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4221. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
      July 17, 2008 - Jones, PT, PhD, Assistant Professor , College of Medicine, Department of Physical Therapy Education,

4222. 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 - University of Utah School of Medicine, Salt Lake City, UT, the VA Salt Lake City Geriatrics Research Education

4223. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
      January 01, 2003 - the simulated critical sedation event The simulator platform used was that of the METITM (Medical Education

4224. Appendixes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/haccost2017-appendix.html
      November 01, 2017 - Cost savings from reduced catheter-related bloodstream infection after simulation-based education for

4225. Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/rinke-report.pdf
      January 01, 2025 - Advances in health sciences education : theory and practice. 2009;14 Suppl 1:57-61. 6.

4226. Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
      January 01, 2025 - In addition, our collaborators incorporated expertise in infectious diseases, medical education, diagnostic

4227. Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
      May 01, 2018 - Hospitalizations for asthma in children are linked to undertreatment and insufficient asthma education

4228. 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 …

4229. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
      January 01, 2024 - Final Progress Report: Creating Learning Cultures Around Mistakes for Residents 1 Project Title: Creating Learning Cultures Around Mistakes for Residents Timothy J. Hoff, PhD, Principal Investigator University at Albany, SUNY School of Public Health Henry Pohl, MD, Co-Investigator Joel Bartfield, MD, Co-Investi…

4230. Identifying Barriers to the Success of a Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
      March 01, 2004 - Identifying Barriers to the Success of a Reporting System 167 Identifying Barriers to the Success of a Reporting System Michelle L. Harper, Robert L. Helmreich Abstract Spurred by a controversial report from the Institute of Medicine on the prevalence of medical error, To Err Is Human, the medical profe…

4231. Part 4: CME Design Features | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt4.html
      September 01, 2014 - Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 4: CME Design Features Previous Page Next Page Table of Contents Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 1: An Introduction to Care Management Entities (CMEs) Par…

4232. Final Progress Report: Developing Best Practices for Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
      January 01, 2024 - Final Progress Report: Developing Best Practices for Patient Safety Developing Best Practices for Patient Safety Laurence Baker, PI Sara Singer, Co-PI Jeff Geppert, Co-Investigator Bruce Spurlock, Consultant David Classen, Consultant Stanford University Center for Health Policy August 2000 - August 2004 Federal P…

4233. Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
      January 01, 2024 - Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Project Title: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Grant Number: 5R18HS026156-04 Project/Grant Period: 08-01/2018-05/31/2022 Principal Investig…

4234. Improving Customer Service and Access in a Surgical Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/Case_Study_Specialty_Practice_Updated.pdf
      October 01, 2011 - are used for case-mix adjustment (self-rated health status; self-rated mental health status; gender; education … Adding to the Training Program In late 2008, a new customer service course for general staff was added … ) • Outpatient Encounter Registration Assessment Lab The courses in the FPG training program are summarized … new manager was hired in January 2009 to implement the new changes. 43 Supplementing the Training … Program The FPG in early 2009 transferred and modified a training course from another department

4235. Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/index.html
      August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter 3. Description of Methods Chapter 4. Results an…

4236. Health and economic outcomes of newborn screening for infantile-onset Pompe disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/richardson-et-al-2020.pdf
      January 01, 2020 - Since Pompe disease is not associated with cognitive impairment, special education costs would not be

4237. Using Home Visits to Understand Medication Errors in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
      May 28, 2008 - convenience sample General pediatric clinic Parents of children on liquid antibiotics underwent education

4238. Using the AHRQ Medical Office Survey on Patient Safety Culture (SOPS) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/using-medical-office-transcript.pdf
      April 29, 2011 - The practices felt that the PBRN should provide education and support; otherwise, many offices don't

4239. Webinar Transcript - National Quality Strategy Webinar: Using the Nine Levers to Achieve Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-using-the-nine-levers-to-achieve-results.html
      November 01, 2016 - the age of 84 who were getting screened in Oregon, and there has been quite a bit of conversation and education

4240. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
      January 01, 2013 - TeamSTEPPS is an evidence-based team training program developed by the Department of Defense and the