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4601. Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
      January 01, 2024 - Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study Final Grant Report to the Agency for Healthcare Research and Quality 1 R03 HS16026-01 (PI: Jonathan Temte) Dates: 6/1…

4602. 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 - Pharmacy Survey Webinar Transcript Webinar Using the AHRQ Pharmacy Survey on Patient Safety Culture October 29, 2013 Speakers Diane Cousins, Health Scientist Administrator, Agency for Healthcare Research and Quality Joann Sorra, Westat Project Director for the AHRQ Surveys on Patient Safety Culture Jim Mo…

4603. Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
      November 01, 2016 - Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health August 6, 2015 Download accessible version of slides (PDF, 1.1 MB) The National Quality Strategy: Best Practices to Improve Community Health. August 6, 2015 [Slide 1] Operator:  Ladies and gentlemen, than…

4604. Just Culture Webcast November 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
      June 01, 2017 - Just Culture Webcast November 2016 Using Just Culture to Improve Hospital Survey on Patient Safety Culture Results November 9, 2016 – Webcast Transcript Speakers: Celeste Mayer, PhD Patient Safety Officer, University of North Carolina Health Care System, Chapel Hill, NC (Presenter) Theresa Famolaro, MPS, MS…

4605. 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…

4606. The Mobile Mock Operating Room: Bringing Team Training to the Point of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
      January 24, 2008 - The Mobile Mock Operating Room: Bringing Team Training to the Point of Care The Mobile Mock Operating Room: Bringing Team Training to the Point of Care John T. Paige, MD; Valeriy Kozmenko, MD; Tong Yang, MD, MS; Ramnarayan Paragi Gururaja, MD; Isidore Cohn, Jr., MD; Charles Hilton, MD; Sheila Chauvin, MEd, PhD …

4607. Practice-Level Data Report - AHRQ EvidenceNOW Technical Assistance (TA) to and Evaluation of Grant Initiative to Develop State-Level Capacity for Dissemination and mplementation of Patient-Centered Outcomes Research into Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-final-report-b.pdf
      January 01, 2025 - of the Agile Implementation Playbook to understand, predict, and steer behaviors of individuals and groups … We know that there are disparities across racial groups in terms of hypertension levels and access to

4608. Improving Patient Safety in Long-Term Care Facilities, Module 1 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
      June 01, 2012 - providing valuable feedback on the development and refinement of the materials by participating in focus groups

4609. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
      January 01, 2025 - Waltz and colleagues.36 The survey was constructed following a thorough literature review and focus groups

4610. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
      January 01, 2024 - Physicians and nurses are not the only occupational groups to work long hours.

4611. Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
      January 01, 2025 - significant differences in mean troponin, point-of-care BNP, and NT proBNP measurements between outcome groups

4612. Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-ehr-impact.pdf
      August 01, 2024 - documentation and record keeping.54 Furthermore, because hospitals are reimbursed based on diagnosis-related groups

4613. Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-reimagining-healthcare-teams.pdf
      July 07, 2023 - These feelings may be especially common among historically marginalized groups.36, 37 Biased algorithms

4614. Case 4. Suntown Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 4. Suntown Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case 3.…

4615. 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…

4616. Section 5, Figure 1 and Tables 1-5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-figure-1-tables-1-5.pdf
      January 01, 2011 - Section 5, Figure 1 and Tables 1-5 Figure 1. Conceptual Framework for Care Coordination/Fragmentation in the Context of the Patient-Centered Medical Home (PCMH) for Children with Complex Needs Suboptimal Care- Seeking by Parent/Pt •Lack of a PCMH •Urgent care/ED use instead of PCMH •Lack o…

4617. AHRQ-Funded Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
      June 01, 2023 - Key Findings/Impact: Investigators sought to reduce medication errors for three high-risk groups: patients

4618. Final Progress Report: Clinical importance of the drug interaction between statins and CYP3A inhibitors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/strom-report.pdf
      January 01, 2024 - Application of a propensity score approach for risk adjustment in profiling multiple physician groups

4619. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
      January 01, 2024 - The intervals are first divided into three groups: compliant, slips, and low-angle.

4620. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
      January 01, 2024 - and procedures prior to the education provided through the Collaborative and associated stakeholder groups