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341. Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) (pdf file)
     www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
     January 01, 2025 - Direct observation of work is one of the only ways to understand the everyday challenges of work “as … multidimensional measure to understand workload as it relates to specific tasks, and evaluates the construct in six … domains: mental demand, physical demand, temporal demand, performance, effort, and frustration. … Site 1 observations took place across six different rooms: 385.6 sq. ft (n=4), 466.9 sq. ft (n=7), 610.6 … SURG-TLX surveys with six domains of workload were administered to surgical staff at three sites.

342. Eliminating CLABSI, A National Patient Safety Imperative: Final Report (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
     October 01, 2012 - to 68 percent at quarter six. … six cohorts of States/regions over the 4-year contract period. … research that helps people make more informed decisions and improves the quality of health care services … Six cohorts, comprising 44 States, the District of Columbia, and Puerto Rico completed the project. … six high-performing and five challenged States.

343. Health and economic outcomes of newborn screening for infantile-onset Pompe disease (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/richardson-et-al-2020.pdf
     January 01, 2020 - The expert panel consisted of six individuals (see “Acknowledgements”) with extensive experience in newborn … In addition to the costs of ERT, ongoing costs of care included costs of additional required medications … Inclusion of changes in quality of life for family members of a child with infantile-onset Pompe (family … year of treatment, and to stabilize the quality of life during the subsequent years of treatment;30 … the Secretary of the United States Department of Health and Human Services or of the individual members

344. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
     December 01, 2020 - 2019 National Healthcare Quality and Disparities Report Data Sources 2019 National Healthcare Quality … Inpatient Quality Indicators (IQIs) reflect quality of care in hospitals. … home health care quality measurement. … This act requires subsection (d) hospitals to submit data on measures of the quality of care furnished … MPSMS is composed of 21 measures representing six types of adverse drug events (ADEs); six types of

345. Nutritional Research Series, Volume 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp2.pdf
     March 01, 2009 - of health care in the United States. … that the evidence reports and technology assessments they produce will become building blocks for health … care quality improvement projects throughout the Nation. … care quality. … Six reports have been published and are organized around groups of nutrients.2-7 Contents of the reports

346. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/excelling_cahps_lessons_medicaid_webinar_transcript.pdf
     January 01, 2016 - that address four domains of care that we know are important to health plan enrollees. … Cohen, Slide 24 However, we certainly have seen some improved health outcomes across a number of domains … So there are a number of other questions. Let me get to them. We have about six of them. … So, for example, 2-year-olds who are fully immunized and have had all six visits prior to 15 months … It's a six-question survey. The member has to, obviously, volunteer to participate in it.

347. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
     January 01, 2024 - patients” to its Division of Health Care Quality (DHCQ). … The events were grouped into six categories or types of incidents: surgical, product or device, patient … Hospital Leaders One of the aims of the project was to survey hospital leaders in six states on patient … Ninety-one percent of respondents across the six states said their hospital has a policy to protect … Fifty-six percent of respondents believe an aggressive policy of informing patients would increase patient

348. Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
     January 01, 2004 - of health care that have been identified from significant investments in patient safety research by … of health care. … see no annual change in national measures of the quality of health care than to see significant change—whether … A report of the Committee on Quality of Health Care in America, Institute of Medicine. … National healthcare quality report. Rockville, MD: U.S.

349. LEARNING OBJECTIVES OF THIS WORKBOOK (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.doc
     April 01, 2006 - of health care. … to support health care quality improvement. … of the National Healthcare Quality Report. … Identifying and recruiting public and private partners for health care quality improvement—other State … Find out who the change agents for health care quality are in your State.

350. Attachments 5.1 through 5.5 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-v-a.pdf
     June 25, 2014 - Act (CHIPRA, Public Law 111-3), which presented an unprecedented opportunity to measure and improve health … care quality and outcomes for children. … of high quality health care in each of the Institute of Medicine’s (IOM) six aims for quality improvement … IOM Domains of  Effective Health Care  Timely Quality  Equitable Addressed  Safe  Efficient … Institutions Quality Council None Service on a Quality Committee: National Initiative for Childrens Healthcare

351. Measuring and Benchmarking Clinical Performance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-13-measuring-and-benchmarking.pdf
     September 01, 2015 - Further reproduction of those copyrighted materials is prohibited without the specific permission of … Therefore, no statement in this report should be construed as an official position of AHRQ or of the … An evaluation of the use of performance measures in health care. … performance for patients who have had a visit in the past quarter or who have been in treatment for at least six … Figures 13.1–13.3 are examples of the types of reports produced by these organizations.

352. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/waever.html
     August 01, 2017 - implementation and sustainment of these types of interventions. … of safety. … related to indicators of safety, disclosure of errors, patient perceptions of care, and claims are needed … Communication-and-resolution programs: The challenges and lessons learned from six early adopters. … Developing a measure of system thinking: a key component in the advancement of the science of CQI.

353. Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
     January 01, 2024 - We selected the Mann- Whitney U test to compare each of the 10 contexts with each of the six measures … six checklist variables), we used a Bonferroni correction to reduce the likelihood of a type I error … Results Principal Findings and Outcomes – Specific Aim 1 By comparing six checklist metrics across 10 … per checklist, whereas senior residents took a median of six notes. … and findings are generalizable to other medical domains that require rapid approaches to patient management

354. Pillars of a Smart, Safe Operating Room (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
     April 07, 2008 - and evolution of laparoscopic surgery and to the development of the concept of the ORF. … domains often overlooked in the safety literature. … , both normal and pathological, that emulates some six to eight gastrointestinal diseases at levels … Quality of care and safety are influenced directly by this jumble of communications, which often proves … Six Sigma. New York: Random House; 2000. 22. Roberts KH.

355. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
     April 01, 2025 - of care for residents. … Case studies are included to document how transparency is practiced in each of the domains. … of care for residents. 11. … of care in nursing homes. 17. … The scale is composed of six subscales that measure functional capabilities of the patient that contribute

356. National Advisory Council Meeting, July 14, 2020: Minutes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2020-07-nac/nacminutes-071420.pdf
     January 01, 2020 - • The agency’s “Six Building Blocks” program is helping to develop a team-based approach to improving … It plans to design, implement, and evaluate hospital command centers in six diverse hospitals. … The categorizing of research domains included inputs to care (organization, financing, et al.), outputs … of care (quality, access, et al.), and special topics (safety, prevention, et al.). … AHRQ could support development of models of sustainability. Dr.

357. Improving Workplace Safety in Hospitals: A Resource List for Users of the AHRQ Workplace Safety Supplemental Item Set (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
     May 01, 2023 - , or any of their employees. … Critical Care Nurses resource provides six essential standards to help produce effective and sustainable … of workplace violence. … the six standards (requires free account setup and login). 3. … Healthy Nurse, Healthy Nation (HNHN) is open to everyone and focuses on the domains of rest, physical

358. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
     March 10, 2008 - health care quality that has been widely studied.1, 2, 3, 4, 5 Assessments of patient safety are traditionally … Finally, PSIs are focused on quality of care but by no means are intended to be comprehensive assessments … of quality of care. … It is anticipated that more countries will employ the PSIs for quality of care assessment. … First OECD Health care quality indicators seminar on improving patient safety data systems: Agenda

359. System Redesign Responses to Challenges in Safety-Net Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
     June 01, 2015 - System leaders recognize that this arrangement is problematic for patient access and quality of care … Over the past two decades, gaps in health care quality, cost, and efficiency have received widespread … process improvement approaches to address deficiencies and to ensure top-level patient care quality … quality and build the new models of care and the payment structures needed to survive. … v Black Belt certification is part of the Lean Six Sigma program.

360. Developmental Screening and Follow-Up: Follow-Up Referral Tracking (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-205-fullreport.pdf
     January 01, 2014 - Initial Core Set of Children’s Health Care Quality Measures: Technical Specifications and Resource Manual … Health plan*: Can compare quality of care among health plans. … follow-up becomes used for public reporting of pediatric care quality. … care quality and outcomes for children. … pediatric care quality, is necessary in order to improve pediatric care quality.