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41. Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (pdf file)
    pcmh.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
    January 01, 2024 - When the team discovered no such tool existed, we developed the Fall Prevention Knowledge Test. … , validation, and paired (test and retest) samples. … Individual items demonstrated robust retest stability values.5 Fall Prevention Knowledge Test: The … Outcomes related to Specific Aim 3 include the Fall Prevention Knowledge Test. … Development and Validation of a Fall Prevention Knowledge Test.

42. Combining Quality Measures Into Composites | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/talkingquality/translate/organize/composites.html
    November 01, 2018 - Consequently, report designers may want to consider alternative ways of presenting composite scores and test … Learn how to test alternative displays of composite scores with your audience in The Purpose and Process

43. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - • The exposure of patients and staff to individuals with positive COVID-19 test results was identified … Of the 320 records analyzed, 19 (5.9%) explicitly identified patients as having a negative COVID-19 test … days.4 The most commonly reported type of event was the identification of a patient with a positive test … second most common type of patient safety concern identified in the data was related to a COVID- 19 test … Many areas for errors to occur especially with increase in test volume.

44. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
    March 11, 2022 - VA • The External Peer Review Program is being used to determine the quality of test results communication … o The aim is to accelerate the improvement of test result communication in the VA. … SAFER Guides to assess their forthcoming electronic health record (EHR) implementation, including test

45. Making Acute Care More Patient-Centered | Agency for Healthcare Research and Quality
    pcmh.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 .

46. Integrating Clinical Prediction Rules into EHRs to Improve Care, Reduce Waste | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-mcginn.html
    January 01, 2024 - If you meet two out of the five, if you’re in that intermediate range, we’ll test you a little more. … This led to significant declines in inappropriate antibiotic and diagnostic test ordering. … This 3-year grant, which built on his earlier work in EHRs, allowed the researchers to develop, test,

47. Job Aid: 5 Whys and Fishbone Diagrams (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
    May 17, 2021 -  "Which idea do you want to prioritize and test first?" … Suggest they use the Plan-Do-Study-Act (PDSA) process to test the change. … Use the causes to generate change ideas to test.

48. Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/healthited-issuebrief.pdf
    February 01, 2021 - patients and their ED providers to review medical records from the external system, view previous test … at an academic medical center and found that less than 10 percent of all radiology and laboratory test … Other concerns relate to patients’ ability to interpret test results and access their healthcare team … Patient perceptions of receiving test results via online portals: a mixed-methods study. … The patient portal and abnormal test results: an exploratory study of patient experiences.

49. Module 8: Approaches to Quality Improvement (pdf file)
    pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-8-approaches-to-qi.pdf
    September 01, 2015 - 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 … Test and then spread the “best practice” to other clinicians and practices. … achieve) Every goal will require multiple smaller tests of change Describe your first (or next) test … responsible When to be done Where to be done Predict what will happen when the test

50. 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
    January 01, 2024 - (Item DXB2, NA/DK/MI = 14%) 86 All test results are communicated to patients, even if the test results … Testing and Referrals % Strongly Agree/Agree This office is effective at tracking a patient’s test … (Item DXB2) 84% 92% 88% 75% All test results are communicated to patients, even if the test results … (Item DXB2) 86% 85% 91% 91% 79% 89% All test results are communicated to patients, even if the test … (Item DXB2) 94% 83% 86% All test results are communicated to patients, even if the test results are

51. Understanding SOPS® Surveys: A Primer for New Users - Gray (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
    January 01, 2022 - stress/burnout • Currently in development for nursing homes ► Conducting cognitive testing and 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

52. Development of the CAHPS Clinician & Group Survey | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/cahps/surveys-guidance/cg/about/Develop-CG-Surveys.html
    May 01, 2022 - The results of those interviews informed the development of a field test instrument that was further … These field test organizations were crucial partners in the evolution and development of the instrument … development process, including focus groups, cognitive interviews, a telephone pretest, and a field test

53. Plan-Do-Study-Act Worksheet, Directions, and Examples | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/health-literacy/improve/precautions/tool2b.html
    March 01, 2024 - 157 KB) Plan-Do-Study-Act Directions and Examples The Plan-Do-Study-Act (PDSA) method is a way to test … work though a strategy for implementation, you will often go back and adjust something and want to test … Each time you make an adjustment and test it again, you will do another cycle. … Tool: Patient Feedback Step: Dissemination of surveys Cycle: 2nd Try Plan I plan to: test … Tool: Patient Feedback Step: Dissemination of surveys Cycle: 3rd Try Plan I plan to: test

54. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
    July 23, 2020 -  Selective Reporting of Antimicrobial Susceptibility Test Results tool is available to help increase … the understanding of why antibiotic-resistant test results may not be readily available in the electronic … The Joint Commission issued a Quick Safety Issue, Advancing safety with closed-loop communication of test

55. Introducing the CAHPS Child Hospital Survey (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/2_mark_schuster.pdf
    January 22, 2015 - • Pediatric Quality Measures Program • Development of the Child HCAHPS Survey • National Field Test … Pilot test 8. Revised draft survey 9. National field test 10. … End-user cognitive testing 17 National Field Test • 69 hospitals, 34 states • Mail or telephone … Measures Program Patient Experience Measurement Child HCAHPS Development Process National Field Test

56. Reducing Diagnostic Errors in Primary Care Pediatrics Toolkit | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/ambulatory/diagnostic-safety/toolkit.html
    November 01, 2018 - to: Learn how to implement a systematic approach to providing safe and quality care to children Test … Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain

57. Fillable Plan Do Study Act (PDSA) Tool for Health Care Quality Improvement (QI) | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/evidencenow/tools/pdsa-form.html
    November 01, 2018 - PDF, 971 KB, 2 pages) Practices can use this fillable Plan Do Study Act (PDSA) tool to design and test

58. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 01, 2022 - The use of reliable structured data, such as medication prescriptions and laboratory test results that … Institute, Washington, DC, to assess the accuracy, efficiency, and usability of the QSRS during a pilot test

59. Coordination (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Coordination_of_Care_2012_05_01_Transcript.pdf
    January 01, 2012 - About a third of patients reported that they did not always receive test results from someone in the … , and that’s a very real and important issue, that this isn’t just about having a delay in getting test … or procedure redone because the clinician didn’t have earlier test results; having to come back for … An EHR is just a wonderful mechanism to facilitate those office space systems for getting test results … results” and “how am I going to hear about my test results,” and helping patients feel empowered to

60. Instructions for Analyzing Data from CAHPS Surveys (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/2020-instructions-for-analyzing-data.pdf
    January 01, 2020 - (including the formats), and a test SAS data set. … Appendix A explains how to use the test data. … Using the Test Data in the CAHPS Analysis Program). … Using the Test Data in the CAHPS Analysis Program This appendix explains how to use the test programs … • (June 2020) Modified all test programs to correspond with the updated Test SAS data, and clarified