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5061. Final Progress Report: Improving Patient Safety in Orthopedic Trauma Surgical Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
      January 01, 2024 - Final Progress Report: Improving Patient Safety in Orthopedic Trauma Surgical Training Title: Improving Patient Safety in Orthopedic Trauma Surgical Training Principal Investigator: Donald D. Anderson, PhD Team Members: Geb W. Thomas, PhD J. Lawrence Marsh, MD Matthew D. Karam, MD Clarence Kreiter, PhD Organiza…

5062. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
      April 01, 2025 - Improving Patient Safety in Nursing Homes: A Resource List SOPS Nursing Home 2.0 Survey Resource List 1 Improving Patient Safety in Nursing Homes: A Resource List for Users of the AHRQ Nursing Home Survey on Patient Safety Culture Version 2.0 I. Purpose This document provides a list of publicly available resour…

5063. Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
      November 01, 2004 - Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries 305 Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries Pascale Carayon, Ann Schoofs Hundt, Carla J. Alvarado, Scott Springman, Amanda Borgsdorf, Lynn Jenkins Abstract This…

5064. Risk-Based Patient Safety Metrics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
      March 25, 2008 - Risk-Based Patient Safety Metrics Risk-Based Patient Safety Metrics Matthew C. Scanlon, MD; Ben-Tzion Karsh, PhD; Kelly A. Saran, MS, RN Abstract Patient safety programs require meaningful metrics. Dominant frameworks are based on two safety metrics: one that seeks to identify, measure, and eliminate error an…

5065. Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
      January 01, 2025 - Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism Short-term Clinical Deterioration After Acute Pulmonary Embolism Anthony J. Weekes, MD, MSc (Principal Investigator), Jason T. Nomura, MD, Dasia Esener, MD, Jeremy S. Boyd, MD, Patrick M. Ockerse, MD, Stephen Leech, MD, H. J…

5066. Final Progress Report: Helping Elders Include Quality in Health Plan Choice (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/uhrig-report.pdf
      January 01, 2024 - Final Progress Report: Helping Elders Include Quality in Health Plan Choice September 2004 Helping Elders Include Quality in Health Plan Choice Final Report Prepared for Agency for Healthcare Research and Quality Denise Burgess, Project Officer 540 Gaither Road Rockville, MD 20850 Prepared by Jennifer D. …

5067. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
      January 01, 2025 - Final Progress Report: Incident Reporting Practices in Nursing Homes FINAL PROGRESS REPORT Incident Reporting Practices in Nursing Homes PI: Nicholas G. Castle, Ph.D.1 1. University of Pittsburgh A610 Crabtree Hall Graduate School of Public Health 130 DeSoto Street, Pittsburgh, PA 15261 Telephone: (412) 383-7…

5068. AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
      January 01, 2024 - AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements AHRQ GRANT FINAL PROGRESS REPORT Title: Improving Patient Safety through Provider Communication Strategy Enhancements Principal Investigator: Kay Daugherty, RN, PhD Team Members: Catherine Dingley, RN, F…

5069. Final Progress Report: Communicating Probabilities through Interactive Computer Graphics (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/kukafka-report.pdf
      January 01, 2024 - Final Progress Report: Communicating Probabilities through Interactive Computer Graphics Final Progress Report “Communicating Probabilities through Interactive Computer Graphics” Principal Investigator: Rita Kukafka,1,2 Other team members: Jessica Ancker,1 Elke Weber3 1. Columbia University College of Physicians…

5070. Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
      January 01, 2025 - Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases Title of Project: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infect…

5071. Bariatric Surgery in Women of Reproductive Age: Special Concerns for Pregnancy. Evidence Report/Technology Assessment, No. 169 (pdf file)
      www.ahrq.gov/downloads/pub/evidence/pdf/bariatricrep/barirep.pdf
      November 01, 2008 - Bariatric Surgery in Women of Reproductive Age: Special Concerns for Pregnancy. Evidence Report/Technology Assessment, No. 169 Evidence Report/Technology Assessment Number 169 Bariatric Surgery in Women of Reproductive Age: Special Concerns for Pregnancy Prepared for: Agency for Healthcare Research…

5072. Building, Implementing, and Troubleshooting an Automatic Referral for Cardiac Rehabilitation
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
      December 31, 2022 - Building, Implementing, and Troubleshooting an Automatic Referral for Cardiac Rehabilitation Building, Implementing & Troubleshooting an Automatic Referral for Cardiac Rehabilitation 1 This presentation is designed to help you understand the steps required for designing, testing, implementing, and troubleshootin…

5073. Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
      January 01, 2003 - Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians 15 Implementing Safety Cultures in Medicine: What We Learn by Watching Physicians Timothy J. Hoff, Henry Pohl, Joel Bartfield Abstract This study explores the workplace dynamics associated with physicians and medical mistakes. …

5074. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/thomas-report.pdf
      June 30, 2015 - AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance AHRQ GRANT FINAL PROGRESS REPORT Title: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance Principal Investigator:  Geb W. Thomas, Ph.D. Professor of Mechanical & Industrial Engineering The Universit…

5075. 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 - Final Progress Report: Teamwork and Error in Neonatal Intensive Care Teamwork and Error in Neonatal Intensive Care Eric J. Thomas, MD, MPH Robert L. Helmreich, PhD J. Bryan Sexton, PhD Gwen Sherwood, RN, PhD, FAAN Robert Lasky, PhD Thomas Kallarackal Sharon Crandell, MD Jennipher Mulhollem Dates:…

5076. SITUATION MONITORING (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
      January 01, 2008 - SITUATION MONITORING RAPID RESPONSE SYSTEMS TM TeamSTEPPS | Rapid Response Systems Slide Rapid Response Systems INTRODUCTION SAY: In recent years, the Agency for Healthcare Research and Quality and the Department of Defense have striven to optimize the lessons learned regarding multiple initiatives for reduc…

5077. TeamSTEPPS: Rapid Response Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
      January 01, 2008 - TeamSTEPPS: Rapid Response Systems RAPID RESPONSE SYSTEMS TM 1TeamSTEPPS | Rapid Response Systems Slide Rapid Response SystemsINTRODUCTION SAY: In recent years, the Agency for Healthcare Research and Quality and the Department of Defense have striven to optimize the lessons learned regarding multiple ini…

5078. ACTION 4 Partnership Profiles (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/ACTION4-profiles.pdf
      February 08, 2021 - ACTION 4 Partnership Profiles ACTION 4 Partnership Profiles Abt Associates ACTION IV Team ................................................................................................. 1 American Institutes for Research ............................................................................................…

5079. 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 - Documentation and Coding for Patient Safety Indicators Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool B.4 i Documentation and Coding for the AHRQ Quality Indicators Note: This tool was updated based on test software provided by AHRQ as of March 2016 (alpha version…

5080. 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 - Final Progress Report: Teamwork and Error in Neonatal Intensive Care Teamwork and Error in Neonatal Intensive Care Eric J. Thomas, MD, MPH Robert L. Helmreich, PhD J. Bryan Sexton, PhD Gwen Sherwood, RN, PhD, FAAN Robert Lasky, PhD Thomas Kallarackal Sharon Crandell, MD Jennipher Mulhollem Dates:…