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21. Final Progress Report: Medication Reconciliation: A Team Approach (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17520-Greenwald-draft-1.pdf
    August 01, 2009 - Final Progress Report: Medication Reconciliation: A Team Approach AHRQ Small Conference Grant Final … Report Title of Project: Medication Reconciliation: A Team Appr oach Principal Investigator … Conference and post-conference discussions and recommendations are included in this report. … generate Requirements for Improvements (RFI) and would not Page 3 of 19 appear on the accreditation report … working lunch (Each participant participated in all four sessions in rotation.) 3:00-3:45 pm Work group reports

22. Final Progress Report: Pursuing Perfection in Pediatric Therapeutics (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16957-Lannon-draft-1.pdf
    January 01, 2012 - Final Progress Report: Pursuing Perfection in Pediatric Therapeutics FINAL PROGRESS REPORT Title of … U18HS016957 Final Progress Report Abstract Purpose: The 2007–2012 Cincinnati Children’s CERTs Research … Improvement Networks, Pharmacogenomics, Safety, Quality Improvement Research 2 U18HS016957 Final Progress … Report attention deficit hyperactivity disorder and 2) renal transplant. … BMJ Qual Saf. 2011 Oct;20(10):895-902. 10 U18HS016957 Final Progress Report Froehlich TE, Epstein

23. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
    January 01, 2024 - Final Progress Report: SAFER: Standardizing Admissions for Elderly residents SAFER: Standardizing Admissions … reports on a quarterly basis. … Pilot sites used these summary reports to target areas for improvement, establish improvement activities … Quantitative data were obtained through chart review summary reports, project reports, and results from … for transfer, EMS report, advance directives, nurse report, documentation of treatment provided to

24. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
    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.

25. Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
    January 01, 2024 - Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care … AHRQ Grant Final Progress Report Mazor, Kathleen M Grant Award Number: 5 R18 HS022757 Project Title … The ITS did not detect any positive impact of the program. 11 AHRQ Grant Final Progress Report Mazor … We also examined the extent to 16 AHRQ Grant Final Progress Report Mazor, Kathleen M Grant … PMID: 17678514. 19 AHRQ Grant Final Progress Report Mazor, Kathleen M Grant Award Number: 5 R18

26. Final Progress Report: Partnering With Patients To Find Adverse Events (pdf file)
    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.

27. Final Progress Report: Mining complex clinical data for patient safety research (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
    January 01, 2024 - Final Progress Report: Mining complex clinical data for patient safety research Principal Investigator … : Hripcsak, George Progress Report Close-Out Documentation Title: Mining complex clinical data … Providers were found to explicitly report medical errors in the electronic health record at rates similar … and pathology reports, that were not already supported. … NIH that, if funded, would make MedLEE freely available to researchers around the nation. 11 Progress

28. Final Progress Report: Teamwork and Error in Neonatal Intensive Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/thomas2-report.pdf
    May 01, 2004 - Final Progress Report: Teamwork and Error in Neonatal Intensive Care Teamwork and Error in Neonatal … A recent Institute of Medicine (IOM) report suggested that healthcare organizations "promote effective … The existing research is limited by several biases, such as reliance upon self-report of error, small … We report frequencies (%) of patient characteristics, behavioral markers, and errors. … We report frequencies (%) of behavioral markers and time until event for our process- of-care measures

29. AHRQ Final Progress Report: Impacts of the Physical Environment on Healthcare (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/zimring-report.pdf
    December 01, 2006 - 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

30. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
    www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
    January 01, 2025 - Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting Project … Other information extracted included pathology reports and chest CT reports within 1 year from the index … report date, including reports from other institutions recorded in our EHR, and lung malignancy reported … to the cancer registry up to 3 years from the report date. … Report Filename: 24722-Lacson-V1-508.pdf Report created by: Rhea Jones, 508 Compliance Specialist

31. Final Progress Report: (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
    January 01, 2024 - Final Progress Report: 1. … Significant differences were also evident between prescribers’ and nurses’ reports of communication … on the 1,653 open-text comments received, study staff collapsed comments into 737 discrete toxicity reports … The overall mean (SD) severity of open-text toxicity reports was 3.1. … efforts have been mixed, principally due to variation in clinicians’ response to adverse toxicity reports

32. 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

33. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14253-Carayon-draft-1.pdf
    December 01, 2006 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors Medication Error … Hospital web-based event report data (Patient Safety Net [PSN] Data) We monitored hospital event reports … In conjunction with the SMArT-HF Research Team, summary reports were developed. … This summary report facilitated organized follow up when recurring incidents or types of problems arose … Reports were made to the hospital leadership and the pump vendor.

34. Final Progress Report: Dissemination of the PPRNet Model for Improving Medication Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19593-Wessell-draft-1.pdf
    December 30, 2013 - Final Progress Report: Dissemination of the PPRNet Model for Improving Medication Safety 1. … TITLE PAGE Final Progress Report Dissemination of the PPRNet Model for Improving Medication Safety … Results: Practices received a median of seven quarterly reports. … The patient-level report displays lists of patients that do not meet indicator criteria, or those patients … Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research

35. Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
    January 01, 2024 - Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety FINAL PROGRESS REPORT … ; (2) how useful the quarterly reports are to each hospital; (3) how the reports can be improved or … the information/data contained in the reports into knowledge and learning). … Four additional manuscripts are in preparation at the time of this report. … FINAL PROGRESS REPORT Abstract Purpose Scope Methods Results Publications and Products

36. 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%

37. Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/taekman-report.pdf
    January 01, 2010 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training … Total Enrollment Report: Number of Participants Enrolled to Date (Cumulative) By Ethnicity and Race

38. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16463-Gurwitz-report.pdf
    January 01, 2011 - Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home Project Title: Enhancing … assessment of the resident’s situation before placing calls to physicians about residents on warfarin to report … To overcome this potential problem, we trained abstractors to search for and report on a variety of

39. Final Progress Report: Understanding the implementation of new practices in healthcare organizations (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/18987-Nembhard-report.pdf
    April 30, 2015 - Final Progress Report: Understanding the implementation of new practices in healthcare organizations … our aims were not substantively modified since the original application, as explained in previous progress … reports, having found no association between hospitals’ use of various national quality campaign- sponsored … HQA reports this data on the HospitalCompare website (www.HospitalCompare.hhs.gov) to “help consumers … Curing health care: new strategies for quality improvement: a report on the National Demonstration Project

40. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
    January 01, 2024 - Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) … Principal Investigator: Hall, Kendall K. 7P20HS017111-02 FINAL REPORT Evaluation of Risk by Active … , and the report does not necessarily reflect important factors that are precursors to errors. … surveillance involves direct solicitation of event reports. … In a majority of cases, there was no clear report on harm.