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641. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
     March 01, 2020 - Research examining outcomes focuses primarily on compliance with protocols and procedures, as reported … During the follow-up period, over 90 percent compliance was reported for the two audit criteria: patient … During the followup period, over 90% compliance was reported for the two audit criteria: “patient … No reviewed study reported a 100% compliance rate. … Reporting of wrong-site surgery is voluntary and those that are reported represent only a portion of

642. Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2022 Virtual Research Meeting Summary: Assessing Patient Experience for Insights into Enhancing Equity in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-virtual-research-meeting-summary_2022.pdf
     January 01, 2022 - Variation in Caregiver-Reported Hospice Care Experiences by Race and Ethnicity Rebecca Anhang Price, … Special methods are needed to measure race and ethnicity when valid self-reported data are not provided … The main reason respondents reported declining to provide race and ethnicity data was that they do not … Variation in Caregiver-Reported Hospice Care Experiences by Race and Ethnicity Rebecca Anhang Price … Compared with White enrollees, minority enrollees reported significantly worse care experiences.

643. CHIPRA 194: Overuse of Imaging for the Evaluation of Children With Primary Headache Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
     April 01, 2019 - In Use: Have measure results been reported at this level previously? Not applicable. … In Use: Have measure results been reported at this level previously? Not applicable. … In Use: Have measure results been reported at this level previously? Not applicable. … In Use: Have measure results been reported at this level previously? Not applicable. … In Use: Have measure results been reported at this level previously? Not applicable.

644. Section 6.B, Validity and Reliability (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-6b.pdf
     January 01, 2013 - recorded (in contrast, survey methods allow accurate assumptions about continuing eligibility due to reported … Because the logical edits to reported Medicaid enrollment (to correct the documented issue with Medicaid … Using the ACS health insurance question, we measured the ratio of children who reported enrollment … any kind of government- assistance plan for those with low incomes or a disability”, or children who reported … other types of insurance in addition to Medicaid (the numerator) to those children plus those who reported

645. Use of Higher-Than-Recommended Doses of Antipsychotics in Children and Adolescents (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-177-fullreport.pdf
     May 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.

646. Use of Multiple Concurrent Antipsychotics in Children (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-fullreport.pdf
     May 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? … In Use: Have measure results been reported at this level previously? No. … In Use: Have measure results been reported at this level previously? No.

647. 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

648. Innovations-Improve-Cr-Event-Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/innovations-improve-cr-event-summary.pdf
     May 20, 2021 - • Fifty-two of the 131 event participants who responded to the poll (40% response rate) reported that … their program was supporting fewer patients with similar backgrounds, while 35% reported serving … About 2/3s of the programs in the first group reported that most or all of their operations had returned … • Audience members reported changes made in their programs they expect to be permanent. … Panelist Matt Thomas reported that while his program shifted the educational component to an online

649. Infographic - Fractures Were Higher In Adult Women (Aged 18 and Older) Than In Men The Same Age (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/falls-infographic.pdf
     December 31, 2021 - Older as for Men in the Same Age Group Source: Network of Patient Safety Databases (NPSD), events reported

650. 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.

651. 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

652. 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.

653. 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).

654. 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).

655. 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?

656. 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.

657. 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.

658. 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

659. 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

660. 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