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2901. AHRQ Safety Program for Perinatal Care: Safe Medication Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration AHRQ Safety Program for Perinatal Care Safe Medication Administration AHRQ Publication No. 17-0003-19-EF May 2017 SAY: The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and d…

2902. Key Themes Across Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/themes.html
      October 01, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Key Themes Across Grants Previous Page Next Page Table of Contents Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Executive Summary Introduction Methods Overview of th…

2903. Key Themes Across Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/grants-transform/key-themes.html
      March 01, 2017 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Key Themes Across Grants Previous Page Next Page Table of Contents Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Executive Summary Introduction Methods Overview of th…

2904. Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
      January 01, 2024 - RESULTS (Principal Findings, Outcomes, Discussion, Conclusions, Significance, Implications) In 2009, … Discussion, Conclusions, Significance, Implications We used the existing set of Agency for Healthcare … Data Sources/Collection, Interventions, Measures, Limitations) RESULTS (Principal Findings, Outcomes, Discussion

2905. Final Progress Report: California Intensive Care Outcomes (CALICO) Project Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/dudley-report.pdf
      January 01, 2025 - Discussion and Limitations 16 ..................................................................... … Discussion and Limitations Across three important components of ICU performance - ICU mortality, ICU … Scope of the Project Background Literature Review Goals of the Project Methods Results Discussion

2906. Final Progress Report: Automated Medical Interviewing for Diagnostic Decision Support in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/newman-toker2-report.pdf
      January 01, 2025 - Results (Principal Findings, Outcomes, Discussion, Conclusions, Significance, Implications) Interviews … Discussion Our results have important design implications for SACAI systems. … Principal Findings Willingness to Participate Usability (Ease of Use, Error, Efficiency) Outcomes Discussion

2907. Nutritional Research Series - Volume 4: Effects of Eicosapentanoic Acid and Docosahexanoic Acid on Mortality Across Diverse Settings: Systematic Review and Meta-Analysis of Randomized Trials and Prospective Cohorts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp4.pdf
      February 01, 2012 - ...............................................................................................15 Discussion … p-values for the dose-response-by- quality item interaction effects were above 0.55). 21 Discussion … Nutritional Systematic Reviews Acknowledgments Structured Abstract Contents Introduction Results Discussion

2908. Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
      March 11, 2022 - graduate medical education have seen renewed interest in promoting diagnostic quality, many through case discussion … and analysis, discussion of uncertainty, and discussion on other leading topics in diagnosis.107-109

2909. Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
      May 01, 2004 - The following is a discussion of those data elements that required some modification. … Discussion The purpose of this study was to develop and test methods for applying PSIs to VA hospital … Abstract Introduction Methods Results Discussion Conclusion Acknowledgments Author affiliations

2910. Final Progress Report: Regional Approach for THQIT in Rural Settings – Implementation (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/richards-report.pdf
      January 01, 2024 - this conference, we reviewed the results of our first readiness survey and facilitated a café style discussion … spanned multiple areas, we have grouped our results into five sections to report specific findings and discussion

2911. Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
      January 01, 2024 - too much variability in content of projects to provide for a uniform strategy for publication after discussion … Discussion.

2912. Medical Failure-to-Rescue Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
      January 01, 2025 - J Vasc Surg 2011; 54:346-351; discussion 351-342. PMC3152588. 9. … Ann Thorac Surg 2012; 94:573-579; discussion 579-580. PMC3828205. 20.

2913. II. Hotline Design and Development | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/design2.html
      May 01, 2016 - This chapter begins with a discussion of design considerations that influenced our work. … also focused the participants’ attention on the matter at hand and essentially primed them for the discussion

2914. Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
      January 01, 2024 - responding team • Other nurses will take over the patients of a nurse who has called for an RR 17 Discussion … Setting Intervention Methods Statistical Analysis Results Modified Process Evaluation Results Discussion

2915. Final Progress Report: Patient Partnerships To Improve Safety in the Clinic Setting: Creating an accurate medication list through a patient-centered approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/leonhardt-report.pdf
      January 01, 2024 - not Aurora patients,19 up to 2,600 community members may have been affected by this project. 11 DISCUSSION … METHODS STUDY SETTING, PATIENT POPULATION DEFINITIONS DATA COLLECTION METHOD LIMITATIONS RESULTS DISCUSSION

2916. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
      January 01, 2024 - Connection n=4 Untied surgical masks Gown not “turned” or tied Cuffs of gown not in gloves Fig. 8 DISCUSSION … Benefit Procedures: Best Practice Model Report Components Abstract Purpose Scope Methods Results Discussion

2917. Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
      January 01, 2024 - RESULTS (Principal Findings, Outcomes, Discussion, Conclusions, Significance, Implications) The following … DISCUSSION The incidence of VTE was higher in hospitalized patients who did not receive prophylaxis

2918. Making Health Care Safer II, Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
      March 01, 2013 - Through a process of internal team triage, group discussion with the TEP, and formal TEP votes, we … = not difficult, moderate, or difficult. 11 Discussion Since the 2001 report, “Making Health Care

2919. Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
      July 01, 2004 - Discussion In this report we described the data development process and selected summary statistics … Abstract Introduction Methods Results Discussion Conclusion Acknowledgments Author’s affiliation

2920. Barriers Associated with Medication Information Handoffs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
      January 01, 2004 - Discussion The similarity of care process steps corroborated at three different IDSs suggests that … Abstract Introduction Methods Results Discussion Conclusion Acknowledgments Author affiliations