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1261. AHRQ Multiple Chronic Conditions Research Summit: Speaker Biosketches | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
      November 01, 2021 - Injuries and Develop Confidence in Elders), a pragmatic clinical trial to reduce the risk of serious fall-related … Her previous research focused on identifying the causes and consequences of falls and fall injuries as

1262. 0129Table8 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
      January 01, 2013 - Table 8 – Evidence for the Relationship between Readmission and Quality of Care Type of Evidence Key Findings Citation Readmission and Quality of Care Coordination, Discharge, and Care Transition Processes Meta-analysis Investigators reviewed randomized controlled studies of structured telephone support or t…

1263. 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…

1264. Patient Monitors in Critical Care: Lessons for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
      January 01, 2003 - Patient Monitors in Critical Care: Lessons for Improvement Patient Monitors in Critical Care: Lessons for Improvement Frank A. Drews, PhD Abstract Unexpected incidents are common in intensive care medicine. One means of detecting, diagnosing, and treating these events is use of physiologic displays that sho…

1265. Development and Implementation of The University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
      March 01, 2004 - Development and Implementation of The University of Texas Close Call Reporting System 149 Development and Implementation of The University of Texas Close Call Reporting System Sharon K. Martin, Jason M. Etchegaray, Debora Simmons, W. Thomas Belt, Kelly Clark Abstract This report describes the development…

1266. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
      May 01, 2023 - Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture I. Purpose This document provide…

1267. Nursing Home Workplace Safety Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
      January 01, 2023 - Nursing Home Workplace Safety Resource List Improving Workplace Safety in Nursing Homes: A Resource List for Users of the AHRQ Workplace Safety Supplemental Item Set Purpose This document includes references to websites and other publicly available resources nursing homes can use to improve workplace safety fo…

1268. CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
      January 01, 2017 - CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients CUSP Guide for Reducing Ventilator- Associated Events in Mechanically Ventilated Patients AHRQ Pub. No. 16(…

1269. Optimize Briefings and Debriefings: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
      December 01, 2017 - Optimize Briefings and Debriefings: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Optimize Briefings and Debriefings Say: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement are a big part of this project. Evidence supports that addre…

1270. Chapter 3: Defining Categorization Needs for Race and Ethnicity Data | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3a.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 3: Defining Categorization Needs for Race and Ethnicity Data Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary R…

1271. Final Progress Report: A National Report of Nursing Home Quality Measures and Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
      January 01, 2024 - Final Progress Report: A National Report of Nursing Home Quality Measures and Information Technology 1 Project Title: A National Report of Nursing Home Quality Measures and Information Technology Principal Investigator Gregory L. Alexander, PhD, RN, FAAN Professor University of Missouri Sinclair School of N…

1272. 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 - Inquiry 1999 Fall;36(3):255–64. 14. Kohn LT, Corrigan JM, Donaldson MS, editors.

1273. 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 - important to Medicaid and/or CHIP because the medically complex patients who are treated in the PICU often fall

1274. 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 - Final Progress Report: Automated Medical Interviewing for Diagnostic Decision Support in the Emergency Department FINAL PROGRESS REPORT TITLE PAGE (1R03HS017755-01, PI Newman-Toker) Title: Automated Medical Interviewing for Diagnostic Decision Support in the Emergency Department Principal Investigator: David E. …

1275. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
      January 01, 2024 - The responsibilities of caring for someone with dementia often fall to women.

1276. Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
      January 01, 2017 - 84, 85 A defect is anything you do not want to happen again, such as an unsafe condition, a patient fall

1277. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - administrators, pharmacists, and physicians at the participating hospitals between the spring of 2002 and the fall

1278. Development of a Comprehensive Medical Error Ontology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
      June 16, 2008 - Proc AMIA Annu Fall Symp 1997: 605-609. 39. Bernauer J.

1279. Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
      July 23, 2008 - Where did treatment fall down? What are the system issues that are responsible?

1280. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
      August 01, 2022 - understand and improve diagnosis.18 Principles of distributed cognition cross disciplinary boundaries and fall