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Total Results: 411 records

Showing results for "incidents".

21. Using incident reports to assess communication failures and patient outcomes. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/effect-health-information-technology-health-care-provider-communication/citation/using
    January 01, 2023 - Using incident reports to assess communication failures and patient outcomes. Citation Umberfield E, Ghaferi AA, Krein SL, Manojlovich M. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019 Jun;45(6):406-413. doi: 10.1016/j.jcjq.2019.02.006. …

22. Partnering to Improve Patient Safety in Rural WV | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/partnering-improve-patient-safety-rural-wv
    January 01, 2023 - "Some people might not view these as incidents.

23. AHRQ Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors (R01) | Digital Healthcare Research
    digital.ahrq.gov/funding-mechanism/understanding-and-improving-diagnostic-safety-ambulatory-care-incidence-and
    January 01, 2023 - AHRQ Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors (R01) Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Description This research…

24. Surveillance for Adverse Drug Events in Ambulatory Pediatrics - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics/annual%20summary/2010
    January 01, 2010 - Surveillance for Adverse Drug Events in Ambulatory Pediatrics - 2010 Project Name Surveillance for Adverse Drug Events in Ambulatory Pediatrics Principal Investigator Bailey, Thomas Organization Washington University Funding Mechanism RFA: HS07-002: Ambulatory and S…

25. Using HIT to Improve Transitions of Complex Elderly Patients from SNF to Home - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017817-field-final-report-2012.pdf
    January 01, 2012 - Drug-related incidents occurring during the 45 day period following SNF discharge were considered relevant … Drug-related incidents occurring during the course of the SNF stay or the previous hospital stay were … All possible drug-related incidents were presented by a clinical pharmacist investigator to pairs of … Physician- reviewers independently classified incidents using structured implicit review according to

26. Evaluation of AHRQ's On-time Pressure Ulcer Program | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
    January 01, 2023 - Evaluation of AHRQ's On-time Pressure Ulcer Program Project Description Annual Summaries Publications Project Details - Completed Contract Number 290-06-0011-8 Funding Mechanism(s) Accelerating Change and Transformation in O…

27. Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017010-bailey-final-report-2011.pdf
    January 01, 2011 - A computerized method for identifying incidents associated with adverse drug events in outpatients.

28. Data Collection Form | Digital Healthcare Research
    digital.ahrq.gov/document-type/data-collection-form
    January 01, 2023 - Data Collection Form ADE Incident Identification Form Description This form identifies an adverse drug event using data reported by a clinician. Document Source Statewide Implementation of Electronic Health Records ADE and Near Mis…

29. Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2011 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2011
    January 01, 2011 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2011 Project Name Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home Princi…

30. Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2012
    January 01, 2012 - Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012 Project Name Evaluation of AHRQ's On-time Pressure Ulcer Program Principal Investigator Hurd, Donna Organization Abt Associates, Inc. Funding Mechanism Accelerating Change and Transformation in Organizations…

31. Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities to Home - 2012 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2012
    January 01, 2012 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities to Home - 2012 Project Name Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home Principal In…

32. Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2010
    January 01, 2010 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2010 Project Name Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home Princi…

33. Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017016-williams-final-report-2010.pdf
    January 01, 2010 - Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management Grant Final Report Grant ID: 5R18HS017016 Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management Inclusive Dates: 09/01/07 - 06/30/10 Principal Investigator: Andrew E. W…

34. Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/complexity-incidence-and-costs-related-delayed-diagnosis-venous
    September 01, 2024 - Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Project Description Using a mixed method approach including machine learning (ML) to improve early detection of venous thromboembolism (VT…

35. Problem Solving | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/problem
    January 01, 2023 - Problem Solving Kepner-Tregoe Matrix Description A Kepner-Tregoe matrix is used to find causes of a problem. It isolates the who, what, when, where, and how aspects of an event, keeping the focus on the elements that have an impact on the event and eliminating the elements tha…

36. Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention & Management - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/using-it-improve-quality-cardiovascular-disease-cvd-prevention-and-management/annual-summary/2010
    January 01, 2010 - Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention & Management - 2010 Project Name Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management Principal Investigator Williams, Andrew Organization Kaiser Foundation Researc…

37. Automated Adverse Drug Event Detection and Intervention - 2008 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/automated-adverse-drug-event-detection-and-intervention/annual-summary/2008
    January 01, 2008 - Automated Adverse Drug Event Detection and Intervention - 2008 Project Name Automated Adverse Drug Event Detection and Intervention Principal Investigator Ferranti, Jeffrey Organization Duke University Funding Mechanism RFA: HS04-011: Transforming Health Care Qualit…

38. Surveillance for Adverse Drug Events in Ambulatory Pediatrics | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics
    January 01, 2023 - Surveillance for Adverse Drug Events in Ambulatory Pediatrics Project Final Report ( PDF , 941.73 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views …

39. Track 6: Using Reporting Systems for Safety and Quality Improvement | Digital Healthcare Research
    digital.ahrq.gov/track-6-using-reporting-systems-safety-and-quality-improvement
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

40. Manojlovich, Milisa | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/manojlovich-milisa
    January 01, 2023 - Manojlovich, Milisa It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication technologies in hospitals. Citation Lafferty M, Harrod M, Krein S, Manojlovich M. It's like sending a message in a bottle: A qualitative study of the c…