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2041. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
      June 01, 2023 - of omission and commission, communication errors may follow similar patterns and are particularly relevant … history) from patients who are incapacitated, experiencing impaired mentation or cognition, or lacking relevant

2042. Final Progress Report: Evaluating treatment options and patterns of care in early pregnancy failure (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/dalton-report.pdf
      January 01, 2024 - A more relevant assessment of cost would be to estimate the impact of expanding treatment options available

2043. Final Progress Report: Automated Medical Interviewing for Diagnostic Decision Support in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/newman-toker2-report.pdf
      January 01, 2025 - One possible option is to conduct automated interviews to gather relevant diagnostic information from

2044. Final Progress Report: Demonstration Project To Refine, Automate and Test a Novel Emergency Department Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
      January 01, 2025 - This is especially relevant, because AEs are a heterogeneous construct, requiring thoughtful approaches

2045. Final Progress Report: Team-Based Safe Opioid Prescribing (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
      January 01, 2024 - shared learning calls, at quarterly check-ins, as well as records of questions asked by the sites and relevant

2046. Primary Care Practice Facilitation Curriculum Module 9: Using Appreciative Inquiry with Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
      September 01, 2015 - In addition, it can be helpful to include individuals with unique expertise or life experience relevant

2047. Final Progress Report: Training Doctors To Disclose Unanticipated Outcomes to Patients: Randomized Trial (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher3-report.pdf
      January 01, 2024 - We pursued recruitment at UW in close collaboration with the relevant clinical departments and their

2048. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
      March 01, 2016 - Innovations 1 Resources by Composite The following resources are organized according to the relevant

2049. 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 - curriculum development fostered their support for the curriculum and helped make the trainings both relevant

2050. New Models of Primary Care Workforce and Financing - Case Example #3: Fairview Health Services (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_3.pdf
      October 01, 2016 - community partners such as the Alzheimer’s Association are invited to present new information on topics relevant

2051. Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
      January 01, 2025 - working on that entry and the ED physician’s assessment of whether or not the result is clinically relevant

2052. Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/finalsummary.pdf
      February 21, 2016 - curriculum development fostered their support for the curriculum and helped make the trainings both relevant

2053. 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 - Increased functioning in relevant settings and higher perceived social support contribute to recovery

2054. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
      January 01, 2003 - Clinical reasoning and decisionmaking enable nurses to analyze information relevant to patient care.

2055. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Other relevant state-based reporting systems (e.g., reporting to state health departments) should retrieve

2056. A Guide to Real-World Evaluations of Primary Care Interventions: Some Practical Advice (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/guide-to-real-world-evaluations.pdf
      October 01, 2014 - Motivation and buy-in of evaluation staff and other relevant stakeholders, such as clinicians and staff

2057. Daily Care Processes Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
      January 01, 2017 - multidisciplinary and specialty- specific educational programs.35,36 Sessions must be informative and relevant

2058. Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/lacson2-report.pdf
      January 01, 2025 - Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) Title: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) Principal Investigator: Ronilda Lacson, MD, PhD Team Members: Ramin Khorasani, MD, MPH Katherine Andriole, PhD Luciano Prevedello, MD, MPH Tejal …

2059. 2. Evidence of Disparities among Ethnicity Groups | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 2. Evidence of Disparities among Ethnicity Groups Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Intro…

2060. Advances in Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advances/index.html
      July 01, 2022 - Advances in Patient Safety Next Page Table of Contents Advances in Patient Safety Acknowledgments Preface Peer Reviewers for Volume 1. Research Findings Peer Reviewers for Volume 2. Concepts and Methodology Peer Reviewers for Volume 3. Implementation Issues Peer Reviewers for Volume 4. Pro…