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Total Results: 2,617 records

Showing results for "reasons".

2501. 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…

2502. 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 - Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions FINAL REPORT Title of Project: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions Principal Investigator: J.B. Jones, PhD, MBA Mark J. Selna (original Principal Investigator) Team Members: Mark Selna, MD …

2503. 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 - Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care October 2018  Webcast Speakers Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency for H…

2504. The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
      April 01, 2004 - The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization 87 The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization Katrin S. Kohl, Jan Bonhoeffer, M…

2505. Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gururaja_7.pdf
      January 24, 2008 - Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training Ramnarayan Paragi Gururaja, MD, MPH; Tong Yang, MD, MS; John T. Paige, MD; Sheila W. C…

2506. 2023 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE.pdf
      January 01, 2023 - Improving measurement and data for these groups is critical to understanding the reasons people with … Finally, for various reasons (e.g., data collection was discontinued), data for all years for all measures

2507. 2023 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
      January 01, 2023 - Improving measurement and data for these groups is critical to understanding the reasons people with … Finally, for various reasons (e.g., data collection was discontinued), data for all years for all measures

2508. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
      April 30, 2025 - Improving Healthcare Safety by Enhancing Medication Safety AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Medication Safety Overview Medication safety refers to the practices and measures implemented to minimize the risk of medication errors and adverse drug events (ADEs) i…

2509. Improving the Emergency Department Discharge Process: Environmental Scan Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
      December 01, 2014 - These characteristics include reasons for the visit, time of visit, and acuity of visit. 1,7,31Patients

2510. System Redesign Responses to Challenges in Safety-Net Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
      June 01, 2015 - System Redesign Responses to Challenges in Safety-Net Systems System Redesign Responses to Challenges in Safety-Net Systems: Summary of Field Study Research Submitted to: Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 www.ahrq.gov AHRQ ACTION II Contract No. H…

2511. 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. …

2512. Practice-Based Research Network Business Opportunities with ACOs and Other Health Care Systems: Training and Technical Assistance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/primer-for-pbrn-business-opportunities.pdf
      September 01, 2015 - PBRNs could provide the necessary skills in detecting underlying reasons for QI performance issues and

2513. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
      October 01, 2015 - The reasons for this progress are not fully understood.

2514. Final Progress Report: Racial and Ethnic Variations in Medical Interactions (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ashton-report.pdf
      January 01, 2024 - the intervention group, also described their level of concern about follow-up and then provided reasons

2515. Summary Background Report on 2013 Retirement of Measures from the Child Core Set (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
      January 01, 2013 - member concerns were what an appropriate C-section rate is, and the measure’s failure to consider reasons

2516. Optimizing Health and Function as We Age: Roundtable Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/healthy-aging-roundtable.pdf
      September 08, 2022 - mechanisms that effectively address the non-clinical needs of older adults is challenging for multiple reasons

2517. AHRQ-Funded Patient Safety Project Highlights (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-pfe.pdf
      January 01, 2023 - Physicians used SDM less when supervising residents for many reasons (residents have fewer opportunities

2518. AHRQ-Funded Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
      June 01, 2023 - AHRQ-Funded Patient Safety 1 PATIENT SAFETY AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange Overview Research has shown that health information technology (HIT)i and health information exchange (HIE)ii make it …

2519. 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:…

2520. Using Home Visits to Understand Medication Errors in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
      May 28, 2008 - Using Home Visits to Understand Medication Errors in Children Using Home Visits to Understand Medication Errors in Children Kathleen E. Walsh, MD, MSc; Christopher J. Stille, MD, MPH; Kathleen M. Mazor, EdD; Jerry H. Gurwitz, MD Abstract Current research methods are not well designed to detect medication e…