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161. Final Progress Report: Teamwork and Error in Neonatal Intensive Care (pdf file)
     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

162. Final Progress Report: RCT to Reduce Prescribing Errors in Hypertension (pdf file)
     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.

163. Final Progress Report: Four Safety Strategies: A Symposium on Implementation (pdf file)
     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

164. Final Progress Report: Racial and Ethnic Variations in Medical Interactions (pdf file)
     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

165. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
     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.

166. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
     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

167. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
     January 01, 2024 - Final Progress Report: Using Barcode Technology to Improve Medication Safety FINAL REPORT: April 16 … Final Report: Using Barcode Technology to Improve Medication Safety PI- T. … Our baseline time-motion studies Final Report: Using Barcode Technology to Improve Medication Safety … Background The Institute of Medicine (IOM) report, “To Err Is Human,” brought iatrogenic injury to … This activity list Final Report: Using Barcode Technology to Improve Medication Safety PI- T.

168. Final Progress Report: Addressing Patients' Multiple Concerns in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/heritage-report.pdf
     January 01, 2024 - Final Progress Report: Addressing Patients' Multiple Concerns in Primary Care Title: Addressing Patients

169. Final Progress Report: Improved Patient Safety Through Web-Based Education (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/hendee-report.pdf
     January 01, 2024 - Final Progress Report: Improved Patient Safety Through Web-Based Education FINAL REPORT Title of … White Paper, Report 3, National Patient Safety Foundation, 2003.

170. Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
     January 01, 2025 - Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience 28 November 2009 Title … focus group method that was conducted at the same medical center as the research project this paper reports … Others who report for care are sorted into various paths, depending on their triage evaluation. … Report references Chisholm, C.D., Collison, E.K., Nelson, D.R., and Cordell, W.H. (2000). … Report references 7. Publications and Products

171. Final Progress Report: Drug-Drug Interaction Clinical Decision Support Conference Series (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
     January 01, 2024 - 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

172. Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
     January 01, 2024 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care Title of Project: … patient safety challenge prompted multiple calls for action, including an HHS Inspector General Report … MDS data (2011-2016) were linked with the Certification and Survey Provider Enhanced Reports (CASPER … Available from: https://oig.hhs.gov/oei/reports/oei-07-08-00150.pdf. 9. Ralph SJ, Espinet AJ. … 10.1177/0164027502245002 https://www.medicare.gov/nursinghomecompare/search.html https://oig.hhs.gov/oei/reports

173. Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
     January 01, 2025 - Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors Principal Investigator/ … ) offered a pediatric emergency medicine fellowship, and 12/20 (60%) were on the US News and World Report … We will quantify more precisely the burden of these reports of trivially abnormal results in Phase 4 … Potential impact of a computerized system to report late-arriving laboratory results in the emergency … Acrobat Accessibility Report Accessibility Report Filename: 11711-Greenes-V1-508.pdf Report

174. Final Progress Report: Advancing Quality Measurement and Care Improvement with Health Information Exchange (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/shapiro-report.pdf
     January 01, 2025 - Final Progress Report: Advancing Quality Measurement and Care Improvement with Health Information Exchange … protocol telephones of users via text message, and written to a data file on a secure server for monthly reports … As mentioned in the progress reports for years 1, 2, and 3, instead of first developing the HIE-based … Natl Health Stat Report. 2008(7):1-38. PMID: 18958996. 9. … Care Coordination. 2010 National Healthcare Quality Report 2011. p. 167-78.

175. Final Progress Report: Trial of Decision Support To Improve Diabetes Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/cebul-report.pdf
     January 01, 2024 - Final Progress Report: Trial of Decision Support To Improve Diabetes Outcomes Trial of Decision Support … The table below reports the count of patients and mean measures of utilization by site and cohort. … “Mean Difference” reports Intervention Sites mean minus Control Site mean (standard error in parentheses … after trial) and lesser but still impressive keep rates for our more complex registry and performance reports … Indications for photocoagulation treatment of diabetic retinopathy: DRS report no. 14.

176. Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
     January 01, 2025 - Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab • Title of Project … There were over a hundred reports of ML models intended to guide decision making during the COVID-19 … Methods Results List of Publications and Products Acrobat Accessibility Report … Accessibility Report Filename: 26640-Hinson-V1-508.pdf Report created by: Rhea Jones, 508 … manual check: 5 Passed manually: 0 Failed manually: 0 Skipped: 1 Passed: 26 Failed: 0 Detailed Report

177. Final Progress Report: Reducing Risks by Engineering Resilience Into HIT for EDs (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
     January 01, 2024 - Final Progress Report: Reducing Risks by Engineering Resilience Into HIT for EDs Reducing Risks by … , to assess their ability to manage maintenance (upgrades, patches) and anomalies (faults or error reports … Reports Wears RL, Leveson NG. … Report of the Inquiry Committee into the Computer Software Error in Downs Syndrome Screening. http:/ … Reports Electronic Resources Book Sections References

178. Final Progress Report: Effects of Establishing Focus in the Medical Interview (pdf file)
     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.

179. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
     January 01, 2024 - Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care … New processes and reports were created in our EMR to assist in data collection and capture. … ADE Report: Initially, these data were collected in several reports. … Monthly compliance reports: This report summarizes the compliance with medication reconciliation at admission … In addition, reports were developed to assist in the process at admission and discharge.

180. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
     January 01, 2025 - Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults AHRQ Grant Final … Progress Report Grant Award Number: R18 HS026624 Project Title: Engineering Safe Care Journeys for … report a reliability of 0.71 for the scale. … Current Population Reports. 2. … The Human Factors and Ergonomics Society; 2003:1420-1423. 30 AHRQ Grant Final Progress Report 1