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4561. Final Progress Report: Weekend Effects and the July Phenomenon in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdf
      January 01, 2024 - been effective at identifying factors, such as production pressure and communication failures that lead

4562. Final Progress Report: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/field-report.pdf
      January 01, 2024 - review of the fault trees and cut sets to understand failures in the medication handling process that lead

4563. Medical Team Training Programs 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/Baker.pdf
      February 01, 2005 - testing.25 During the 8- hour session, two highly trained CTI instructors (typically former pilots) lead

4564. Physician Use of Hand-held Computers for Drug Information and Prescribing (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Galt.pdf
      January 01, 2004 - Evaluation of the efficacy of hand held computer screens for cardiologists’ interpretations of 12-lead

4565. Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
      January 01, 2003 - health care system exposes patients to iatrogenic risks, errors, omissions, and complications that lead

4566. Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Leonhardt_35.pdf
      March 15, 2008 - patient’s medication list and/or medication bottles).11, 12, 13 An inaccurate medication list can lead

4567. The Impact of Standardized Order Sets on Quality and Financial Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ballard_12.pdf
      February 02, 2008 - teach physicians, hospital administrators, nurse managers, and others the skills needed to actively lead

4568. Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
      July 01, 2004 - The resulting datasets, with no personal identifier and no dates, were sent to the lead investigator

4569. Barriers Associated with Medication Information Handoffs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
      January 01, 2004 - • What factors lead to increased trust and use of computerized information?

4570. AHRQ Surveys on Patient Safety CultureTM (SOPS®) Hospital Survey Version 2.0 with HIT, V&E, and Workplace Safety Supplemental Items for the SOPS Hospital Survey Survey Data File Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops_20_hit-wp-ve_data_spec.pdf
      October 25, 2021 - We are made aware of issues with our EHR system that could lead to errors HITD3 Column BA 1 = Strongly

4571. Final Progress Report: Improving Warfarin Management in Competitive Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/levett-report.pdf
      January 01, 2024 - Carla Huber 4:30-4:35 Training Opportunities Available through PIPS Grant Deb Oliver, Training Lead

4572. 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

4573. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Group Practice Linkage File, Technical DocumentationComparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Group Practice Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-tin-linkage-file-tech-doc.pdf
      October 01, 2019 - dates of service to link to a given system, but these thresholds could be too lenient, which would lead … Conversely, the thresholds could be too strict, which would lead to too few linkages.

4574. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascusersguide.pdf
      July 01, 2018 - AHRQ is the lead Federal agency charged with supporting research designed to improve the quality of … Such prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient

4575. AHRQ Individual Research Career Development (K) Award Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
      August 01, 2016 - After the data review and abstraction processes were completed, the lead data analyst and project manager … is a new area of study, and there was a lot of formative work to be done that doesn't necessarily lead

4576. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascguide.pdf
      April 01, 2015 - AHRQ is the lead Federal agency charged with supporting research designed to improve the quality of … Such prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient

4577. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-user-guide.pdf
      July 01, 2018 - AHRQ is the lead Federal agency charged with supporting research designed to improve the quality of … Such prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient

4578. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascguide.pdf
      April 01, 2015 - AHRQ is the lead Federal agency charged with supporting research designed to improve the quality of … Such prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient

4579. Improving Patient Safety by Engaging Patients and Families (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-highlights-pfe-updated-aug24.pdf
      February 28, 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

4580. 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