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4061. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
      January 01, 2004 - Quantitative and Qualitative Analysis of Medication Errors: The New York Experience 131 Quantitative and Qualitative Analysis of Medication Errors: The New York Experience Elizabeth Duthie, Barbara Favreau, Angelo Ruperto, Janet Mannion, Ellen Flink, Ruth Leslie Abstract Objectives: In June 2000, the New Yo…

4062. Usability Testing and the Relation of Clinical Information Systems to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
      January 01, 2003 - Usability Testing and the Relation of Clinical Information Systems to Patient Safety 365 Usability Testing and the Relation of Clinical Information Systems to Patient Safety Michelle L. Rogers, Emily Patterson, Roger Chapman, Marta Render Abstract Background: The success of clinical information systems depend…

4063. A Model-based Approach to Prioritizing Medical Safety Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
      January 01, 2004 - A Model-based Approach to Prioritizing Medical Safety Practices 409 A Model-based Approach to Prioritizing Medical Safety Practices Richard S. Marken Abstract This report shows how a model of skilled human performance can be used to evaluate safety practices aimed at reducing medical error when randomized tr…

4064. Medical Injury Identification Using Hospital Discharge Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
      January 01, 2003 - Medical Injury Identification Using Hospital Discharge Data 119 Medical Injury Identification Using Hospital Discharge Data Peter M. Layde, Linda N. Meurer, Clare Guse, John R. Meurer, Hongyan Yang, Prakash Laud, Evelyn M. Kuhn, Karen J. Brasel, Stephen W. Hargarten Abstract Objective: Determine the feasi…

4065. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
      November 29, 2004 - Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care 369 Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush Abstract Objectives: Diabetes-related medic…

4066. Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
      January 01, 2005 - Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database 277 Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database Elaine M. Furmaga, Peter A. Glassman, Francesca E. Cunningham, Chester B. Good Abstract Objective: In view of the wi…

4067. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
      January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned 415 On-line Patient Safety Climate Survey: Tool Development and Lessons Learned Lynne M. Connelly, Judy L. Powers Abstract Objective: A key tenet of patient safety programs is the elimination of the “culture of blame.” The On-line P…

4068. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
      June 01, 2013 - Environmental Scan of Patient Safety Education and Training Programs Contract Final Report Environmental Scan of Patient Safety Education and Training Programs Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, M…

4069. Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
      May 13, 2019 - Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report Neonatal Intensive Care All-Condition Readmissions Without Gestational Age Section 1. Basic Measure Information 1.A. Measure Name Neonatal Intensive Care All-Condition Readmissions Without Gestational Age 1.B. Measure Number…

4070. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
      January 01, 2024 - Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care Adverse Event-Directed Analysis in Ambulatory Primary Care Final Report September 30, 2009 Principal Investigator: Donald Kennerly, MD, PhD Team Members: David Ballard, MD, MSPH, PhD, Co-Investigator S. Quay Mercer, BS, MT (ASCP…

4071. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
      June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action PATIENT SAFETY e Issue Brief 11 Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action This page intentionally left blank. e Issue …

4072. Final Progress Report: Making Acute Care More Patient Centered, Patient Safety Learning Laboratory (PSLL) (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
      January 01, 2024 - Final Progress Report: Making Acute Care More Patient Centered, Patient Safety Learning Laboratory (PSLL) Title: Making Acute Care More Patient Centered, Patient Safety Learning Laboratory (PSLL) Principal Investigator: David W. Bates, MD, MsC Team Members: David Bates, MD, MsC, James Benneyan, PhD, Patricia Dykes,…

4073. Chapter 4, Emerging Trends in Care Coordination Measurement | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
      June 01, 2014 - Care Coordination Measures Atlas Update Chapter 4, Emerging Trends in Care Coordination Measurement Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework …

4074. Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/takeheart-hybrid-workgroup-evaluation.pdf
      August 01, 2023 - Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination e Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination Hybrid CR Workgroup Evalu…

4075. Measures To Assess the Safe and Judicious Use of Antipsychotics in Children and Adolescents Field Test Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-testing-summary.pdf
      June 02, 2025 - Measures To Assess the Safe and Judicious Use of Antipsychotics in Children and Adolescents Field Test Summary 1 National Collaborative for Innovation in Quality Measurement (NCINQ) Measures to Assess the Safe and Judicious Use of Antipsychotics in Children and Adolescents Field Test Summary This report sum…

4076. Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
      January 01, 2024 - Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS Project Title: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (Tailoring Interventions for Patient Safety) Principal Investigator and Team Members. Patricia C. Dykes, An…

4077. Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
      January 01, 2024 - Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults AHRQ Grant Final Progress Report Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid- Related Hospitalizations in Older Adults Principal Investigat…

4078. Final Progress Report: Identification and Dissemination of Best Practices for Patient-Centered Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/aboumatar-report.pdf
      January 01, 2024 - Final Progress Report: Identification and Dissemination of Best Practices for Patient-Centered Care Identification and Dissemination of Best Practices for Patient-Centered Care Final Report Principal Investigator: Hanan Aboumatar, MD, MPH Project Coordinator: Bickey Chang, MHA Armstrong Institute for Patient …

4079. Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
      January 01, 2023 - Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2023 Research Meeting Summary Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths for Quality Improvement January 2024 i …

4080. CAHPS 2024 Research Meeting Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2024-virtual-research-meeting-summary-prems-proms.pdf
      January 01, 2024 - CAHPS 2024 Research Meeting Summary Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2024 Research Meeting Summary Patient-Reported Experience and Outcome Measures (PREMs and PROMs) in Research and Clinical Practice November 2024 2 Table of Contents Introduction ......................…