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201. Final Progress Report: Patient Advocacy Summit: Patients at the Center of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/earp-report.pdf
     January 01, 2024 - Final Progress Report: Patient Advocacy Summit: Patients at the Center of Care Agency for Healthcare … Research and Quality Final Progress Report Title: Patient Advocacy Summit: Patients at the Center … Two recent reports published by the Institute of Medicine in 1999 and 2001 helped establish the need … Two recent reports published by the Institute of Medicine (To Err is Human in 1999 and Crossing the … Advocates collect evidence, conduct research, prepare reports, serve on committees, testify to Congress

202. 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

203. Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
     January 01, 2025 - Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care ST-PRA IN HOME … In 1999 Gray et al, using patient self-report, estimated a 20% adverse drug event rate among home health … (www.medqic.org, accessed 2/10/07). 16 OASIS-Based Home Health Agency Patient Outcome and Case Mix Reports … Literature Cited Acrobat Accessibility Report Accessibility Report Filename: … 17139-Silver-V1-508.pdf Report created by: Rhea Jones, 508 Compliance Specialist Organization:

204. Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
     January 01, 2024 - Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery Program Director/Principal … Final Progress Report Title of Project: Organization of Care and Outcomes in Cardiac Surgery Principal … Final Report: Purpose: The goal of this research project is to identify the characteristics of the … PHS 398/2590 (Rev. 06/09) Page 6 Continuation Format Page Final Progress Report Abstract Final … Report Purpose Scope: (Background, Context, Settings, Participants, Incidence, Prevalence).

205. AHRQ Final Progress Report: Impacts of the Physical Environment on Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/zimring-report.pdf
     January 01, 2024 - AHRQ Final Progress Report: Impacts of the Physical Environment on Healthcare FINAL PROGRESS/STATUS … REPORT 18 December 2006 IMPACTS OF THE PHYSICAL ENVIRONMENT ON HEALTHCARE AHRQ Grant Identification … The synthesis papers presented in the conference and conference report will be published in a guest-edited … In addition, the position papers and the conference report will be disseminated through the participating … Activities: Research Priorities, Pipeline Issues, and Action Items is a significant portion of that final report

206. Final Progress Report: Pediatric Quality Improvement Methods, Research, and Evaluation Conference (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/finkelstein-report.pdf
     January 01, 2024 - Final Progress Report: Pediatric Quality Improvement Methods, Research, and Evaluation Conference 1 … would like to have available to help me to understand or interpret QI projects. 4.00 0.29 34% Table 2 reports … The Chair of the APA Healthcare Delivery Committee will continue to report annually on the conference

207. Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
     January 01, 2024 - Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics 1. … 1026 internal medicine patients to estimate the frequency and severity of ADEs.(13) They scored the reports … multiple methods, including review of discharge summaries and emergency department notes, provider event reports … common in the pediatric environment than in general hospitals, based on previous experience, event reports … Acrobat Accessibility Report Accessibility Report Filename: 17010-Bailey-V1-508 (003).pdf Report

208. Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
     January 01, 2024 - Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study Principal Investigator: … events using the OASIS data set found that 3.3% of the over three million HHC patients studied had reports … With respect to household assessment, anecdotal reports from agencies indicate that basic assessments … Reports of work related musculokeletal injury among home care service workers compared to nursery school … Overview of risk adjustment and outcome measures for home health agency OBQI reports: Highlights of

209. Final progress Report: Anticholinergics and Cognitive Decline in the Elderly with Depression (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
     January 01, 2024 - Final progress Report: Anticholinergics and Cognitive Decline in the Elderly with Depression FINAL … PROGRESS REPORT ANTICHOLINERGICS AND COGNITIVE DECLINE IN THE ELDERLY WITH DEPRESSION TITLE: Anticholinergics … et al. (2011),28 Kumpula et al. (2011),29 Agar et al. (2010),30 and Uusvaara et al. (2011)31 did not report … For specific aim 1 (risk of dementia), based on an evidence-based report recently released by Agency … (Evidence Reports/Technology Assessments, No. 193.)

210. Final Progress Report: Workshop on Consumer Engagement in Selected Patient Safety Topics (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/hatlie-report.pdf
     January 01, 2024 - Final Progress Report: Workshop on Consumer Engagement in Selected Patient Safety Topics Workshop on … Consumer Engagement in Selected Patient Safety Topics (“Chicago Patient Safety Workshop”) Final Progress … to; • There is feedback to consumers who report about how their report is analyzed and used; and • … reports from patient satisfaction reports or complaints that need to be handled by state agencies, The … to; • There is feedback to consumers who report about how their report is analyzed and used.

211. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
     January 01, 2024 - Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care Adverse Event-Directed … to substantially underestimate the true rate of AEs26, 27 and to predominantly capture “near-miss” reports … process and definitions of characteristics of AEs; 2) the electronic review of nurse-identified AE reports … ; and 3) a review of the consolidated reports that summarize the two independent physician reviews and … Accessibility Report Filename: 17134-Kennerly-V1-508.pdf Report created by: Rhea Jones, 508

212. Final Progress Report: Safety Culture Research: Ways to improve existing methods (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
     January 01, 2024 - Final Progress Report: Safety Culture Research: Ways to improve existing methods Safety Culture Research … Jason Etchegaray (PI) facilitated a discussion about key points from the presentation, and this report … Jason Etchegaray (PI) facilitated a discussion about key points from the presentation, and this report … work) o Preoccupation with failure (do frontline caregivers have the ability to identify and fix/report …  Spontaneous, event reporting, where else are we getting reports from and are we capturing what needs

213. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
     January 01, 2024 - Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly Title: Proactive Risk … conducting observations of 50 patient-physician care episodes (70 hours), receiving 99 valid hazard reports … For the physician hazard reports, an industrial engineering graduate student gave each physician a two-page … Hazards in the Primary Care of Elderly Patients: A Qualitative Analysis of Physician Hazard Reports. … Report Filename: 17115-Karsh-V1-508.pdf Report created by: Rhea Jones, 508 Compliance Specialist

214. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
     January 01, 2024 - Final Progress Report: Improving Medication Safety Across Clinical Settings … Physicians submitted 2.9% of the reports; the rest of the reports were submitted by nurses, pharmacists … Overall, 84% of the reports came from the inpatient setting. … The rate of incidents reported was relatively similar to other reports. … Submission of incident reports by physicians remained small but did increase with the Final Report:

215. Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
     January 01, 2024 - Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety Clinical … In a description of errors by stage of medication process, Kopp et al. (13) report that lack of … Clinical alerts and reports have been found to be an effective mechanism for prompting nurses to … The scenarios were structured in the form of patient shift reports and linked to data describing … Each of the nurses was then individually given ‘report’ on a simulated patient and asked to give

216. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
     January 01, 2024 - Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety Principal Investigator … We report progress in each of these areas below. … Traditional approaches to pharmacovigilance largely involve analysis of spontaneous reports, with numerous … MEDMARX data report. … MEDMARX data report A report on the relationship of drug names and medication errors in response to

217. Final Progress Report: Real-time assessment of risk factors for medication errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
     January 01, 2024 - Final Progress Report: Real-time assessment of risk factors for medication errors Title of Project … Medication errors involving participating subjects were identified through institutional reports, clinician … During sampled intervals, 151 error reports were obtained involving 56 (29 physicians and 27 nurses) … These matched reports were submitted in a de-identified manner to the study coordinating center through … During sampled intervals, 151 error reports were obtained involving 56 (29 physicians and 27 nurses)

218. Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
     January 01, 2024 - Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals Implementing … Evidence Report/Technology Assessment Number 43. … Technical Report No.: ARL-02-3/FAA-02-2. … 2006 n =2,024 reports 2007 n = 1,131 reports 2005 n = 319 reports 2006 n = 875 reports … 2007 n = 490 reports 2006 n = 333 reports 2007 n = 400 reports Prescribing 217 (8.5%) 193 (9.5%

219. Final Progress Report: Medication Safety in Primary Care Practice Translating Research Into Practice (MS-TRIP) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/ornstein-report.pdf
     January 01, 2024 - Final Progress Report: Medication Safety in Primary Care Practice Translating Research Into Practice … (MS-TRIP) Grant Final Report Grant ID: 5R18HS017037 Medication Safety in Primary Care Practice Translating … Statements in the report should not be construed as endorsement by the Agency for Healthcare Research … Summary reports, using statistical process control techniques, displayed practice performance over time … More specific strategies were prioritized in response to report results and involved greater use of

220. Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/kesselheim-report.pdf
     January 01, 2024 - Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization PI … First, I conducted a qualitative analysis of reports from physicians and participants in the private-sector