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www.ahrq.gov/news/events/nac/2023-03-nac/nacmtg030623-minutes.html
July 01, 2023 - The Medical Expenditure Panel Survey program has been busy updating its data and improving its website … in a large November meeting on patient and workforce safety. … Return to Contents
Update on AHRQ’s Patient Safety Framework and the Patient Safety Action Alliance … Discussion
Komal Bajaj, M.D., agreed on the importance of patient and workforce safety. … , coordinated care for long COVID patients.
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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - In discussions with the patient and his son, the patient expressed that he would like to focus on comfort … On the night shift, the bedside nurse went to see the patient at 3:00 AM to administer the next scheduled … The exception may be specific situations, such as weaning a patient on mechanical ventilation, in which … Dying in the Hospital With Advanced Dementia
December 1, 2017
Client … December 4, 2016
Patients' and families' perspectives of patient safety at the end of
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - Handoffs causing patient harm: a survey of medical and surgical house staff. … Transfers of patient care between house staff on internal medicine wards: a national survey. … Even in medical school, early on we talked about the doctor–patient relationship—one doctor to one patient … There's an emphasis on the allegiance to patients you take care of, so much so that, in many fields the … Perhaps then you can use your time to spend on the patients and the issues where you have little common
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/chsp-annual-workshop1-slides.pdf
September 29, 2016 - Survey of ACOs (1-3, 4 pending)
• National Survey of Physician Organizations (1-3)
• Clinical data … identifiers for linking member data to external sources
• Survey responses
• Initial surveys completed … design with sampling probabilities and quantity of surveys depending on
the size and composition of … • Where do patients get their care, and how many patients are truly getting their care from
integrated … the use of patient-
centered outcomes research (PCOR)
• Additional goals:
– Synthesize findings on
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4.html
May 01, 2018 - The extent of this interaction is revealed by recent surveys on encounters with LEP patients in hospitals … Effect of Language on Health Status, Access to Care, Health Outcomes, and Patient Safety
It is well … One survey of care provided mainly in safety net hospitals found that the experiences of uninsured patients … engage patients in joint patient-provider decision-making on treatment, and limit patients' ability to … Effect of Language on Patient Safety
Systematic literature reviews find that use of ad hoc interpreters
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psnet.ahrq.gov/node/836892/psn-pdf
April 07, 2022 - Ongoing research endeavors include patient outcomes research;
research on novel patient care diagnostics … Emergency critical care is an
emerging field that focuses on managing and monitoring ED patients that … the impact of this model of
care on patient-centric outcomes, resource utilization, staff training, … National Hospital Ambulatory Medical Care Survey: 2015 emergency
department summary tables. … National Hospital Ambulatory Medical Care Survey: 2015 emergency
department summary tables.
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www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
January 01, 2024 - Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety
AHRQ TEAM … Over a 4-week period, teams were then randomized to undergo
virtual OR training focusing on patient … WALK PHASE: Over a 4-week period, teams were randomized to undergo virtual OR
training focusing on patient … (TCS), and Face Validity &
Educational Benefit (FVEB) survey. … Often, patients would
cancel at the last minute, or a trainee would become unavailable on very short
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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - Safety Learning Lab project , and what they are discovering about equitable care and its impact on patient … I'd suggest that a paper survey sent to patients weeks later without framing the utility of engaging … We have a bilingual research assistant who’s been recruiting patients for our longitudinal surveys. … On a number of occasions she has come in to meet the patient, and she asks about feeding, and the patient … We have to stop pretending that a 7 on a 1–10 scale is meaningful to a patient.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - Review formal survey measures and
readmission rates and talk to people about their thoughts on discharge … ® Hospital Survey. … “to improve scores on CAHPS Hospital Survey
Questions 19 and 20 by 5 percent within 1 year.” … groups, patient and family satisfaction surveys, and staff
surveys. … IDEAL Discharge Planning led to improved CAHPS Hospital Survey scores
on 3-South.
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psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - He began advanced life support—the patient was intubated and placed on
mechanical ventilation, and given … Simply leaving the patient on an ED gurney
does not constitute an appropriate transfer of care and may … In a recent survey of emergency and internal medicine providers from a large academic medical center, … 29% of respondents reported that a patient of theirs had experienced an adverse event or near miss … Respondents identified numerous contributing factors including inaccurate or
incomplete information
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - Review formal survey measures and readmission rates and talk to people about their thoughts on discharge … ® Hospital Survey. … “to improve scores on CAHPS Hospital Survey Questions 19 and 20 by 5 percent within 1 year.” … groups, patient and family satisfaction surveys, and staff surveys. … IDEAL Discharge Planning led to improved CAHPS Hospital Survey scores on 3-South.
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5a.html
May 01, 2018 - More recently, collection of these data has shifted to the American Community Survey, a continuous data … Can a survey change one's race? An experiment on context effects and racial self-classification . … Serving patients with limited English proficiency: Results of a community health center survey . … Hospital language services for patients with limited English proficiency: Results from a national survey … Collection of data on race/ethnicity by private sector organizations, results of a medical group survey
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-references.pdf
August 12, 2012 - American Academy of Pediatrics, Steering Committee on Quality Improvement. … on Quality Improvement and Management. … Considering cultural diversity in the management of ADHD in Hispanic patients. … Do Pediatricians Think They Should Care
For Patients with New Morbidity? … Results of the AAP Periodic Survey.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-references.pdf
August 12, 2012 - American Academy of Pediatrics, Steering Committee on Quality Improvement. … on Quality Improvement and Management. … Considering cultural diversity in the management of ADHD in Hispanic patients. … Do Pediatricians Think They Should Care
For Patients with New Morbidity? … Results of the AAP Periodic Survey.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - We will then define teamwork and explore poor teamwork’s impact on patient outcomes. … Studies show that surgical teams who exhibit fewer teamwork behaviors put patients at higher risk for … Before you start work to improve communication and teamwork, consider administering a culture survey … One example used by many facilities is the AHRQ Survey on Patient Safety culture. … A debriefing that never occurs cannot benefit subsequent patients.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
March 01, 2020 - Focuses on summarizing information on more than 200 measures that are tracked. … Patient Safety (n=42): Worse - 8; Same - 13; Better - 21. … Return to Top
Patient Safety
Slide 25
Chartbook on Women's Health Care
Patient Safety
Slide … Although patient safety initiatives focus mainly on inpatient hospital events, adverse effects of medical … care is supported by good provider-patient communication so that patients' needs and wants are understood
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www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
January 01, 2025 - direct observation by one of the study co-investigators
(Grzybicki), a physician perception and opinion survey … Variability in anatomic pathology practice and its effect on patient outcome. … Clinical laboratory specimen rejection: Association with the site of
patient care and patients' characteristics … The impact of pathology diagnostic errors on patient care. … The impact of gynecologic pathology discrepancy on patient safety.
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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-facguide.html
February 01, 2017 - Say:
To be eligible for the SAT safety screen, the patient must not have been put on high-frequency … Perform the SAT screen on that patient again the following day. … This survey also reported several barriers for daily sedation interruption. 22 percent of respondents … The patients with no sedation spent a mean of 4.2 fewer days on mechanical ventilation and also decreased … This study shows that a patient on mechanical ventilation can be maintained without sedation.
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www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - At one participating hospital, respondents reported that Lean tools
resulted in a better understanding … to care for and were overwhelmed at
taking on more patients. … National Hospital Ambulatory Medical Care Survey: 2007 Emergency Department
Summary. … Impact of the Comprehensive Unit-Based Safety Program (CUSP) on
safety culture in a surgical inpatient … These case studies focus on the problem, solution, results, background, impact on patient flow,
resources
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
January 01, 2013 - Satisfaction survey of 100 catheterized VA patients:
42% found the indwelling catheter to be uncomfortable … ends”
Hospital staff provide ongoing support and expertise (r/t CAUTI prevention, catheter use and safety … culture)
*
Factors that Influence Sustainability
Integration with existing programs/services (“ … SUTI costs) * (number with SUTI) +
(per patient BSI costs) * (number with BSI)
SUTI per patient = … $911
BSI per patient = $3824
*
CAUTI Cost Calculator
Number with SUTI (or BSI) =
Total number patients