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241. Final Progress Report: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL) (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
     January 01, 2025 - Final Progress Report: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL) Final … Progress Report Project Title: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL … Problem analysis data were collected through observations (n=21), safety reports (n=25), semi-structured … Final Progress Report CHIRAL Center Goals & Accomplishments CHIRAL Administrative and Operations … Accessibility Report Filename: 23554-Chaudhry-V1-508.pdf Report created by: Rhea Jones, 508

242. Final Progress Report: Workload effects on response time to life-threatening arrhythmias (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/segall-report.pdf
     January 01, 2024 - Final Progress Report: Workload effects on response time to life-threatening arrhythmias Workload effects … The content of this report is solely the responsibility of the author and does not necessarily represent … Popular press reports of sentinel events suggest that Duke is not alone in struggling with safe patient … included interpreting the cardiac rhythms of current and new patients, making phone calls to units to report … weighted based on importance (e.g., a larger weight was assigned to the task of making a phone call to report

243. Final Progress Report: The National Quality Forum National Annual Policy Conference 2006 (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/nishimi-report.pdf
     January 01, 2024 - Final Progress Report: The National Quality Forum National Annual Policy Conference 2006 The National … National Healthcare Disparities Report. … All reports to NDNQI are anonymous. … ANA provides quarterly reports to participants comparing them to institutions of similar size. … Accessibility Report Filename: 16597 Corrigan-V1.pdf Report created by: Rhea Jones, 508 Compliance

244. Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
     January 01, 2024 - Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes Title Page Title of … Grant Award Number. 5R01HS025703 1 Report 1. … outcomes, indicating that they are not a more challenging resident population as suggested by previous reports … Reports on obesity in NHs have shown that residents with obesity are significantly younger than residents … Contract No.: Report. 14. Rotkoff N.

245. Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
     January 01, 2024 - Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home … TITLE PAGE  AHRQ Final Progress Report Title: Enhancing the Detection and Management of Adverse  … Monitors and reports significant drug-drug interactions……………………………………………... 1 2 3 … Monitors and reports medication errors……………... 1 2 3 4 5 1 2 3 4 5 19. … PI= Handler   R01 HS18721‐04  Final Report  TITLE PAGE AHRQ Final Progress Report Title: Principle

246. Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
     January 01, 2024 - Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine Principal Investigator … Hogan, MPA Contract Dates: July 1, 2005, to June 30, 2008 (including 1-year no-cost extension) FINAL PROGRESS … REPORT Principal Investigator: Rollin J. … Published reports have asserted that ED-based pharmacists have the potential to reduce iatrogenic harm … ASHP Report: Study Equivocal, But Faith in ED Pharmacists Still Strong.

247. Final Progress Report: Theory to Practice: Issues and Challenges for Engineering Resilience (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/blocker-report.pdf
     January 01, 2025 - Final Progress Report: Theory to Practice: Issues and Challenges for Engineering Resilience Project

248. Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
     January 01, 2025 - Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse TITLE … to report major permanent event 10 53 9 47 Required to report major temporary event 11 58 8 42 Required … to report minor permanent event 11 58 8 42 Required to report minor temporary event 13 68 6 32 Required … to report near miss 14 74 5 26 Don't know what required to report 9 47 10 53 *Definitions of each … Accessibility Report Filename: 17137 McFarland-V1.pdf Report created by: Mark Templo Organization

249. Final Progress Report: Automated Image Analysis for the Prevention of Radiotherapy Delivery Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/lamb-report.pdf
     January 01, 2024 - Final Progress Report: Automated Image Analysis for the Prevention of Radiotherapy Delivery Errors … Final Report: Automated Image Analysis … The CBCT algorithm was implemented in a prototype clinical system that produced a summary report of … Journal of Applied Clinical Medical Physics. 2023:e14016. 9 Final Report: Automated Image Analysis … Accessibility Report Filename: 26486 Lamb.pdf Report created by: Mark Templo Organization

250. Patient Safety Action Alliance: Request for Information (RFI) Summary Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-rfi-report-040323_LOCKED.pdf
     March 01, 2023 - Patient Safety Action Alliance: Request for Information (RFI) Summary Report Patient Safety Action … Alliance Request for Information (RFI) Summary Report March 2023 Background: At the direction … and similar frameworks https://www.ahrq.gov/patient-safety/reports/safer-together. … https://www.ahrq.gov/patient-safety/reports/safer-together 4. … Patient Safety Action Alliance Request for Information (RFI) Summary Report March 2023 Question 1:

251. Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
     January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety Title: VTE Safety Toolkit … descriptive study at a single institution, which provides the lowest methodological quality (descriptive reports-observational … Grading strength of recommendations and quality of evidence in clinical guidelines: report from an american

252. Final Progress Report: IMPACTS: Improving Medical Performance during Acute Crises Through Simulation (pdf file)
     www.ahrq.gov/sites/default/files/2025-07/weinger3-report.pdf
     January 01, 2025 - Final Progress Report: IMPACTS: Improving Medical Performance during Acute Crises Through Simulation … REDCap™), secure assignment and management of remote raters, remote analyses and ratings, and export of reports … data do not include any ratings of the Wilson scenario as these were not complete at the time of this report … The results of this screening were published as a Brief Report.8 We noted that concerning HA scores … Rating the 4th scenario (CP/thyrotoxicosis) was not complete at the time of writing this report, therefore

253. Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
     January 01, 2024 - Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care O’Connor, Patrick … Final Report MOVES: Patient-Based Strategy to Reduce Errors in Diabetes Care Patrick J. … Even in published reports from best practice settings, less than 20% of patients meet both A1c and LDL … have enabled customization of messages based on RTC, a strategy that is supported by several prior research … reports. 11 O’Connor, Patrick J.

254. Final Progress Report: Rural Trial of Clinic Order Entry With Decision Support (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/samore-report.pdf
     January 01, 2024 - Final Progress Report: Rural Trial of Clinic Order Entry With Decision Support Rural Trial of Clinic … Borotkanics Agency for Healthcare Research and Quality rborotka@ahrq.gov 301-427-1799 1 FINAL PROGRESS … REPORT: GRANT NUMBER 5R01HS015413-03 IMPLEMENT NEW HEALTH INFORMATION TECHNOLOGY IN PRIMARY CARE CLINICS … We created graphical reports in Microsoft Access and SAS to prospectively monitor the daily volume of … Samore M, et. al. 18 FINAL PROGRESS REPORT IMPLEMENT NEW HEALTH INFORMATION TECHNOLOGY IN PRIMARY

255. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
     January 01, 2025 - Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement … News and World Report “top 10” hospitals (Barnes-Jewish Hospital and St. … Areas were educated about the need to report and the types of events to report (i.e., errors, near … Feedback about the submitted reports was a key factor in sustaining increased reporting rates. … They too have experienced an increase in the number of reports they are receiving.

256. Final Progress Report: Using Health Risk Appraisal To Prioritize Primary Care Interventions (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/nagykald-mold-report.pdf
     January 01, 2024 - Final Progress Report: Using Health Risk Appraisal To Prioritize Primary Care Interventions FINAL PROGRESS … We used preventive services reports to populate the HRA risk engine, which generated personalized recommendations … PROGRESS REPORT FOR LAST YEAR AND NO- COST EXTENSION PERIOD GRANT NUMBER 5K08HS016470 PERIOD COVERED … elected to serve on the Board of Directors of our practice-based research network. 20 FINAL PROGRESS … Inclusion of AHRQ Priority Populations References PROGRESS REPORT FOR LAST YEAR AND NO-COST EXTENSION

257. Final Progress Report: Improving Implementation and QI Research with Regression Risk Analysis (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/kleinman2-report.pdf
     January 01, 2025 - Final Progress Report: Improving Implementation and QI Research with Regression Risk Analysis Title … Grant Number: 1R18HS018032-A1 1 Final Report Structured Abstract. (233 Words) Purpose: Extend … Individuals report their race as being White, Black, multi-racial, or other. … List of Publications and Products References cited Acrobat Accessibility Report … Accessibility Report Filename: 18032a1-Kleinman-V1-508.pdf Report created by: Rhea Jones,

258. Final Progress Report: Patient Focused Outcomes: Quality of Life and Lost Productivity (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/lofland-report.pdf
     January 01, 2025 - Final Progress Report: Patient Focused Outcomes: Quality of Life and Lost Productivity PATIENT FOCUSED … Data Collection Within the MEPS, respondents are asked to report all of their health conditions, regardless … However, as of the writing of this report, there is no published information on this instrument; therefore … METHODS RESULTS PUBLICATIONS POSTER Reference List Acrobat Accessibility Report … Accessibility Report Filename: 00005-Lofland-V2-508.pdf Report created by: Rhea Jones, 508

259. Final Progress Report: National Claims-Based Quality Measures for Surgical Site Infections (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/platt-report.pdf
     January 01, 2025 - Final Progress Report: National Claims-Based Quality Measures for Surgical Site Infections TITLE PAGE … Both direct-to-patient outreach via phone calls and requests to surgeons to report SSIs have been shown … compared claims-based hospital rankings in California and New York to the SSI risks that hospitals report … Nevertheless, we used our validated 2010 chart reviewed data from Aim 2 to calculate and report the … Accessibility Report Filename: 21424-Platt-V1-508.pdf Report created by: Rhea Jones, 508

260. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
     January 01, 2025 - Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) Title of Project: … Support: Agency for Healthcare Research in Quality Grant Award Number: 5P30HS024403-04 REVISED Report … The White House, 2014 at report-says-systems … Accessibility Report Filename: 24403 Blike-V1 (1).pdf Report created by: Mark Templo Organization … manual check: 5 Passed manually: 0 Failed manually: 0 Skipped: 1 Passed: 26 Failed: 0 Detailed Report