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441. ASC, Report Output, Report: 'Fault Tree Diagram', Data Source File: 'ASC Fault Tree_with_change' (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpraapf.pdf
     June 02, 2025 - ASC, Report Output, Report: 'Fault Tree Diagram', Data Source File: 'ASC Fault Tree_with_change' … From Page 56 Event418 Nurse fails to recognize infection Gate223 Pt - Fails to notice or report … visit) Q:0.0105 To Page 36 Event433 Pt has bug post-op Gate223 Pt - Fails to notice or report … Fault Tree Diagram File Name: ASC Fault Tree_with_change.RFP Gate223 Pt - Fails to notice or report … infection Q:0.21 Event599 Fail to report infection Q:0.01 Gate341 Fail to notice infection

442. Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
     January 01, 2024 - Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation … 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 … data-driven care–resources are focused and coordinated at the system level, relying on administrative reports

443. Final Progress Report: Developing a Rational Clinical Approach to the Disposition of TIA Cases in the ED (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/reeves-report.pdf
     January 01, 2024 - Final Progress Report: Developing a Rational Clinical Approach to the Disposition of TIA Cases in the … TITLE PAGE April 10th, 2012 Final Report Grant No: 1R03HS017740-01 Project Period: 07/01/2009 – 06 … revealed some interesting differences, especially for MRI scans - only 21% of the time did physicians report … Acrobat Accessibility Report Accessibility Report Filename: 17740-Reeves-508.pdf Report created … manual check: 2 Passed manually: 0 Failed manually: 0 Skipped: 1 Passed: 29 Failed: 0 Detailed Report

444. Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral and social determinants of health (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/zabar-report.pdf
     January 01, 2024 - Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess … Figure 1: SDoH Report The dissemination plan for these reports can be found in Figure 2. … bi-weekly to residents • Attached to other routine reports Report 3 (September 2018) • Met with … at faculty/ nursing meetings • Attached to other routine reports Report 5 (October 2019) • Met … at faculty/ nursing meetings • Attached to other routine reports Figure 2: Audit Feedback Report

445. Episiotomy (Overuse): Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
     March 01, 2016 - Episiotomy (Overuse): Report Episiotomy (Overuse) Section 1. Basic Measure Information 1.A. … The measure is supported by ACOG guidelines and reviews of literature that report on systematic evidence … A report published by the Agency for Healthcare Research and Quality (AHRQ), The Use of Episiotomy … variables, such as pelvic muscle strength measured by perineometry, urodynamic test results, or early reports … Summary, Evidence Report/Technology Assessment No. 112.

446. Final Progress Report: Developing biomechanical models from initiated fall actions and reactions in frail elderly patients (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
     January 01, 2024 - Final Progress Report: Developing biomechanical models from initiated fall actions and reactions in frail … 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 … fit by corrective actions; by time to regain balance; by physiological deficits. 3) Preparation of Reports … a) Tasks: AHRQ final report, writing, submitting, and presenting articles A summary table of participant

447. Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
     January 01, 2024 - Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related … Hospitalizations in Older Adults AHRQ Grant Final Progress Report Prescription Opioid Use Trajectories … New AHRQ reports highlight seniors’ struggles with opioids. 2018. https://www.ahrq.gov/news/newsroom/ … Prev Chronic Dis. 2019;16:E157. 18 | P a g e https://www.hcup-us.ahrq.gov/reports/statbriefs/sb244- … PLOS Medicine 2022. 19 | P a g e AHRQ Grant Final Progress Report Untitled

448. Final Progress Report: Engineering Highly Reliable Communication and Coordination Systems for High-Risk Patients, Referrals, and Tests (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/singer-benneyan-phillips-report.pdf
     January 01, 2025 - Final Progress Report: Engineering Highly Reliable Communication and Coordination Systems for High-Risk … Patients, Referrals, and Tests 1 Title Page Final Progress Report Engineering Highly Reliable … These reports required teams to clarify their project aims; define and report a set of process, outcome … These reports provided opportunity for teams to reflect on their own progress and learn from consolidating … Accessibility Report Filename: 24453 Singer-V1.pdf Report created by: Mark Templo Organization

449. National Implementation Project Reports | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/national/index.html
     December 01, 2016 - National Implementation Project Reports Central Line Insertion Care Team Checklist Checklist … A Companion Guide to the National On the CUSP: Stop BSI Project Final Report . … This companion guide provides supporting documentation for the final report. … Eliminating CLABSI, A National Patient Safety Imperative—A Progress Report on the National On the CUSP … Progress report, dated October 2012, discusses accomplishments and next steps to in the neonatal central

450. Final Progress Report: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/schoenfeld-report.pdf
     January 01, 2024 - Final Progress Report: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency … but has only recently made inroads in acute care settings.2,3 Although Emergency Physicians (EPs) report … Although we cannot draw conclusions from this small exploratory investigation, our participants clearly report

451. Final Progress Report: Preventing Opioid Misuse Through Safe Opioid Use Agreements Between Patients and Surgical Providers (PROMISE-ME) (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/stulberg-report.pdf
     January 01, 2024 - Final Progress Report: Preventing Opioid Misuse Through Safe Opioid Use Agreements Between Patients and … Readers should not interpret any statement in this report as an official position of AHRQ or of HHS. … Annual Surveillance Report of Drug-Related Risks and Outcomes — United States, 2017. … Surveillance Special Report 1. Centers for Disease Control and Prevention, U.S. … Accessibility Report Filename: Stulberg 27331-V1.pdf Report created by: Mark Templo, 508

452. Project Report - Lean Sigma (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/physengagement-slides/Physician-Engagement-Sept-13-2011-508.ppt
     January 01, 2011 - Project Report - Lean Sigma Physician Engagement * Story of cardiac surgeon not doing check list. … CLABSI toolkit Hold regular meetings with team Involve other members of medical staff in quality Report … will Work with hospital to clarify what will be measured, who will measure it, and who will produce reports

453. Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
     January 01, 2025 - Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term … This report points out that for nearly all interventions that the benefit outweighs the cost. … This report analyzed 10 years of data on screening, surveillance, and outbreaks at the University Medical … Conclusions Significance Implications Publications Acrobat Accessibility Report … Accessibility Report Filename: 19968-Peterson-V1-508.pdf Report created by: Rhea Jones, 508

454. On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/packet.html
     November 01, 2017 - On-Time Falls Prevention Overview Materials Packet Samples of four types of reports are provided … Monthly Contextual Factors Report . Postfall Assessment Summary Report .   … On-Time Falls High-Risk Report Sample Falls High-Risk Report Unit: ______________________________ … Factors Report Date: ___/___/___ Select for accessible version of report . … Postfall Assessment Summary Report Sample Postfall Assessment Summary Report Resident Name: _____

455. Final Progress Report: Stakeholder Summit: Setting a Quality Improvement Research Agenda To Leverage HIT/HIM in Rural America (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/madison-report.pdf
     January 01, 2024 - Final Progress Report: Stakeholder Summit: Setting a Quality Improvement Research Agenda To Leverage … /HIM in Rural America A National Stakeholder Summit April 22 - 23, 2010 Alexandria, VA Final Progress … The AHIMA Foundation submitted the final report to AHRQ for review, and the report was published on … National Healthcare Disparities Report 2009. … A Progress Report on Electronic Health Records in U.S. Hospitals. Health Aff. 2010;29(10) 39.

456. Making Health Care Safer II | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html
     July 01, 2023 - II An Updated Critical Analysis of the Evidence for Patient Safety Practices This evidence report … View or download Summary/Report Structured Abstract Objectives: To review important patient safety … Evidence Report (Publication No. 13-E001-EF) ( PDF , 9.62 MB). … Original Evidence Report—Archived (Publication No. 01-E058, July 2001). … Alternate Formats Full Report [PDF, 10 MB] Executive Summary [PDF, 483 KB]

457. Primary Care Quality Improvement (QI) Progress Tracker: Template | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/transform-qi/facilitation/qi-report.html
     April 01, 2021 - Primary Care Quality Improvement (QI) Progress Tracker: Template Resource: Practice Progress Notes Template This reporting template can be used by practice facilitators to track progress on goals and measures for quality improvement projects. It can help facilitators plan their own work and keep the primary…

458. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises.html
     December 01, 2017 - Coaching Teams Through Use of Report Information Trigger Summary Report Information Exercises     … Followup       Sample Trigger Summary Report #1       Sample Trigger Summary Report #2     Exercise … #3: Resident-Level Data       Using Trigger Summary Report #1       Using Trigger Summary Report #2 …     Exercise #4: Unit-Level Data     Exercise #5: Report Calculations Trigger Summary Report Implementation … Information Weight Summary Report Information Exercises     Exercise #1: Risk Criteria and Rules

459. Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
     January 01, 2025 - Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic … Report No.: 22(23)-EHC043.

460. Final Progress Report: Developing a patient-centered model of the risk of perioperative complications in spine surgery (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
     January 01, 2024 - Final Progress Report: Developing a patient-centered model of the risk of perioperative complications