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401. Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23459-McCarthy-draft-1.pdf
     July 01, 2019 - Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use … intoxicated as judged by the research staff or ED provider; chronically taking opioids (as defined by self-report … For all patients combined, patient report of counseling in the ED was high for medication name and indication … Otherwise, there were no differences in provider report of counseling.

402. Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
     January 01, 2024 - Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors … events associated with the prescribing process have been well described in recent Institute of Medicine reports … .11-13 According to a report from the eHealth Initiative, electronic prescribing (e-prescribing) "refers … The study utilized a self-report method to detect changes in pharmacy callbacks and may well have been … Case report: activity diagrams for integrating electronic prescribing tools into clinical workflow.

403. Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
     January 01, 2025 - Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey … Limitations This study relied on PCP self-report which means clinicians can either under or over report … Nurses' and nursing assistants' reports of missed care and delegation. … Transforming concepts in patient safety: a progress report. … Accessibility Report Filename: 24758-Poghosyan-V1-508.pdf Report created by: Rhea Jones,

404. Final Progress Report: AUA 2022 Quality Improvement Summit: Opportunities to Improve Care in Urology (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/gore-report.pdf
     January 01, 2024 - Final Progress Report: AUA 2022 Quality Improvement Summit: Opportunities to Improve Care in Urology … palliative care, patient-centered care, end-of-life care, pain management, symptom management Final Progress … Report Purpose The World Health Organization (WHO) defines palliative care as treatment that “improves … following high-risk surgeries found that the implementation of palliative care services resulted in reports … by urology residency programs, including incorporating palliative care into morbidity and mortality reports

405. Final Progress Report: Older adult safety while receiving home health services after hospital discharge (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
     January 01, 2024 - Final Progress Report: Older adult safety while receiving home health services after hospital discharge … Report to the Congress: Medicare Payment Policy. … J Gen Intern Med. 2014. 13 file://homer/WHAS/Care%20Transitions%20NPSF/NPSF/Grants/Reports/K%20Progress

406. Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
     January 01, 2024 - Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids … in Primary Care Final Progress Report Reducing Adverse Drug Events from Anticoagulants, Diabetes … Guide to Patient and Family Engagement: Environmental Scan Report. … Annual Surveillance Report of Drug-Related Risks and Outcomes — United States, 2017. … Surveillance Special Report 1. Centers for Disease Control and Prevention, U.S.

407. Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
     January 01, 2024 - Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety … Final Progress Report: Implementing Reduced Work Hours for All House Staff to Improve Patient Safety … Improving patient safety--five years after the IOM report. … Report No.: Tech.Memo.(in press). … Washington, DC: The National Academies Press; 2008. 20 Final Progress Report: Implementing Reduced

408. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/thomas-report.pdf
     June 30, 2015 - AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance AHRQ … GRANT FINAL PROGRESS REPORT Title: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance … Ninety-five percent of the reports were for angles 30 degrees or above. … Eight reports (1.2%) documented angles less than 30 degrees, and 34 reports (5.6%) documented angles … feedback improves compliance with head- of-bed angle for intubated patients. 21 AHRQ GRANT FINAL PROGRESS

409. AHRQ Grant Final Progress Report: Context-Based Hand-Gesture Recognition for the Operating Room (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/wachs2-report.pdf
     September 30, 2013 - AHRQ Grant Final Progress Report: Context-Based Hand-Gesture Recognition for the Operating Room AHRQ … Grant Final Progress Report Title of Project: Context-Based Hand-Gesture Recognition for the Operating … - Context-Based Hand-Gesture Recognition for the Operating Room Page 20 of 20 AHRQ Grant Final Progress … Report Contents 1 Structured.Abstract 2 Purpose 3 Scope 4 Methods 5 Results 6 List of Publications

410. Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
     January 01, 2024 - Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall … Many hospital systems in the United States report injurious falls using the National Database of Nursing … Based on published literature and ranking of injurious fall incident reports (n=85) from Brigham and … Data Sources/Collection: Data sources include the electronic health record (EHR) database, incident reports … M, Mullin M, Newmark R, Dykes PC.Best practices for data visualization: creating and evaluating a report

411. Final Progress Report: Comprehensive Analysis of Data from Testing the Re-engineered Hospital Discharge (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17354-Chetty-report.pdf
     September 29, 2010 - Final Progress Report: Comprehensive Analysis of Data from Testing the Re-engineered Hospital Discharge … Final Progress Report Title of Project: Comprehensive Analysis of Data from Testing the Re-engineered

412. Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17118-Dierks-report.pdf
     June 01, 2011 - Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign … Agency for Healthcare Research and Quality grant 1P20HS017118-01 for funding the work described in this report … Israel Deaconess Medical Center  Case summaries from Joint Commission-mandated root cause analysis reports … the Patient Safety Reporting System, the Adverse Event Management System, and root cause analysis reports

413. Final Progress Report: Older adult safety while receiving home health services after hospital discharge (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/22916-Arbaje-report.pdf
     January 15, 2018 - Final Progress Report: Older adult safety while receiving home health services after hospital discharge … Report to the Congress: Medicare Payment Policy. … J Gen Intern Med. 2014. 13 file://homer/WHAS/Care%20Transitions%20NPSF/NPSF/Grants/Reports/K%20Progress

414. Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
     January 01, 2024 - Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic … interventions that improved outcomes, including reduction in alarm notifications, reductions in nurse reports … IPD graduate students performed an in-depth review of the findings of problem analysis, including reports … Twenty-six nurses provided repeated reports (n=394) of their subjective workload in the preceding 2 … impacted key indicators of success, including reduction in alarm notifications, improvements in nurse reports

415. Final Progress Report: Pneumonia Mortality Risk Index to Support Discussions of Care Options with Elders (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/naughton-report.pdf
     January 01, 2024 - Final Progress Report: Pneumonia Mortality Risk Index to Support Discussions of Care Options with Elders … TITLE PAGE FINAL Progress Report for 1R03HS023656-01A1 FINAL REPORT Period: 08/01/2015 … FINAL Progress Report 1R03HS023656-01A1 REVISED 2 Shared and informed decision making about care … FINAL Progress Report 1R03HS023656-01A1 REVISED 3 There are limitations, of course. … FINAL Progress Report 1R03HS023656-01A1 REVISED 5 Untitled TITLE PAGE: FINAL Progress Report 1

416. Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16261-Johnson-draft-1.pdf
     June 01, 2007 - Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors … events associated with the prescribing process have been well described in recent Institute of Medicine reports … .11-13 According to a report from the eHealth Initiative, electronic prescribing (e-prescribing) "refers … The study utilized a self-report method to detect changes in pharmacy callbacks and may well have been … Case report: activity diagrams for integrating electronic prescribing tools into clinical workflow.

417. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19552-Corbett-draft-1.pdf
     December 31, 2011 - Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the

418. Final Progress Report: Using an Electronic Health Record to Examine Nurse Continuity and Pressure Ulcers (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/stifter-report.pdf
     January 01, 2024 - Final Progress Report: Using an Electronic Health Record to Examine Nurse Continuity and Pressure Ulcers … with three adverse patient outcomes (medication errors, falls, and pressure ulcers) using incident reports … Willis, please find enclosed the two attachments to accompany the Final Progress Report for the AHRQ … Retrieved from: http://www.hcup-us.ahrq.gov/reports/statbriefs/sb64.pdf 70. … Retrieved from: http://web.ebscohost.com.proxy.cc.uic.edu http://www.hcup-us.ahrq.gov/reports/statbriefs

419. Final Progress Report: Conference: Physician-Level Interventions: What Works to Improve Quality of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/wolfson-report.pdf
     January 01, 2024 - Final Progress Report: Conference: Physician-Level Interventions: What Works to Improve Quality of Care … Purpose Following the 2001 report by the Institute of Medicine, Crossing the Quality Chasm: A New … On the private side, these interventions include efforts to collect and report physician-level clinical … The vast majority of physicians voluntarily undertake re-certification activities, and they report … clinical practices to achieve it—is in fact overwhelmed and masked by requirements to measure and report

420. Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
     January 01, 2025 - Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE … Available from: https://goldcopd.org/gold-reports/. 2. Global Initiative for Asthma. … Available from: https://ginasthma.org/gina-reports/. 3. … Page 11 of 13 https://goldcopd.org/gold-reports/ https://ginasthma.org/gina-reports/ 8. … Report Filename: 24964-Joo-V1-508.pdf Report created by: Rhea Jones, 508 Compliance Specialist