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2701. Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
      April 30, 2008 - Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience Martha Michel, PhD; Jodie Trafton, PhD; Susana Martins, MD, MSc; Dan Wang…

2702. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
      February 26, 2008 - thromboembolism, to name a few. 2 The KBNI process begins by identifying a “phenomenon” of concern

2703. Calibrate Dx: A Resource to Improve Diagnostic Decisions (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/calibrate-dx-guide.pdf
      October 01, 2022 - hospitalization, unexpected escalation of care or return visit, repeat visits for the same condition/concern

2704. Final Progress Report: The Impact of Shift-Accumulated Fatigue on Patient Care and Risk of Post-Shift Driving Collisions among 12-Hour Day and Night Shift Nurses (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/james-report.pdf
      January 01, 2024 - In fact, fatigue is such a concern in healthcare that The Joint Commission—a U.S.

2705. Final Progress Report: Improve Safety, Quality, and Efficiency in Radiotherapy with Automated HIT System (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/yang-report.pdf
      January 01, 2024 - Treatment quality is another major concern due to significant variations in quality control stemming

2706. AHRQ CONFERENCE GRANT PROGRAMS (R13): Angela Smith (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/smith-angela-r13-hs026679-01.pdf
      March 31, 2020 - Likewise, the FDA has shown great concern about the growing epidemic of opioid abuse.15 As such, the

2707. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
      January 01, 2005 - It is therefore not surprising that medical errors are an important concern at hospital discharge.

2708. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
      February 26, 2008 - thromboembolism, to name a few. 2 The KBNI process begins by identifying a “phenomenon” of concern

2709. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
      January 01, 2025 - The ESRS is institution-wide, although we limited the study to safety events reported in ESRS that concern

2710. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
      January 01, 2024 - AHRQ Final Report Weinger et al Page 3 Scope Patient safety has become a major public concern.

2711. Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
      January 01, 2024 - Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes Title Page Title of Project. Safety Outcomes of Obese Residents in US Nursing Homes Principal Investigator and Team Members. Holly C. Felix, PhD (PI), Jennifer A. Andersen, PhD (CI), Christine K. Bradway, PhD (CI), Clare C. Brown, PhD (C…

2712. Module-4-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
      September 01, 2021 - 1 TAKEheart Data Implementation Guide – Module 4 Preparing and Understanding Your Data to Support Systems Change Table of Contents This document is hyperlinked to facilitate ease of access to the information contained inside. Press “ctrl” and click on the links below to access the desired section. Clicking o…

2713. Rachel Hogg Graham - Sample Grant Application (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/rachel-hogg-graham-application.pdf
      May 19, 2021 - One weakness highlighted was concern about my quantitative skills and whether or not I would be able

2714. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
      June 30, 2025 - Improving Healthcare Safety by Enhancing Care Coordination AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Care Coordination Overview Care coordination is defined as the process of organizing patient care activities and sharing information among all individuals concerned wi…

2715. 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 - Steps for Increasing Urinary Incontinence Screening: A Guide for Primary Care Practices April 2025 Steps for Increasing Urinary Incontinence Screening A Guide for Primary Care Practices 2 Introduction ............................................................................................................…

2716. Treating Tobacco Use and Dependence, 2008 Update: References for Studies in Meta-analyses (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/meta/meta-analyses-refs.pdf
      January 01, 2007 - Treating Tobacco Use and Dependence, 2008 Update: References for Studies in Meta-analyses 1 References for Studies Included in Meta-analyses Table 6.4. Meta-analysis (1996): Impact of having a tobacco use status identification system in place on rates of clinician intervention with their patients who smoke (n…

2717. Six Building Blocks How-To-Implement Toolkit: Design and Implement Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
      February 18, 2021 - Six Building Blocks How-To-Implement Toolkit: Design and Implement Guide DESIGN AND IMPLEMENT GUIDE i Table of Contents Introduction ......................................................................................................................................1 What Is the Design and Implement Guide? …

2718. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
      June 02, 2025 - Overview Slide AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Facilitator Training: Overview of On-Time This version of the On-Time Facilitator Training Overview is for training Facilitators who have not had pressure ulcer prevention training. If they h…

2719. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
      December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Slide 1: Overview of On-Time Slide 2: On-Time Pressure Ulcer Prevention Facilitator Training Say: Welcome to the On-Time Pressure Ulcer Prevention Facilitator Training.  This 2-day Facilitator training …

2720. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiib.html
      June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …