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3261. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…

3262. Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
      January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD; Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS; Bradley N. Do…

3263. 2016 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
      January 01, 2016 - • Most respondents (77 percent) indicated they had direct interaction with patients. … • More than half of the respondents (56 percent) indicated they had worked with their current hospital … Similarly, almost half of the respondents (47 percent) indicated they had worked in their current work … • Most respondents (77 percent) indicated they had direct interaction with patients. … Similarly, almost half of the respondents (47 percent) indicated they had worked in their current work

3264. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
      September 01, 2012 - between patient safety, language, and culture was discussed during site visits, only a few hospitals indicated

3265. Using Data Mining to Predict Errors in Chronic Disease 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-McCabe_39.pdf
      March 28, 2008 - A zero indicated the current prescription remained unchanged. … Positive numbers indicated the number of medication doses that were increased. … Although records indicated the use of insulin, titrations of insulin were not available. … Analysis of the prediction results and the specific branch paths used by the decision tree indicated

3266. Overuse of Imaging: Policy for ALARA Specific to Imaging Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-243-fullreport.pdf
      August 01, 2019 - the survey were determined from Certificate of Need reports for the State of Michigan (2012), which indicated … Facilities were identified as having ALARA policies/protocols based on accreditation status as indicated … • While there were a small number of individuals completing the survey, many indicated they were … (2) the possibility that facilities were more comprehensively accredited than their patient roster indicated … All of the sites (100 percent) responding to the telephone survey indicated the presence of an ALARA

3267. Screening for Family and Intimate Partner Violence: Systematic Evidence Review (pdf file)
      www.ahrq.gov/downloads/pub/prevent/pdfser/famviolser.pdf
      March 01, 2004 - A randomized controlled trial with 15-years follow-up indicated that nurse home visits during pregnancy … This study also indicated that a 9- item model performed as well as the longer 15-item version, correctly … A telephone survey of abused and non-abused women in 11 U.S. cities indicated that abused women were … A randomized controlled trial with 15 years follow-up indicated that nurse home visits during the … Children I, II-1, II-2 Poor-good: A trial of home nurse visits during and after pregnancy indicated

3268. Nutritional Research Series: Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp5.pdf
      October 01, 2011 - Nutritional Research Series: Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations       Technical Review 17 Nutritional Research Series Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations Prepared for: A…

3269. An Overview of the SOPS® Surveys for New Users - Tyler (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-sops101-webcast-2023-tyler.pdf
      January 01, 2023 - Area of potential improvement for most hospitals Staffing and Work Pace 51% of respondents indicated

3270. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
      May 01, 2017 - EARLY IMPACTS The most recent root cause analyses of adverse events and near-misses indicated that … The most recent employee engagement pulse survey scores indicated an increase of 19 percent 3 The

3271. AHRQ Stats | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/ahrq-stats.html
      July 01, 2025 - General Health Among young adults who reported being in fair or poor general health in 2021, 46.6 percent indicated … Only 27 percent who reported they were in excellent health indicated use of an electronic nicotine product

3272. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
      May 01, 2017 - EARLY IMPACTS The most recent root cause analyses of adverse events and near-misses indicated that … The most recent employee engagement pulse survey scores indicated an increase of 19 percent 3 The

3273. Key Study Outcomes Across Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/outcomes.html
      October 01, 2015 - Appointment Access Results from two studies indicated that patient access improved after PCMH transformation … Ninety percent of the practices studied indicated that their patients usually or always saw the same

3274. Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
      May 01, 2007 - Analysis of enoxaparin levels (as anti-Xa levels) suggested that draft conservative guidelines would have indicated … implemented as a quality improvement measure for CHB, Institutional Review Board approval was not indicated

3275. Key Study Outcomes Across Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/grants-transform/key-study-outcomes.html
      March 01, 2017 - Appointment Access Results from two studies indicated that patient access improved after PCMH transformation … Ninety percent of the practices studied indicated that their patients usually or always saw the same

3276. Screening for Asymptomatic Carotid Artery Stenosis, Evidence Synthesis, No. 50 (pdf file)
      www.ahrq.gov/downloads/pub/prevent/pdfser/cas/cases.pdf
      December 01, 2007 - Further subanalyses indicated that the ARR for non-perioperative strokes at five years was not significantly

3277. Self-Assessment Worksheet for Pressure Ulcer (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.pdf
      June 02, 2025 - Self-Assessment Worksheet for Pressure Ulcer Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention Self-Assessment Worksheet for Pressure Ulcer Prevention 1 On-Time Pressure Ulcer Prevention Self-Assessment Worksheet for Pressure Ulcer The Self-Assessment Worksheet i…

3278. Team-Based Primary Care: Convergence of Improving Engagement, Safety, and Enhanced Joy in Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-1.pdf
      May 02, 2016 - Team-Based Primary Care: Convergence of Improving Engagement, Safety, and Enhanced Joy in Practice Case Study Problem Addressed A typical primary care visit is not always a satisfying encounter for either the provider or the patient. Providers feel stressed by the need for efficiency and the demands of electronic…

3279. Nursing Home Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/infotransNHSOPS.pdf
      January 01, 2010 - Nursing Home Survey on Patient Safety Culture: Background and Information for Translators Agency for Healthcare Research and Quality (AHRQ) Nursing Home Survey on Patient Safety Culture Background and Information for Translators January 2010 Purpose and Use of This Document In this docum…

3280. The Rationale for Case Mix and Mode Adjustments - Elliott (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/3-case-mix-mode-adjustments-webcast-elliott.pdf
      June 02, 2025 - The Rationale for Case Mix and Mode Adjustments - Elliott The Rationale for Case-Mix and Mode Adjustments to AHRQ’s CAHPS Surveys Marc Elliott Senior Principal Researcher RAND Corporation, Santa Monica, CA Outline • Background • Purpose and Methods of Case-Mix and Mode Adjustment • Examples of Case-Mix and M…