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1601. Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
      January 01, 2024 - Gap analysis: assessing the value perception of consultant pharmacist services and the performance of

1602. 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 - coordinator.18 Nursing literature is rich with studies attempting to bridge the acute-care-to-primary-care gap

1603. Safety Climate on Hospital Units: A New Measure (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
      January 01, 2004 - College of Nursing, University of Utah (GAP).

1604. The Impact of Standardized Order Sets on Quality and Financial Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ballard_12.pdf
      February 02, 2008 - Improving quality of care for acute myocardial infarction: The Guidelines Applied in Practice (GAP)

1605. Pediatric Diagnostic Safety: State of the Science and Future Directions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
      September 01, 2023 - physicians cannot calibrate their clinical reasoning for future, similar cases.97 To address this gap … Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent

1606. 3. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
      January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 3. Results Previous Page Next Page Table of Contents Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction 2. Methods 3. Results 4. Discussion References Appe…

1607. Final Progress Report: Diagnostic Error in Medicine Annual Conference (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
      January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Annual Conference AHRQ Grant Final Progress Report Title of Project: Diagnostic Error in Medicine Annual Conference Principal Investigator: Hardeep Singh, MD Team Members: • Paul L. Epner, M.Ed, MBA, Executive Vice President, Society to Improve Diagnosis in Me…

1608. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
      August 01, 2022 - System-Focused Event Investigation and Analysis Guide AHRQ Communication and Optimal Resolution Toolkit Purpose : To help teams adopt a system-focused approached to event investigation and analysis. Who should use this tool? Event Reporting, Investigation, and Analysis Team. How to use this tool : Review…

1609. How are CHIPRA quality demonstration States supporting the use of care coordinators? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight09.html
      July 01, 2014 - How are CHIPRA quality demonstration States supporting the use of care coordinators? Evaluation Highlight No. 9 Authors: Ellen Albritton, Dana Petersen, and Margo Edmunds Contents Key Messages Background Findings Conclusion Implications Learn More Endnotes The CHIPRA Quality Demons…

1610. Final Progress Report: Job Retention Among Home Healthcare Nurses (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ellenbecker-boylan-report.pdf
      January 01, 2024 - Final Progress Report: Job Retention Among Home Healthcare Nurses Job Retention among Home Healthcare Nurses Principal Investigator: Carol Hall Ellenbecker Co-Investigator: Leslie Neal Boylan 2003-2004 Team Members: Linda Samia Frank Porell Margaret Cushman Michael Milburn Anthony Roman Brian Clari…

1611. Chapter 2. Electronic Searchable Catalog | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program2.html
      April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs Chapter 2. Electronic Searchable Catalog Previous Page Next Page Table of Contents Environmental Scan of Patient Safety Education and Training Programs Introduction Chapter 1. Environmental Scan Chapter 2. Electronic Searchab…

1612. 013-Ss-Cleaning-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/013-ss-cleaning-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Optimizing Environmental Cleaning Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Optimizing Environmental Cleaning SAY: Welcome to this presentation on optimizing e…

1613. Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
      July 07, 2002 - Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work 279 Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work …

1614. AHRQ Physician and Physician Practice Research Database Methodology Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Methodology-Report.pdf
      February 01, 2023 - AHRQ Physician and Physician Practice Research Database Methodology Report AHRQ Physician and Physician Practice Research Database Methodology Report AHRQ Physician and Physician Practice Research Database Methodology Report Prepared for: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Res…

1615. Developing a Community-Wide Electronic Shared Medication List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
      June 15, 2005 - Lack of access to accurate information presents a serious gap that prevents providers from delivering

1616. Final Progress Report: Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/schnipper2-report.pdf
      January 01, 2024 - types,[6-8] until recently, these best practices were not widely known, and a broad implementation gap

1617. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
      April 01, 2023 - setup and login) Leading a Culture of Safety: A Blueprint for Success was developed to bridge this gap

1618. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
      July 01, 2023 - Filling a gap in safety metrics: development of a patient-centred framework to identify and categorize

1619. 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 - The gap in performance in inpatient AE PPV was largest in the three remaining categories of infections

1620. EvidenceNOW Publications | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/research-results/results/publications.html
      May 01, 2024 - https://doi.org/10.1177/0046958021996518 Place Matters: Closing the Gap on Rural Primary Care Quality … Closing the Gap on Rural Primary Care Quality Improvement Capacity–the Healthy Hearts Northwest Study