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4001. Final Progress Report: Chronic Care Technology Planning Project (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
      January 01, 2024 - Final Progress Report: Chronic Care Technology Planning Project Chronic Care Technology Planning Project John M. Branscombe, Jr., MSB, Principal Investigator Team Members and Organizations: David Peterson, President/CEO, The Aroostook Medical Center, Presque Isle, Maine Joy Barresi-Saucier, RN, The Aroostook Medic…

4002. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
      January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) MALPRACTICE INSURERS’ MEDICAL ERROR SURVEILLANCE AND PREVENTION STUDY (MIMESPS) Principal Investigator: David M. Studdert, LLB, ScD Team Members: Harvard School of Public Health: Allison Nagy, BA Ann Louise Puo…

4003. Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
      January 01, 2024 - Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study AHRQ grant final progress report TITLE The Effect of EMR on Medication Safety: A SPUR-Net Study PRINCIPAL INVESTIGATORS AND TEAM MEMBERS Principal Investigator: Grace M. Kuo, PharmD, MPH Study Co-Investigators: Jeffrey R. Steinbauer,…

4004. Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finalsummary.pdf
      February 21, 2016 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program The National Evaluation of the CHIPRA Quality Demonstration Grant Program Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program FINAL SUMMARY This report was prepared for the Agen…

4005. Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workflow (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-10-workflow-mapping.pdf
      September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workflow Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workfow Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facili…

4006. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
      March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room Patient Identification Errors in the Operating Room 11-1 11. Patient Identification Errors in the Operating Room Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H. Introduction In the first Making Health Care Safer …

4007. 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 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA; Christine P…

4008. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
      September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science PATIENT SAFETY e Issue Brief 6 The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science This…

4009. Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cotayo.pdf
      April 22, 2004 - Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program 291 Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program Rosa M. Cotayo, Holly A. Grems, Elizabeth Sloan Abstract Patient safety is a critical dimension of program …

4010. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
      January 01, 2004 - Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration 27 Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objectives: This study examined whether clinical evidence in medical records confirms…

4011. Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
      June 15, 2003 - Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative 153 Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative Carl A. Sirio, Donna J. Keyser, Heidi Norman, Robert J. We…

4012. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
      July 01, 2003 - Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors 185 Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors Emily Beth Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless, Thomas K. Hazlet, R…

4013. Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
      January 01, 2021 - Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard rds Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard Carolyn E. Aydin, PhD; Linda Burnes Bolton, DrPH, RN, FAAN; Nancy Donaldson, DNSc, RN, FAAN; Diane Storer Brown, PhD, RN, FN…

4014. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
      March 30, 2008 - Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems Donald K. Baker, PharmD; James M. Hoffman, PharmD; Gregory A. Hal…

4015. Minding the Gaps: Creating Resilience in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
      April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care Minding the Gaps: Creating Resilience in Health Care Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD; Richard Cook, MD Abstract Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …

4016. Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse Drug Events: Study Methods (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Masica_112.pdf
      November 30, 2010 - Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse Drug Events: Study Methods Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse Drug Events: Study Methods Andrew L. Masica, MD, MSc; Daniel R. Touchette, P…

4017. Continuity of Insurance: Duration of First Observed Enrollment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-fullreport.pdf
      June 01, 2018 - Continuity of Insurance: Duration of First Observed Enrollment 1 Continuity of Insurance: Duration of First Observed Enrollment Section 1. Basic Measure Information 1.A. Measure Name Continuity of Insurance: Duration of First Observed Enrollment 1.B. Measure Number 0156 1.C. Measure Description Please …

4018. Asthma 1: Emergency Room Visits for Children between 3 and 21 with identifiable asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sas-code.pdf
      October 31, 2018 - Asthma 1: Emergency Room Visits for Children between 3 and 21 with identifiable asthma /* Title: Asthma 1: Emergency Room Visits for Children between 3 and 21 with identifiable asthma Original Author: Dr Lawrence Kleinman and the CAPQuaM Center for Excellence. Modifications: Dr. Michael Cabana and Dr. Naomi Bard…

4019. Continuity of Insurance: Informed Participation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-fullreport.pdf
      May 23, 2018 - Continuity of Insurance: Informed Participation 1 Continuity of Insurance: Informed Participation Section 1. Basic Measure Information 1.A. Measure Name Continuity of Insurance: Informed Participation 1.B. Measure Number 0153 1.C. Measure Description Please provide a non-technical description of the me…

4020. Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
      May 13, 2019 - Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report Neonatal Intensive Care All-Condition Readmissions Without Gestational Age Section 1. Basic Measure Information 1.A. Measure Name Neonatal Intensive Care All-Condition Readmissions Without Gestational Age 1.B. Measure Number…