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3061. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
      February 26, 2008 - fall-related injury in acute care is extensive but includes primarily expert opinion and quality improvement reports … clinical journal articles, literature reviews, clinical practice guidelines, and other professional reports … Of the 30 tools reported in the literature, the published report(s) on only 12 of these tools included … absence of published studies to address these conditions in hospitalized patients, these community-based reports … The researchers did not report if the sample represented patients who were at risk for falls (no fall

3062. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute 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-Hook_25.pdf
      February 26, 2008 - fall-related injury in acute care is extensive but includes primarily expert opinion and quality improvement reports … clinical journal articles, literature reviews, clinical practice guidelines, and other professional reports … Of the 30 tools reported in the literature, the published report(s) on only 12 of these tools included … absence of published studies to address these conditions in hospitalized patients, these community-based reports … The researchers did not report if the sample represented patients who were at risk for falls (no fall

3063. Antibiotic Stewardship Slides, Part 2
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
      March 01, 2017 - Antibiotic resistance costs as much as $20 billion in direct health care expenses per year. 3 A 2013 MMWR report … recommended action Tracking: Monitor antibiotic prescribing and resistance patterns Reporting: Regular report … Tests & treatments for urinary tract infections (UTIs) in older people. 2014 Consumer Reports.

3064. 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 - One approach they have taken is to improve the ability to measure and report on the quality of care being … developed the California Coronary Artery Bypass Graft Mortality Reporting Program, which collects and reports … The Missouri Department of Health also developed a consumer report on obstetrical services. … Within 1 year of the report, approximately 50 percent of Missouri hospitals had taken action to address … One of its landmark accomplishments was the 1991 release of the Expert Panel Report: Guidelines for

3065. Appendix III: Compendium of Measures and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiii.html
      June 01, 2010 - and Gaps Other Potentially Important Measurement Areas and Sources Conclusion Glossary of Key Report … Sample data and reports. Reports developed for consumer use. Other (text). … Program Administrator Mode of Data Collection: Telephone Interview (Consumer and Proxy) and Self-Report … Indicators not precisely defined; States may use different data sources to report. … Source: Consumer Survey Respondent: Proxy (parent or guardian) Mode of Data Collection: Self-report

3066. Teach-Back (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-slides-final508.pdf
      June 02, 2025 - Thomas reports he’s taking his hydrochlorothiazide about 3 to 4 times a week because the full dose causes … We will also evaluate our implementation success: Do our clinicians report using teach-back? … Do our patients report that teach-back was used with them? Teach-Back What is Teach-Back?

3067. Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
      January 01, 2020 - Read the full report . … A user's manual for the IOM's 'Quality Chasm' report. Health Aff (Millwood) 2002;21(3): 80-90. … Available at: https://ahrq.gov/cahps/quality-improvement/reports-and-case-studies/cgcahps-webcast-brief

3068. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-slides-final508.pptx
      June 02, 2025 - Thomas reports he’s taking his hydrochlorothiazide about 3 to 4 times a week because the full dose causes … We will also evaluate our implementation success: Do our clinicians report using teach-back? … Do our patients report that teach-back was used with them?

3069. Chronic Kidney Disease | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/kidney.html
      June 01, 2018 - Musculoskeletal Diseases Respiratory Diseases National Healthcare Quality and Disparities Report … territory, 2014 Source: University of Michigan Kidney Epidemiology and Cost Center, Dialysis Facility Reports … USRDS 2013 annual data report: atlas of chronic kidney disease and end-stage renal disease in the United … USRDS 2013 annual data report reference tables. … USRDS 2015 annual data report reference tables.

3070. 025-Ss-Why-Choose-Cusp-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/025-ss-why-choose-cusp-fg.docx
      April 01, 2025 - The origins of CUSP trace back to 1999, when the Institute of Medicine published the landmark report, … The report recognized patient safety as a critical nationwide problem. … empowers frontline staff to own and address the problems they see in clinical settings—from adverse event reports

3071. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role-references.html
      September 01, 2024 - Kidney International Reports 2021 May;6(5):1205-1207. … Improving Patient Safety in Primary Care Settings by Engaging Patients and Families: Environmental Scan Report

3072. SimCare: A Model for Studying Physician Decisionmaking Activity (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Dutta.pdf
      January 01, 2003 - lab results, current prescriptions, and a patient self- report. … information is sent to the UI and presented to the physician in the next encounter in the form of reports … comprised of (1) a subjective patient self-report, (2) an objective physical exam report, (3) a self-monitored … Depression and adherence are conveyed through the patient response and self- report narrative. … lack of treating depression in instances where the patient is not responsive to treatment and self-reports

3073. Chapter 1: Background | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter1.html
      June 01, 2014 - An AHRQ Evidence Report 1 published in 2007 demonstrated that systematic reviews of interventions to … Most reports synthesized clinical and utilization measures. … , might encompass only a few of the domains included in the measurement framework presented in this report

3074. Clinical Pharmacists in Emergency Medicine (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-fairbanks_20.pdf
      February 21, 2008 - particularly high-risk environment with frequent medication errors.3 The 1999 Institute of Medicine (IOM) report … Published reports have asserted that ED-based pharmacists have the potential to reduce iatrogenic harm … In a 2000 consensus committee report that included recommendations regarding the initial steps that … erceptions and experiences of key stakeholders. 12, 44 Some have recognized this deficit, as published reports … Evidence report/technology assessment, No. 43, Making health care safer.

3075. Follow-Up Referral After Positive Developmental Screen (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-204-fullreport.pdf
      January 01, 2014 - whether standardized development and behavioral screening using parent-completed tools occurred: Summary … Available at www.rwjf.org/content/dam/farm/reports/reports/2014/rwjf409002#page=44. … Our results are supported by AHRQ’s National Health Care Disparities Report, 2013 that reports in 2011 … National Healthcare Disparities Report, 2013. … Developmental screening in early childhood systems: summary report.

3076. Partnering-Executive-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
      June 01, 2021 - A nurse reports concerns about a resident who had an increase in their creatinine after being on an antibiotic … collaborating with engaged team members, instead of demanding things from reluctant staff · Quantify and report

3077. Quality Improvement in Action Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-notes.docx
      April 01, 2022 - doctor of pharmacy leading the hospital’s performance improvement department; infection prevention reports … The hospital undergoes the HSOPS every other year and provides unit-level reports to support understanding … preoccupation with failure, so it is essential that everyone be on the lookout for errors or near misses and report … Slide 9 To focus on CLABSI and CAUTI defects specifically, the unit has been using the CUSP event report … haphazard and not consistently done · Central line dwell times average over 12 days, and most staff report

3078. Model State Enhancement Efforts | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/model.html
      October 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report … Contents AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report … Practices submitted monthly data on population-level diabetes clinical measures and benchmarking reports

3079. An Ambulatory Care Curriculum for Advancing Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mottur.pdf
      June 01, 2005 - seven areas identified as essential for improving safety by the Institute of Medicine in its seminal report … The entire medical community was exposed to media reports and professional articles on patient safety … A report of the Committee on Quality of Health Care in America, Institute of Medicine. … Academy Health Reports. Knowledge transfer. 2003 Dec;14:1,3. Washington, DC: Academy Health. … Medical practice survey: full technical report. Philadelphia: The College; 2004.

3080. New Models of Primary Care Workforce and Financing - Case Example #1: Stanford Coordinated Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
      October 01, 2016 - Purchasing AHRQ Publication No. 16(17)-0046-1-EF October 2016 http://www.ahrq.gov/ This report … Therefore, no statement in this report should be construed as an official position of AHRQ or of the … The case example report that follows provides an in-depth look at the workforce configuration of Stanford … ▌pg. 10 Quality SCC receives reports on performance measures from the Stanford Health Care system … this method is to ascertain patient satisfaction in real time rather than waiting for patient survey reports