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3601. Final Progress Report: Multi-Method Proactive Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/pace-report.pdf
      January 01, 2024 - Incidence and preventability of adverse drug events among older persons in the ambulatory setting.

3602. High-Performance Work Practices in CLABSI Prevention Interventions (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
      May 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Final Report High-Performance Work Practices in CLABSI Prevention Interventions: Executive Summary Final Report High-Performance Work Practices in CLABSI Prevention Interventions: Executive Summary …

3603. Appendix D. Falls Engineer Instructions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapd.html
      December 01, 2017 - Reason: Elderly persons may not lift their feet high enough to avoid curled carpet edges or changes … Reason: Elderly persons may not lift their feet high enough to avoid tripping on changes in floor surfaces

3604. Appendix A, Pt. 2 | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
      April 01, 2018 - identified the following independent risk factors for surgical site infections: greater number of persons

3605. Primary Care Practice Facilitation Curriculum Module 30: Building Teams in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-30-teams.pdf
      September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 30: Building Teams in Primary Care Primary Care Practice Facilitation Curriculum Module 30: Building Teams in Primary Care Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice F…

3606. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
      January 01, 2002 - Making Information Technology a Team Player in Safety: The Case of Infusion Devices 319 Making Information Technology a Team Player in Safety: The Case of Infusion Devices Christopher Nemeth, Mark Nunnally, Michael O’Connor, P. Allan Klock, Richard Cook Abstract Objective: To fulfill the promise of infor…

3607. Improving Patient Safety with the Military Electronic Health Record (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
      January 24, 2004 - Improving Patient Safety with the Military Electronic Health Record 23 Improving Patient Safety with the Military Electronic Health Record Marie-Jocelyne Charles, Bart J. Harmon, Pamela S. Jordan Abstract The United States Department of Defense (DoD) has transformed health care delivery in its use of infor…

3608. Patient Safety Executive Walkarounds (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
      April 01, 2004 - Patient Safety Executive Walkarounds 223 Patient Safety Executive Walkarounds Suzanne Graham, John Brookey, Catherine Steadman Abstract Since the release of the IOM report To Err Is Human in 1999, significant progress has been made in patient safety. One of the remaining challenges is the need to continually…

3609. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
      March 31, 2008 - Incidence and preventability of adverse drug events among older persons in the ambulatory setting.

3610. Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
      January 01, 2024 - decisions, priorities, or plans, including missing tasks or redoing ones performed by the previous person … SBAR); • Identifying and emphasizing the most important information; • Sensitivity to the other persons

3611. Final Progress Report: Trial of Decision Support To Improve Diabetes Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/cebul-report.pdf
      January 01, 2024 - need for additional processing of information in order to provide the right information to the right person … Physical and metabolic characteristics of persons with diabetes. In Diabetes in America, 2nd ed.

3612. Behavioral Health Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0085-fullreport.pdf
      December 31, 2015 - certain neurobehavioral outcomes associated with prenatal alcohol exposure can persist in the affected person

3613. Final Progress Report: Stakeholder Summit: Setting a Quality Improvement Research Agenda To Leverage HIT/HIM in Rural America (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/madison-report.pdf
      January 01, 2024 - Final Progress Report: Stakeholder Summit: Setting a Quality Improvement Research Agenda To Leverage HIT/HIM in Rural America Setting a Quality Improvement Research Agenda to Leverage HIT/HIM in Rural America A National Stakeholder Summit April 22 - 23, 2010 Alexandria, VA Final Progress Report Principal Inv…

3614. Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
      January 01, 2025 - Falling through the cracks: challenges and opportunities for improving transitional care for persons … Improving the quality of transitional care for persons with complex care needs.

3615. Primary Care Practice Facilitation Curriculum Module 4: An Introduction to Practice Organization and Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-4-practice-management.pdf
      September 01, 2015 - A practice may also use persons with non-medical backgrounds who can help patients navigate various … Some practices also include lay persons on their staff.

3616. Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
      January 01, 2024 - Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals Implementing a Program of Patient Safety in Small, Rural Hospitals Principal Investigators Katherine J. Jones, PhD, PT, January 2007 – June 20071 Keith J. Mueller, PhD, July 2005 – December 20061 Team Members Anne Skinn…

3617. Depression Remission or Response for Adolescents and Adults: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-244-fullreport.pdf
      December 01, 2019 - In particular, adolescent patients might have issues with discussing the topic in person, with research

3618. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
      January 01, 2024 - .† 70 63 .07 When an event is reported, it feels like the person is being written up, not the problem … Guideline for the prevention of falls in older persons.

3619. AHRQ Comparative Health System Performance Initiative: Program Overview and Accomplishments, 2015-2020 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
      January 01, 2021 - conversations across the Centers of Excellence and with a technical expert panel through virtual and in-person … By the end of the contract, Mathematica had convened nine virtual and in- person TEP meetings.

3620. Depression Screening and Follow-up for Adolescents and Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-246-fullreport.pdf
      December 01, 2019 - In particular, adolescent patients might have issues with discussing the topic in-person, with research