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www.ahrq.gov/sites/default/files/2024-11/stafford-fortmann-report.pdf
January 01, 2024 - Final Progress Report: National Trends in Outpatient Quality Indicators
Final Report: National Trends … Both of these reports acknowledged the need for further research using additional data
sources and new … In addition, the information and guidance contained in
two recent Institute of Medicine (IOM) reports … In this end-of-project progress report, we summarize the
key elements of the original design and the … common conclusion reached in a number of
recent research articles and national healthcare quality reports
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www.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:
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www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
January 01, 2025 - Final Progress Report: Risk Assessment of Pediatric Emergency Transfers
Risk Assessment of Pediatric … Serious adverse outcomes occurred in 55 reports (31%), including major
physiological derangement (15% … Seventy-five reports (39%) identified equipment problems relating to
battery/power supply, transport … In addition, the Project team conducted a review of all patient safety websites, technical reports, and … REFERENCES
Acrobat Accessibility Report
Accessibility Report
Filename:
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www.ahrq.gov/sites/default/files/2024-04/levett-report.pdf
January 01, 2024 - Final Progress Report: Improving Warfarin Management in Competitive Healthcare
Kirkwood Community … Report
Principal Investigator: James M. … Levett, MD
AHRQ Grant Final Progress Report
Title of Project: Improving Warfarin Management in … Report
Principal Investigator: James M. … AHRQ Grant Final Progress Report
Structured Abstract
Purpose (Objectives of Study).
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www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
January 01, 2025 - Final Progress Report: NPSF Joint Medical-Legal Conference at SMU
Final Progress Report
NPSF Joint … Suggestions of a
nationwide insurance discount for reports or some similar incentive to match the ASRS … reports should be submitted to NPSF and AHRQ for
dissemination … Final Progress Report NPSF Joint Medical-Legal Conference at SMU
Structured Abstract
Purpose
Scope … Accessibility Report
Filename:
14026-Nance-V1-508.pdf
Report created by:
Rhea Jones, 508
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www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
January 01, 2024 - Final Progress Report: Team-Based Safe Opioid Prescribing
Title Page
Title of Project: Team-Based … The contents of this report are solely the responsibility of the authors and do not represent the official … Finally, we report
learnings related to the factors that influenced tracking and monitoring of patients … Next, we report on the trend in the number of patients who continue to receive monthly refills for opioids … the implementation of the Six Building Blocks program is beyond the space
limitations of this final report
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www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
January 01, 2025 - Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports … Final progress report
Developing Evidence for Safety Surveillance from Device Adverse Event Reports … (mandatory or voluntary), whether the report was medically confirmed, whether the
report was a delayed … Reports submitted lawyers were more likely to report patient events only and were less
likely to report … Accessibility Report
Filename:
26291-Mao-V1-508.pdf
Report created by:
Rhea Jones, 508 Compliance
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www.ahrq.gov/sites/default/files/2024-12/bailit-aron-love-report.pdf
January 01, 2024 - Final Progress Report: Determinants of Intrapartum Quality of Care
Determinants of Intrapartum Quality … National
vital statistics reports; vol 51 no2.
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www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS)
Final Report
APPLIED … Nonclinician staff were willing to report errors. … , follows up on confidential
reports, codes reports, and analyzes these coded reports. … A report from SNOCAP and the
ASIPS Collaborative. JAMA. 2005; 293(5):565. … Mixed methods analysis medical error reports: A report from the ASIPS Collaborative.
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www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
January 01, 2024 - Final Progress Report: Quality Factors in Nursing Home Choice
1
Title Page
Title of Project: Quality … They
produce easily understandable reports for communicating survey information to
consumers and evaluate … the usefulness of these reports for consumers in selecting health
care plans and services. … Part II, the NH Quality Report Card, based on the comparative analysis, includes
a report card designed … Psychological Reports, 81, 531-542.
Gabrel, C.S. (2000).
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www.ahrq.gov/sites/default/files/2025-02/horwitz-report.pdf
January 01, 2025 - Final Progress Report: NYU Patient Imaging, Quality and Safety Laboratory
Final Progress Report to … Detection and Correction of Laterality Errors in Radiology Reports. … Follow-up of incidental pulmonary nodules and the radiology
report. … Final Progress Report to AHRQ
Structured Abstract
A. Purpose
B. Scope
C. … Accessibility Report
Filename:
24376-Horwitz-V1-508.pdf
Report created by:
Rhea Jones, 508
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www.ahrq.gov/sites/default/files/2024-01/jones1-report.pdf
January 01, 2024 - Final Progress Report: Improving Pain Management in Nursing Homes
Final Report
Improving Pain Management … For
example, nursing homes with hospice services report higher levels of pain on the report
card, even … Respondents
from the treatment homes reported improved attitudes and sensitivity toward pain reports … Unfortunately, residents may also feel that their reports of pain are ignored,
are not believed, or … Their reports of resident
pain may be discounted by the nursing staff, with subsequent reluctance to
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www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
January 01, 2024 - Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi
FINAL PROGRESS … REPORT
Title of Project: Addressing Preventable Medication Use Variance in Mississippi
Principal Investigator … In addition, we encouraged ease
with which to report medication use variance. … report. … : Comparing
Web-based Occurrence Reports to Paper Occurrence Reports."
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www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
January 01, 2024 - Final Progress Report: Developing Best Practices for Patient Safety
Developing Best Practices for Patient … For example, in response to “I will suffer negative consequences
if I report a patient safety problem … hospital financing and
organization characteristics from the American Hospital Association, Medicare Cost Reports … However, hospital reports on
the results of these activities appeared to be mixed and most often dependent … Use of morning report to enhance adverse event detection.
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www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
January 01, 2024 - Final Progress Report: Partnering With Patients To Find Adverse Events
Weingart, 1 K08 HS11644
Partnering … Hospital-based incident reports and
sentinel event reports underestimate error rates by an order of … Do patient
reports of adverse events and errors affect the quality of care? … reports that were enriched in serious and preventable events [15]. … Using patient
reports to improve medical care: A preliminary report from 10 hospitals.
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www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
January 01, 2025 - Final Progress Report: Comprehensive Pediatric Hypertension Diagnosis and Management
1. … Practices did report higher rates
of counseling, although fewer than half reported all three types of … Current
hypertension reports. 2010;12(6):480-486.
2. … Summary of the Fourth Report on the Diagnosis, Evaluation, and
Treatment of High Blood … National Healthcare Safety Network (NHSN)
Report, data summary for 2010, device-associated module.
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www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System
Evaluate the Effects … Also, as part of this analysis, hospital event reports captured
under the Massachusetts system were … or clear enough, and 84% find it very easy or easy enough to file a
report. … Multiple
reports of a single incident were coded only once. … Bibliography
Acrobat Accessibility Report
Accessibility Report
Filename:
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www.ahrq.gov/sites/default/files/2024-11/becker-bix-report.pdf
January 01, 2024 - Final Progress Report: Optimizing OTC labels for older adults
AHRQ Grant Final Progress Report
Optimizing … Health Science Reports. … Telling more than we can know: Verbal reports on mental processes. … Health
Science Reports. 2023 Jan;6(1):e1062. … AHRQ Grant Final Progress Report: Optimizing OTC labels for older adults: Empirical evaluation of
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www.ahrq.gov/sites/default/files/2024-03/lambert3-report.pdf
January 01, 2024 - Final Progress Report: Auditory Perception of Drug Names: Neighborhood Effects
Title: Auditory Perception … Scope
The Institute of Medicine (IOM) reports that between 44,000 and 98,000 Americans die each year … This method is
described in detail in our previous progress reports and publications.24,25 We also developed … MEDMARX data report. … Analysis of published case reports of drug name confusion. M.S.
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www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
January 01, 2024 - Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety
TITLE OF PROJECT: PHARMACIST … any “irregularities” to the attending physician and director of nursing, and
that these reports “be … any “irregularities” to the attending physician and director of nursing,
that these reports be “acted … These reports included the GRAM™ RAP-Med Report as well as Medication Monitoring
Care Plans and Flow … For both nurses and aides, no significant differential
changes in reports of patient safety domains