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2161. Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
      January 01, 2000 - absence or presence of chest pain as a primary IT to Reduce Cardiac Care Errors 19 or secondary reason

2162. Creating Safety in the Testing Process in Primary Care Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
      February 19, 2008 - Reason J. Human error: Models and management. BMJ 2000; 320: 768-770. 8.

2163. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
      May 06, 2008 - For this reason, the role of “category administrator” was designed for the PEERs system.

2164. Measuring IT Sophistication in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Alexander_10.pdf
      January 20, 2008 - One possible reason for this difference might be that technology is very costly at the initiation of

2165. Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
      January 01, 2024 - The reason is that some interdependence for the data points from a single unit and for the data points

2166. Final Progress Report: Shared Online Health Records for Patient Safety and Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/middleton-wald-report.pdf
      January 01, 2024 - Certain patients desired the ability to enter information in free form to the physician, such as reason

2167. Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
      January 01, 2024 - Patient/Family interviews: Patients/family members varied by reason for and duration/course of hospitalization

2168. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/pichert.html
      August 01, 2017 - Nevertheless, one reason this study was conducted was to assess and demonstrate PARS’ viability in just

2169. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
      January 01, 2003 - Eagle C.J, Davies JM, Reason J.

2170. Mixed Methods Analysis of Medical Error Event Reports: 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/vol2/Harris.pdf
      June 30, 2004 - Reason J. Human Error. New York: Cambridge University Press; 1990. 21. Pope C, Mays N.

2171. Comparing Patient Safety in Rural Hospitals by Bed Count (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Loux.pdf
      January 01, 2004 - several factors, including its relation to the principal diagnosis and its importance in the patient’s reason

2172. Person-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P): Rapid Scan Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
      May 01, 2025 - The reason being, I applaud CMS [Centers for Medicare and Medicaid Services] and ACL [Administration … The reason we are talking with you today and why this interview is important is to learn more from you

2173. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
      January 28, 2011 - For this reason, providing opportunities for patient and family advisors to communicate directly with

2174. Module 3: Best Practices in Pressure Injury Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
      October 01, 2017 - Module 3: Best Practices in Pressure Injury Prevention Training Guide Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Module Goals The goals of…

2175. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
      December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Pressure Ulcer Prevention Handouts (continued) Implementation of the Prevention Reports Into Day-to-Day Practice Review of the Change Team's Process of Choosing On-Time Reports, Incorporating Them Into Huddles and Meetings, and Pilot…

2176. Final Progress Report: Safety Culture Research: Ways to improve existing methods (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
      January 01, 2024 - Final Progress Report: Safety Culture Research: Ways to improve existing methods Safety Culture Research: Ways to improve existing methods (R13HS023062) PI: Jason M. Etchegaray, PhD Other Significant Contributor: Eric Thomas, MD, MPH The University of Texas Health Science Center at Houston 04/05/2014-03/31/2015 J…

2177. Module 3: Best Practices in Pressure Injury Prevention (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
      June 02, 2025 - Module 3: Best Practices in Pressure Injury Prevention Module 3: Best Practices in Pressure Injury Prevention Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Mo…

2178. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
      January 01, 2016 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices Module 5: How To Measure Pressure Injury Rates and Prevention Practices Module Aim The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices. Module Goals The goals of …

2179. Module 1: Preventing Pressure Injuries in Hospitals (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
      July 12, 2017 - Module 1: Preventing Pressure Injuries in Hospitals Module 1: Preventing Pressure Injuries in Hospitals — Understanding Why Change Is Needed Module Aim The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training. Module Goals The goals of this introductory module are to identify …

2180. How are CHIPRA Quality Demonstration States working to improve adolescent health care? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight03.html
      August 01, 2013 - How are CHIPRA Quality Demonstration States working to improve adolescent health care? Evaluation Highlight No. 3 Authors: Rachel Burton, Ian Hill, and Kelly Devers Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes The CHIPRA Quality Demonstra…