was involved in patient care … For example, respondents frequently reported lack of physician awareness of the associated risks as … The physicians reported a number of currently available resources, including electronic guidelines; … Indeed, many of the physicians reported a strong interest in technology-based solutions.

5940. The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
      February 23, 2008 - Two dimensions are outcome measures: overall perceptions of safety and frequency of events reported … Two additional items are outcome measures: patient safety grade and number of events reported. … e The “Number of events reported” item in 2005 asked respondents how many medication safety reports have … Approximately 87 percent of respondents reported having direct patient contact in both years. … Among the four nonparticipating CAHs, these scores decreased, except for frequency of events reported