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401. Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care (pdf file)
     preventiveservices.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

402. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
     January 01, 2024 - AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance AHRQ … GRANT FINAL PROGRESS REPORT Title: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance … Ninety-five percent of the reports were for angles 30 degrees or above. … Eight reports (1.2%) documented angles less than 30 degrees, and 34 reports (5.6%) documented angles … feedback improves compliance with head- of-bed angle for intubated patients. 21 AHRQ GRANT FINAL PROGRESS

403. Final Progress Report: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19989-Phillips-report.pdf
     October 31, 2013 - Final Progress Report: Preventing/Managing C. … Diff for Nursing Home Residents, Admissions, and Discharges FINAL PROGRESS REPORT Project Title: Preventing … Diff AHRQ Final Report 2 Preventing/Managing C. … Diff AHRQ Final Report 4 setting. … Diff AHRQ Final Report 16

404. Final Progress Report: Patient-Centric Risk Model for Medication Safety During Care Transitions (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
     January 01, 2024 - Final Progress Report: Patient-Centric Risk Model for Medication Safety During Care Transitions Final … Progress Report of “Patient-Centric Risk Model for Medication Safety During Care Transitions” 1. … As another example, reconciling discharge medication 9 Final Progress Report of “Patient-Centric … Final Progress Report of “Patient-Centric Risk Model for Medication Safety During Care Transitions” … Current geriatrics reports. 2014;3(4):306-15. 5.

405. Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/sarkar-report.pdf
     January 01, 2024 - Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients … FINAL PROGRESS REPORT 1. … HIT interventions are largely understudied, or at least not often directly discussed in published reports … FINAL PROGRESS REPORT 1. TITLE, TEAM, DATES 2. STRUCTURED ABSTRACT 3. PURPOSE 4. SCOPE 5. … LIST OF PUBLICATIONS AND PRODUCTS Acrobat Accessibility Report Accessibility Report

406. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
     ce.effectivehealthcare.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.

407. Final Progress Report: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
     January 01, 2024 - Final Progress Report: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration … Email: david.rodrick@ahrq.hhs.gov Phone: (301) 427-1876 Acknowledgement: Research reported in this progress … Active Surveillance Patients submitted 347 self-reports using the MyCap app, including 305 PROMs (see … Additionally, 229 NREs were reported through weekly PCONES, either by patient self-reports using MyCap … Accessibility Report Filename: 26616 Weinger-V1-508 (1) (1).pdf Report created by: Mark Templo

408. Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/25649-O'%20Leary-draft-1.pdf
     March 16, 2023 - Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients … (RESET) AHRQ Grant Final Progress Report Title of Project: REdesigning SystEms to Improve Teamwork … National Healthcare Quality & Disparities Reports. 2021 National Healthcare Quality and Disparities Report … HospitalRHQDAPU https://www.ihi.org/about/documents/5millionlivescampaigncasestatement.pdf AHRQ Grant Final Progress … Report Title of Project: Principal Investigator Kevin J.

409. Final Progress Report: Pediatric Quality Improvement Methods, Research, and Evaluation Conference (pdf file)
     preventiveservices.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

410. AHRQ Final Progress Report: Impacts of the Physical Environment on Healthcare (pdf file)
     ce.effectivehealthcare.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

411. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16774-Bundy-draft-1.pdf
     September 29, 2009 - 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.

412. Final progress Report: Anticholinergics and Cognitive Decline in the Elderly with Depression (pdf file)
     ce.effectivehealthcare.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.)

413. Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19118-Lord-draft-1.pdf
     August 30, 2011 - Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response

414. Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/macias-report.pdf
     April 01, 2011 - Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children … On June 15, 2006, after the release of the Institute of Medicine (IOM) report on the state of emergency … verge of collapse…As a system…it provides care of variable and often unknown quality….”1 In the IOM’s report … platform Chamberlain, J Children's National and PECARN Identifying Themes from Network Incident Reports … Process measures: 100% of moderator teams submit final reports from the moderated abstract/storyboard

415. AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/daugherty-report.pdf
     June 30, 2007 - AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements … AHRQ GRANT FINAL PROGRESS REPORT Title: Improving Patient Safety through Provider Communication Strategy … This report focuses on specific outcome measures based on Phase 1 results. … Other 109 1.6% 148 2.7% Total 6766 100% 5677 100% Contributing factors in patient occurrence reports … www.ahrq.gov/qual/hospculture/ https://www.ahrq.gov/patient-safety/resources/index.html AHRQ GRANT FINAL PROGRESS

416. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
     ce.effectivehealthcare.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

417. Final Progress Report: Simulation to Address Gender-based Differences in Leadership, Teamwork, and Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23457-Guise-report.pdf
     September 30, 2018 - Final Progress Report: Simulation to Address Gender-based Differences in Leadership, Teamwork, and Safety … LEADS FINAL PROGRESS REPORT 3.1 Purpose The purpose of this study was to characterize EM and OB/GYN … When residents were asked to report the most common situation in which poor leadership impacted patient

418. Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals (pdf file)
     ce.effectivehealthcare.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%

419. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/24630-Jones-report.pdf
     November 15, 2017 - Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer … Final Progress Report Producing Evidence: Coordination within a Multiteam System Makes Healthcare … post-fall huddles nested by hospital Database to collect and organize fall event and post-fall huddle reports … Overview of hospital stays in the united states, 2012. http://www.hcup- us.ahrq.gov/reports/statbriefs … Int J Qual Health Care. 1998;10(1):15-26. 22 | P a g e http://www.hcup-us.ahrq.gov/reports/statbriefs

420. Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/21984-Kennelty-report.pdf
     July 31, 2013 - Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community … results and discussion sections of this study, including defining and naming themes as part of a “final report … transitional care program, medications are reconciled in the patient’s home by comparing what the patient reports