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3661. MONAHRQ Measures List (xls file)
      www.ahrq.gov/downloads/monahrq/documentation/MONAHRQ_7_Measures_List.xlsx
      January 18, 2023 - MONAHRQ Measures List AHRQ QIs v7 - Provider 7 Measure ID 7 Clinical Name 7 MONAHRQ Display Name 7 NQF-Endorsed 7 NQF Number First Version of MONAHRQ IQI 01 Esophageal Resection Volume Number of surgeries to remove part of the esophagus Yes 0361 1.0 IQI 02 Pancreatic Resection Volume Number of surgeries to remove p…

3662. MONAHRQ Measures List (xls file)
      www.ahrq.gov/downloads/monahrq/documentation/monahrq_7build2_measures_list.xlsx
      January 18, 2023 - MONAHRQ Measures List AHRQ QIs v7 - Provider 7 Measure ID 7 Clinical Name 7 MONAHRQ Display Name 7 NQF-Endorsed 7 NQF Number First Version of MONAHRQ IQI 01 Esophageal Resection Volume Number of surgeries to remove part of the esophagus Yes 0361 1.0 IQI 02 Pancreatic Resection Volume Number of surgeries to remove p…

3663. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14281-Scott-Cawiezell-draft-1.pdf
      September 29, 2007 - The results of nursing home medication error can lead to greater consequences than have been reported … Nurse leaders are critical to sustained improvement and vary in their skills and abilities to lead large-scale

3664. Final Progress Report: Teamwork and Error in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/thomas2-report.pdf
      May 01, 2004 - Purpose Medical errors and the adverse events they lead to are common and expensive. … For example, poor audio or a simple inability to interpret verbalizations may lead a rater to choose

3665. Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
      January 01, 2025 - Healthcare risks are common in pediatrics and have been demonstrated to lead to avoidable harm.

3666. Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
      January 01, 2025 - It built upon earlier work in characterizing systems and process failures that can lead to ACH in home

3667. Final Progress Report: Refinements in Evaluating Minimum Surgery Volume Standards (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/hanchate-report.pdf
      January 01, 2024 - Final Progress Report: Refinements in Evaluating Minimum Surgery Volume Standards Refinements in Evaluating Minimum Surgery Volume Standards PI: Amresh D. Hanchate, PhD, Boston University School of Medicine Co-Investigators: Arlene S. Ash, PhD, Boston University School of Medicine Therese Stukel, PhD, Ins…

3668. Final Progress Report: Minimizing Error, Maximizing Outcome (MEMO): The Physician Worklife Study II (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/linzer-schwartz-report.pdf
      January 01, 2024 - Although a substantial body of literature indicated that stress can lead to errors (Leape, 1994), little … High physician stress and burnout will lead to higher error rates and lower-quality care. 4 April 29

3669. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
      January 01, 2024 - The results of nursing home medication error can lead to greater consequences than have been reported … Nurse leaders are critical to sustained improvement and vary in their skills and abilities to lead large-scale

3670. Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/implementation.pdf
      May 01, 2017 - It is a vital part of every successful implementation because it helps lead individuals and teams to

3671. Presentation: Optimize Your Briefings and Debriefings
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
      December 01, 2017 - Surgeons often lead the surgical care team and the formal conversations about each case.

3672. Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
      December 01, 2017 - have inadequate communication, hierarchical relationships and intimidation, fragmented mentorship that lead … So if you look at the fact that, that she described, that poor conditions lead to an inability to actually

3673. Navigating-Hierarchy-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
      December 10, 2013 - have inadequate communication, hierarchical relationships and intimidation, fragmented mentorship that lead … So if you look at the fact that, that she described, that poor conditions lead to an inability to actually

3674. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
      December 01, 2017 - We also have [Sue Collier 01:03], a Clinical Content Development Lead here at the Health Research and

3675. Engaging-Nurse-Physician-Patient-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
      September 25, 2015 - We also have [Sue Collier 01:03], a clinical content development lead here at the Health Research and

3676. Executive Summary: 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-executive-summary.pdf
      August 01, 2023 - evidence-based interventions, AR and CC • Worked with 50+ experts and practitioners in the CR field to lead … the success puzzle – they need to have the drive, authority, and time to be part of the project and lead

3677. In Situ Simulation: Challenges and Results (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
      May 05, 2008 - In situ simulation makes these conditions explicitly visible and can lead to frustration and anger that … performance (i.e., first attempt success rate) and safety (i.e., minimal associated events that could lead

3678. Final Progress Report: Teamwork and Error in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
      January 01, 2024 - Purpose Medical errors and the adverse events they lead to are common and expensive. … For example, poor audio or a simple inability to interpret verbalizations may lead a rater to choose

3679. Documentation and Coding for Patient Safety Indicators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
      March 15, 2016 - assigning an incorrect code, omitting a code, or coding additional codes when not needed, which may also lead

3680. Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/gallagher-report.pdf
      August 01, 2014 - As many medical errors that lead to AEs are attributable, at least in part, to communication, defining … Project staff were unable to lead sites to this new perspective, notwithstanding repeated messaging … that such events are important to report and study because they cause patient distress, may lead to