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1921. 3. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
      January 01, 2024 - significant contributor to cases of diagnostic error. 195 As such, efforts to reduce diagnostic errors have led

1922. Final Progress Report: Accountability and Health Safety – A Statewide Approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
      January 01, 2024 - Analysis of 12-15 months of data led to identification of 42 Top Performing hospitals that “Sustained

1923. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
      January 01, 2024 - reduction in overall warfarin-related adverse events rates and not simply preventable ones, which led

1924. Final Progress Report: Evaluating e-Prescribing in a Community-Based, Integrated Health System (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/devine-report.pdf
      January 01, 2024 - Devine and Wolf led the sessions on Evidence Synthesis (meta- analysis and indirect/mixed treatment comparisons

1925. Final Progress Report: Health Journalism 2010, national conference on healthcare journalism (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/bruzzese2-report.pdf
      January 01, 2024 - government agencies to find the best speakers on particular subjects (as well as to create a dialogue) has led

1926. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/access/qrdr2015-chartbookaccess.pptx
      January 01, 2020 - from 2015 QDR, which generally cover 2001-2013 Produced with the help of an Interagency Work Group led

1927. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
      August 01, 2022 - have been available for years, the implementation of communication devices that accept messages has led

1928. Section 5, Tables 8 and 9 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
      January 01, 2013 - In-person communication rather than telephonic communication led to a significant reduction of 2.5%

1929. Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
      January 01, 2025 - The results of these interviews and observations led to the creation of a storyboard of the transport

1930. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
      August 01, 2022 - have been available for years, the implementation of communication devices that accept messages has led

1931. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
      July 05, 2023 - feedback from subject matter experts (SME) to ensure the framework can be used to inform future payer-led

1932. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
      January 01, 2004 - employees who are willing to take responsibility for investigating each incident, discuss the events that led

1933. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
      January 01, 2004 - The protocol for which the participant had consented was being led by an individual who was a principal

1934. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - To better understand the causes that led to the delay, we interviewed key informants at participating

1935. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
      April 20, 2004 - This process has led to significant reductions in the number of phone calls from nurses to the pharmacy

1936. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
      April 23, 2008 - The findings suggested work in progress that may have ultimately led to many of the actual practice

1937. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
      January 01, 2003 - professionals lack the time and/or resources to thoroughly understand the elements and risk factors that led

1938. 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 - significant drawbacks in the current organization of the systems 14 that were currently deployed that led

1939. AHRQ Strategic Plan for Health System Transformation To Optimize Health, Functional Status, and Well-Being Among Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/aging-well-strategic-plan.pdf
      August 01, 2024 - The report is produced with the help of an Interagency Work Group led by AHRQ.

1940. Final Progress Report: RESPOND Pharmacy Education Toolkit: AHRQ Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hartung-report.pdf
      January 01, 2024 - Scope The current opioid crisis in America has led to the expansion of public health efforts across multiple