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221. Event Investigation and Analysis Guide: Appendix B | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
     August 01, 2022 - Renal Disease (ESRD) Clinics Pharmacy Multiple Settings Quality Measures Reports … Timeline of Event: March 12, 2014 (0900) RN#1 received report from ED on patient Mrs. … RN#2 received report from ED on patient Mr. Smith in SBAR format. Mr. … (0945) The CNA reports back to RN#1 the following: "Your new patient’s blood sugar was 149, the blood … " (0947) The CNA reports back to RN#2 the following: "Your new patient’s blood sugar was 525, the blood

222. 2019 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
     December 01, 2020 - by several IOM reports. … Two of these reports, Crossing the Quality Chasm1 and To Err Is Human2 , raised awareness about gaps … The selection of quality measures to include in the first reports involved several steps: ■ IOM … Since the first reports in 2003, the measure set has been reviewed each year and changes made as needed … The NHQDR team has maintained the data since 2003, the first year of the reports.

223. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
     April 27, 2022 - fore the NASEM report. … Patient Focus Five studies explored patient reports of diagnostic errors. … The remaining 2 studies (Giardina et al29,30) analyzed existing data sets of patient reports of adverse … Patient reports of diagnostic error Timeliness, accuracy, communication Aoki and Watanuki27 … Secondary analysis of patient reports of adverse Timeliness, accuracy, communication events (

224. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
     January 01, 2022 - The test version of the CFER-DS was a paper form with 2 main components: a brief narrative report designed … •The form was restructured to allow respondents to report details of several interrelated diagnostic … Most participants found it challenging to report multiple related or successive encounters and/or missed … Role of the Brief Narrative Report The brief narrative was viewed as a helpful opportunity for the … information, and contributing factors can be used by clinicians and other profes- sionals to capture and report

225. Patient Safety Resources by Setting | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/index.html
     July 01, 2023 - Renal Disease (ESRD) Clinics Pharmacy Multiple Settings Quality Measures Reports

226. Contact SOPS | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/sops/contact-us/index.html
     June 01, 2020 - SOPS Database Contact the SOPS Database TA team with questions about data submission, database reports

227. Connect with Patient Safety | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/about/connect.html
     August 01, 2022 - Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports

228. Strategy 3: Nurse Bedside Shift Report | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.html
     December 01, 2017 - Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports … Strategy 3: Nurse Bedside Shift Report helps ensure the safe handoff of care between nurses by involving … Tools for this strategy include -- Nurse Bedside Shift Report: What is it? … -- Checklist that highlights the elements required to complete bedside shift report … Training -- Slides and talking points used to train nurses to conduct a bedside shift report and to

229. Distribute Your Health Care Quality Report to Consumers | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/talkingquality/distribute/index.html
     September 01, 2017 - this section Talking Quality Plan Your Reporting Project Select Measures To Report … Media Options for Reports Placement of a Quality Report Timing Report Distribution … Promote Your Quality Report Assess Your Reporting Project Resources About … TalkingQuality Distribute Your Health Care Quality Report to Consumers … Your Report .

230. Improving Your Response Rates on the AHRQ Hospital Survey on Patient Safety Culture: Podcast Transcript (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/rrpodtrans.pdf
     August 01, 2013 - During the survey administration, my assistant sent out response reports containing the number of completes … How often did you send out the response reports and who got those reports? … Hospital Survey on Patient Safety Culture August 2013  Podcast Rebecca Caschette We sent the reports … out every single week - every Monday morning, we send the reports out and they get back with their

231. The Academy for Integrating Behavioral Health Into Primary Care | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/ncepcr/building-community/integrationacademy.html
     December 01, 2023 - Networks Integrating Behavioral Health Into Primary Care Practice Facilitation Reports

232. June 3-21 | Data Submissions for Survey on Patient Safety Culture® Hospital Database | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/sops-data-submissions.html
     March 01, 2024 - Participating hospitals will receive feedback reports displaying their results compared to aggregated

233. Most Common Comorbidities Associated With Inpatient Stays | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/data/infographics/most-common-comorbidities.html
     February 01, 2023 - https://hcup-us.ahrq.gov/reports/statbriefs/sb303-Comorbidities-Adult-Hospitalizations-2019.jsp

234. Patient Prep Card | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/patients-families/prep-card.html
     June 01, 2020 - Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports

235. Costs for Spine Fusions | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/data/infographics/spine-fusions.html
     November 01, 2021 - https://hcup-us.ahrq.gov/reports/statbriefs/sb281-Operating-Room-Procedures-During-Hospitalization-2018

236. Patient Note Sheet | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/patients-families/prep-note-sheet.html
     June 01, 2020 - Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports

237. Making Adjustments to Health Care Quality Scores | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
     January 01, 2023 - this section Talking Quality Plan Your Reporting Project Select Measures To Report … Data Using Web Functionalities Explain and Motivate Use Distribute Your Quality Report … This has been done when reporting at a national level to policymakers, although some sponsors of reports … nhqrdr/index.html The Agency for Healthcare Research and Quality’s National Healthcare Disparities Report … statistics-and-data/stratified-reporting The Centers for Medicare & Medicaid Services has several stratified reports

238. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
     August 01, 2022 - Cognition + + 4 Nurses’ Role in Diagnosis, Through the Lens of Distributed Cognition The landmark report

239. Frequency and Cost of Operating Room Procedures | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/data/infographics/cost-or-procedures.html
     January 01, 2022 - https://hcup-us.ahrq.gov/reports/statbriefs/sb281-Operating-Room-Procedures-During-Hospitalization-2018

240. State Variations in Inpatient Stays for Substance Use Disorders | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/data/infographics/sud-inpatient-stays.html
     May 01, 2022 - https://hcup-us.ahrq.gov/reports/statbriefs/sb289-Substance-Use-Disorder-Hospitalizations-by-Region-2016