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41. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    www.healthcare411.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.

42. Module 2: Script and Slides (doc file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles-facnotes.docx
    May 01, 2017 - You will make a plan to test the huddle, such as by running a single huddle; you will do the plan, by … In planning your PDSA test, make sure you include the elements on this slide: · Select the appropriate … Consider a nurse manager, or a charge nurse initially. · Determine when and where the test will take … SLIDE 8 Title: Practical Tips to Remember for Your First Test Huddle SAY: In working with sites to … Consider a test of consecutive daily huddles for 5 days to determine if you can sustain the momentum.

43. Management Practices for Sustainability Module 5: Visual Management | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html
    June 01, 2017 - Plan: Lay out the specifications of your test. Do: Conduct the test. … Study: Review how the test went and what lessons were learned. … Act: Integrate your learning into your next test or into daily practice. … Slide 7: Details To Consider for Your First Test Image: Details to consider for your first test flow … chart Slide 8: Practical Tips To Remember for Your First Test Keep the board free of clutter

44. Understanding SOPS Surveys: A Primer for New Users - Gray (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-3-gray-2018.pdf
    January 01, 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 … Test new items with new areas of focus, such as Just Culture 4. … position and work areas Update of the Hospital SOPS Survey: HSOPS 2.0 • Conducted a 2017 pilot test … 2.0 – Decided to continue further development and cognitive testing • Will conduct another pilot test

45. Value and Efficiency Supplemental Items for Hospitals and Medical Offices - SORRA (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-sorrarev.pdf
    February 01, 2018 - Items for Hospitals and Medical Offices - SORRA Value & Efficiency Survey Item Development and Pilot Test … medical offices Conducted psychometric analyses Consulted with TEP to finalize items 16 Pilot Test … • 40 survey items pilot tested – Plus 1 additional item in hospital survey • After the pilot test … Efficient • Ensures cost-effective care (avoids waste, overuse, and misuse of services) Pilot Test … /sops mailto:SafetyCultureSurveys@westat.com Value & Efficiency Survey Item Development and Pilot Test

46. Module 4: PowerPoint Presentation
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation.pptx
    May 01, 2017 - Sustainability Apply the Model for Improvement to Observation–2 Plan: Lay out the specifications of your test … Do: Conduct the test Study: Review how the test went and lessons learned Act: Integrate your learning … into your next test or into daily practice 7 Module 4: Observation and Integration | ‹#› AHRQ … Decide if there are certain procedures, times of day, and days of the week you want to include in your test

47. Technical Specifications and Chart Abstraction Tool (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-tech-specs.pdf
    December 14, 2011 - AND: Intersection of: Intersection of: "Laboratory Test, Performed: Hgb (Hemoglobin) Laboratory Test … (result <= 7000 mg/dL)" Intersection of: "Laboratory Test, Performed: Hgb (Hemoglobin) Laboratory Test … (start datetime)" Intersection of: "Laboratory Test, Performed: Hgb (Hemoglobin) Laboratory Test (reason … using "Occurrence A of PICU Admission or Transfer User Defined QDM Value Set (1.1.1.1)" "Laboratory Test … , Performed: Hgb (Hemoglobin) Laboratory Test" using "Hgb (Hemoglobin) Laboratory Test User Defined QDM

48. Job Aid: 5 Whys and Fishbone Diagrams (pdf file)
    www.healthcare411.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.

49. North Carolina State at a Glance (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/ncstateataglance.pdf
    March 01, 2012 - North Carolina’s Objectives North Carolina will work to collect, test, and report on the initial core … North Carolina is one of two grantees that will test and evaluate the model EHR format for children. … Working with the Initial Core Set of Children’s Quality Measures North Carolina will collect, test, … delivery, (4) demonstrate the impact of a model electronic health record format for children, and (5) test … The State will test the model by assessing three attributes: (1) adequacy in addressing gaps in current

50. Appendix-K-Debrief-Audio-Facnotes (doc file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
    April 21, 2014 - The reason you want to do that is you want to test small. … If you test small initially, it makes it much easier to change things along the way if the test isn't … Also, keep in mind you can test using simulation, too. … If you created something to set up this test, to facilitate this test, so if you modified your checklist … Let's test that.

51. Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments (pdf file)
    www.healthcare411.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.

52. Improving Your Laboratory Testing Process | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
    January 01, 2018 - Improvement About 40 percent of patient encounters in primary care offices involve some form of medical test … are managed in your office, from the moment tests are ordered until the patient is notified of the test

53. Module 5: Visual Management - Facilitator Notes | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-fac-notes.html
    June 01, 2017 - You will make a plan to test visual management boards—such as by developing and updating the board for … Slide 7: Details To Consider for Your First Test Say: You will find an example of a deidentified … Give the team a heads up 1 day prior to the test. Here we mean the relevant huddle team. … Slide 8: Practical Tips To Remember for Your First Test Say: In working with sites to introduce … As a third test, see if you can use and update the board consistently for multiple daily huddles—over

54. State at a Glance: North Carolina | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/policymakers/chipra/demoeval/demostates/nc.html
    March 01, 2019 - Top of Page   North Carolina's Objectives North Carolina will work to collect, test, and report … North Carolina is one of two grantees that will test and evaluate the model EHR format for children. … Working with the Initial Core Set of Children's Quality Measures North Carolina will collect, test, … The State will test the model by assessing three attributes: (1) adequacy in addressing gaps in current

55. 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices (pdf file)
    www.healthcare411.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

56. Tip 5. Make a Health Care Quality Report Culturally Appropriate | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/talkingquality/resources/writing/tip5.html
    September 01, 2019 - Test the Report With Your Audience . … How will you test aspects of your health care quality report? … Test the Report With Your Audience Guidelines and Other Resources To Fine-tune Your Writing

57. Module 3: PowerPoint Presentation
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving.pptx
    May 01, 2017 - the Model for Improvement To Improve Your Problem Solving–2 Plan: Lay out the specifications of your test … Do: Conduct the test Study: Review how the test went and lessons learned Act: Integrate your learning … into your next test or into daily practice 7 Module 3: Problem Solving and Escalation | ‹#› AHRQ

58. Module 3: Script and Slides (doc file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
    May 01, 2017 - Finally, what are your changes that you are going to test? … When you “plan,” you lay out the specifications or the details of your test. … When you “do,” you actually run the test. … Turning to problem solving: · A first test—can you assign a problem to one of the four boxes and follow … · A second test—can you assign each of five problems to a box and follow through to resolution?

59. Creating a Learning Health Care System: The Role of Practice Facilitators in Primary Care (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/evidence-now-webinar-learning-health-care-systems.pdf
    August 02, 2017 - opportunities for REFLECTING ON data & DESIGNING changes Help clinicians/staff IMPLEMENT and TEST … ORGANIZE information so it is “actionable” & DISSEMINATE Help clinicians/staff IMPLEMENT and TEST … so it is “actionable” & DISSEMINATE One-to-one meetings Help clinicians/staff IMPLEMENT and TEST … ORGANIZE information so it is “actionable” & DISSEMINATE Help clinicians/staff IMPLEMENT and TEST … information so it is “actionable” & DISSEMINATE Help clinicians/staff (and org) IMPLEMENT and TEST

60. Debrief Example Audio Transcript/Facilitator Notes - Implementation Guide | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
    May 01, 2017 - The reason you want to do that is you want to test small. … If you test small initially, it makes it much easier to change things along the way if the test isn't … Also, keep in mind you can test using simulation, too. … If you created something to set up this test, to facilitate this test, so if you modified your checklist … Let's test that.