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www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors
Final Progress Report
Reducing … Adv Health Sci Educ Theory Pract. 2009
Sep;14 Suppl 1:107-12.
9
Final Progress Report Reducing
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www.ahrq.gov/sites/default/files/2024-09/harris-report.pdf
January 01, 2024 - Final Progress Report: Analyzing Nurses’ Impact on Outcomes Using Detailed Data
Analyzing Nurses’ Impact … At the time of this report, the final analysis of
associations between nurse staffing and other variables … Reports by the IOM focused national attention on the quality and safety of hospital care.
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www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
January 01, 2024 - Final Progress Report: Understanding the implementation of new practices in healthcare organizations … our aims were not substantively modified since the original application, as explained in previous
progress … reports, having found no association between hospitals’ use of various national quality campaign-
sponsored … HQA reports this data on
the HospitalCompare website (www.HospitalCompare.hhs.gov) to “help consumers … Curing health care: new strategies for quality improvement: a report
on the National Demonstration Project
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www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
January 01, 2025 - Final Progress Report: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice … They have also
assisted us in the development of reports to follow the practices of prophylaxis prescribing … Evidence Reports/Technology Assessments, No. 211. ed. … Accessibility Report
Filename:
24547-Haut-V1-508.pdf
Report created by:
Rhea Jones, 508 Compliance … manual check: 3
Passed manually: 2
Failed manually: 0
Skipped: 1
Passed: 26
Failed: 0
Detailed Report
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www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
January 01, 2024 - Final Progress Report: Teamwork and Error in Neonatal Intensive Care
Teamwork and Error in Neonatal … A recent
Institute of Medicine (IOM) report suggested that healthcare organizations "promote effective … The existing research is limited by several biases, such as reliance upon self-report of
error, small … We report frequencies (%) of patient characteristics, behavioral markers, and errors. … We report frequencies (%) of behavioral markers and time until event for our process-
of-care measures
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www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
January 01, 2024 - Final Progress Report: Four Safety Strategies: A Symposium on Implementation
Four Safety Strategies
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www.ahrq.gov/sites/default/files/2024-01/soumerai-report.pdf
January 01, 2024 - Final Progress Report: RCT to Reduce Prescribing Errors in Hypertension
Principal Investigator: Soumerai … AHRQ GRANT FINAL PROGRESS REPORT
RCT TO REDUCE PRESCRIBING ERRORS IN HYPERTENSION
Principal Investigator … of High
Blood Pressure: the JNC 7 report. … AD=academic detailing; PA=physician assistant; NP=nurse
practitioner.
18
AHRQ GRANT FINAL PROGRESS … REPORT
Hector P.
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www.ahrq.gov/sites/default/files/2024-07/ashton-report.pdf
January 01, 2024 - Final Progress Report: Racial and Ethnic Variations in Medical Interactions
Title of … Patients of ethnic minority background, compared with White patients, report that doctors use
a less … characteristics increased. (3) One patient subgroup was
five times more likely than another to report … Thus, it was possible to identify a patient subgroup five
times more likely than another to report … Patients who reported discussing their substance abuse with a doctor were two times more likely to report
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www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
January 01, 2024 - Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis
AHRQ Final Report … International reports show mortality reduction after introduction of METs. … Recent reports reviewed by the Institute of Medicine in their
publication To Err is Human have estimated … AHRQ Final Report
Abstract
Purpose
Scope
Methods
Acrobat Accessibility Report … Accessibility Report
Filename:
15757-DeVita-V1-508.pdf
Report created by:
Rhea Jones, 508
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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS … It consists of the approximately
55,000 claims, and at least as many reports of harmful incidents, received … of internal investigations; expert
opinions from both sides; medical reports and records detailing … For purposes of this summary report, we describe six limitations that have wide
applicability to the … Paul’s Annual Report
to Policyholders (1994).
15.
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www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
January 01, 2024 - 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.
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www.ahrq.gov/sites/default/files/2024-07/robins-report.pdf
January 01, 2024 - Final Progress Report: Effects of Establishing Focus in the Medical Interview
Effects of Establishing … Physician and patient outcomes were assessed using data obtained through self-report, coding of
audio-taped … Self Report Measures (See Figure 2 for summary)
Patient Questionnaires: We used self-report instruments … English between a single
physician and an unaccompanied patient were included in the sample.
4 Self-reports … Validation and utility of a self-report version of
PRIME-MD: the PHQ primary care study.
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www.ahrq.gov/sites/default/files/2024-07/uhrig-report.pdf
January 01, 2024 - Final Progress Report: Helping Elders Include Quality in Health Plan Choice
September 2004
Helping … Elders Include Quality in
Health Plan Choice
Final Report
Prepared for
Agency for Healthcare Research … and testing reporting formats for health plan quality should be considered when
developing quality reports … Use of public performance reports. J Am Med Assoc 1998;279:
1638-1642. … Testing the effect of quality reports on the health plan choices of Medicare
beneficiaries.
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www.ahrq.gov/sites/default/files/2024-04/eskandari-raval-report.pdf
January 01, 2024 - Final Progress Report: Illinois Surgical Quality Improvement Collaboration Conference: Venous Thromboembolism … FINAL PROGRESS REPORT
Title of Project:
Illinois Surgical Quality Improvement Collaboration Conference … Program (ACS
NSQIP) provides hospitals with reliable, validated, risk-adjusted surgical
outcome reports … http://www.jointcommission.org/Measurement/
FINAL PROGRESS REPORT
Structured Abstract
Purpose (Objectives
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care Summary Report
AHRQ Safety Program for Perinatal Care
Summary … AHRQ Safety Program for Perinatal Care Summary Report 6
Table 1. … AHRQ Safety Program for Perinatal Care Summary Report 8
3. … AHRQ Safety Program for Perinatal Care Summary Report 13
4. … AHRQ Safety Program for Perinatal Care Summary Report 22
5.
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www.ahrq.gov/sites/default/files/2024-07/richards-report.pdf
January 01, 2024 - Final Progress Report: Regional Approach for THQIT in Rural Settings – Implementation
TITLE
Title: … Information Systems
Numerous reports are generated on daily, weekly, and monthly bases. … We started with discharge summaries and history & physicals, and
then we added radiology reports. … first priority
(%)
Lab Results 100 60
History & Physicals 100 15
Medication Lists 100 0
Radiology Reports … 88 25
Allergies 88 0
Discharge Summaries 75 0
Consult Notes 75 0
Pathology Reports 50 0
Problem Lists
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www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
January 01, 2025 - Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism
Short-term … The electronic case report included over 400 variable entry fields for prognostic model testing
and … After data cleaning, we closed data entry and
created reports for sPESI, Hestia, and by 2019 ESC 'low … We created reports of patients with and without the primary outcome. … Accessibility Report
Filename:
25979-Weekes-V1-508.pdf
Report created by:
Mark Templo
Organization
-
www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
January 01, 2025 - Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach
Title: Infection … Summarize and report back
Specifically, they honed in on using a socio-technical systems model which … Research Agenda in Infection Prevention in the Emergency Care Setting
• Patient Engagement Workgroup Report … o Human Factors Breakout Report
14
http://edip.bwh.harvard.edu/conference/
Appendix 1: Conference … :40 Moderated Panel: Prioritization of Infection Prevention Research in the ED
3:40-4:40 Workgroup Reports
-
www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
January 01, 2024 - Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model
Final Progress Report … Context
At our own institution, the Shock Trauma Center, in a published report of CTI in
1984 … video recording has been shown to detect quality assurance
occurrences that are not identified by self-reports … review of the video recording can yield lessons difficult to learn from
observation or retrospective reports … Video taping detects quality assurance
occurrences not identified in self-reports.
-
www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
January 01, 2024 - Final Progress Report: Creating Learning Cultures Around Mistakes for Residents
1
Project Title: Creating … behaviors, forms of interaction) that reflect
more of the learning attributes listed in Table 1 of this report