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2921. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
      January 01, 2024 - In press. 15 References 1. Balas MC, Scott L, D., Rogers AE. … Publications and Products References Acrobat Accessibility Report Accessibility

2922. Presentation: Implementing Your SSI Prevention Bundle
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
      December 01, 2017 - introduced to systematically identify and address the barriers to eliminating surgical site infections. 39 References … Implement SSI Bundle ‹#› AHRQ Safety Program for Surgery – Implementation References Pronovost PJ

2923. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
      December 01, 2017 - Slide 47 References Slide 48 References Slide 49 28 Learn From Defects AHRQ Safety Program

2924. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
      August 01, 2010 - Hospital 14 Advocate Trinity Hospital 15 Anne Arundel Medical Center 16 Patewood Memorial Hospital 17 References … References 1. Sentinel event root cause and trend data.

2925. Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/rinke-report.pdf
      January 01, 2025 - www.aap.org/en-us/professional- resources/quality-improvement/Project-RedDE/Pages/Project-RedDE.aspx 11 References … LIST OF PUBLICATIONS and PRODUCTS References Acrobat Accessibility Report

2926. 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 - REFERENCES 1. Jiménez D, Kopecna D, Tapson V, et al. … Design, Data Sources, and Data Collection Measures Aim-specific Analyses RESULTS and DISCUSSION REFERENCES

2927. Final Progress Report: Developing biomechanical models from initiated fall actions and reactions in frail elderly patients (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
      January 01, 2024 - Engineers International Mechanical Engineering Conference and Exposition, SLC, UT, November 2019. 19 8 REFERENCES … elderly and controls. 5.3 DISCUSSION 6 Overall Conclusion 7 List of Publications and Products 8 REFERENCES

2928. Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-ehr-impact.pdf
      August 01, 2024 - diagnosis documentation in EHRs will reflect accurate, comprehensive, and patient-centered care. 9 e References … Opportunities for Improvement in Diagnostic Documentation The Future of Diagnostic Documentation Conclusion References

2929. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
      July 01, 2023 - these methods to best promote learning and, in the longer run, improve diagnostic safety. 11 e References … Patient Perceptions of Safety and Diagnostic Mishaps Directions for Future Research Conclusions References

2930. Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-reimagining-healthcare-teams.pdf
      July 07, 2023 - examination Model outputs Labs, imaging, other testing Diagnosis Pa tie nt Clinician AI 12 References … Mutual Trust Effective Communication Measurable Processes and Outcomes Barriers Conclusion References

2931. Detailed Methods for Medical Expenditure Panel Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
      December 01, 2021 - years about using a helmet when riding a bicycle or motorcycle 40.0% 34.4% 5.6% No change References … Quality Report and National Healthcare Disparities Report Measure changes due to 2018 MEPS redesign References

2932. Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
      January 01, 2025 - diagnosis_cluster 14 https://github.com/aarmiller/diagnosis_cluster https://github.com/aarmiller/delaySim References … prevalence Methods Results Results Not Yet Published Conclusions List of Publications and Products References

2933. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
      April 09, 2004 - References 1. … Dissemination of information and analysis Discussion Conclusion Acknowledgments Author affiliations References

2934. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
      January 01, 2005 - References 1. Kohn LT, Corrigan JM, Donaldson MS, editors. … Introduction Methods Analysis Results Discussion Conclusion Acknowledgments Author affiliations References

2935. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
      January 01, 2003 - References 1. Kohn LT, Corrigan, JM, Donaldson MS, editors. … Abstract Introduction Methods Results Discussion Conclusion Acknowledgments References Author

2936. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
      July 17, 2008 - References 1. Kohn LT, Corrigan JM, Donaldson MS, eds. … Discussion Key Findings Limitations and Strengths Conclusion Acknowledgments Author Affiliations References

2937. Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
      October 01, 2011 - Department of Health, PO Box 141019, Salt Lake City, UT 84114-1019; e-mail: paulhougland@utah.gov References … Infections Device Events Miscellaneous Adverse Events Discussion Acknowledgments Author Affiliations References

2938. From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
      May 05, 2008 - References 1. Kohn LT, Corrigan JM, Donaldson MS, editors. … Analysis Deliberations Stakeholder Checks Results Discussion Acknowledgments Author Affiliations References

2939. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
      July 18, 2008 - References 1. Burt CW, McCaig LF, Rechtsteiner EA. … Debriefs Clinical Team Leadership and Membership Discussion and Conclusion Author Affiliations References

2940. Helping Smokers Quit: A Guide for Clinicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/clinhlpsmkqt/clinhlpsmksqt.pdf
      May 01, 2008 - Helping Smokers Quit: A Guide for Clinicians Helping Smokers Quit Helping Smokers Quit A Guide for Clinicians 1 - 8 0 0 - Q U I T N O W National Quitline 1 - 8 0 0 - Q U I T N O W Even brief tobacco dependence treatment is effective and should be offered to every patient who uses tobacco. Even brief tobacco d…