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3161. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
      January 01, 2024 - Final variables to consider as potential covariates included (a) trauma team activation category (

3162. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
      June 01, 2023 - Cognitive errors can include: ■ Faulty hypothesis generation (such as failing to consider rare diseases

3163. Final Progress Report: RESPOND Pharmacy Education Toolkit: AHRQ Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hartung-report.pdf
      January 01, 2024 - Would you consider yourself a doctor shopper? c.

3164. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
      January 01, 2024 - These questions probed the participants to consider a time when they had to alter work processes depicted

3165. Learning from Errors in Ambulatory Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
      February 01, 2004 - For future research, we will consider a larger study that will include a more representative sample

3166. Final Progress Report: Understanding the implementation of new practices in healthcare organizations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
      January 01, 2024 - In selecting strategies, leaders should consider the challenge as challenges can require different strategies

3167. Continuity of Insurance: Coverage Presumed Ineligible (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-fullreport.pdf
      September 01, 2018 - assumptions used in Coverage PE and Coverage PI tend to form upper and lower bounds on what we may consider

3168. Webinar Transcript: Better Care, Healthier People and Communities, More Affordable Care: 5 Years of the National Quality Strategy | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-better-care-healthier-communities.html
      November 01, 2016 - 31] Heather Plochman:  We have some questions up on the slide here for you to take a look at and consider

3169. Final Progress Report: Evaluating and Improving Present-On-Admission for Performance Reporting (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/goldman-report.pdf
      January 01, 2025 - Final Progress Report: Evaluating and Improving Present-On-Admission for Performance Reporting Evaluating and Improving Present-On-Admission for Performance Reporting L. E lizabeth Goldman, MD, MCR, Principal Investigator Andrew Bindman, MD, Peter Bacchetti, PhD, Co-Investigators University of California, San …

3170. Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
      January 01, 2025 - Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports Final progress report Developing Evidence for Safety Surveillance from Device Adverse Event Reports Grant number: 1R03HS026291-01 Supported by AGENCY FOR HEALTHCARE RESEARCH AND QUALITY Research Team Principal invest…

3171. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
      November 30, 2013 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits Training Introduction to Preventable Hospital and ED Visits Reports Preventable Hospital and ED Visits Electronic Reports Electronic Reports Transfer Risk Report – High Risk Transfer Risk Report – Medium Ris…

3172. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
      November 29, 2004 - Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care 369 Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush Abstract Objectives: Diabetes-related medic…

3173. 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results.pdf
      January 01, 2025 - 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services …

3174. Usability Testing and the Relation of Clinical Information Systems to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
      January 01, 2003 - Usability Testing and the Relation of Clinical Information Systems to Patient Safety 365 Usability Testing and the Relation of Clinical Information Systems to Patient Safety Michelle L. Rogers, Emily Patterson, Roger Chapman, Marta Render Abstract Background: The success of clinical information systems depend…

3175. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
      March 30, 2008 - Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems Donald K. Baker, PharmD; James M. Hoffman, PharmD; Gregory A. Hal…

3176. Primary Care Practice Facilitation Curriculum Module 5: Special Considerations When Working With Safety Net Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-5-working-with-safety-net-practices.pdf
      September 01, 2015 - You will need to consider the impact of complex staffing issues on your work with your practices as … available at http://echo.unm.edu), or to participate in telehealth initiatives in your area; and also consider

3177. CHIPRA 81: Pediatric Global Health-7 Measure Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-081-fullreport.pdf
      April 01, 2019 - Furthermore, there has been a general failure to consider positive child health outcomes that are essential

3178. Final Progress Report: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/mchugh-report.pdf
      January 01, 2024 - Final Progress Report: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes Final Progress Report Title: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes Principal Investigator: Matthew D. McHugh Team Members: Linda H. Aiken (primary mentor); Jeffrey H.…

3179. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide_slides.pptx
      November 01, 2016 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Introduction to Pressure Ulcer Healing Reports 1 Electronic Reports Existing Pressure Ulcers Report Pressure Ulcers at Risk for Delayed Healing Weekly Wound Rounds Report Weekly Pressure Ulcer Treat…

3180. TeamSTEPPS Pocket Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
      May 01, 2023 - TeamSTEPPS Pocket Guide Pocket Guide Team Strategies & Tools to Enhance Performance and Patient Safety Table of Contents TeamSTEPPS® ................................................. 1 Framework and Competencies ........................1 Key Skills .........................................................…