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2981. Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
      January 01, 2024 - Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use Title Page EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use Principal Investigator: Danielle M. McCarthy, MD, MS Co-Investigators: Mike S. Wolf, PhD, MPH, Kenzie A. Cameron, PhD, MP…

2982. Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
      January 01, 2024 - Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home TITLE PAGE  AHRQ Final Progress Report Title: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home Principle Investigator: Steven M. Handler, MD, PhD Team Members: Joseph T. Hanlon…

2983. AHRQ Grant Final Progress Report: Context-Based Hand-Gesture Recognition for the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/wachs2-report.pdf
      January 01, 2024 - AHRQ Grant Final Progress Report: Context-Based Hand-Gesture Recognition for the Operating Room AHRQ Grant Final Progress Report Title of Project: Context-Based Hand-Gesture Recognition for the Operating Room Principal Investigator:  Juan P. Wachs, Assistant Professor, School of Industrial Engineering, Purdue U…

2984. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
      January 01, 2025 - Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations 1 Title: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations Principal Investigator: Victoria J. Fraser, MD Co-Principal Inv…

2985. Final Progress Report: Exploratory Study Using Queuing Theory To Improve Nurse Staffing Effectiveness (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/stone-report.pdf
      January 01, 2024 - Final Progress Report: Exploratory Study Using Queuing Theory To Improve Nurse Staffing Effectiveness Title: Exploratory Study Using Queuing Theory to Improve Nurse Staffing Effectiveness Principal Investigator Patricia W. Stone Team Members: Linda Green Haomiao Jia Pam de Cordova Sookyung Hyun Stephanie Goldbe…

2986. About the CAHPS Patient Narratives Elicitation Protocol (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
      April 24, 2018 - About the CAHPS Patient Narratives Elicitation Protocol CAHPS® Clinician & Group Survey and Instructions About the CAHPS Patient Narrative Elicitation Protocol Document No. 2315 Updated April 24, 2018 About the CAHPS® Patient Narrative Elicitation Protocol Introduction .................................…

2987. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
      April 07, 2008 - TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety Heidi B. King, MS, CHE; James Battles, PhD; David P. Baker, PhD; Alexander Alonso, PhD; Eduardo Salas, PhD; John Webster, MD, MBA; Lauren Toomey, RN,…

2988. Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Leonhardt_35.pdf
      March 15, 2008 - Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach Kathryn Kraft Leonhardt, MD, MPH; Patti Pagel, RN; Deborah Bonin, RHIA, CPHQ; D. Paul Moberg, PhD; Mitchell L. Dv…

2989. Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
      April 19, 2008 - Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance Akira Nishisaki, MD; Louis Scrattish, MD; John Boulet, PhD; Mandip Kalsi, MD;…

2990. Preventing Pressure Ulcers in Hospitals: A Toolkit - Section 7, Tools and Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
      January 01, 2004 - Start a skin care plan. C. … Start a skin care plan. C.

2991. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
      May 01, 2011 - including settings that cross geographic or political borders; a system cannot credibly or efficiently start

2992. AHRQ Multiple Chronic Conditions Research Summit: Speaker Biosketches | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
      November 01, 2021 - AHRQ Multiple Chronic Conditions Research Summit: Speaker Biosketches   Melinda Abrams, MS The Commonwealth Fund Ms. Abrams, as Senior Vice President, oversees The Commonwealth Fund's Delivery System Reform and International Health Policy programs. Since coming to the Fund in 1997, Ms. Abrams has worked…

2993. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
      January 01, 2020 - For a given pregnancy, the target number of prenatal visits considered adequate is determined by the start

2994. Potential Measures for Clinical-Community Relationships: A Supplement (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ccrm-atlas-suppl.pdf
      October 01, 2013 - Notes Measure may consider various start-up costs including staff time, staff salaries, hiring costs

2995. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
      May 01, 2011 - including settings that cross geographic or political borders; a system cannot credibly or efficiently start

2996. Potential Measures for Clinical-Community Relationships: A Supplement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/resources/ccrm-atlas-suppl/ccrm-atlas-suppl.pdf
      October 01, 2013 - Notes Measure may consider various start-up costs including staff time, staff salaries, hiring costs

2997. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
      August 01, 2022 - The data gathered in the stakeholder interviews laid the foundation for a guide on how to start a DA&

2998. Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
      January 01, 2024 - Urgent cases were defined as those needing to start within 4 hours, whereas emergent cases required

2999. 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 - For most hospitals, there was a lag between the anticipated start date of the WWTK program (defined

3000. Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdf
      January 01, 2024 - of diagnostic error; however, given that they strongly agreed diagnostic error was a problem at the start