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3301. SOPS Frequently Asked Questions | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/about/faq/index.html
      June 01, 2022 - Safety culture surveys are useful for measuring organizational conditions that can lead to adverse events

3302. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
      July 17, 2008 - records from large patient safety databases, such as MEDMARX, can identify system sources of error and lead

3303. Appendixes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/haccost2017-appendix.html
      November 01, 2017 - Ventilator-associated pneumonia in a neurologic intensive care unit does not lead to increased mortality

3304. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/access/qrdr2015-chartbookaccess.pptx
      January 01, 2020 - The hospital with the highest level is designated as the lead hospital in a trauma care system. 26

3305. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
      January 01, 2024 - difficulties maintaining vigilance during extended work periods, despite evidence that fatigue can lead

3306. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
      June 01, 2015 - This article discusses how small incremental changes in treatment processes can lead to significant … This will lead to the identification of psychometrically strong instruments through which to apply

3307. Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
      December 17, 2019 - Health IT Calculation Please assess the likelihood that missing or ambiguous information will lead to … calculation errors. 31 Missing or ambiguous information in the following areas could lead

3308. Improving Patient Safety by Engaging Patients and Families (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
      April 30, 2025 - The researchers found that decision aids increased patient involvement and were more likely to lead … To Advance Patient Safety 2003-2004 $50,000 Final Report Purpose: To invite consumers into the lead

3309. Chartbook on Care Coordination: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
      June 01, 2018 - Chartbook on Care Coordination: Slide Presentation National Healthcare Quality and Disparities Report Slide 1 National Healthcare Quality and Disparities Report Chartbook on Care Coordination June 2016 Slide 2 National Healthcare Quality and Disparities Report Annual report to Congress mandat…

3310. QDR 2014: Chartbook for Hispanic Health Care, Part 4 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt4.pdf
      January 01, 2014 - QDR 2014: Chartbook for Hispanic Health Care, Part 4 Chartbook on Health Care for Hispanics Part 4: Health Care of Residents of the U.S.-Mexico Border 2014 National Healthcare Quality and Disparities Report | 77 PART 4: HEALTH CARE OF RESIDENTS OF THE U.S.-MEXICO BORDER This part of the chartbook focuses on he…

3311. Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
      January 01, 2024 - e.g., oral anticoagulants); and communication failures between hospital and community providers may lead

3312. AHRQ Safety Program for Perinatal Care Summary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
      May 01, 2017 - other units that L&D staff work with, such as neonatal intensive care unit (NICU) or mother/baby, may lead

3313. Assessing the Availability of the Preconception Component of High-Risk Obstetrical Services by Estimating the Use of Teratogenic Medications Before and During Pregnancy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
      August 07, 2018 - Health IT Calculation Please assess the likelihood that missing or ambiguous information will lead to

3314. Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-fullreport.pdf
      June 01, 2019 - Health IT Calculation Please assess the likelihood that missing or ambiguous information will lead to

3315. 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 - Who can lead the initiative? 6. What resources will be needed? 7. … It is possible that these different survey modes could lead to differences in survey responses; further

3316. Using the AHRQ Medical Office Survey on Patient Safety Culture (SOPS) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/using-medical-office-transcript.pdf
      April 29, 2011 - What we did is we took PDFs and E-mailed them to the lead clinician and the point of contact at the

3317. Treating Tobacco Use and Dependence | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
      October 01, 2014 - lapses Suggest continued use of medications, which can reduce the likelihood that a lapse will lead

3318. Final Progress Report: Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent ADEs in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
      January 01, 2024 - Retrospective MRRs can lead to the attending physician not receiving timely notification (i.e., as much

3319. Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
      January 01, 2024 - An inferred vulnerability was defined as a patient describing a scenario that may lead to an undesirable

3320. Final Progress Report: Regional Approach for THQIT in Rural Settings – Implementation (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/richards-report.pdf
      January 01, 2024 - Director, Geisinger Grant Project Director Gary Kurtz IT Assoc VP, Geisinger Advisor Greg Miller IT Lead