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  1. www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
    January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting … analyses of MEDMARX, an anonymous, de- identified, national database that health systems use to collect, report … voluntary national, internet-accessible database that hospitals and healthcare systems use to collect, report … error reports (harmful + non-harmful). … Administering errors were involved in 48% of all medication error reports.
  2. www.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
    January 01, 2024 - Final Progress Report: Improving Patient Safety in Orthopedic Trauma Surgical Training Title: Improving … The TAD was less reliable than previous reports have suggested, but it is still a valuable metric of
  3. www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
    January 01, 2024 - Final Progress Report: Health Journalism 2011, national conference on healthcare journalism Final … Grant Report for Agency for Healthcare Research and Quality Title: Health Journalism 2011, national … outlets to encourage cross-fertilization of ideas, skills, and knowledge about how to better report … Post- Standard • Editors' Roundtable: Science Conference Reports podcast, Christine Gorman & Robin Lloyd … mailto:bruzzesel@missouri.edu Final Grant Report Abstract Purpose Scope FIELD TRIP 1 TARGETING
  4. 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
  5. 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).
  6. www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
    January 01, 2025 - Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) 1. … Acrobat Accessibility Report Accessibility Report Filename: 27369-Auerbach-V1-508.pdf Report … manual check: 2 Passed manually: 0 Failed manually: 0 Skipped: 1 Passed: 29 Failed: 0 Detailed Report
  7. www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
    January 01, 2025 - Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions FINAL REPORT … Final Report - 1 P20 HS017144-01 Page 7 of 20 Table 3. … Final Report - 1 P20 HS017144-01 Page 9 of 20 Figure 1. … Final Report - 1 P20 HS017144-01 Page 11 of 20 Table 4. … Accessibility Report Filename: 17144-Jones-V1-508.pdf Report created by: Rhea Jones, 508
  8. www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
    January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008 The National Quality … Abstract PURPOSE SCOPE METHODS RESULTS Acrobat Accessibility Report … Accessibility Report Filename: 17882 McNeil-V1 (2).pdf Report created by: Mark Templo Organization … manual check: 2 Passed manually: 0 Failed manually: 0 Skipped: 1 Passed: 29 Failed: 0 Detailed Report
  9. 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%
  10. www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdf
    January 01, 2024 - Final Progress Report: Weekend Effects and the July Phenomenon in Patient Safety ------------------ … --------------------- Weekend Effects and the July Phenomenon in Patient Safety Final ResearchReport to AHRQ Principal Investigator: Joel S. … 4 The remainder of this report is divided into two parts, reflecting each aim. … Available at: http://www.hcup-us.ahrq.gov/reports/final_report.pdf. 14073.doc, 08/07/17 18 https://
  11. www.ahrq.gov/sites/default/files/2025-02/chen-report.pdf
    January 01, 2025 - Final Progress Report: Measuring Quality of Primary Care in Complex Pediatric Patients Title: Measuring … The first quality report card using this set of quality measures was calculated using data from the … meta-analyses, randomized controlled trials, cohort studies, case-control studies, quality measure reports … coordination of care (the IOM Future Directions for the National Healthcare Quality and Disparities Reports … Accessibility Report Filename: 18087 Chen-V1 (1).pdf Report created by: Rhea Jones, 508 Compliance
  12. www.ahrq.gov/sites/default/files/wysiwyg/topics/covid-19/long-covid-summit-report.pdf
    February 27, 2023 - Best Practices for Treating Long COVID Summit: Summary Report                     … Best Practices for Treating Long COVID Summit Summary … existence of a group of specialists who “get it”—that is, a group of specialists who believe patients’ reports … Breakout Session Reports Facilitator: Edmondo J. … Research and Quality Rockville, Maryland 23 Best Practices for Treating Long COVID Summit Summary
  13. 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.)
  14. www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
    January 01, 2024 - Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment … Final Progress Report 1.0 TITLE PAGE Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive … DFCI pharmacy staff members reviewed each DFCI safety report and pharmacy intervention – including reports … Relevant reports were de-identified. … A X X X X 4 Patient fails to report side effects or incompletely reports side effects M X X X X 4
  15. www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
    January 01, 2024 - Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation … The 10 key actions to help patients detect and prevent medication errors were derived from reports of … The data reports allowed participants to quickly view any differences between leader scores and staff … A new report reflecting the planned strategies can be generated and compared with the initial report … The chain market report. Computer Talk for Pharmacists 2008.
  16. www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
    January 01, 2025 - Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers Risk-Informed … Clinical Network for Safe Pediatric Emergency Transfers Final Report October 31, 2012 Principal … Serious adverse outcomes occurred in 55 reports (31%), including major physiological derangement (15% … patients or clinicians was recorded, and such information is not intended to be included in any papers or reports … BIBLIOGRAPHY Acrobat Accessibility Report Accessibility Report Filename:
  17. www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
    January 01, 2025 - Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery … Limited systems thinking • Highly variable definitions of error • Lack of clarity over what and when to report … workspace, and organization interact to influence their performance, so details are often omitted from the reports … This is not to say that there is no value in these reports and data, but rather we need to extend our … Accessibility Report Filename: 26625-Catchpole-V1-508.pdf Report created by: Rhea Jones,
  18. www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
    January 01, 2024 - Final Progress Report: A Memory-Based Approach to Reducing Medication Errors A Memory-Based Approach … to Reducing Medication Errors Project Final Report June 26th, 2023 Principal Investigator: Sadaf … During the planning stage, nurses must encode scheduled PM tasks by reviewing the handoff report and … considerations, e.g., allergies, special supplies like IV tubing, including (1) receiving handoff report … your workflow during the planning stage, focusing on information you need, when receiving handoff report
  19. www.ahrq.gov/sites/default/files/2024-12/lin-report.pdf
    January 01, 2024 - Final Progress Report: Measurement of Decision Quality in Coronary Artery Disease Measurement of Decision … First, all the information collected was via patient self-report, which may not accurately reflect the … The majority of instruments were patient self-report; however, three instruments required direct observation
  20. www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
    January 01, 2024 - Final Progress Report: Putting a Face on Hospital Medical Errors: Communication FINAL REPORT Putting … Final Report 1RO3H5016122-0 TABLE OF CONTENTS Structured Abstract………………………………… ................... … Final Report 1RO3H5016122-0 Step 2: Empirical Testing, Independent Variables. … Final Report 1RO3H5016122-0 2. … Accessibility Report Filename: 16122-Stewart-V1-508.pdf Report created by: Rhea Jones, 508