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6061. Final Progress Report: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco Ambulatory Safety CEnter for iNnovaTion (ASCENT) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/sarkar3-report.pdf
      January 01, 2025 - Scope: We focused on three high-priority ambulatory safety issues: (1) test result management: when patients … The study team reviewed charts for patients who had nodules between 5 and 8 millimeters discovered on … a slight positive effect on comprehension and adherence among patients who received UMS vs. patients … A systematic review of observational studies assessing outcomes of prostate cancer patients on active … Gaps in the continuity of care and progress on patient safety.

6062. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
      January 01, 2024 - Validation of Fault Trees Based on observations and survey findings, two of 52 rates associated with … However, based on observations and validation surveys, there is sufficient evidence to support the conclusion … The frequency of patient counseling was estimated to be 10%, because many patients on fentanyl patches … Unpublished results from the ISMP survey on high-alert medications in community/ambulatory settings. … OBRA '90: the impact on pharmacists and patients.

6063. Development of Dashboards To Provide Feedback To Home Care Nurses - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs023855-dowding-final-report-2017.pdf
      January 01, 2017 - Aim 2: A multi-factorial experimental design, with data collected via an on-line survey. … On completion nurses could provide their contact details (separate from survey responses) to receive … both evaluation questionnaires and through feedback. … questionnaire. … Problems with health information technology and their effects on care delivery and patient outcomes:

6064. Towards Effective and Efficient Health Information Technology Adoption in Home Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r03hs022352-koru-final-report-2014.pdf
      January 01, 2014 - Clinicians are typically on their own in patients’ home while providing care and making decisions. … Patient admissions take a long time because they largely depend on health information received from … In terms of patient satisfaction, it was mentioned that patients want dependable and reliable clinicians … our findings at the national level by obtaining quantitative data through various mechanisms such as surveys … Health IT acceptance factors in long-term care facilities: a cross-sectional survey.

6065. Step 3: Planning the Infrastructure Support | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/hsrguide/hsrguide3.html
      October 01, 2014 - Content specific areas (e.g., access, cost and financing of care, quality of care, patient safety, health … Study design and research methods (e.g., survey design, large-scale database analysis, retrospective … On-site, on-line, or off-site? … a one-on-one basis. … Serving on advisory groups.

6066. OUTLINE (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-end-of-life-measures-framework_research.pdf
      April 01, 2010 - For example, while pain on the individual patient level could be assessed with a visual analog scale … and families (e.g. via survey). … the results of the intervention with the patient and/or family). … We also combined patient outcomes in the follow-up category. … of issues such as communication, patient-reported outcomes, or preferences.

6067. OUTLINE (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-quality-indicator-framework_research.pdf
      April 01, 2010 - For example, while pain on the individual patient level could be assessed with a visual analog scale … and families (e.g. via survey). … the results of the intervention with the patient and/or family). … We also combined patient outcomes in the follow-up category. … of issues such as communication, patient-reported outcomes, or preferences.

6068. Personalized Engagement Tool for Pediatric BMT Patients and Caregivers - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs023613-choi-final-report-2017.pdf
      January 01, 2017 - Based on the intense, physically demanding procedure, medically fragile BMT patients remain dependent … Quantitative survey results showed that trait anxiety (STAI-T) was decreased, caregiver quality of life … The highest level of self-rated activation, as assessed by the C-PAM survey increased from 40% (admission … The total time spent on BMT Roadmap ranged from 0-139 minutes per patient with a mean of 55 minutes … Conclusions Our research reported herein has been based on a step-wise approach to studying patient

6069. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
      psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
      July 01, 2017 - patients” and relevant financial relationships as “financial relationships in any amount occurring within … The patient information on the blood bags was checked per institution policy, which requires a witness … According to the National Blood Collection and Utilization Survey (NBCUS), 11,349,000 (95% confidence … Still, in day-to-day counseling of patients regarding the risks of a red blood cell transfusion, most … In critically ill patients who require transfusion and cannot wait for verified, crossmatched blood to

6070. Management of Suicidal Thoughts and Behaviors in Youth: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/suicidal-thoughts-young-people-exe-sum.pdf
      April 01, 2025 - The median age of the patients was 15.49 years; 75.12 percent were female. 54 percent of the patients … Suicidal Thoughts and Behaviors Among High School Students — Youth Risk Behavior Survey. … Journal of Patient Experience. 2022 2022/01/01;9:23743735221079138. doi: 10.1177/23743735221079138. … srsltid=AfmBOopqJlO__q3A9-pmNNMG02Jd1zS5ezAdqeA20n3_JilJrc9lI8ZI https://www.aap.org/en/patient-care/ … srsltid=AfmBOopqJlO__q3A9-pmNNMG02Jd1zS5ezAdqeA20n3_JilJrc9lI8ZI https://www.aap.org/en/patient-care/

6071. Tool 3 Continued | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool3a.html
      March 01, 2025 - Outcome Survey (phone version) Patient Outcome Survey (mailed version) Tool 6: How To Monitor RED … Attempt to find a PCP for the patient based on the patient's preferences, where the patient lives, and … Many patients are discharged from U.S. hospitals on treatment regimens that do not follow national recommendations … For example, according to national guidelines patients with coronary artery disease should be on aspirin … Review the patient's chart to determine if the patient has been placed on a special diet.

6072. Tool 3 Continued | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool3a.html
      March 01, 2025 - Outcome Survey (phone version) Patient Outcome Survey (mailed version) Tool 6: How To Monitor RED … Attempt to find a PCP for the patient based on the patient's preferences, where the patient lives, and … Many patients are discharged from U.S. hospitals on treatment regimens that do not follow national recommendations … For example, according to national guidelines patients with coronary artery disease should be on aspirin … Review the patient's chart to determine if the patient has been placed on a special diet.

6073. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality | PSNet
      psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
      October 01, 2004 - quality of care or patient outcomes. … where to seek care or direct patients. … First, the current immunization measures apply only to patients with pneumonia, so while this patient … For example, if a sufficient number of hospitals reported that patients on heparins experienced hematomas … Public reporting of surgical mortality: a survey of New York State cardiothoracic surgeons.

6074. Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
      January 01, 2004 - Prompt Advances in Patient Safety: Vol. 3 508 assessment of potentially suicidal patients by … Four or five features were identified in each domain, and space was left in each domain for respondents … Results of this survey identified a set of key features. … Advances in Patient Safety: Vol. 3 516 Development of research study suicidality policy Based on … Advances in Patient Safety: Vol. 3 518 It is encouraging that the items rated most highly on importance

6075. External-Stakeholder-Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf
      June 23, 2023 - National Association of County and City Health Officials NAMCS National Ambulatory Medical Care Survey … have the effect of increasing inequity by placing more responsibility on patients. … patients or community members with lived experience in an area of interest to serve as mentors on career … However, participants noted better use of current data sources like the National Ambulatory Medical Care Survey … Key questions for patient-centeredness  Why do people seek primary care and what expectations do patients

6076. Strategy 4: IDEA Discharge Planning (Tool 4)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
      April 01, 2011 - This partnership is important, because health care quality and safety have a direct effect on patients … Better communication, realized through patient and family engagement, has a direct impact on patient … The scores are based on a standardized survey known as the CAHPS® Hospital Survey. … Many of the measures from the CAHPS Hospital Survey — particularly those related to patient-provider … Try it on one or two patients, maybe toward the end of your shift to see how it goes.

6077. Webinar Transcript: Better Care, Healthier People and Communities, More Affordable Care: 5 Years of the National Quality Strategy | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-better-care-healthier-communities.html
      November 01, 2016 - not simply from a hospital or a health care delivery perspective, where it might be a panel of your patients … For example, I would suspect that many of you have been part of the Partnership for Patients efforts … to improve patient safety. … We also have the Consumer Assessment of Healthcare Providers and Systems Survey (CAHPS), the National … Respondents had to identify which strategies or levers, as you are now calling them, they were utilizing

6078. Optimizing Health and Function as We Age: Roundtable Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/healthy-aging-roundtable.pdf
      September 08, 2022 - https://doi.org/10.37774/9789275126943 6 The concept of “whole health” as a way of focusing on patients … priorities and goals and to develop a care plan that minimizes burden on patients and caregivers while … Complexity of patient care. … The complexity of patient care and the paucity of evidence on management of people living with multiple … The complexity of patient care and the paucity of evidence on management of people living with multiple

6079. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
      psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
      June 28, 2023 - to ventilate the patient. … In addition, although we do not know the race or ethnicity of this patient, it has been found that patients … Practice patterns, safety, and rationale for tracheostomy tube changes: a survey of otolaryngology training … to the UK National Patient Safety Agency. … December 3, 2008 Effect of a central call center on employee perceptions of safety culture

6080. Using Home Visits to Understand Medication Errors in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
      May 28, 2008 - Li, et al 200020 Cross-sectional parent survey Urban academic pediatric emergency department … Richelman, et al, 200737 Patient survey Outpatient oncology clinic 27% of patients had a drug interaction … over-the-counter cold medicine toxicity in infants, of which 8 were accidental overdoses.16 Several surveys … methods. … Building on approaches utilized in outpatient adults and children and on prior inpatient observation