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41. Serious Reportable Adverse Events in Health Care (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
    December 01, 2000 - required reporting, such events are grossly underreported, due in part to ambiguity about what is to be reported … In 1999, the Institute of Medicine (IOM) recommended that health care errors and adverse events be reported … Reporting in this context is a different matter than whether or how the reported information might be … disclosed to the public after being reported to the responsible agency. … Without additional specification, the events may be interpreted and reported differently.

42. AHRQgraphic_EHRdata_phase1_update (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/data/infographics/AHRQgraphic_EHRdata_phase.pdf
    December 01, 2018 - Use of EHRs before EvidenceNOW 79% 71% 72% incorporated lab results to generate reports reported … quality measures at the practice level reported quality measures at the clinician level produced

43. Understanding the Transformation Experiences of Small Practices With National Committee for Quality Assurance Medical Home Recognition | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/hudsonscholle.html
    December 01, 2017 - Approximately 85 percent of practices reported receiving some form of physician and staff training. … Key Impacts of Transformation Quality of Care In the case studies, physicians reported that they … Physicians and staff reported that these were instrumental to PCMH transformation. … Staff reported that having the authority to make decisions empowered them to be more involved in patient

44. Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0 (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
    August 01, 2023 - When an event is reported in this unit, it feels like the person is being written up, not the problem … (negatively worded) • More about this item: When an event is reported, it feels like the person is … When a mistake is caught and corrected before reaching the patient, how often is this reported? … Number of Events Reported (None, 1 to 2, 3 to 5, 6 to 10, 11 or more) D3. … In the past 12 months, how many patient safety events have you reported?

45. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/reports/liability/crane.html
    August 01, 2017 - Each reported error was coded with just one primary error but with up to four additional associated or … The practices reported a total of 632 near-miss events during the official reporting period; most of … Because the overall target of 300 near-miss events were reported by the group, all the practices were … This analysis has been reported elsewhere. 15 Impact of Near-Miss Reporting on Practice and Safety … Discussion As previously noted, others have reported a number of potential barriers and facilitators

46. Falls Dashboard | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/npsd/data/dashboard/falls.html
    September 01, 2023 - This dashboard includes information organized by fall at-a-glance (by age), commonly reported patient … activities prior to fall, and commonly reported risk factors for fall.

47. Pediatric Units | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4b.html
    January 01, 2013 - A total of 76 pediatric units reported at least one data point. … Units that formally withdrew were excluded (n=4) 5 , and all other units reported at least one post-baseline … At baseline 28 percent of units reported a rate of zero.

48. A Multipayer Patient-Centered Medical Home Initiative in Pennsylvania | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/gabbay.html
    October 01, 2015 - Parents reported that the care plans were very helpful in easing family stress, enhancing their sense … Quality of Care Providers and staff reported that they were able to use many of the diabetes management … Providers also reported feeling more confident in their skills and in the support systems established … to manage diabetes care, and some reported referring fewer patients to endocrinologists.

49. Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/findings/studies/index.html
    January 01, 2024 - The authors indicate that in the United States, excess deaths reported to non-COVID-19 natural causes … A total of 162,886 of these excess natural-cause deaths were not reported to COVID-19. … Overall, 15.8 excess deaths were reported to non-COVID-19 natural causes for every 100 reported COVID … Increases in reported COVID-19 deaths were temporally associated with increases in excess deaths reported … Excess natural-cause mortality in US counties and its association with reported COVID-19 deaths.

50. Musculoskeletal Diseases | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/musculo.html
    June 01, 2018 - Overall Rate: In 2013, 72.0% of adults with chronic joint symptoms reported seeing a doctor or other … Trends: The percentage of male adults with chronic joint symptoms who reported seeing a doctor of health … there were no statistically significant changes in the disparity between White and Hispanic adults who reported … statistically significant changes in the disparity between uninsured adults and privately insured adults who reported

51. Fall Prevention Toolkit (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
    March 01, 2013 - Higher rates are reported in particular sites or wards, such as those specializing in neurology, geriatrics … Most trials of fall prevention programs have not reported any harms. … Of the 15 studies that reported the size of the setting, three were under 100 beds, five were between … Existing Infrastructure Five studies reported on the existing quality and safety infrastructure. … The majority of studies reported the recipients of any training component (15 studies), with slightly

52. New Tool Helps Manage Opioid Use in Older Adults | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/news/newsletters/e-newsletter/898.html
    January 01, 2024 - Register Now for Feb. 27 Webinar on Integrating Patient-Reported Outcomes Into Practice . … Register Now for Feb. 27 Webinar on Integrating Patient-Reported Outcomes Into Practice Registration … ET on strategies to expand the use of patient-reported outcomes (PROs) in health systems despite challenges … Examples will include how to implement patient-reported outcomes across rheumatology practices; understanding

53. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/objective-outcome-tool.docx
    January 01, 2017 - As these data are collected and reported on a monthly basis, they would be applied to only the patients … As these data are collected and reported on a monthly basis, they would be applied to the patients who

54. Medical Home Transformation in Pediatric Primary Care--What Drives Change? (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-cooley.pdf
    April 01, 2015 - • Parents reported that the care plans were very helpful in easing family stress, enhancing their … They also reported a greater awareness of daily demands on parents and developing a new conceptualization … Two practices reported success in using EHR for care plans and that reporting was within reach. … Two practices reported success in using EHR for care plans and that reporting was within reach.

55. Physician Burnout (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/ahrq-works/impact-burnout.pdf
    July 01, 2017 - More than half of the physicians reported experiencing time pressures when conducting physical examinations … their workplace increased from 38.5 percent at baseline to 42.2 percent at follow up, and rates of reported … addition, more than 20 percent of nurse practitioners, physician assistants, and other clinical staff reported … Of note, rural clinicians reported the highest rates of burnout.

56. Physician Burnout | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/prevention/clinician/ahrq-works/burnout/index.html
    November 01, 2023 - More than half of the physicians reported experiencing time pressures when conducting physical examinations … their workplace increased from 38.5 percent at baseline to 42.2 percent at follow up, and rates of reported … addition, more than 20 percent of nurse practitioners, physician assistants, and other clinical staff reported … Of note, rural clinicians reported the highest rates of burnout.

57. Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-grob-prelim-phase-one.pdf
    October 29, 2018 - Thoroughness 12% Clinical Staff 13% www.ahrq.gov/cahps 0% 5% 10% 15% 20% 25% 30% Experiences Reported … 1 What’s Important to NYP Patients: Part 2 What’s Important to NYP Patients: Part 3 Experiences Reported

58. A Multipayer Patient-Centered Medical Home Initiative in Pennsylvania (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-gabbay.pdf
    April 01, 2015 - Quality of Care • Providers and staff reported that they were able to use many of the diabetes management … Providers also reported feeling more confident in their skills and in the support systems established … to manage diabetes care, and some reported referring fewer patients to endocrinologists.

59. A Study of the Patient-Centered Medical Home: Lessons From a New York State Community Health Center (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-calman.pdf
    April 01, 2015 - Quality of Care: • Providers reported that the integrated mental health model allowed for greater efficiency … Patient Satisfaction: • Patients reported being generally comfortable discussing behavioral health issues … • Physicians and nurses sometimes felt overwhelmed by the number of online alerts, and physicians reported

60. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
    June 29, 2016 - organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event • Publicly reported … organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event • Publicly reported … organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event • Publicly reported … organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event • Publicly reported … organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event • Publicly reported