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1421. 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 - What’s New/Different Since the Last Report The previous Making Healthcare Safer reports focused on the … Risk of Bias (High, Moderate, Low) O’Regan et al., 201425 Spatial Span Forwards (SSF) and months … scores; delirium care self-efficacy and knowledge test scores were measured before, after, and 6 months … TTT session compared with those of pre- session, and these differences remained significant at 6 months … Importance of Harm Area Methods for Selecting Patient Safety Practices What’s New/Different Since the Last

1422. High-Performance Work Practices in CLABSI Prevention Interventions (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
      May 01, 2015 - postintervention, some hospitals had virtually eliminated CLABSIs and maintained those results for 6 months

1423. Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
      January 01, 2024 - Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation Final Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation Principal Investigator: Michael R. Cohen, RPh, MS, ScD (hon), DPS (hon) Team Members: Judy L. Smetzer, RN, BSN,…

1424. 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/handouts2.html
      December 01, 2017 - Last week we reviewed the self-assessment and what I heard was that you'd like to increase your focus

1425. Module 3: Best Practices in Pressure Injury Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
      October 01, 2017 - We talked about your current practices in the last module.

1426. National Evaluation of the CHIPRA Quality Demonstration Program: Evaluation Highlight No.1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight01.pdf
      September 30, 2015 - practice-level reporting.4,5 Nevertheless, the demonstration States have made progress over the last

1427. Module 3: Best Practices in Pressure Injury Prevention (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
      June 02, 2025 - We talked about your current practices in the last module.

1428. 0169 - Establishment of Gestational Age: Full Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-169-fullreport.pdf
      February 01, 2017 - the fetus estimated by ultrasound at or prior to 20 weeks (20 weeks initially estimated by date of last … Section 14: Identifying Information for the Measure Submitter First Name: Ramesh 19 Last

1429. Final Progress Report: Proactive Risk Assessment in the ED: Building the Safety Case (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
      January 01, 2025 - This risk was exacerbated by the use of two-letter abbreviations for first and last names (see Figure

1430. Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
      July 23, 2008 - all the names, and have it generate a list for me, name, current vitals, or abnormal vitals for the last … The Wednesday before last, I was the operating surgeon at that hospital, and every note I dictated in

1431. 6. Research Gaps and Prioritization of Federally Funded HSR and PCR | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
      June 01, 2020 - Toward this end, the last section of the chapter offers potential criteria and mechanisms for prioritizing … relates to gaps in using theory to connect findings and advance knowledge on health care changes, and the last … The last gaps in that section addressed leveraging and linking new sources of health care–related data … was study of the Affordable Care Act, with relevant research ideally becoming available in 6 to 12 months

1432. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
      April 30, 2025 - Within 6 months of the conference, PBRN development activity was reported by conference participants … This research complements earlier studies of medication errors conducted by researchers over the last … Adherence changed over time, initially worsening over the first 6 months of monitoring, followed by … improvement beyond 6 months. … increased muscle toxicity interaction ratio observed for highly potent statin dosages and within 6 months

1433. Improving Perioperative Patient Safety Through the Use of Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-StJacques_105.pdf
      March 29, 2008 - This period during which extra support is required could last for weeks or months after new software

1434. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
      January 01, 2024 - the medical care process—with its numerous clinical steps, stretched across multiple providers and months … Last accessed, September 27, 2005). 36. Sowka M (ed).

1435. Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/recruitment-and-retention-toolkit.pdf
      January 01, 2019 - Touch Depending on the project’s timeline and intervention period, some practices may be recruited months … buy-in. 19 • Be respectful of staff time and understand that schedules can have last-minute

1436. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
      June 05, 2008 - , when physician trainees were queried about the most significant medical mistake they made in the last … Work experience among 5 participants in their current positions ranged from 6 months to 36 years

1437. Final Progress Report: A National Report of Nursing Home Quality Measures and Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
      January 01, 2024 - These residents’ stays range from several months to several years. … Inspect Results, which provided data on inspection results, including citation history and date of last … (Number of Beds), NH Ownership Type, and Occupancy Rate---the first two are time invariant and the last … Last, as a result of recent standardization efforts, terminology for variables is better defined, which

1438. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
      October 01, 2024 - Support MediocreCare Hospital Had a significant MRSA outbreak this year Had a significant MRSA outbreak last … for MRSA Prevention | ICU & Non-ICU Implementation of Decolonization Case Example: Results After 6 months

1439. Use of Multiple Concurrent Antipsychotics in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-fullreport.pdf
      May 01, 2018 - • Continuous eligibility: At least 3 months. • Benefit: Medical and pharmacy. 1.J. … Disparities for Children in Foster Care In the last 10 years, the use of psychoactive medication among … Section 14: Identifying Information for the Measure Submitter First Name: Sarah Hudson Last

1440. ChartBook On Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
      March 04, 2016 - of Effectiveness:  Number of symptomatic CAUTIs attributable to each unit by month  Days since last … Last updated March 2016. Accessed March 4, 2016. Centers for Disease Control and Prevention. … Last updated September 2015. Accessed March 4, 2016. Chassin MR, Loeb JM.