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6001. 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.

6002. 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

6003. 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

6004. ICU Assessment Response Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment-guide.pdf
      April 01, 2022 - following: Rationale: This is a list of prevention strategies for CLABSI and/or CAUTI that have been reported

6005. 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 …

6006. 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:…

6007. 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…

6008. CHIPRA - Spotlight on Colorado (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/co-statesum.pdf
      July 01, 2015 - CHIPRA demonstration staff generated quality reports for each SBHC from SBHC-reported data. … seen in participating Colorado SBHCs with all EPSDT- recommended services documented Note: Data were reported … SBHCs reported that the students responded more positively to the electronic tool than to previous … SBHCs also reported that aggregating the screening data helped them identify the risk factors common

6009. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
      June 01, 2018 - At the end of the project, researchers reported a 24-percent reduction in coronary artery bypass surgery … It reported the cesarean delivery rate, high-risk infant transfer rate, ultrasound rate, vaginal birth … In 1994, 82 percent of physicians reported that they followed this practice recommended in the guidelines … From 1993 to 1994, the Family Health Plan Cooperative reported a 22-percent reduction in asthma hospital … Consistent with the NIH guidelines, 91 percent of obstetricians reported that they would prescribe this

6010. Outpatient Surgery and Patient Safety—The Patient’s Voice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
      January 01, 2003 - While some results are reported, the primary purpose is to describe the process of instrument development … The number of symptoms participants reported experiencing ranged from zero to eight. … Twelve symptoms (34 percent) were reported to a provider with whom a participant did not have a long … In all instances, participants reported receiving instructions. … These and all other comments are being content-analyzed and will be reported at a later date.

6011. 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.

6012. 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.

6013. 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

6014. 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.

6015. 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

6016. 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?

6017. 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).

6018. 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).

6019. 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.

6020. 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.