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3581. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/neumiller.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …

3582. Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
      January 01, 2003 - Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting 173 Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting Andrew C. Seger, Tejal K. Gandhi, Carol Hope, J. Marc Overhage, Michael D. Murray, David Weber, Julie Fiskio, Evgenia Teal,…

3583. Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
      January 01, 2004 - Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? 371 Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? John D. Banja Abstract Medical malpractice insurance policies customarily contain a “cooperation” clause requiring ins…

3584. Development of a Screening Tool for Safe Wheelchair Seating (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
      January 01, 2001 - Development of a Screening Tool for Safe Wheelchair Seating 127 Development of a Screening Tool for Safe Wheelchair Seating Deborah Gavin-Dreschnack, Lawrence Schonfeld, Audrey Nelson, Stephen Luther Abstract Objectives: Most elderly nursing home residents who need wheelchairs are not being assessed i…

3585. The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
      March 01, 2004 - The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium 33 The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium Nancy Pratt, Kelly Vo, Theodore G. Ganiats, Matthew B. Weinger Abstract In response to the Agency for Healthca…

3586. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Miranda.pdf
      July 01, 2004 - Speaking Plainly: Communicating the Patient’s Role in Health Care Safety 139 Speaking Plainly: Communicating the Patient’s Role in Health Care Safety David J. Miranda, Paula K. Zeller, Rosemary Lee, Christopher P. Koepke, Howard E. Holland, Farah Englert, Elaine K. Swift Abstract The development and tes…

3587. The Rural Physician Peer Review Model©: A Virtual Solution (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
      June 19, 2008 - The Rural Physician Peer Review Model©: A Virtual Solution The Rural Physician Peer Review Model©: A Virtual Solution Josie R. Williams, MD; Kathy K Mechler, MS, RN, CPHQ; R.B. Akins; John R. Holcomb, MD; Laura K. Gelderd, RN, BSN; R. Kim Clay; Tracy L. Adams; Janine C. Edwards, PhD Abstract Evaluating …

3588. Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
      March 14, 2008 - Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial Peter M. Layde, MD, MSc; Linda N. Meurer…

3589. Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
      January 01, 2024 - Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study Principal Investigator: Gershon, RRM Safety in the Home Healthcare Sector: A pilot study (Final Report) Safety in the Home Healthcare Sector: A Pilot Study Final Report September 30, 2010 Grant Number: R03 HS018284-01 Project Period: 10…

3590. Initial Risk Assessment for Immobility-Related Pressuer Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-203-fullreport.pdf
      April 10, 2017 - Initial Risk Assessment for Immobility-Related Pressuer Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Initial Risk Assessment for Immobility-Related Pressure Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Section 1. Basic Measure Information 1.A. Measure Name In…

3591. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/downloads/pub/advances/vol2/Schiff.pdf
      January 01, 2005 - suboptimal approaches, with autopsy rates in the single digits (in many hospitals, zero), many malpractice experiences

3592. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
      January 01, 2005 - suboptimal approaches, with autopsy rates in the single digits (in many hospitals, zero), many malpractice experiences

3593. Final Progress Report: Comprehensive Pediatric Hypertension Diagnosis and Management (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
      January 01, 2025 - change, and 5) a series of structured activities to advance improvement, exchange ideas, and share experiences

3594. 2023 Child HCAHPS Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-child-hcahps-chartbook.pdf
      January 01, 2023 - About the Child HCAHPS Survey The Child HCAHPS Survey assesses the inpatient care experiences of pediatric

3595. 2024 Child HCAHPS Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-child-hcahps-chartbook.pdf
      January 01, 2024 - About the Child HCAHPS Survey The Child HCAHPS Survey assesses the inpatient care experiences of pediatric

3596. Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
      January 01, 2025 - interviews, and surveys, a team of designers from MICA gathered in-depth insights into clinicians' experiences

3597. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
      January 01, 2004 - Physician Spanish language ability, cultural competence and the experiences of care of Spanish- speaking

3598. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
      January 01, 2004 - Second, observers brought the experiences of dozens of nurses from different care settings to the FMEA

3599. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
      April 20, 2004 - to advancing our own successes, our hope is that by disseminating the lessons learned from our own experiences

3600. Physician and Physician Practice Research Database Feasibility Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Feasibility-Report.pdf
      February 01, 2024 - , NORC was tasked with reporting on how a viable and sustainable program could emerge based on the experiences