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4041. Final Progress Report: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
      January 01, 2025 - Final Progress Report: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice Title of Project: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice Principal Investigator and Team Members: Haut, Elliott (PI); Owodunni, Oluwafemi (Postdoc); Webster, Kristen Li…

4042. 4. Assessment of the Intervention | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen4.html
      April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests 4. Assessment of the Intervention Previous Page Next Page Table of Contents Health Care Systems for Tracking Colorectal Cancer Screening Tests Executive Summary 1. Introduction 2. Description of the Intervention 2. Descriptio…

4043. 2015 National Healthcare Quality and Disparities Report: Chartbook on Care Affordability (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/careaffordability/qdr2015-chartbook-careaffordability.pdf
      August 01, 2016 - 2015 National Healthcare Quality and Disparities Report: Chartbook on Care Affordability Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov CHARTBOOK ON CARE AFFORDABILITY National Healthcare Quality and Disparities Report This document is in the public domain and…

4044. Contemporary Emergency Medical Treatment and Labor Act (EMTALA) Clinical Issues Involving Pregnant Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/contemporary-EMTALA-clinical-issues-pregnantpts.pdf
      December 01, 2024 - Contemporary Emergency Medical Treatment and Labor Act (EMTALA) Clinical Issues Involving Pregnant Patients 1 Contemporary Emergency Medical Treatment and Labor Act (EMTALA) Clinical Issues Involving Pregnant Patients Prepared by: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, …

4045. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
      June 03, 2021 - Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 PATIENT SAFETY e Issue Brief 5 Leadership To Improve Diagnosis: A Call to Action e Issue Brief 5 Leadership To Improve Diagnosis: A Call to Action Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, …

4046. 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 …

4047. Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
      July 01, 2003 - Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis 265 Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis John A. Savino, Jane Smeland, Ellen L. Flink, Angelo Ruperto, Amanda Hines, Thomas Sullivan, Kerri Galvin, Donald A. Risucci Abstract Objective:…

4048. Patient Safety Executive Walkarounds (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
      April 01, 2004 - Patient Safety Executive Walkarounds 223 Patient Safety Executive Walkarounds Suzanne Graham, John Brookey, Catherine Steadman Abstract Since the release of the IOM report To Err Is Human in 1999, significant progress has been made in patient safety. One of the remaining challenges is the need to continually…

4049. An Ambulatory Care Curriculum for Advancing Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mottur.pdf
      June 01, 2005 - An Ambulatory Care Curriculum for Advancing Patient Safety 313 An Ambulatory Care Curriculum for Advancing Patient Safety Christel Mottur-Pilson Abstract Objectives: The objective of this project was to develop and implement a seven module ambulatory care continuing medical education (CME) curriculum and t…

4050. Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
      June 04, 2008 - Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Kenneth N. Dickerman, ACHA, AIA, FHFI; Paul Barach, BSc, MD, MPH Abstract There is growi…

4051. Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
      January 01, 2024 - Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative R18HS019531 Final Progress Report 9-30-14; Gallagher TH, PI. 1 Title Page Title of Project: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative Principal Investigator and Team Memb…

4052. Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
      January 01, 2024 - Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement Improving the Safety of Primary Care by Measuring Adverse Events and Improvement Principal Investigator: Donald A. Kennerly, MD, PhD Study Team: Kenneth Bruce Bayley, PhD Ashley Collinsworth, MPH Teri Cowlin…

4053. What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
      July 01, 2016 - What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study Matern Child Health J (2017) 21:187–198 DOI 10.1007/s10995-016-2108-8 What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study Anna L. Christe…

4054. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
      January 01, 2025 - Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project Title: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project Principal Investigator: Gordon …

4055. Final Progress Report: Auditory Perception of Drug Names: Neighborhood Effects (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/lambert3-report.pdf
      January 01, 2024 - Final Progress Report: Auditory Perception of Drug Names: Neighborhood Effects Title: Auditory Perception of Drug Names: Neighborhood Effects Bruce L. Lambert, Ph.D. (PI), Department of Pharmacy Administration, University of Illinois at Chicago (UIC), Laura Walsh Dickey, Ph.D., Department of Communication Science …

4056. Inhaled Corticosteroids for Children With Persistent Asthma Prescribed at Time of Discharge From the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-fullreport.pdf
      September 01, 2018 - Inhaled Corticosteroids for Children With Persistent Asthma Prescribed at Time of Discharge From the Emergency Department 1 Inhaled Corticosteroids for Children with Persistent Asthma Prescribed at Time of Discharge from the Emergency Department Section 1. Basic Measure Information 1.A. Measure Name Inhaled…

4057. Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-fullreport.pdf
      February 01, 2020 - Outcomes of Follow-up Visits for Children Who Are Overweight Assessment of obesity risk in children guides

4058. Improving Hospital Inpatient Nursing Care: A Case Study of One Hospital's Intervention to Improve the Patient's Care Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/compare/WR_751_AHRQ_Quigley_08_26_10.pdf
      April 01, 2010 - Improving Hospital Inpatient Nursing Care: A Case Study of One Hospital's Intervention to Improve the Patient's Care Experience W O R K I N G P A P E R Improving Hospital Inpatient Nursing Care A Case Study of One Hospital’s Intervention to Improve the Patient’s Care Experience …

4059. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide-slides.html
      December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Instructor Guide Slide Presentation Text version of slide presentation. Slide 1: Introduction to Pressure Ulcer Prevention Reports AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention …

4060. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/downloads/pub/advances/vol2/pace.pdf
      January 01, 2004 - Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative 63 Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative Wilson D. Pace, Douglas H. Fernald, Daniel M. Harris, L. Miriam Dickinson, Rodrigo Araya-Guerra, Elizabeth W. …