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1401. Chapter-7 - Harm Due to Anticoagulants (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
      March 01, 2020 - by a pharmacist plus the R- PAK or education by pharmacist alone; 25 patients; patients newly diagnosed

1402. 2023 National Healthcare Quality and Disparities Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es.pdf
      January 01, 2023 - 2023 National Healthcare Quality and Disparities Report 2023 National Healthcare Quality and Disparities Report Executive Summary This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2023 National Healthcare Qual…

1403. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
      April 01, 2025 - Improving Patient Safety in Nursing Homes: A Resource List SOPS Nursing Home 2.0 Survey Resource List 1 Improving Patient Safety in Nursing Homes: A Resource List for Users of the AHRQ Nursing Home Survey on Patient Safety Culture Version 2.0 I. Purpose This document provides a list of publicly available resour…

1404. Final Progress Report: Shared Decision Making in Surgery To Improve Patient Safety and Reduce Liability (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
      January 01, 2024 - Final Progress Report: Shared Decision Making in Surgery To Improve Patient Safety and Reduce Liability Shared Decision Making in Surgery to Improve Patient Safety and Reduce Liability Karen B. Domino, MD, MPH, PI Karen L. Posner, PhD, Project Manager Lynne Robbins, PhD, Co-Investigator Richard J. Bran…

1405. Chartbook on Hispanic Health Care: Slide Presentation—Part 4 | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt4.html
      March 01, 2020 - Chartbook on Hispanic Health Care: Slide Presentation—Part 4 2014 National Healthcare Quality and Disparities Report Health Care of Residents of the U.S.-Mexico Border Slide 1 National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics Part 4: Health Care of Residents of …

1406. Final Progress Report: Patient Focused Outcomes: Quality of Life and Lost Productivity (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/lofland-report.pdf
      January 01, 2025 - Final Progress Report: Patient Focused Outcomes: Quality of Life and Lost Productivity PATIENT FOCUSED OUTCOMES: QUALITY OF LIFE AND LOST PRODUCTIVITY Jennifer H. Lofland, PharmD, MPH, PhD Principal Investigator1, David B. Nash, MD, MBA Co-Mentor1, Donald Steinwachs, PhD Co-Mentor2, Kevin D. Frick, PhD Thesis Advi…

1407. Use of Higher-Than-Recommended Doses of Antipsychotics in Children and Adolescents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-177-fullreport.pdf
      May 01, 2018 - Use of Higher-Than-Recommended Doses of Antipsychotics in Children and Adolescents 1 Use of Higher-than-Recommended Doses of Antipsychotics in Children and Adolescents Section 1. Basic Measure Information 1.A. Measure Name Use of Higher-than-Recommended Doses of Antipsychotics in Children and Adolescents 1.B.…

1408. Use of Multiple Concurrent Antipsychotics in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-fullreport.pdf
      May 01, 2018 - Use of Multiple Concurrent Antipsychotics in Children 1 Use of Multiple Concurrent Antipsychotics in Children Section 1. Basic Measure Information 1.A. Measure Name Use of Multiple Concurrent Antipsychotics in Children 1.B. Measure Number 0126 1.C. Measure Description Please provide a non-technical descript…

1409. 2023 National Healthcare Quality and Disparities Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es-rev.pdf
      January 01, 2023 - 2023 National Healthcare Quality and Disparities Report 2023 National Healthcare Quality and Disparities Report Executive Summary This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2023 National Healthcare Qual…

1410. Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
      November 01, 2004 - Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries 305 Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries Pascale Carayon, Ann Schoofs Hundt, Carla J. Alvarado, Scott Springman, Amanda Borgsdorf, Lynn Jenkins Abstract This…

1411. Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
      October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Paul Hougland, MD; Jonathan Nebeker, MS, MD; Steve Pickard, MBA; Mark Van Tuinen, PhD; Carol Masheter, PhD; Su…

1412. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
      January 01, 2021 - chronic VTE who has leg swelling and no documentation of acute changes on ultrasound report VTE diagnosed … hospital discharge Patient Safety Network of Patient Safety Databases Chartbook, 2021| 93 VTE diagnosed

1413. External-Stakeholder-Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf
      June 23, 2023 - leaves them out since they tend to have difficulties accessing basic primary care and thus may not be diagnosed

1414. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
      January 01, 2024 - AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance AHRQ GRANT FINAL PROGRESS REPORT Title: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance Principal Investigator:  Geb W. Thomas, Ph.D. Professor of Mechanical & Industrial Engineering The Universit…

1415. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
      January 01, 2024 - Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children PI: Stuart L. Goldstein, M.D. Team Members David Askenazi M.D., University of Alabama-Birmingham Patrick Brophy, M.D., University of…

1416. Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
      January 01, 2024 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care Title of Project: Improving Medication Safety in Nursing Home Dementia Care Principal Investigator: Stephen Crystal, Ph.D. Team Members: Stephen Crystal, Richard Hermida, Olga Jarrin, Marsha Rosenthal, Beth Angell, Sharon Cook, Shere…

1417. Final Progress Report: Health Journalism 2011, national conference on healthcare journalism (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
      January 01, 2024 - Final Progress Report: Health Journalism 2011, national conference on healthcare journalism Final Grant Report for Agency for Healthcare Research and Quality Title: Health Journalism 2011, national conference on healthcare journalism Principal Investigator: Leonard J. Bruzzese Organization: Center…

1418. Appendixes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/haccost2017-appendix.html
      November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Appendixes Previous Page   Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussion Resu…

1419. Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
      January 01, 2025 - Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers Final Report October 31, 2012 Principal Investigator: Donna Woods, PhD, EdM Team Members: Jane Holl, MD, MPH; Abel Kho, MD; Michael Kelleher, MD; Rann…

1420. Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship (June 10, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
      December 01, 2017 - Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship (June 10, 2014) Webinar Transcript AHA – Chicago June National Content Call June 10, 2014 11:00 AM CT Operator: The following is a recording of the Paul Tedrick June National Content Call with the American Hospital Association on …