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1341. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
      December 01, 2013 - growth curve plateaus or growth trajectory falls off, and those who lose weight after discharge or fall

1342. Communication of Weight Classification for Children Who Are Overweight or Obese (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-full-report.pdf
      February 01, 2020 - Communication of Weight Classification for Children Who Are Overweight or Obese 1 Communication of Weight Classification for Children Who Are Overweight or Obese Section 1. Basic Measure Information 1.A. Measure Name Communication of Weight Classification for Children Who Are Overweight or Obese 1.B. Measu…

1343. Children With Disabilities Algorithm (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-fullreport.pdf
      January 01, 2020 - The Cohen’s kappa statistic was 0.60-0.68, and the Fleiss’ multi-rater kappa was 0.64, both of which fall

1344. CHIPRA Measure 240: Parent Report of Discussion of Weight Concerns for Child (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-bmi-parent-full-report.pdf
      February 01, 2020 - CHIPRA Measure 240: Parent Report of Discussion of Weight Concerns for Child 1 Parent Report of Discussion of Weight Concerns for Child Section 1. Basic Measure Information 1.A. Measure Name Parent Report of Discussion of Weight Concerns for Child 1.B. Measure Number 0240 1.C. Measure Description Ple…

1345. System Redesign Responses to Challenges in Safety-Net Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
      June 01, 2015 - The sites fall loosely into four groups defined by their competitive business strategies. … (Note that the study sites do not fall into these same four groups on other issues.)

1346. Case 5. Heights Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
      November 01, 2014 - In the fall of 2007, a corporate subcommittee of the safety net system contracted with a consulting firm … The executive stated that Heights was too large to implement broader training that wouldn't fall to the

1347. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-user-guide.pdf
      July 01, 2018 - Things “fall between the cracks” when transferring patients from one unit to another ............... … Things "fall between the cracks" when transferring patients from one unit to another.

1348. Pharmacy Survey Webinar Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/psopswebinartrans.pdf
      October 29, 2013 - So any pharmacies that are administering the survey between now and fall of 2014 can submit their data

1349. Fielding the CAHPS Child Hospital Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/fielding-child-hcahps.pdf
      June 02, 2025 - • Maternity‐stay patients — Excluded because care related to pregnancy does not generally fall

1350. Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
      April 01, 2025 - tendency by those unfamiliar with nuances of safety precepts to ascribe blame, and blame tends to fall

1351. Webinar Transcript - National Quality Strategy: Using Payment to Improve Health and Health Care Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-using-payment-to-improve-health-and-health-care-quality.html
      November 01, 2016 - And a survey last fall found that 40 percent of private purchasing is tied in some way to quality metrics

1352. Webinar Transcript - National Quality Strategy Webinar: Using Measurement for Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-using-measurement-for-quality-improvement.html
      November 01, 2016 - Maybe that's reminding them to get their flu shot this fall.

1353. Fielding the CAHPS Child Hospital Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/fielding-child-hcahps-93.pdf
      June 02, 2025 - • Maternity‐stay patients — Excluded because care related to pregnancy does not generally fall

1354. Comparing Patient Safety in Rural Hospitals by Bed Count (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Loux.pdf
      January 01, 2004 - Comparing Patient Safety in Rural Hospitals by Bed Count 391 Comparing Patient Safety in Rural Hospitals by Bed Count Stephenie L. Loux, Susan M. C. Payne, Astrid Knott Abstract Objectives: Patient safety is an important national issue. To date, there has been little attention paid to patient safety in rura…

1355. 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 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data Katherine J. Jones, PT, PhD; Gary L. Cochran, PharmD, SM; Liyan Xu, MS; Anne …

1356. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
      January 01, 2003 - Development and Validation of the Medication Administration Error Reporting Survey 475 Development and Validation of the Medication Administration Error Reporting Survey Bonnie J. Wakefield, Tanya Uden-Holman, Douglas S. Wakefield Abstract Analysis of medication errors can lead to system improvement and reduc…

1357. Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
      April 19, 2008 - Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance Akira Nishisaki, MD; Louis Scrattish, MD; John Boulet, PhD; Mandip Kalsi, MD;…

1358. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
      April 07, 2008 - TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety Heidi B. King, MS, CHE; James Battles, PhD; David P. Baker, PhD; Alexander Alonso, PhD; Eduardo Salas, PhD; John Webster, MD, MBA; Lauren Toomey, RN,…

1359. Final Progress Report: (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
      January 01, 2024 - Final Progress Report: 1. TITLE PAGE Title of Project: Communication Processes, Technology, and Patient Safety in Ambulatory Oncology Settings Principal Investigator: Christopher R. Friese, PhD, RN, AOCN®, FAAN Team Members: Louise Bedard, MSN, MBA Alex J. Fauer, PhD, RN, OCN® Jennifer J. Griggs, MD, MPH, FAC…

1360. 2. Study Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
      June 01, 2020 - 2. Study Methods Health Services and Primary Care Research Study: Comprehensive Report In this chapter, we describe the research methods used in this study. We first present the definitions of HSR and PCR that were used to identify relevant federally supported research projects and to develop a research domai…