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81. Final Progress Report: Improving Safety and Quality with Outpatient Order Entry (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/gandhi-report.pdf
    January 01, 2024 - Final Progress Report: Improving Safety and Quality with Outpatient Order Entry Grant Final Report … Health Services, Time and Motion Studies, Efficiency, Cost-Benefit Analysis The authors of this report … Statements in the report should not be construed as endorsement by the Agency for Healthcare Research … The data collection period will then begin, with Order Tracking reports updated monthly in Reports Central … Extensive programming was required to create new reports.

82. Final Progress Report: Inpatient Provider Rounding Prioritization of Patients Ready for Discharge (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/27231-Burden-report.pdf
    March 29, 2022 - Final Progress Report: Inpatient Provider Rounding Prioritization of Patients Ready for Discharge Final … Progress Report to Agency for Healthcare Research and Quality Title of Project Inpatient Provider … Per the Society of Hospital Medicine State of Hospital Medicine Report from 2018, approximately 33% … Society of Hospital Medicine 2018 State of Hospital Medicine Report.

83. Final Progress Report: Videotaping communication between physicians and nurses: A methods study (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/24760-Manojlovich-report.pdf
    February 28, 2018 - Final Progress Report: Videotaping communication between physicians and nurses: A methods study TITLE … this was a study to determine the feasibility of a method, there are no interventions or measures to report … Stimulated recall: A report on its use in naturalistic research.

84. Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/11835-Lapane-draft-1.pdf
    January 01, 2006 - 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

85. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/15886-Noskin-draft-1.pdf
    March 01, 2008 - Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) Medications at Transitions … Based on reports by the Institute of Medicine (IOM)13 and AHRQ,14 as many as 90 million Americans may … channels, such as e-mails, brief announcements at staff meetings, and memos posted in nursing units, report … Health literacy: report of the Council on Scientific Affairs. JAMA. 1999; 281:552-557. 22. … A consensus report.

86. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14053-Gandhi-draft-1.pdf
    April 16, 2007 - Final Progress Report: Using Barcode Technology to Improve Medication Safety FINAL REPORT: April 16 … Final Report: Using Barcode Technology to Improve Medication Safety PI- T. … Our baseline time-motion studies Final Report: Using Barcode Technology to Improve Medication Safety … Background The Institute of Medicine (IOM) report, “To Err Is Human,” brought iatrogenic injury to … This activity list Final Report: Using Barcode Technology to Improve Medication Safety PI- T.

87. Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19598-Schnipper-draft-1.pdf
    December 19, 2014 - Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) Final … Report to Agency for Healthcare Research and Quality Title of Project: Multicenter Medication Reconciliation … The data center provided detailed reports to trend discrepancies, facilitated uploads of patient-specific … Facilitators of Implementation A full description of the qualitative findings is beyond the scope of this report

88. 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-draft-1.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

89. 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.

90. Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis (pdf file)
    www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
    January 01, 2024 - Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis Title: Topical Vancomycin … 1326, darryl.gray@ahrq.hhs.gov Acknowledgement of Agency Support: Research reported in this closeout report … Furthermore, there have been no reports of an increased rate of drug-related complications with the … Positive reports of the aforementioned, not previously noted in preoperative evaluation or self-reported … involved in the patients' care, we also screened for SSIs by reviewing patient EMRs and generating reports

91. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17111-Hall-report.pdf
    September 01, 2007 - 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.

92. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
    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

93. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/21093-Lambert-draft-1.pdf
    November 20, 2017 - 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

94. Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23464-Crystal-draft-1.pdf
    February 13, 2019 - 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

95. Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/27493-VanSchaik-report.pdf
    December 31, 2022 - Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training … Final Progress Report A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training … (ISBTT) has gained popularity in healthcare as a means to optimize interprofessional teamwork.1-5 Reports … Our own review of published reports describing ISBTT programs found that the majority of these programs … examples from real life Appendix B van Schaik Debriefing Interprofessional Simulation Final Progress

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

97. Final Progress Report: Blood Product Transfusion & Safe Practices (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
    January 01, 2024 - Final Progress Report: Blood Product Transfusion & Safe Practices Blood Product Transfusion & Safe … Practices Final Progress Report Principal Investigator: Loreen A. … Results Voluntary incident reports dropped from 41.5 reports/month in the 6 months before implementation … to 7.2 reports/month following implementation. … -15- -16- Blood Product Transfusion & Safe Practices Final Progress Report STRUCTURED ABSTRACT

98. Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/joseph2-report.pdf
    September 29, 2015 - Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit … Final Progress Report 1. … Additionally, reference lists of articles as well as other data sources, such as industry reports, were … (The Year 1 progress report provides additional detail.) … Results are available in the Year 3 report. 6.

99. 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

100. Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/18465-Kesselheim-draft-1.pdf
     January 01, 2015 - Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization PI … First, I conducted a qualitative analysis of reports from physicians and participants in the private-sector