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4141. 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 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities 395 Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities Sharon Conrow Comden, David Marx, Margaret Murphy-Carley, Misti Hale Abstract Objectives: State agenc…

4142. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
      April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…

4143. 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 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator 395 From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth, Debora A. Paterniti, William Dager, …

4144. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
      March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense 361 Standardizing Medication Error Event Reporting in the U.S. Department of Defense Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake Abstract Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …

4145. The Patient Safety Education Project: An international Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
      February 20, 2008 - The Patient Safety Education Project: An international Collaboration The Patient Safety Education Project: An International Collaboration Linda Emanuel, MD, PhD; Merrilyn Walton, PhD; Martin Hatlie, JD; Denys Lau, PhD; Tim Shaw, PhD; Joel Shalowitz, MD, MBA; John Combes, MD Abstract The Patient Safety Edu…

4146. CAHPS Survey Administration: What We Know and Potential Research Questions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/research/survey-administration-literature-review.pdf
      October 01, 2017 - CAHPS Survey Administration: What We Know and Potential Research Questions CAHPS Survey Administration: What We Know and Potential Research Questions October 2017 The content of this document may be used and reprinted without permission except for the following: Federal Government logos, items noted …

4147. Weighted Summary Statistics: PUF Medicare Inpatient File (Version 2) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Inpatient-Weighted.pdf
      September 26, 2023 - 70: Discharged/transferred to another type of health care institution not defined elsewhere in code list … Discharged/transferred to another type of health care institution not defined elsewhere in this code list

4148. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
      May 01, 2017 - blood loss, blood pressure, and administration of uterotonics • Developed and included a “problem list

4149. Availability of Outpatient Maternal Fetal Medicine and Specialty Care for Women with High-Risk Pregnancies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-fullreport.pdf
      January 01, 2019 - If other, please list all other data sources in the field below. Not applicable.

4150. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
      May 01, 2016 - criteria for Avoidable Classes of Events that would also be Automatically Compensable Events (ACEx2), a list

4151. Pediatric Lower Respiratory Infection Readmission Measure (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
      April 05, 2017 - If other, please list all other data sources in the field below. Not applicable.

4152. Primary Care Connection Prior to Emergency Department Visits for Children With Identifiable Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-fullreport.pdf
      July 01, 2018 - If other, please list all other data sources in the field below. Not applicable.

4153. Value Set Export (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Coding.xls
      January 01, 2012 - 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 362 Specific state programs (list

4154. Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-fullreport.pdf
      January 01, 2020 - If other, please list all other data sources in the field below. Not applicable.

4155. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
      May 01, 2016 - criteria for Avoidable Classes of Events that would also be Automatically Compensable Events (ACEx2), a list

4156. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
      May 01, 2017 - blood loss, blood pressure, and administration of uterotonics • Developed and included a “problem list

4157. Webinar Transcript - National Quality Strategy: Using Payment to Improve Health and Health Care Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-using-payment-to-improve-health-and-health-care-quality.html
      November 01, 2016 - We really see this as wherever you are in your organization, looking at this list and saying, "Oh, well

4158. Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
      October 01, 2018 - So before we would just get this report out, it would just look like a long list of comments, and you

4159. What Exactly Is Patient Safety? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
      July 02, 2008 - the notion of emergent properties. 15 The above 11 elements do not represent an exhaustive list

4160. ampe_2_107.38_48.tp (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/bethellscreener.pdf
      February 01, 2002 - Bethell et al and more than a dozen times by teleconference, beginning in June 1998 (task force member list