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3281. Case 3. Grand Hospital Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
      November 01, 2014 - Thus far, the EOT has steered away from projects requiring a large information technology (IT) component

3282. Timely Temperatures Upon Arrival in Level 2 or Higher Nurseries for Low Birthweight Neonates (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-117-fullreport.pdf
      October 18, 2017 - allows this measure to consider issues of socioeconomic status while using publicly available data and requiring

3283. Fung CH 2006 "Computerized condition-specific templates for improving care of geriatric syndromes in a primary care setting." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/fung-ch-2006
      January 01, 2006 - Fung CH 2006 "Computerized condition-specific templates for improving care of geriatric syndromes in a primary care setting." Reference Fung CH. Computerized condition-specific templates for improving care of geriatric syndromes in a primary care setting. J Gen Intern Med 2006;21(9):989-994. [Link…

3284. Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. | PSNet
      psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
      November 22, 2017 - Book/Report Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Citation Text: Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Washington, DC: United States Government …

3285. Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. | PSNet
      psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
      February 01, 2023 - Book/Report Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Citation Text: Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Grimm CA. Washington DC: Office of the Inspector General; May 2022. Repor…

3286. Safety considerations in learning new procedures: a survey of surgeons. | PSNet
      psnet.ahrq.gov/issue/safety-considerations-learning-new-procedures-survey-surgeons
      January 23, 2017 - Study Safety considerations in learning new procedures: a survey of surgeons. Citation Text: Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058. Copy Citation Format…

3287. RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. | PSNet
      psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
      June 21, 2016 - Book/Report RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Citation Text: RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation Save Save to your library Print …

3288. Oregon | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/oregon
      January 01, 2023 - Oregon In a recent press conference, Governor Kulongoski made the following statement regarding Oregonian's health information. "We want to ensure that all of our citizens' health records are available to them and their healthcare provider anytime, anywhere they are needed and that those h…

3289. Cammisa M et al. 2004 "Design and implementation of an integrated HIS-RIS-PACS system: our experience." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/cammisa-m-et-al-2004
      January 01, 2004 - Cammisa M et al. 2004 "Design and implementation of an integrated HIS-RIS-PACS system: our experience." Reference Cammisa M, Guglielmi G, Zarrelli N, et al. Design and implementation of an integrated HIS-RIS-PACS system: our experience. Radiological Medicine 2004;107(1-2):102-112. Abstract "Pu…

3290. Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. | PSNet
      psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-lead-patient-harm
      October 17, 2018 - Newspaper/Magazine Article Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. Citation Text: Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. ISMP Medication Safety Alert! Acute Care Edition…

3291. Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. | PSNet
      psnet.ahrq.gov/issue/greater-focus-credentialing-needed-prevent-disqualified-providers-delivering-patient-care
      September 25, 2019 - Book/Report Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. Citation Text: Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. Washington, DC: United States Government Accountability O…

3292. Mandatory pharmacy residencies: one way to reduce medication errors. | PSNet
      psnet.ahrq.gov/issue/mandatory-pharmacy-residencies-one-way-reduce-medication-errors
      July 23, 2008 - Commentary Mandatory pharmacy residencies: one way to reduce medication errors. Citation Text: Ibrahim RB, Bahgat-Ibrahim L, Reeves D. Mandatory pharmacy residencies: One way to reduce medication errors. Am J Health Syst Pharm. 2010;67(6):477-81. doi:10.2146/ajhp090138. Copy Citation …

3293. INSTRUCTIONS: Project Charter (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/d2-projectcharter.pdf
      December 23, 2009 - INSTRUCTIONS: Project Charter AHRQ Quality Indicators Toolkit INSTRUCTIONS Project Charter What is this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to which the team will commit. Who are the target audiences? St…

3294. Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. | PSNet
      psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
      May 16, 2018 - Book/Report Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Citation Text: Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Washington, DC: United States Gov…

3295. Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. | PSNet
      psnet.ahrq.gov/issue/safety-considerations-container-labels-and-carton-labeling-design-minimize-medication-errors
      January 13, 2021 - Regulation Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. Citation Text: Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. Rockville,…

3296. Health Information Technology to Support Integration of Self-Management Support in Primary Care Delivery - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-integration-self-management-support/annual-summary/2012
      January 01, 2012 - Health Information Technology to Support Integration of Self-Management Support in Primary Care Delivery - 2012 Project Name Health Information Technology to Support Integration of Self-Management Support in Primary Care Delivery Principal Investigator Lamer, Christopher Organiza…

3297. Measuring the Quality of Hospice Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/measures/setting/long-term-care/hospice.html
      January 01, 2023 - Measuring the Quality of Hospice Care Hospice care is a set of services that allow patients in the final phase of life to spend their last days at home or a home-like setting rather than in a hospital. It is for patients who have decided that they would rather have comfort care while they remain alive than cura…

3298. Important change to heparin container labels to clearly state the total drug strength. | PSNet
      psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength
      December 16, 2020 - Government Resource Important change to heparin container labels to clearly state the total drug strength. Citation Text: Important change to heparin container labels to clearly state the total drug strength. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; Dece…

3299. CAHPS Item Set for Children with Chronic Conditions | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/item-sets/children-chronic/index.html
      April 01, 2022 - CAHPS Item Set for Children with Chronic Conditions The Item Set for Children with Chronic Conditions is an extensive set of items that assess the experiences of this population with health plans and health care services. It allows sponsors to compare the experiences of children with special health care needs w…

3300. Improving the Safety of Medication Use in the Long-term Care Setting: Potential Impact of Computerized Clinical Decision Support (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006FieldJudgeDeFlorio_051211comp.pdf
      January 01, 2006 - alerts - high severity drug interactions - problematic lab test results - potential side effects requiring