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241. Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
     January 01, 2025 - Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse TITLE … to report major permanent event 10 53 9 47 Required to report major temporary event 11 58 8 42 Required … to report minor permanent event 11 58 8 42 Required to report minor temporary event 13 68 6 32 Required … to report near miss 14 74 5 26 Don't know what required to report 9 47 10 53 *Definitions of each … Accessibility Report Filename: 17137 McFarland-V1.pdf Report created by: Mark Templo Organization

242. Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
     January 01, 2024 - Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer … This report summarizes data from the first 6-month arm of the single-site pilot study. … Individual patient data regarding BSIs were abstracted from the monthly laboratory confirmed BSI report … The likelihood of this possibility is supported by previous reports of the advantages of checklists … associated with increase infection risk compared to tunneled catheters.34 There are inconclusive reports

243. Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
     January 01, 2024 - Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist … have provided feedback to participating hospitals reflecting data received in the form of benchmarked reports … These reports have received the attention of all levels of hospital personnel, including hospital boards … Our analyses have been organized around specific questions; we thus report them accordingly. … In addition, when we compared achievement of implementation objectives versus staff reports of checklist

244. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
     January 01, 2024 - Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer … Final Progress Report Producing Evidence: Coordination within a Multiteam System Makes Healthcare … post-fall huddles nested by hospital Database to collect and organize fall event and post-fall huddle reports … Overview of hospital stays in the united states, 2012. http://www.hcup- us.ahrq.gov/reports/statbriefs … Int J Qual Health Care. 1998;10(1):15-26. 22 | P a g e http://www.hcup-us.ahrq.gov/reports/statbriefs

245. Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
     January 01, 2024 - Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs … Key Words Ambulatory Surgery Centers, FMEA, risks, preoperative nursing assessment 2 Final Report … Reports of Investigation. Adverse events in ambulatory surgery. … Reports of Investigation. Unanticipated admission after ambulatory surgery – a prospective study. … Accessibility Report Filename: 17113 Kupka-V1.pdf Report created by: Rhea Jones, 508 Compliance

246. Final Progress Report: Impact of state policies on nursing home patient safety culture (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
     January 01, 2024 - Final Progress Report: Impact of state policies on nursing home patient safety culture Title of Project … Moreover, reports from the US General Accounting Office (GAO) throughout the past decade suggest that … One of the key insights of the “To Err is Human” report by the Institute of Medicine (IOM) was that … The figure reports the average rate of positive responses for a nursing home over all 12 domains and … Report Filename: 24923-Li-V1-508.pdf Report created by: Rhea Jones, 508 Compliance Specialist

247. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
     January 01, 2024 - Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) … Principal Investigator: Hall, Kendall K. 7P20HS017111-02 FINAL REPORT Evaluation of Risk by Active … , and the report does not necessarily reflect important factors that are precursors to errors. … surveillance involves direct solicitation of event reports. … In a majority of cases, there was no clear report on harm.

248. Final Progress Report: Inpatient Provider Rounding Prioritization of Patients Ready for Discharge (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/burden-report.pdf
     January 01, 2024 - Final Progress Report: Inpatient Provider Rounding Prioritization of Patients Ready for Discharge Final … Progress Report to Agency for Healthcare Research and Quality Title of Project Inpatient Provider … Per the Society of Hospital Medicine State of Hospital Medicine Report from 2018, approximately 33% … Society of Hospital Medicine 2018 State of Hospital Medicine Report.

249. Final Progress Report: Videotaping communication between physicians and nurses: A methods study (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
     January 01, 2024 - Final Progress Report: Videotaping communication between physicians and nurses: A methods study TITLE … this was a study to determine the feasibility of a method, there are no interventions or measures to report … Stimulated recall: A report on its use in naturalistic research.

250. Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/ratwani-report.pdf
     January 01, 2024 - Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians … An AHRQ report published nearly 10 years ago described several working conditions that affect patient … safety.1 The report highlighted task interruption in the context of physician’s working conditions, … In addition, the report suggested that there are serious medical errors and adverse patient outcomes … Numerous studies have since confirmed the assertions in the AHRQ report; interruptions are not simply

251. Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
     January 01, 2024 - Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention Labor and Delivery … Evidence Report & Technology Assessment, 151, 1-115.

252. Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
     January 01, 2024 - Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications … Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications AHRQ Grant Final Progress … Report Title of Project: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications … However, this limitation may also potentially exist in prospectively collected data if patients do not report

253. Final Progress Report: Quality of bag mask ventilation in critically ill children (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/nishisaki-report.pdf
     January 01, 2024 - Final Progress Report: Quality of bag mask ventilation in critically ill children Grant Number: R03HS026939

254. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
     January 01, 2024 - Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults Improving Over-the-Counter … their OTC safely and required a pharmacist intervention with their OTC medication22; 80% of Americans report … Older Adult Medical/Demographics Form: This form includes the self-report of disease information using

255. Final Progress Report: Simulation to Support Competency-Based Training in Orthopedic Trauma (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/anderson-thomas-report.pdf
     January 01, 2024 - Final Progress Report: Simulation to Support Competency-Based Training in Orthopedic Trauma 1. … Readers should not interpret any statement in this report as an official position of AHRQ or of HHS. … authors has any affiliation or financial involvement that conflicts with the material presented in this report … We report these characterizations of simulator performance in peer-reviewed publications.

256. Final Progress Report: Demonstration of Quality Improvement of Medication Therapy Management Services (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/doucette-report.pdf
     January 01, 2024 - Final Progress Report: Demonstration of Quality Improvement of Medication Therapy Management Services … AHRQ Grant Final Report Project Title: Demonstration of Quality Improvement of Medication Therapy … (In review). 16 AHRQ Grant Final Report STRUCTURED ABSTRACT PURPOSE SCOPE METHODS RESULTS … REFERENCES LIST OF PUBLICATIONS AND PRODUCTS Acrobat Accessibility Report … Accessibility Report Filename: 18353 Doucette-V1.pdf Report created by: Rhea Jones, 508 Compliance

257. Final Progress Report: Shared Online Health Records for Patient Safety and Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/middleton-wald-report.pdf
     January 01, 2024 - Final Progress Report: Shared Online Health Records for Patient Safety and Care FINAL REPORT: December … Discussion In this report, we present the results of a system-wide, randomized clinical trial of a web … diabetes-specific PHR were markedly more likely to have their regimens changed at their next clinic visit and to report … also the risk that it might identify a provider who appeared to have missed a medication or failed to report

258. Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
     January 01, 2024 - Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting … pharmacy Pharmacy Evaluate Contact prescriber if necessary Dispense Counsel patient Report … Order and follow-up on lab tests Contact patient for follow-up visit Obtain any reports … Patterns of Medication Use in the United States 2005: A Report from the Slone Survey. http://www.bu.edu

259. Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
     January 01, 2024 - Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment … Medication Management at Home Final Report Medication Management at Home: Patient-Identified Processes … AHRQ PS/P20 HS17143-01, 2007-2009 Page 1 Medication Management at Home Final Report STRUCTURED … We present all the results of this qualitative analysis in this report. … Summary Report of Demographics Reported Inferred Vulnerabilities by Demographic Grouping Frequency

260. Final Progress Report: Identification and Dissemination of Best Practices for Patient-Centered Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/aboumatar-report.pdf
     January 01, 2024 - Final Progress Report: Identification and Dissemination of Best Practices for Patient-Centered Care … Identification and Dissemination of Best Practices for Patient-Centered Care Final Report Principal … Published reports of patient stories and recent results from national surveys of patient experiences … • Castle Medical Center: Shift report includes existing and new medications review with the patient … The patient is informed about the plan for the day during report.