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221. Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
     January 01, 2024 - Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation … The 10 key actions to help patients detect and prevent medication errors were derived from reports of … The data reports allowed participants to quickly view any differences between leader scores and staff … A new report reflecting the planned strategies can be generated and compared with the initial report … The chain market report. Computer Talk for Pharmacists 2008.

222. Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
     January 01, 2025 - Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers Risk-Informed … Clinical Network for Safe Pediatric Emergency Transfers Final Report October 31, 2012 Principal … Serious adverse outcomes occurred in 55 reports (31%), including major physiological derangement (15% … patients or clinicians was recorded, and such information is not intended to be included in any papers or reports … BIBLIOGRAPHY Acrobat Accessibility Report Accessibility Report Filename: 17912

223. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
     January 01, 2025 - Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery … Limited systems thinking • Highly variable definitions of error • Lack of clarity over what and when to report … workspace, and organization interact to influence their performance, so details are often omitted from the reports … This is not to say that there is no value in these reports and data, but rather we need to extend our … Accessibility Report Filename: 26625-Catchpole-V1-508.pdf Report created by: Rhea Jones,

224. Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
     January 01, 2024 - Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine Principal Investigator … Hogan, MPA Contract Dates: July 1, 2005, to June 30, 2008 (including 1-year no-cost extension) FINAL PROGRESS … REPORT Principal Investigator: Rollin J. … Published reports have asserted that ED-based pharmacists have the potential to reduce iatrogenic harm … ASHP Report: Study Equivocal, But Faith in ED Pharmacists Still Strong.

225. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/21093-Lambert-draft-1.pdf
     November 20, 2017 - Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety Principal Investigator … We report progress in each of these areas below. … Traditional approaches to pharmacovigilance largely involve analysis of spontaneous reports, with numerous … MEDMARX data report. … MEDMARX data report A report on the relationship of drug names and medication errors in response to

226. Final Progress Report: Drug-Drug Interaction Clinical Decision Support Conference Series (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/21826-Malone-draft-1.pdf
     March 01, 2015 - Final Progress Report: Drug-Drug Interaction Clinical Decision Support Conference Series Drug-Drug … Key Words: clinical decision support, alerts, drug interactions, medication safety, CPOE 2 REPORT … Drug Interaction Probability Scale (DIPS),12 to be developed specifically to evaluate individual case reports … Available from http://www.ahrq.gov/research/findings/final-reports/medteam/index.html 33. … PMID: 21343376. 18 REPORT

227. Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/18465-Kesselheim-draft-1.pdf
     January 01, 2015 - Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization PI … First, I conducted a qualitative analysis of reports from physicians and participants in the private-sector

228. Final Progress Report: Automated Image Analysis for the Prevention of Radiotherapy Delivery Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/lamb-report.pdf
     January 01, 2024 - Final Progress Report: Automated Image Analysis for the Prevention of Radiotherapy Delivery Errors … Final Report: Automated Image Analysis … The CBCT algorithm was implemented in a prototype clinical system that produced a summary report of … Journal of Applied Clinical Medical Physics. 2023:e14016. 9 Final Report: Automated Image Analysis … Accessibility Report Filename: 26486 Lamb.pdf Report created by: Mark Templo Organization

229. 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

230. 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

231. 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

232. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14281-Scott-Cawiezell-draft-1.pdf
     September 29, 2007 - Final Progress Report: Technology To Improve Medication Safety in Nursing Homes Nursing Home Medication … Final Report Fall 2007 Nursing Home Medication Safety 2 Structured Abstract Purpose: Nursing home … Using the missing medication report and reports from staff, the nursing home was able to work with the … The provision of multiple forms of information, particularly the reports that could be generated from … Final report for Nursing Home Working Conditions & Quality of Care.

233. 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.

234. 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

235. 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

236. 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

237. 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.

238. Best Practices for Treating Long COVID Summit: Summary Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/covid-19/long-covid-summit-report.pdf
     February 27, 2023 - Best Practices for Treating Long COVID Summit: Summary Report                     … Best Practices for Treating Long COVID Summit Summary … existence of a group of specialists who “get it”—that is, a group of specialists who believe patients’ reports … Breakout Session Reports Facilitator: Edmondo J. … Research and Quality Rockville, Maryland 23 Best Practices for Treating Long COVID Summit Summary

239. 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

240. 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