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5981. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
      March 31, 2008 - These findings might help prioritize the key areas of clinical care that warrant further study and intervention

5982. Final Progress Report: Improving Implementation and QI Research with Regression Risk Analysis (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/kleinman2-report.pdf
      January 01, 2025 - course of our work, we described the novel construct of rank reversal and received NIH funding to help

5983. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
      June 01, 2020 - Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety

5984. Pediatric Health Care Quality Measures: Considerations for Pharmacotherapy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/LomotanDougherty2013.pdf
      April 01, 2013 - Understanding office workflow can help realize the promise of technology.

5985. Final Progress Report: Blood Product Transfusion & Safe Practices (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
      January 01, 2024 - The experiences -14- and outcomes of this project would help other healthcare institutions as they

5986. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
      November 30, 2013 - Medium Risk Provides a weekly snapshot of residents at risk for transfer to a hospital or ED Designed to help

5987. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/neumiller.html
      August 01, 2017 - provides important insight into the frequency and potential severity of medication discrepancies that can help

5988. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
      January 01, 2002 - How do existing incident reports help to describe adverse events in terms of infusion device programming

5989. Final Progress Report: A Memory-Based Approach to Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
      January 01, 2024 - In an ideal world what would a tool look like that could help you remember these tasks?

5990. Making Healthcare Safer Practices: 14. Delirium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
      March 01, 2020 - https://consultgeri.org/try-this/general-assessment/issue- 13.pdf • Hospital Elder Life Program (HELP … These analyses have also suggested that ACE units help reduce rates of restraint use and institutionalization … , 201810 Any non- pharmacological intervention to prevent or manage delirium Interventions: HELP … Use of earplugs or eye masks or both for ICU patients may help prevent delirium.

5991. Final Topic Refinement Document - Role of Liquid Biopsy in Detection and Management of Cancer in the Medicare Population (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/liquid-biopsy-topicrefinement.pdf
      July 29, 2021 - eliminated from the project and how those commenters wanted assessment of how the test could be used to “help … Additionally, the blood-based test is designed to help clinicians identify a cancer’s tissue of origin … science to analyze such metrics as pre-analytic, analytic, clinical validity, and clinical utility to help

5992. Surveys on Patient Safety Culture (SOPS) Hospital 1.0 Survey: 2021 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hsops1-database-report-part-I.pdf
      March 01, 2021 - Item A4) 82% 5.90% 63% 75% 78% 82% 85% 89% 98% When one area in this unit gets really busy, others help … (Item A4) 83% 83% 0% 11% -18% 4% -4% When one area in this unit gets really busy, others help out. … You can complete the form by answering 10 key questions to help you record your goals, initiatives,

5993. Education in Proper Use of New Asthma Medication Delivery Device for Children With Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
      March 01, 2019 - particularly important for young children and their caregivers, as younger patients often need adult help … To help ensure consistency of data collection, the medical record abstractors were trained on the study

5994. AHRQ Safety Program for Improving Antibiotic Use: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
      September 01, 2022 - This content was paired with a Guide to Sustainability Planning, which provides a template to help … How the Four Moments of Antibiotic Decision-Making can help.

5995. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
      January 01, 2024 - should be possible to reduce the number of confusing drug name pairs that reach the market, which will help … and testing a large set of alerts and demonstrating, at two large health systems, that alerts can help

5996. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part I: Main Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt1-transition-updated.pdf
      June 01, 2022 - Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part I: Main Report Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect Part I: Main Report Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health an…

5997. Chapter 2. Determining Surgical Site Infection Rates | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 2. Determining Surgical Site Infection Rates Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary C…

5998. Multiple Chronic Conditions Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
      April 01, 2014 - Additional research focused on people with five or more chronic conditions may help illuminate current … HHS Multiple Chronic Conditions (MCC) working group has developed a group of chronic conditions to help

5999. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
      February 01, 2018 - The reports help identify most prevalent risk factors for and common causes of falls that can be addressed … to help further reduce falls risk. 1.2.

6000. Final Progress Report: Optimizing safety of mother and neonate in a mixed methods learning laboratory (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/halamek-report.pdf
      January 01, 2025 - facility itself may play an important role in patient safety.11,12 Design thinking methodology can help … When combined with human factors science, these guidelines can help design the L&D unit of the future