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3541. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
      January 01, 2025 - Key Words: Diagnostic error, Patient safety, diagnosis, quality, health services research 3. … Stringent oversight and quality-checking processes were implemented to ensure the credibility of the … To ensure the validity and consistency of reviews across sites, multiple quality assurance steps were

3542. 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 - A report of the Committee on Quality of Health Care in America, Institute of Medicine. … Crossing the quality chasm: a new health system for the 21st Century. … House officer education and organizational obstacles to quality improvement. … The role of communication in creating and maintaining a learning organization: preconditions, indicators … 30 >> /JPEG2000ColorImageDict << /TileWidth 256 /TileHeight 256 /Quality 30 >> /

3543. Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
      January 01, 2004 - Key committees and decisionmakers in quality management, patient safety, and IT were enlisted during … A report of the Committee on Quality of Health Care in America, Institute of Medicine. … Computerized physician order entry and quality of care. … Joint Commission Journal of Quality and Safety 2004; 30(11):602-613. 20. … Kidney disease outcomes quality initiative clinical practice guidelines.

3544. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
      January 01, 2024 - This project was supported by grant number P20HS017111 from the Agency for Healthcare Research and Quality … authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality … systems can provide valuable information for process improvement and identification of hazard, but the quality … Residents, through their regular weekly conference, were educated as part of a quality and safety lecture

3545. Contact Precautions for MRSA Prevention - Webinar slide notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/017-contact-precautions-webinar-slides-notes.docx
      October 01, 2024 - In many of the units, staff were concerned about the quality of care their patients would be receiving … The teams discussed evidence that the quality of care can be maintained, and they shared with staff the

3546. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 4 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-facilitator-guide.pdf
      June 02, 2025 - It aims to improve healthcare quality and safety by helping teams work more effectively together. … TeamSTEPPS program: ● History ● Purpose ● Importance of teamwork and communication in healthcare quality

3547. Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-07/fenton2-report.pdf
      January 01, 2025 - of agency support: This project was funded by a grant from the Agency for Healthcare Research and Quality … The National Committee for Quality Assurance endorses spinal imaging in acute back pain as one of few … In a post-trial survey, intervention clinicians rated the overall quality of the SP training highly, … National Committee on Quality Assurance; 2015 [cited 2016 Jan 20]. (State of Health Care Quality). … Effect of a Patient- Centered Communication Intervention on Oncologist-Patient Communication, Quality

3548. Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
      January 01, 2024 - : Kerm Henriksen, PhD Human Factors Advisor for Patient Safety Agency for Healthcare Research and Quality … 20850 Acknowledgment: This work was generously funded by the Agency for Healthcare Research and Quality … Agency for Healthcare Research and Quality. … Rockville, MD: Agency for Healthcare Research and Quality; [cited 2011 Feb. 3]. … Agency for Healthcare Research and Quality Annual Conference; 2010 Sept 7. 4.

3549. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
      March 21, 2008 - Physician handwriting3, 7, 8 and the general quality of prescription orders4 are also sources of medication … In dissecting the anatomy of an error for purposes of quality improvement, it was important to analyze … faxes (N = 11), and online communications (N = 2) were associated with 61.9 percent of all errors, quality … Other particular areas needing quality improvement and further study include office processes involving … Improving the quality of the order-writing process for inpatient orders and outpatient prescriptions

3550. Final Progress Report: What Is Patient Safety in the Medical Home? (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
      January 01, 2024 - Journal for Healthcare Quality. Under review. Paper 6. … Agency for Healthcare Research and Quality. Web. … /medical-office/ Agency for Healthcare Research and Quality (AHRQ). … taxonomyID=112 Agency for Healthcare Research and Quality. … Rockville, MD: Agency for Healthcare Research and Quality, 2014.

3551. 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 - The Agency for Healthcare Research and Quality (AHRQ), through its Risk Assessment Challenge Grant … Brennan offers five recommendations for improving quality through regulation. … regulatory/provider aims • Encourage provider self-improvement • Support innovation to improve quality … The role of regulation in quality. Milbank Qtrly 1998;76;709–32 22. Comden SC, Rosenthal J. … 30 >> /JPEG2000ColorImageDict << /TileWidth 256 /TileHeight 256 /Quality 30 >> /

3552. Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
      April 06, 2008 - Sullivan, PhD Abstract Electronic health records are thought to improve quality of care; computerized … Introduction A recent systematic review of the impact of health information technology (HIT) on the quality … of medical care revealed that HIT interventions—primarily electronic health records (EHRs)— improve quality … Quality and efficiency must be built in with every step. … Crossing the quality chasm. A new health system for the 21st century. Institute of Medicine.

3553. Final Progress Report: Mentored Implementation of I-PASS for Better Handoffs and Safer Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
      January 01, 2024 - Quality of verbal and written handoff communication. … improvement data to monitor handoff quality. … BMJ Quality and Safety 2016; 25:1009-1010. … Eisenberg Award for National Level Innovation in Patient Safety and Quality National Quality Forum … Effects of the I-PASS nursing handoff bundle on communication quality and workflow.

3554. Final Progress Report: ESDP in Community Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
      January 01, 2024 - The Problems after Discharge Questionnaire, EuroQoL-5 Dimensions quality of life measure, length of … The PI monitored the data entry for quality and timeliness. Measures. … Self-reported quality of life (see Table 3). … Agency for Healthcare Research and Quality. … The Joint Commission Journal on Quality and Patient Safety. 2011;37(1):29-36. 19.

3555. 2012 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/compare/CAHPS-Database-2012-CG-Chartbook.pdf
      January 01, 2012 - Agency for Healthcare Research and Quality (AHRQ) supports the development and promotion of CAHPS surveys … Database also offers an important source of primary data for research related to consumer assessments of quality … Administration The CAHPS Database is sponsored and funded by the Agency for Healthcare Research and Quality … Statements in the report should not be construed as endorsement by the Agency for Healthcare Research and Quality

3556. 2012 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2012_cg_cahps_chartbook.pdf
      January 01, 2012 - Agency for Healthcare Research and Quality (AHRQ) supports the development and promotion of CAHPS surveys … Database also offers an important source of primary data for research related to consumer assessments of quality … Administration The CAHPS Database is sponsored and funded by the Agency for Healthcare Research and Quality … Statements in the report should not be construed as endorsement by the Agency for Healthcare Research and Quality

3557. Redesigning Systems To Improve Teamwork and Quality for Hospitalized Patients: RESET Project Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
      January 01, 2020 - RESET is a quality improvement project. … and quality improvement on their unit. … • Integrate co-leaders into hospital quality improvement efforts. … and quality improvement on their unit. … Using quality indicators to improve hospital care: a review of the literature.

3558. 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 - WARFDOCS is a tool designed to improve the quality of clinical decisions related to warfarin dosing. … They affect the quality of care by changing the processing and flow of information—in short, by changing … In light of this, it may be that the “quality of implementation” or even the “goodness of fit” between … Computer- adjusted dosage of anticoagulant therapy improves the quality of anticoagulation. … 30 >> /JPEG2000ColorImageDict << /TileWidth 256 /TileHeight 256 /Quality 30 >> /

3559. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
      January 01, 2024 - Agency for Healthcare Research and Quality. … Agency for Healthcare Research and Quality. Diagnostic Safety and Quality. … Agency for Healthcare Research and Quality. … Agency for Healthcare Research and Quality. … Agency for Healthcare Research and Quality.

3560. Using the AHRQ Medical Office Survey on Patient Safety Culture (SOPS) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/using-medical-office-transcript.pdf
      April 29, 2011 - We want to evaluate the impact of patient safety and quality improvement initiatives using this as one … You see patient safety and quality issues listed under number one, which are more specific to medical … We also created the average rating on quality. … For average rating on quality, we see an 11 percentage point difference. … We see a similar small relationship with average rating on quality, and when we get to overall rating