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www.ahrq.gov/downloads/monahrq/documentation/monahrq_v7build5_releasenotes.pdf
September 25, 2017 - Using MONAHRQ for public or private reporting supports AHRQ’s mission to improve the quality,
accessibility … The generated website offers a layouts targeted for
healthcare professionals and consumers and reporting … employers, and policymakers)
Next, during the website generation process, Host Users select the reporting … paths to display in their
websites; the data or results that appear in the reporting paths come from … The same reports and reporting paths
from the 6.0 build 2 and MONAHRQ 7 releases are available in MONAHRQ
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1a.html
October 01, 2014 - Not reporting a change can lead to other things going wrong. … Slide 18
Observing and Reporting
Who is responsible? … Slide 19
A Safe Environment
Reporting changes helps keep residents as safe as possible. … A safe environment supports open reporting of resident changes and does not find fault with reporters … Forgetting to use reporting tools makes it harder to alert the care team to changes in a resident's condition
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
March 27, 2008 - The panel analyzed 254 root cause
analyses submitted to the New York Patient Occurrence Reporting and … Whether
improved reporting has contributed to this trend is not clear. … Many States have mandatory error-reporting requirements,
and the Federal voluntary reporting program14 … The reporting system
has gone through several design changes to reach its present form as the New York … Such a reporting program has been in place in
New York State for many years.
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www.ahrq.gov/news/newsroom/case-studies/multicenter-0507-coe-cquips.html
October 01, 2014 - Near-Miss Reporting Program.
DHS Best Practices Committees.
DHS Patient Safety Web Site. … The Near-miss reporting program was developed after LA County staffers read about reporting errors in … areas of patient safety issues, such as handwashing, JCAHO National Patient Safety Goals, and Near-Miss reporting
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/newman-toker-summit2016.pdf
September 28, 2016 - Incident Reporting by Providers
M&M rounds within patient safety framework
Traditional incident … reporting
Facilitated incident reporting or periodic surveys
2. … Barriers include lack of chief complaint reporting,
problem-oriented records, routine follow-up
3.
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www.ahrq.gov/patient-safety/resources/liability/preface.html
August 01, 2017 - Massachusetts: Communication, Apology, and Resolution (CARe)
Planning and Implementing the Patient Advocacy Reporting … a Novel Organization Change Scale in a Multisite Patient Safety Initiative
Implementing Near-Miss Reporting … family in supporting improved care and patient safety; shared decision-making initiatives; the use of reporting
-
www.ahrq.gov/patient-safety/reports/liability/preface.html
August 01, 2017 - Massachusetts: Communication, Apology, and Resolution (CARe)
Planning and Implementing the Patient Advocacy Reporting … a Novel Organization Change Scale in a Multisite Patient Safety Initiative
Implementing Near-Miss Reporting … family in supporting improved care and patient safety; shared decision-making initiatives; the use of reporting
-
www.ahrq.gov/news/newsroom/case-studies/cquips0702.html
October 01, 2014 - AHRQ survey when I was preparing to launch a survey to understand the barriers to medication error reporting … safety culture data in nursing homes before we implemented a new system to increase medication error reporting … In addition, he provided definitions to terminology such as "patient safety" and "event reporting" to
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www.ahrq.gov/patient-safety/reports/issue-briefs/maternal-mortality-4.html
September 01, 2021 - Reporting and Systems Learning (communication, debrief, and review). 23
In 2021, they included a fifth … Reporting and Systems Learning
Data Collection
A need exists for standardized documentation and reporting … Evaluate best ways to engage patients and families in diagnostic safety event mitigation and reporting
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
September 01, 2021 - Reporting and Systems Learning (communication, debrief, and review). 23
In 2021, they included a … Reporting and Systems Learning
Data Collection
A need exists for standardized documentation and reporting … Evaluate best ways to engage patients and families in diagnostic safety event mitigation and reporting
-
www.ahrq.gov/patient-safety/reports/engage/appb.html
March 01, 2017 - culture
Safety climate
Medical error
Disclosure
Adverse events
Just culture
Error reporting … Reporting culture
Communication
Error
Harm
Diagnostic error
Defensive medicine
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T7-Checklist_for_Identifying_Nursing_Home_Specific_Antibiogram_Modifications_Phase_2.doc
May 01, 2014 - Consider Sample Sizes
Remove bacteria with fewer than 10 isolates in the reporting period. … FORMCHECKBOX
Yes
FORMCHECKBOX
No
Place an asterisk by bacteria with between 10 and 30 isolates in the reporting
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-pennsylvania-state-snapshot.pdf
January 01, 2018 - January 2018
Spotlight on Pennsylvania
reporting; as such, health systems reported quality measures … Compared with their counterparts, health systems using
EHRs with advanced reporting capabilities were … • Engaged practices in quality reporting. … Child-serving physicians’ reported
experiences with and attitudes toward quality
reporting in Pennsylvania … Primary care physicians’ ex-
periences with and attitudes toward pediatric quality reporting.
-
www.ahrq.gov/policymakers/chipra/overview/background/next-steps.html
December 01, 2009 - The highest number of plans and States reporting to NCQA is 163, across 32 States. 14
Second, other … Current reporting levels are for health plans. Data can be stratified by women's age groups. … NCQA reports that in 2007, 60 percent of pregnant women of all ages in the reporting health plans got … Current data sources for reporting to NCQA are administrative and medical records. … The current reporting specifications are for health plans and providers.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar3_pu_staffroles.pdf
January 01, 2014 - pressure
ulcer prevention into
ongoing work processes
17
Need for Ongoing Communication
and Reporting … changes.
20
Ways To Communicate and Report
Give—
• Nurse assistants guidelines and tools for
reporting … on
admission
• Staff pocket cards to remind them of best
practices
21
Best Communication and Reporting … • Decide how to adjust roles and paths of
communication and reporting. … Ways To Communicate and Report
Best Communication and Reporting
Strategies for Ongoing Work Processes
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www.ahrq.gov/downloads/monahrq/pdf/MONAHRQ_v50_ReleaseNotes.pdf
May 01, 2014 - Organizations (RHIOs) and Quality
Improvement Organizations (QIOs)
Using MONAHRQ for public or private reporting … The generated website introduces a new layout
and reporting pathways for ease of use by website users … Library
The MONAHRQ Measures Library contains all of the measures supported by MONAHRQ and used for
reporting … Reporting Paths and Hierarchy
During the website generation process, Host Users will select the reporting … Once the website is generated, End Users can follow two main paths for reporting data:
(1) Quality Ratings
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T7-Checklist_for_Identifying_Nursing_Home_Specific_Antibiogram_Modifications_Phase_2.pdf
May 01, 2014 - Consider Sample Sizes Remove bacteria with fewer than 10 isolates in the reporting
period. … q Yes q No
Place an asterisk by bacteria with between 10 and 30 isolates
in the reporting period
-
www.ahrq.gov/downloads/monahrq/documentation/MONAHRQ_Future_Releases.PPTX
September 01, 2017 - Evidence-based – uses measures, data sources, and reporting techniques that are based on the latest research … /resources/ to access these additional slide sets:
What is the Value of Health Care Measurement and Reporting … Why Use MONAHRQ for Health Care Reporting?
-
www.ahrq.gov/news/newsroom/case-studies/cp31311.html
December 01, 2013 - The program is also capable of reporting performance percentages, population outreach, and point-of-service … appropriate interval, allow for automated population outreach, provide feedback to clinicians, and support reporting … requirements, such as the Physician Quality Reporting System and Meaningful Use," says Pape.
-
www.ahrq.gov/news/newsroom/case-studies/201709.html
June 01, 2017 - national database to investigate associations between dimensions of patient safety culture and perceived reporting … about reported errors was the aspect of patient safety culture most strongly associated with voluntary reporting … database showed the importance of staff feedback to encourage positive safety behaviors like event reporting