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201. Final Progress Report: Conference on Medical Error Communication and Dispute Resolution (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
     January 01, 2024 - Final Progress Report: Conference on Medical Error Communication and Dispute Resolution g/o/cbl/pew … Kalkut, MD, and Eran Bellin, MD, Montefiore Medical Center’s Computerized System for residents to Report

202. Final Progress Report: Regional Approach for THQIT in Rural Settings - Planning (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/walker-report.pdf
     January 01, 2024 - Final Progress Report: Regional Approach for THQIT in Rural Settings - Planning FINAL PROGRESS REPORT … -01 Page 2 of 13 FINAL PROGRESS REPORT Grant Number: 1 P20 HS015457-01 Structured Abstract Purpose … Page 4 of 13 FINAL PROGRESS REPORT Grant Number: 1 P20 HS015457-01 But Geisinger does not exist … Page 10 of 13 FINAL PROGRESS REPORT Grant Number: 1 P20 HS015457-01 Discussion: 1. … Page 11 of 13 FINAL PROGRESS REPORT Grant Number: 1 P20 HS015457-01 2.

203. Final Progress Report: Patient-centered approach to reducing harm from VTE (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/rothberg-report.pdf
     January 01, 2024 - Final Progress Report: Patient-centered approach to reducing harm from VTE Title: Patient-centered … Discussion This final report includes the main findings of our studies to date.

204. Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
     January 01, 2024 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training … Total Enrollment Report: Number of Participants Enrolled to Date (Cumulative) By Ethnicity and Race

205. Final Progress Report: 2008 Local Area Networks for Excellence (LANE) Conference (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/stone-benner-report.pdf
     January 01, 2024 - Final Progress Report: 2008 Local Area Networks for Excellence (LANE) Conference 2008 Local Area Networks … for Excellence (LANE) Conference Final Progress Report Robyn I. … Ulcers: Best Practices X 3.5 9 2008 Local Area Networks for Excellence (LANE) Conference: Final Progress … Report 1.

206. Final Progress Report: Probabilistic Risk Assessment Chicago Transplant Inquiry Study (PRACTIS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/cook-report.pdf
     January 01, 2024 - Final Progress Report: Probabilistic Risk Assessment Chicago Transplant Inquiry Study (PRACTIS) FINAL … REPORT Project title: Probabilistic Risk Assessment Chicago Transplant Inquiry Study (PRACTIS) Principal … Grant Award Number: UC1 HS14261-01 Final Report Page 1 STRUCTURED ABSTRACT Purpose: The purposes … Final Report Page 4 6. … Final Report Page 5 FINAL REPORT STRUCTURED ABSTRACT 2. Purpose 3. Scope 4. Methods 5.

207. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
     January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety Final Progress Report … quantify work hours and sleep in interns during a traditional work schedule; 2) to compare subjective reports … The report found that errors in healthcare should be seen as the results of complex system failures … of two nurse chart reviewers and six physician observers collected data, supplemented by voluntary reports … In Press N Engl J Med 2005. 15 Final Progress Report Abstract Purpose Scope Methods Results

208. Final Progress Report: Process Reliability and Organizational Learning in Home Health Care (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
     January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care PROL IN … (www.medqic.org, accessed 2/10/07). 12 OASIS-Based Home Health Agency Patient Outcome and Case Mix Reports … Literature Cited Acrobat Accessibility Report Accessibility Report Filename … : 17903-Silver-V1-508.pdf Report created by: Rhea Jones, 508 Compliance Specialist Organization … manual check: 5 Passed manually: 0 Failed manually: 0 Skipped: 1 Passed: 26 Failed: 0 Detailed Report

209. Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
     January 01, 2024 - Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT) STRAIT … Handovers Handovers are “conversations rather than reports” (Brandwijk, 2003) and typically consist … These vignettes were derived from observations, reports from clinicians, and occurrence-reporting systems … clinicians taught their colleagues how to utilize the handover tool and how to provide or receive reports … STRAIT (5U18HS016651-02) Final Report Weinger et al Figure 1.

210. Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
     January 01, 2024 - Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology … We used an approach similar to that used for the CMS Outcome-Based Quality Improvement (OBQI) reports … There were no statistically significant differences between usual care and intervention group patient reports … Self-Efficacy Scale (MASES), mean (SD) – higher scores=higher self-efficacy 32.0 (7.7) 32.4 (7.8) 0.55 Patient reports … National Center for Health Statistics (NCHS).Report of the Long-Term Care Statistics Program Review

211. Final Progress Report: The National Quality Forum National Annual Policy Conference 2007 (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
     January 01, 2025 - Final Progress Report: The National Quality Forum National Annual Policy Conference 2007 The National … CMS reports that hospitalization costs account for approximately 40% of the cost to Medicare for healthcare … This report builds on the Institute of Medicine’s 2003 report, Priority Areas for National Action: … of the activities above and propose a final set of candidate measures for future testing in public reports … Accessibility Report Filename: 17401 Corrigan combined-V1 (1) (1) (1) (1).pdf Report created

212. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
     January 01, 2024 - Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors … Scope Institute of Medicine (2004) reports on patient safety and medical error have led to an emphasis … We then added work flow barriers to the process maps and compiled the reports of how these barriers

213. Final Progress Report: Determining a Learning Curve for Complex Laparoscopic Gastrointestinal Surgery (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/fowler-report.pdf
     January 01, 2024 - Final Progress Report: Determining a Learning Curve for Complex Laparoscopic Gastrointestinal Surgery … Title Page Final Progress Report Determining a Learning Curve for Complex Laparoscopic Gastrointestinal … academic year, the Fellowship Council formally initiated the use of assessment tools to measure and report … In addition to the performance scores, the reports include data on the name and date of the procedure … These data have been analyzed and these analyses constitute the substance of this Final Progress Report

214. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
     January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting … analyses of MEDMARX, an anonymous, de- identified, national database that health systems use to collect, report … voluntary national, internet-accessible database that hospitals and healthcare systems use to collect, report … error reports (harmful + non-harmful). … Administering errors were involved in 48% of all medication error reports.

215. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
     January 01, 2024 - Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety Risk Models to Improve … Thomas and Brennan report almost a four-fold difference in the rates of hospitalized patients 64 and … One study reports a rate of 4.8/1000 transcription errors for handwritten prescriber orders—typically … Portland,OR. 24 American Health Care Association: 2002 CMS OSCAR Data Reports. … NRC Letters and Reports: 12/15/1999. 30 Kanki BG, Marx D, Hale MJ.

216. Final Progress Report: Triage and Allocation Model for Primary PCI After STEMI (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/concannon-report.pdf
     January 01, 2025 - Final Progress Report: Triage and Allocation Model for Primary PCI After STEMI Final Report Triage … The content of this report is solely the responsibility of the principal investigator and team members … Concannon TW, Comparative effectiveness of STEMI emergency response strategies Other Publications and Reports … Concannon, Triage and Allocation Model for Primary PCI After STEMI Page 19 Final Report Triage … Accessibility Report Filename: 17726 Concannon-V1-508.pdf Report created by: Mark Templo

217. Final Progress Report: IMPACTS: Improving Medical Performance during Acute Crises Through Simulation (pdf file)
     www.ahrq.gov/sites/default/files/2025-07/weinger3-report.pdf
     January 01, 2025 - Final Progress Report: IMPACTS: Improving Medical Performance during Acute Crises Through Simulation … REDCap™), secure assignment and management of remote raters, remote analyses and ratings, and export of reports … data do not include any ratings of the Wilson scenario as these were not complete at the time of this report … The results of this screening were published as a Brief Report.8 We noted that concerning HA scores … Rating the 4th scenario (CP/thyrotoxicosis) was not complete at the time of writing this report, therefore

218. Patient Safety Action Alliance: Request for Information (RFI) Summary Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-rfi-report-040323_LOCKED.pdf
     March 01, 2023 - Patient Safety Action Alliance: Request for Information (RFI) Summary Report Patient Safety Action … Alliance Request for Information (RFI) Summary Report March 2023 Background: At the direction … and similar frameworks https://www.ahrq.gov/patient-safety/reports/safer-together. … https://www.ahrq.gov/patient-safety/reports/safer-together 4. … Patient Safety Action Alliance Request for Information (RFI) Summary Report March 2023 Question 1:

219. Final Progress Report: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL) (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
     January 01, 2025 - Final Progress Report: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL) Final … Progress Report Project Title: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL … Problem analysis data were collected through observations (n=21), safety reports (n=25), semi-structured … Final Progress Report CHIRAL Center Goals & Accomplishments CHIRAL Administrative and Operations … Accessibility Report Filename: 23554-Chaudhry-V1-508.pdf Report created by: Rhea Jones, 508

220. Final Progress Report: Workload effects on response time to life-threatening arrhythmias (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/segall-report.pdf
     January 01, 2024 - Final Progress Report: Workload effects on response time to life-threatening arrhythmias Workload effects … The content of this report is solely the responsibility of the author and does not necessarily represent … Popular press reports of sentinel events suggest that Duke is not alone in struggling with safe patient … included interpreting the cardiac rhythms of current and new patients, making phone calls to units to report … weighted based on importance (e.g., a larger weight was assigned to the task of making a phone call to report