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3641. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…

3642. Final Progress Report: Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent ADEs in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
      January 01, 2024 - Final Progress Report: Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent ADEs in the Nursing Home Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient- Centered, Telemedicine-Based Approach to Prevent…

3643. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
      July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter PATIENT SAFETY e Issue Brief 12 Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Volume 1: Why Patient Na…

3644. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/primary-care-research/references.html
      January 01, 2024 - Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020) References Previous Page Next Page Table of Contents Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020) Introduction Methods Results Summary References Appendix A. Grants Database Search Terms & An…

3645. Functional Specifications for Pressure Ulcer Healing | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/functional-specs.html
      December 01, 2017 - Functional Specifications for Pressure Ulcer Healing AHRQ’s Safety Program for Nursing Homes: On-Time Prevention These functional specifications will cover the following: General Information Report Specifications Specifications for Each Pressure Ulcer Healing Report 1.0. General Information 1.1. Bac…

3646. Imp-Handouts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1 On-Time Preventable Hospital and ED Visits: Implementation On-Time Preventable Hospital and ED Visits Self-Assessment Scripted Exercise Team consists of:  Facilitator [Tom]  Program Champion (Quality Assessment and…

3647. Puh-Erepguide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.pdf
      February 10, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1 Pressure Ulcer Healing Reports Slide AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Instructor Guide Slide 1: Introduction to Pressure Ulcer Healing Reports SAY: In this sess…

3648. Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
      January 01, 2024 - Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) AHRQ Grant Final Progress Report Title of Project: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) Principal Investigator Kevin J. O’Leary, MD, MS – Northwestern Uni…

3649. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/index.html
      August 01, 2025 - Evaluation of digital health strategy to support clinician-led critically ill patient population management

3650. Chapter-3 - Sepsis Recognition (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
      March 01, 2020 - this patient safety practice, a PRISMA flow diagram and evidence table, along with literature-search strategy … this patient safety practice, a PRISMA flow diagram and evidence table, along with literature-search strategy … nurse to patient ratio and the supporting steering committees, played a pivotal role in developing a strategy … The predominant shortcoming of the strategy was failing to detect severely septic cases before caregivers … nurse to patient ratio and the supporting steering committees) played a pivotal role in developing a strategy

3651. Chipra-89-Adhd-Behavior-Section-5-Attach-5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-5.pdf
      February 02, 2012 - carefully to determine where the ab- straction methodology failed, and ad- justments to the search strategy … other condition is made by a subspecialist, the primary care clinician should develop a manage- ment strategy … reinforcement), learn what behaviors can be reduced or elimi- nated by using planned ignoring as an active strategy

3652. CHIPRA 81: Pediatric Global Health-7 Measure Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-081-fullreport.pdf
      April 01, 2019 - Methods The search strategy was based on the procedures outlined by Klem, Saghafi, Abromitis, et al … The second option was identified by States as the most opportunistic strategy given the existence of … through multiple platforms and contexts (clinic, schools, etc.) provides insight into developing a strategy

3653. ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of ADHD in Children and Adolescents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-5.pdf
      February 02, 2012 - carefully to determine where the ab­ straction methodology failed, and ad­ justments to the search strategy … other condition is made by a subspecialist, the primary care clinician should develop a manage­ ment strategy … reinforcement), learn what behaviors can be reduced or elimi­ nated by using planned ignoring as an active strategy

3654. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
      January 01, 2022 - Department of Health and Human Services' National Quality Strategy for providing better care and better … For the reported AE rates to be more nationally representative based on hospital type, a weighting strategy … By using this strategy and weighting each case to be more representative of the overall national hospital

3655. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
      January 01, 2022 - Department of Health and Human Services' National Quality Strategy for providing better care and better … For the reported AE rates to be more nationally representative based on hospital type, a weighting strategy … By using this strategy and weighting each case to be more representative of the overall national hospital

3656. Chapter-7 - Harm Due to Anticoagulants (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
      March 01, 2020 - this patient safety practice, a PRISMA flow diagram and evidence table, along with literature-search strategy … this patient safety practice, a PRISMA flow diagram and evidence table, along with literature-search strategy … this patient safety practice, a PRISMA flow diagram and evidence table, along with literature-search strategy

3657. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
      January 01, 2022 - Department of Health and Human Services' National Quality Strategy for providing better care and better … For the reported AE rates to be more nationally representative based on hospital type, a weighting strategy … By using this strategy and weighting each case to be more representative of the overall national hospital

3658. Final Progress Report: The Value of Hospital-Related Patient-Safety Interventions to Key Stakeholders (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/nuckols-report.pdf
      January 01, 2024 - Implementing a national strategy for patient safety: Lessons from the National Health Service in England

3659. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication-references.html
      July 01, 2024 - Database Search Strategy Appendix B.

3660. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship-references.html
      August 01, 2024 - Bringing the clinical laboratory into the strategy to advance diagnostic excellence.