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www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
April 01, 2018 - Overview of Sociotechnical Probabilistic Risk Assessment
Probabilistic Risk Assessment (PRA) is an … Allows an assessment of risk and a prioritization of risk reduction interventions based on sequences … of people, systems, and technology, and ST-PRA accounts for each of these elements. … between health care providers, patient does not comply with discharge instructions, failure to prepare … health care providers) to increase the reliability of the probability estimates.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
October 23, 2013 - Care coordination
in the medical home: integrating health and related systems of care for children with … The association between the
quality of inpatient care and early readmission. … The influence of
procedure volumes and standardization of care on quality and efficiency in total joint … Available at: http://www.cms.gov/Research-Statistics-Data-and-
Systems/Computer-Data-and-
Systems/MedicaidDataSourcesGenInfo … Best practices in public reporting no. 2:
maximizing consumer understanding of public comparative quality
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www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
January 01, 2024 - Multiple health care providers and poor medication instruction
increase the risk of adverse events in … Prospective Assessment of Risk Factors for Warfarin
Nonadherence: The Program for the Reduction in … Prospective Assessment of Risk Factors for Warfarin
Nonadherence: The Program for the Reduction in … Paper presented to the University of Wisconsin School of Medicine,
Department of Industrial and Systems … “The Challenges and Promise of Computerized Physician Order Entry
(CPOE) Systems: Re-examination and
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www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
January 01, 2024 - Retrospective and Prospective Risk Assessment Tools
Traditionally, healthcare systems have relied on … Recognizing the need for more prospective risk identification and analysis, healthcare providers began … Both strategies involved obtaining a history of
opioid use from the patient or healthcare provider. … information from patients, caregivers, and/or the patient’s
healthcare provider about the patient’s … The use of socio-technical probabilistic risk assessment at AHRQ and NASA.
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www.ahrq.gov/sites/default/files/wysiwyg/pcor/pcortf-strategic-framework.pdf
June 01, 2023 - , clinicians and support staff, health
care provider organizations, healthcare improvement organizations … needed to expand the capacities of learning health systems (LHSs); and a lack of
coordinated and sufficient … These may include subgroup analyses,
assessment of the applicability of the evidence to historically … underserved populations,
assessment of the strengths or limitations of the evidence with regards to … to meet the needs of patients, clinicians,
health systems, policymakers, and other healthcare decision
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www.ahrq.gov/research/findings/studies/index.html?page=421
January 01, 2024 - To track consumer perceptions of EHRs during this period, the researchers conducted a national telephone … The aims of the study were to understand the racial/ethnic differences in cost of care and mortality … Variation in printed handoff documents: results and recommendations from a multicenter needs assessment … Variation in printed handoff documents: results and recommendations from a multicenter needs assessment … assessment survey, training design and structure, and post-workshop evaluation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.doc
May 14, 2013 - of the largest integrated health care systems in the world. … The VA is also very much focused on systems redesign and quality improvement. … ago adjusted for inflation, using the general consumer price index, and the per patient cost is about … a self-assessment. … And then we ended with a discussion of future directions, specifically a self-assessment tool or a CAUTI
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-hcbs-chartbook.pdf
January 01, 2023 - Department of Health and Human Services and managed by
AHRQ. … The Consumer Assessment of Healthcare
Providers and Systems (CAHPS®) Home and Community-Based Services … Introduction
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Home and Community-Based … ”) and the bottom box score is the combined percent of “Never” or “Sometimes” answers. … from the 84 percent of respondents who did not work
and did not want to work for pay, and provides
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
January 01, 2004 - A year earlier, AHRQ funded six grants to demonstrate and
evaluate systems-related best practices. … This raises the issue of defining the role and contribution of AHRQ in making
change. … Patient safety reporting systems
AHRQ supports the development of safety reporting systems that can … It has
made the case for such systems to a number of States. … twists and
challenges that come when dealing with the real world where health care
providers and policymakers
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www.ahrq.gov/ncepcr/tools/pf-handbook/mod17-appendix.html
March 01, 2022 - Assessing Practice Systems
Module 6 Trainer’s Guide: Assessing Practice Systems
Module 7. … The MA would then retrieve the patient’s chart and put their copy of the lab result on the chart and … Defines the beginning of a process, the end of a process, and all the steps in-between. … track compliance with the rule
Yes
Tracking compliance could be done by RN care manager
Systems … If only half of the MAs and RNs attended the all staff meeting, half of them would operate using the
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/healthited-issuebrief.pdf
February 01, 2021 - use of portals underscores the need to enhance the acceptability, accessibility, and
usefulness of portals … in
diagnosis and decision making at the point of care.38,39 One study described the development and … aid with an
established clinical decision rule to communicate an individualized risk assessment and … Patient portals and patient engagement: a state of the science
review. … Google: the evidence on consumer-
facing digital tools for diagnosis.
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www.ahrq.gov/research/findings/studies/index.html?page=435
January 01, 2024 - Singh defends his systems-based approach to advancing the science of measuring diagnostic error and acknowledges … some of the uncertainties and evolution in the diagnostic process that Dr. … The author of this letter discusses the rationale behind and the usefulness of the group of palliative … Results showed that psychomotor subtypes of delirium often fluctuated from assessment to assessment, … by healthcare providers.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
December 01, 2017 - Use the questions in the Staff Safety Assessment. … CUSP employs the Staff Safety Assessment, often called the two-question survey. … Staff Safety Assessment. … high-reliability organizations, focus on systems rather than individuals. … The debriefing process raised awareness and accountability for the delivery of care and provided a forum
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www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
October 18, 2012 - units as well as performance on the Readiness
Assessment. … Costs identified in included studies were adjusted to reflect May 2012 dollars using
the consumer price … CPI-U = all urban consumer price index; CPI IP = consumer price index inpatient hospital services index … The Readiness Assessment was designed to assess adoption of best
clinical practices (e.g. frequency … Finally, for presentation
purposes, results of the assessment were restricted to items considered most
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/11835-Lapane-draft-1.pdf
January 01, 2006 - Many clinical informatics systems focus on the reduction of
medication errors at the point of prescribing … patient assessment data into the monitoring of
medication therapy and inclusion of recommendations … in the residents’ assessment and care planning
process; 4) promote the integration of MDS data with … problems; and 6)
facilitate the incorporation of resident assessment data into the pharmaceutical care … assessment protocol was less than the proportion of residents triggering the delirium
resident assessment
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www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
January 01, 2024 - Many clinical informatics systems focus on the reduction of
medication errors at the point of prescribing … patient assessment data into the monitoring of
medication therapy and inclusion of recommendations … in the residents’ assessment and care planning
process; 4) promote the integration of MDS data with … problems; and 6)
facilitate the incorporation of resident assessment data into the pharmaceutical care … assessment protocol was less than the proportion of residents triggering the delirium
resident assessment
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-fullreport.pdf
November 01, 2017 - Understandability
CHIPRA states that the core set should allow purchasers, families, and health care … providers to understand the quality of care for children. … The
feasibility of the measure was assessed using Cerner and Epic EHR systems. … The majority of data elements were identifiable and encoded as structured data in the EHR
systems at … of EHR systems.
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www.ahrq.gov/pqmp/implementation-qi/toolkit/child-hcahps/index.html
August 01, 2021 - Many individuals guided and contributed to the development of this toolkit. … Children’s Hospital, funded by the Agency for Healthcare Research and Quality (AHRQ) and the Centers … Department of Health and Human Services, for her technical guidance and to the L&M Policy Research team … not necessarily represent the views of AHRQ. … Department of Health and Human Services.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16658-Gallagher-report.pdf
January 01, 2009 - workers, healthcare
institutions, and patients.(2) Open communication between healthcare workers and … is the lack of effective programs to train
healthcare workers in disclosure. … web assessment
scores, overall there was no detectable impact on healthcare worker knowledge/attitudes … assessment, describing healthcare workers’ attitudes regarding team disclosure, and describing how … healthcare workers apologize after errors and how healthcare workers respond to patients’ expressions
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www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
January 01, 2024 - workers, healthcare
institutions, and patients.(2) Open communication between healthcare workers and … is the lack of effective programs to train
healthcare workers in disclosure. … web assessment
scores, overall there was no detectable impact on healthcare worker knowledge/attitudes … assessment, describing healthcare workers’ attitudes regarding team disclosure, and describing how … healthcare workers apologize after errors and how healthcare workers respond to patients’ expressions