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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new_sops_diagnostic_safety-schiff.pdf
January 01, 2020 - medical error)
Your/their medical problem was misdiagnosed
51%
You/they were given the wrong test … medication, meaning the wrong dose or wrong drug
32%
You/they got an infection as a result of your/their test … different instructions 24
Got an infection after treatment 24
Doctor gave wrong medication 18
Test … Diagnostic Stewardship & Test Result Management Using EHRs
2. Antimicrobial Stewardship
3. … Diagnostic Stewardship & Test Result Management Using EHRs
2. Antimicrobial Stewardship
3.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-o-part2-transcript.docx
April 13, 2017 - To do that, there are specific types of disinfectant test strips available. … Follow the label directions for the test strip. … On the test strips, they may also have you perform quality checks. … Perhaps you do three checks of the test strip in 100 strength and then three tests of the test in a 50 … These test kits can make sure that we are doing that.
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ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?order=field_supplemental_topics&page=8&search_api_fulltext=&sort=desc
Health information technology
C-HIT16
Blood tests, x-rays, or other test … technology
C-HIT8
Provider used a computer or handheld device to look up test … Health information technology
C-HIT17
Blood tests, x-rays, or other test … Health information technology
C-HIT15
Blood tests, x-rays, or other test
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150917/lee_hargraves-slides.pdf
September 28, 2015 - www.cahps.ahrq.gov
Some Differences in Visits and Testing *
(continued)
34
Provider ordered a
blood test … , x-ray, or
other test
6-Month
% (n)
12-Month
% (n)
Yes 86.7 (1468) 93.4 (501)
No 13.3 ( … 208) 6.6 (40)
Respondents to the
6-month survey were
twice as likely to not
have had a blood test … ,
x-ray or other test,
compared to those
responding to the 12-
month survey
-
ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking4.html
September 01, 2022 - Provide data about test performance at the point of care, ideally through integration with EHRs. … Various methods are available to structure such information delivery; doing so at the time of test ordering … the general population and in individual patients and to adjust those probabilities in response to test
-
ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/child-hcahps/improvement-data.html
July 01, 2021 - State-Level Simulation #1
CEPQM worked with two states to test Child HCAHPS for validity, feasibility … dataset of survey results from a subset of hospitals that participated in the Child HCAHPS National Field Test … database, the CEPQM team wanted to simulate state-level comparisons using the Child HCAHPS National Field Test
-
ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.html
June 01, 2020 - In addition, a Fall Prevention Knowledge Test (FPKT) was created and implemented to assess nurses’ knowledge … patient care. 4 A single screen displays data for several patient safety domains (e.g., vital signs, test … It allows patients to see their care plan, recovery goal, care team, test results and trends, medication … Development and validation of a fall prevention knowledge test. … Development and validation of a fall prevention knowledge test .
-
ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-healthlit-items-cg-survey30-adult.html
January 01, 2018 - In the last 6 months, before you had a blood test, x-ray, or other test, how often did this provider … In the last 6 months, how often was the explanation of what the test was for easy to understand? … In the last 6 months, how often were the results of your blood test, x-ray, or other test easy to understand
-
ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?order=title&page=20&search_api_fulltext=&sort=asc
Patient-centered medical home
C-CR2
Respondent got results from blood test … , x-ray, or other test as soon as needed
Child
Clinician & Group
Coordination … of care
P-CR4
Respondent got results from blood test, x-ray, or other … test as soon as needed
Child
Health Plan
Coordination of care
-
ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?order=title&page=3&search_api_fulltext=&sort=desc
Interpreter services
P-CR4
Respondent got results from blood test … , x-ray, or other test as soon as needed
Child
Health Plan
Coordination of … care
C-CR2
Respondent got results from blood test, x-ray, or other test
-
ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?order=title&page=17&search_api_fulltext=&sort=desc
Improving care and services
H-HL20
Hospital staff explained what a blood test … , x-ray, or other test was for
Adult
Hospital
Health literacy … H-HL22
Hospital staff explained blood test, x-ray, or other test results to patient
-
ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?order=field_short_title&page=20&search_api_fulltext=&sort=desc
Coordination of care
C-CR2
Patient got results from blood test … , x-ray, or other test as soon as needed
Adult
Clinician & Group
Coordination … of care
C-CR2
Respondent got results from blood test, x-ray, or other … test as soon as needed
Child
Clinician & Group
Coordination of care
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
August 02, 2018 - )
Interview experts,
providers, and
staff
Identify key
thematic areas
Develop &
cognitively test … draft items
Obtain input from
Technical Expert
Panel (TEP)
Pilot test
Conduct
psychometric … items)
• EHR and Workflow/Work Process (3 items)
• Overall EHR System Rating (1 item)
31
Pilot Test … Health IT Patient Safety Supplemental Items
Development Process
Health IT Patient Safety Topics
Pilot Test
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
January 01, 2022 - aggression
− Work stress/burnout
• Currently in development for
nursing homes
► Completed a pilot test … )
Interview experts,
providers, and
staff
Identify key
thematic areas
Develop &
cognitively test … draft items
Obtain input from
Technical Expert
Panel (TEP)
Pilot test
Conduct
psychometric
-
ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/demostates/pa.html
March 01, 2019 - Pennsylvania's Objectives
Pennsylvania will partner with several medical centers and hospitals to collect, test … The State will test an electronic screening tool to enhance communication between providers and families … Pennsylvania is one of two grantees that will test and evaluate the model EHR format for children. … What strategies did Pennsylvania use to test the model EHR format for children?
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-8-approaches-to-qi.pdf
September 01, 2015 - Identify key changes that you will actually test. … The MFI uses a rapid cycle process called Plan Do Study Act (PDSA) cycles to test the effects of
small … Quality improvement teams then introduce and test changes designed to achieve the
improvement aims using … Test and then spread the “best practice” to other clinicians and practices. … PDSA Worksheet for Testing Change
List the tasks needed to set up this test of change
-
ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions5.html
June 01, 2023 - experienced at least one medical error after discharge, related to a variety of causes, including medication, test … transition, with available discharge summaries often omitting critical information, such as diagnostic test … results, test results pending at discharge, and discharge medications. 89 During ICU stays, when patients … outpatient physicians and improved communication of potential diagnostic errors, such as discussing test
-
ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/hospital/about/dev_adult_hp_survey.html
April 01, 2023 - This pilot test included 132 hospitals and resulted in over 19,000 completed surveys. … In the summer of 2004, the CAHPS Team worked with hospitals and vendors that volunteered to test the … In collaboration with these test sites, researchers investigated various approaches to integrating the
-
ce.effectivehealthcare.ahrq.gov/teamstepps/webinars/previous-webinars-2014.html
June 01, 2017 - December Webinar: TeamSTEPPS for Patients: A Pilot Test in Labor and Delivery
AHRQ hosted a webinar … Provide an overview of methods used to pilot test the curriculum. … Present the results and implications of the pilot test.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
November 29, 2004 - in one year 92%
Mean A1c value (SE) 7.7% (0.03)
Median A1c value 7.4%
At least one LDL test in … +Drug-fill date more than 4 weeks after test date. … Serum Creatinine=a blood test that reflects kidney function. … patients that have an A1c
test. … ***Type 3 glucose error is having no A1c test for a year.