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101. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - Although this definition is widely available, our work indicates considerable variation exists in the … In reality, this is not the case.35–38 Studies by pharmacists also have found decreased reporting … • Too much emphasis is placed on med errors as a measure of the quality of nursing care provided … The data from this pilot study support the criterion-related validity of the subscales.44 For example … and Molly Hartman in the preparation of this manuscript, and John Holman for data analyses.

102. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/match.pdf
     August 01, 2012 - Sample flowcharts by practice setting are provided for reference in the Appendix (pgs. … information with medications provided by the organization … errors that can result in an ADE if this risk is not identified by the clinician. … This list should be documented in a single location within the medical record that is utilized and is … Collecting data by discipline or unit is particularly helpful in this step.

103. Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
     January 01, 2025 - We analyzed this data to determine the risk of spread of the detected clones for residents in the intervention … In total, 16,773 swabs were collected and tested through May, 2013, which provided an outstanding data … nursing homes and thus are confident that the data generated from this study is reliable and broadly … Our conclusion from this observation, and the data collected, is that a cluster randomized trial is … The importance of the knowledge gained from this project is great for future patients in our United

104. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
     January 01, 2024 - Battles This project is supported by Agency for Healthcare Research and Quality Grant # UC1HSO14259 … For the purposes of this study, community-based care includes assisted living/residential care facilities … and rates reported in the literature are often not adaptable for probability modeling purposes. … for comparison with data contained in the models. … If no 11 prescriber d/c order is in the chart, in medical records, or transmitted to the pharmacy

105. Person-Centered Preventive Healthcare: Reaching Adolescents to Deliver Preventive Services (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/reaching-adolescents-full.pdf
     April 01, 2024 - without permission in the United States for noncommercial purposes unless materials are clearly noted … They pointed to a need for better integration of health records and data sources, improving the youth … Introduction Adolescence is a pivotal period in the life course, marked by significant physical, emotional … The names and affiliations of persons who participated in the interviews are also provided in the Methods … Experts shared that this is often due to the broad variability in the level of readiness among schools

106. Final Progress Report: A National Report of Nursing Home Quality Measures and Information Technology (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
     January 01, 2024 - Risk adjustments make the results comparable between facilities by reflecting the quality of care provided … records. … This provider number was linked to the provider number that site respondents provided on the ITS survey … In this way, we linked QM data and ITS survey data for each home. … three annual surveys by year and for all years in this study.

107. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
     January 01, 2024 - Eileen.Hogan@ahrq.hhs.gov This project is supported by grant number R03 HS024630 from the Agency for … This project synthesizes multilevel data about the structure, process, and outcome of the MTS approach … in H2c-f were assessed using analyses appropriate for the level of data collected, taking into account … For every 1-unit increase in the score quantifying the extent of training provided by the coordinating … is the homepage for the project.

108. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
     January 01, 2024 - The medication administration process is a vulnerable time for errors due to the lack of built-in double … in a sequence that may account for one or more rows of data in the log, or 6 identifying data … The limitations of these data include the need for significant transformation of the data to ready for … loaded, this aspect of the procedure was also audited, with feedback provided to the pump nurse and … barcode” was identified for action, as this process step is a technology safety check.

109. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
     May 01, 2011 - The six research questions listed in the Background section of this report provided the framework for … The two related purposes recommend by the TEP may reflect this continuum of potential purposes and goals … To this end, information provided by consumer reporting systems should “interdigitate” with systems … , or the FDA) may be consulted and provided with report data. … Current standards regarding data safeguards for medical data (i.e., data collected by and provided to

110. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
     May 01, 2011 - The six research questions listed in the Background section of this report provided the framework for … The two related purposes recommend by the TEP may reflect this continuum of potential purposes and goals … To this end, information provided by consumer reporting systems should “interdigitate” with systems … , or the FDA) may be consulted and provided with report data. … Current standards regarding data safeguards for medical data (i.e., data collected by and provided to

111. CLABSI Investigation Process: Walk the Process (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
     April 01, 2013 - By that time, if that’s the only reason a line is in, certainly the line doesn’t need to stay. … One of the other things that we’ve learned since doing this is the data has really showed that if the … to use in order to look to see where in the process things are falling by the wayside. … I totally understand for the purposes of performance improvement that it’s important to trace back to … I think that’s important as well because people take this very seriously and lives are at stake.

112. AHRQ Individual Research Career Development (K) Award Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
     August 01, 2016 - This project was funded by the Agency for Healthcare Research and Quality (AHRQ), U.S. … The list of variables is included in Appendix A. 2.1.3 NIH Comparison Data The NIH comparison data … The survey is provided in Appendix B. … comments provided in the survey. … provided by the AHRQ K Program (N=7).

113. Developing Invitation Messages that Increase CAHPS Survey Response Rates Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-transcript.pdf
     September 01, 2019 - And we generate measures and data that are used by providers and policy-makers to improve performance … at the internet and said, "Couldn't we use the internet in some way to collect data?" … They at least tell you that the folks that sent this out have in mind, one, to use the data, and, two … And, by the way, we're actually doing this in another real world setting with a partner at New York-Presbyterian … Want to ask, will examples of the specific wording that you used in the pilot studies be provided?

114. Steps for Increasing Urinary Incontinence Screening: A Guide for Primary Care Practices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-screening-toolkit.pdf
     April 01, 2025 - This toolkit provides step-by-step guidance for pri- mary care teams to implement UI screening in practice … • EMPOWER Handout of Pelvic Floor Exercises: This handout provides step-by-step in- structions for … • Include details on where to find and enter data in the electronic health record or other information … The data source for this dashboard was the VA’s corporate data warehouse. … A complete listing by grantee project is provided below.

115. Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
     January 01, 2024 - ) Acknowledgement of Agency Support This project was supported by the Agency for Health Care Research … Scope: The study utilized data provided by a large pediatric Medicaid Managed Care Plan in Texas and … One mechanism is the activation of the microglia by the opioid analgesics through the toll-like receptors … The data also included the filling record of non-opioid pain relievers, such as acetaminophen, ibuprofen … oral corticosteroids (OCS).”25 This definition has been used in previous studies by Chastek and colleagues

116. Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
     August 01, 2024 - This product is made publicly available by AHRQ and may be used and reprinted without permission in … the United States for noncommercial purposes unless materials are clearly noted as copyrighted in the … data gathering and synthesis, including in the use of diagnostic testing.1,2 In several comprehensive … The subsequent management of patients was more likely to be rated by an independent record reviewer … Diagnostic errors can be identified by reviewing a sample of records from the target population (e.g

117. PowerPoint Presentation: Learn From Defects Through Sensemaking
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
     December 01, 2017 - Sentinel events, as defined by the Joint Commission, or any claims data from your legal department provide … This is a robust method for determining how the defect happened. … This particular patient had been in the ICU for several weeks with several operations. … in this case. … Collect baseline data to see if the intervention is reducing or increasing the risk for defect.

118. Making Healthcare Safer Practices: 14. Delirium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
     March 01, 2020 - the electronic health record system. … A total of 409 records were identified with this strategy. … in 52 records (24.07%), and reviewed 92 assessments post-intervention, finding missing data in only … The results of this review highlight the need for evidence-based tools that can be readily used by frontline … The hospital is one of eight trauma facilities in Arizona designated as level I by the State, annually

119. AHRQ Multiple Chronic Conditions Research Summit: Speaker Biosketches | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
     November 01, 2021 - the need for better care for this population. … In this role, she is responsible for programs and initiatives that promote community integration, increase … This problem-focused approach is particularly pertinent to co-creating care for MCC in which decision … the needs of seriously ill older adults and their families. … A coauthored publication on the practice of medicine in the age of electronic health records was the

120. Identifying Key Areas for Delivery System Research (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/casalino_idkeydsr.pdf
     February 01, 2014 - The findings and conclusions in this paper are those of the author, who is responsible for its content … used, and the cost and quality of care provided. … Provide definitive data on the demographics of the delivery system, for example: a. … Compare the effectiveness of coordinated, physician-led, interdisciplinary care provided in the patient … , for example: o Electronic medical records.