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2781. Improving Healthcare Safety by Enhancing Healthcare Facility Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
      April 01, 2025 - Improving Healthcare Safety by Enhancing Healthcare Facility Design AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Healthcare Facility Design Overview Research has shown that optimizing the physical, functional, and aesthetic details of healthcare facilitiesi (e.g., units,…

2782. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
      May 06, 2008 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA; Christine P…

2783. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
      September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science PATIENT SAFETY e Issue Brief 6 The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science This…

2784. Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cotayo.pdf
      April 22, 2004 - Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program 291 Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program Rosa M. Cotayo, Holly A. Grems, Elizabeth Sloan Abstract Patient safety is a critical dimension of program …

2785. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
      July 01, 2003 - Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors 185 Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors Emily Beth Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless, Thomas K. Hazlet, R…

2786. Creating a Curriculum for Training Health Profession Faculty Leaders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
      March 31, 2004 - Creating a Curriculum for Training Health Profession Faculty Leaders 299 Creating a Curriculum for Training Health Profession Faculty Leaders Pamela H. Mitchell, Lynne S. Robins, Douglas Schaad Abstract Objectives: An interprofessional, collaborative group of educators, patient safety officers, and Federal …

2787. Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
      January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD; Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS; Bradley N. Do…

2788. Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdf
      March 05, 2008 - Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care Robert E. Graham, MD, MPH; Tejal K. Gandhi, MD, MPH; Joshua Borus, MD; Andrew C. Seger, PharmD; Elisabeth Bur…

2789. Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
      January 01, 2024 - Although it is difficult to know exactly what may have caused this change, the concern is that use of

2790. Final Progress Report: Using Health Risk Appraisal To Prioritize Primary Care Interventions (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/nagykald-mold-report.pdf
      January 01, 2024 - Quality of Life & Personal Goals Self-Rated Overall Health; Self-Rated Quality of Life; Refusal Of or Concern

2791. Final Progress Report: Trial of Decision Support To Improve Diabetes Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/cebul-report.pdf
      January 01, 2024 - examining the effects of decision support systems on patient outcomes showed little improvement and raised concern

2792. Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
      January 01, 2024 - supplements regularly.74 Untoward effects of medication and supplement use are an important public health concern

2793. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
      January 01, 2024 - patient with chest pain home during busy day at clinic and suffers stress for the next week related to concern

2794. Individualized Plans of Care to Improve Outcomes Among Children and Adults With Chronic Illness: A Systematic Review (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Lion-Mangione-Britto.pdf
      October 01, 2011 - All studies concern patients with at least one chronic condition.

2795. Building State Cooperatives for Healthcare Improvement: Meeting Summary (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/building-state-cooperatives-meeting-summary.pdf
      September 26, 2024 - o Be aware of competing demands to build patient care where QI is a more distal concern.

2796. Toolkit for Decolonization of Non-ICU Patients With Devices_Toolkit Overview and Recommended Prelaunch Activities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
      March 01, 2022 - Emergence of CHG resistance at this time is largely considered to be a theoretical rather than practical concern

2797. AHRQ’s 30th Anniversary Primary Care Research Conference: Proceedings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/primary-care-research-conference-proceedings.pdf
      January 01, 2023 - AHRQ’s 30th Anniversary Primary Care Research Conference: Proceedings AHRQ’s 30th Anniversary Primary Care Research Conference: Proceedings Primary Care Conditions Health Equity Community & Public Health Patient-Centeredness Digital Healthcare Healthcare System Innovation Research Methods Workforce e…

2798. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
      April 30, 2025 - Improving Healthcare Safety by Enhancing Medication Safety AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Medication Safety Overview Medication safety refers to the practices and measures implemented to minimize the risk of medication errors and adverse drug events (ADEs) i…

2799. Practice-Based Research Network Business Opportunities with ACOs and Other Health Care Systems: Training and Technical Assistance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/primer-for-pbrn-business-opportunities.pdf
      September 01, 2015 - Practice-Based Research Network Business Opportunities with ACOs and Other Health Care Systems: Training and Technical Assistance PRACTICE-BASED RESEARCH NETWORK BUSINESS OPPORTUNITIES WITH ACOs AND OTHER HEALTH CARE SYSTEMS: Training and Technical Assistance PBRN TRAINING & TECHNICAL ASSISTANCE HEALTH CAR…

2800. Qi-Strategies-Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/qi-strategies-practices.pdf
      March 01, 2015 - leaders who use a facilitative approach—that is, providing direction in a nondogmatic style with concern