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3521. 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 - A summary of the retrospective falls data at BJH was presented at the 4th Annual Evidence-Based Fall

3522. Research on Person-Centered Care
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
      June 27, 2024 - concerted & multi-disciplinary effort to move the needle on NCCP management in older adults 58 In summary

3523. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
      July 05, 2023 - Summary: The PRIDx framework can catalyze public and private payers to take specific actions to improve

3524. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
      January 01, 2004 - In summary, profit margins declined systematically for the most part from 1997–99, but the declines

3525. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
      June 30, 2004 - In summary, the quantitative analysis sensitized us to look for deeper understanding of how communication

3526. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
      April 20, 2004 - In summary, while the benefits of Barcode Medication Administration are many, human factors, along with

3527. Outpatient Surgery and Patient Safety—The Patient’s Voice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
      January 01, 2003 - and/or should ideally be avoided.7 Similarly a review of the anesthesia literature has produced a summary

3528. Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
      March 26, 2008 - Summary of information submitted to MEDMARX in the year 2002. The quest for quality.

3529. 0129Table8 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
      January 01, 2013 - Table 8 – Evidence for the Relationship between Readmission and Quality of Care Type of Evidence Key Findings Citation Readmission and Quality of Care Coordination, Discharge, and Care Transition Processes Meta-analysis Investigators reviewed randomized controlled studies of structured telephone support or t…

3530. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication-references.html
      July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act References Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. Da…

3531. Development and Implementation of The University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
      March 01, 2004 - Development and Implementation of The University of Texas Close Call Reporting System 149 Development and Implementation of The University of Texas Close Call Reporting System Sharon K. Martin, Jason M. Etchegaray, Debora Simmons, W. Thomas Belt, Kelly Clark Abstract This report describes the development…

3532. Universal ICU Decolonization: An Enhanced Protocol (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
      September 01, 2013 - Antimicrobial-resistant pathogens associated with healthcare-associated infections: summary of data … Antimicrobial-resistant pathogens associated with healthcare-associated infections: summary of data

3533. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
      January 01, 2024 - Examples of Summary Failure Modes and Effects Analysis (FMEA) Process Failure Mode Downstream Controls … Summary of Potential for Harm by Stage and Medication Error Category Error Category Prescribing Dispensing

3534. Pressure Injury Prevention Program Implementation Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
      October 01, 2017 - Study 3E: Norton Scale 40 Care planning Identifying bundle of best practices Action plan and summary … Education plan for pressure ulcer prevention staff education and training 5 Enhance action plan Summary

3535. Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
      April 23, 2004 - Summary. … Abstract, executive summary, and synthesis of a multidisciplinary conference, Chicago University, IL

3536. Making Healthcare Safer Practices: 16. Venous Thromboembolism (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
      March 01, 2020 - Author, Year Description of Patient Safety Practice Settings and Population Summary of Findings Implementation … Thromboembolism 16-17 Author, Year Description of Patient Safety Practice Settings and Population Summary

3537. Identifying Key Areas for Delivery System Research (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/casalino_idkeydsr.pdf
      February 01, 2014 - mailto:lac2021@med.cornell.edu Contents Executive Summary ................................. … ..................................................................29 1 Executive Summary … Improvement leaders: what do they and should they do: a summary of a review of research.

3538. 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 - v Executive Summary............................................................................... … Clinical-Community Relationship Measures (CCRM) v Executive Summary The Agency … No. 14-0008-EF October 2013 ISBN 978-1-58763-427-7 Contents Acknowledgments Executive Summary

3539. 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 - v Executive Summary............................................................................... … Clinical-Community Relationship Measures (CCRM) v Executive Summary The Agency … No. 14-0008-EF October 2013 ISBN 978-1-58763-427-7 Contents Acknowledgments Executive Summary

3540. Identifying Key Areas for Delivery System Research (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/paper/casalino_idkeydsr.pdf
      February 01, 2014 - mailto:lac2021@med.cornell.edu Contents Executive Summary ................................. … ..................................................................29 1 Executive Summary … Improvement leaders: what do they and should they do: a summary of a review of research.