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1. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
   www.cpsi.ahrq.gov/downloads/pub/advances/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

2. Appendix B. Health Outcomes Reported in Transforming Primary Care Studies | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/appb.html
   October 01, 2015 - Health Outcomes Reported in Transforming Primary Care Studies … Health Outcomes Reported in Transforming Primary Care Studies Previous Page   Table of … Health Outcomes Reported in Transforming Primary Care Studies Study/PI Chronic Disease … Clinical Measures Reported Results A Study of the Patient-Centered Medical Home: Lessons From … Health Outcomes Reported in Transforming Primary Care Studies. Content last reviewed October 2015.

3. Appendix B. Health Outcomes Reported in Transforming Primary Care Studies | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/ncepcr/reports/grants-transform/health-outcomes-reported.html
   March 01, 2017 - Health Outcomes Reported in Transforming Primary Care Studies … Health Outcomes Reported in Transforming Primary Care Studies Previous Page   Table of … Health Outcomes Reported in Transforming Primary Care Studies Study/PI Chronic Disease … Clinical Measures Reported Results A Study of the Patient-Centered Medical Home: Lessons From … Health Outcomes Reported in Transforming Primary Care Studies. Content last reviewed March 2017.

4. Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4c.html
   January 01, 2013 - After weighting and adjusting to 2012 dollars, the average CLABSI cost reported in the literature was … Although more robust methodologies exist, we were limited by the detail of statistical data reported … To estimate the number of CLABSIs prevented, the number of actual CLABSIs reported was compared with … Not all units reported data for all 24 months (to be distinguished from units that reported zero central … that for each unit, non-reported months were similar to reported months. 

5. Overview of the 14 Transforming Primary Care Grants | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/overview.html
   October 01, 2015 - Health Outcomes Reported in Transforming Primary Care Studies As mentioned previously … Only one of the 14 studies reported that practices implemented changes to fewer than four of the five … More specifically, we found the following: The practices studied by all 14 grants reported practice … Eleven studies reported efforts by practices to provide more accessible services , including offering … A different subset of 11 studies reported efforts to provide more patient-centered care , including

6. Overview of the 14 Transforming Primary Care Grants | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/ncepcr/reports/grants-transform/overview.html
   March 01, 2017 - Health Outcomes Reported in Transforming Primary Care Studies As mentioned previously … Only one of the 14 studies reported that practices implemented changes to fewer than four of the five … More specifically, we found the following: The practices studied by all 14 grants reported practice … Eleven studies reported efforts by practices to provide more accessible services , including offering … A different subset of 11 studies reported efforts to provide more patient-centered care , including

7. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)
   www.cpsi.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
   September 01, 2023 - Commonly reported interventions are similar across senior and adult patients even though seniors have … Commonly reported interventions are similar between patients with and without sensory impairment even … Commonly reported interventions are similar across patients with and without a history of falls even … reported were excluded from the analysis. … Additionally, patient age is reported as aggregated age groups in the NPSD.

8. 2020 SOPS ASC Database Report Executive Summary Infographic (pdf file)
   www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc_2020_overview_infographic-v2.pdf
   January 01, 2020 - Response to Mistakes Staff Training Staffing, Work Pressure, and Pace Teamwork 92% of respondents reported … 93% of respondents reported that before the start of procedures, team members stopped to discuss the … overall plan. 71% of respondents reported that before the start of procedures, the doctor encouraged … team members to speak up at any time. 76% of respondents reported that immediately after procedures

9. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)
   www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
   September 01, 2005 - Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from … the ASIPS Collaborative 105 Using Reported Primary Care Errors to Develop and Implement Patient … harm of all error types reported).14 Malpractice data corroborated these findings … to ASIPS involved a diagnostic test (the most frequent of all errors reported).14 Of all reported … Using Reported Errors to Develop Interventions 119 11. Pace WD, Staton EW, Higgins GS, et al.

10. Survey on Patient Safety (facility version) (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
    November 18, 2019 - When an event is reported, it feels like the person is being written up, not the problem .......... … In your work area/unit, when the following mistakes happen, how often are they reported? … When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported … 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?

11. Results of ARRA-Funded CER Dissemination Activities | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/cpi/about/mission/arra/index.html
    December 01, 2014 - Consumers reported a statistically significant increase in awareness of AHRQ from wave 1 to wave 2 (4% … Clinicians reported a statistically significant increase in awareness of AHRQ from Wave 1 to Wave 2 ( … Clinicians also reported a statistically significant increase in awareness of the EHC Program (8% to … Of those who had heard of the EHC Program Web site, the number of clinicians who reported visiting the … Clinicians reported a slight increase in their intention to use EHC Program clinician products in the

12. Key Themes Across Grants | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/themes.html
    October 01, 2015 - Solberg reported that the Practice Advisory Group for 120 health care homes in Minnesota realized only … Of the 14 TPC grants, eight reported that all of the participating practices had already achieved PCMH … In addition, a number of financial incentives were reported as motivating transformation initiatives, … Donahue et al reported that a committed mid-level manager in addition to strategic or visionary leaders … Front-line staff at Palo Alto Medical Foundation reported feeling overwhelmed by the number of changes

13. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
    February 16, 2021 - Frequency of Events Reported (Never, Rarely, Sometimes, Most of the time, Always) D1. … When a mistake is made, but has no potential to harm the patient, how often is this reported? D3. … When a mistake is made that could harm the patient, but does not, how often is this reported? 9. … When an event is reported, it feels like the person is being written up, not the problem. … Number of Events Reported (No event reports, 1 to 2 event reports, 3 to 5 event report, 6 to 10 event

14. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
    January 01, 2003 - ; and the estimated percentage of medication errors actually reported. … Reasons why medication errors are not reported (16 items). 3. … Estimated percentage of medication errors actually reported. … Data from the 1994 survey have been reported,26, 42 while only data on why errors are not reported and … Understanding why medication administration errors may not be reported.

15. Use of Electronic Health Records | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure5.html
    June 01, 2018 - Electronic health record measures include: Patients who reported that it was very important for them … Trends: From 2008 to 2014, the percentage of patients who reported that it was very important for … Trends: From 2008 to 2014, the percentage of patients who reported that it was very important for … From 2008 to 2014, the percentage of patients who reported that it was very important for them to get … Trends: From 2008 to 2014, the percentage of patients who reported that it was very important that

16. Survey on Patient Safety (facility version) (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
    November 15, 2019 - When an event is reported, it feels like the person is being written up, not the problem (1 (2 (3 … questions when something does not seem right (1 (2 (3 (4 (5 SECTION D: Frequency of Events Reported … In your work area/unit, when the following mistakes happen, how often are they reported? … 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?

17. Comparative Reports on Physicians | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/talkingquality/resources/comparative-reports/physicians.html
    October 01, 2022 - Performance scores are reported on the website for preventive care, care for chronic conditions such … Patient experience scores are also reported for some physician groups and ACOs. … Performance scores are reported on the website using symbols and numeric data. … Clinical quality measures are reported for asthma care, cancer screening, diabetes care, mental health … Performance scores are reported on the website using word icons.

18. Using Patient Input to Improve Diagnostic Safety | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/funding/grantee-profiles/grtprofile-bell.html
    March 01, 2022 - five patients reporting a perceived serious mistake following a review of their post-visit notes, as reported … Bell and her team developed and tested the framework for patient-reported diagnostic breakdowns that … After analyzing more than 2,000 patient-reported errors from 25,000 respondents, researchers identified … Among patients who reported a diagnostic error, the most common contributing factor patients reported … Drawing on data from the framework of patient-reported breakdowns, Dr.

19. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - The report date, or the date that the event is reported into a system by a provider, indicated that … all 80 records with this limited information were reported between March 2020 and May 2020. … For incidents that involved a patient, the PSOs reported patient age and sex for 26 (8.6%) records, … with race and ethnicity not being reported for any records. … Many of the patient safety concerns reported where COVID-19 was identified in the description of the

20. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
    August 01, 2019 - When an event is reported in this unit, it feels like the person is being written up, not the problem … When a mistake is caught and corrected before reaching the patient, how often is this reported? … When a mistake reaches the patient and could have harmed the patient, but did not, how often is this reported … Reliability of this composite measure—Cronbach’s alpha (3 items) = .72 Number of Events Reported … In the past 12 months, how many patient safety events have you reported?