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1881. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
      January 01, 2005 - identified another patient where a “known” artifact on a spiral CT nearly led to an unnecessary aneurysm surgery … fact that she was a Jehovah’s Witness and, because her religious beliefs precluded transfusions, surgery

1882. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
      August 01, 2022 - The second component was a communication and resolution program (CRP) in the general surgery departments … Across all claims, cases most commonly involved treatment (35%) and surgery (30%), with the most common

1883. CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-5.8.pdf
      January 01, 2014 - study population consisted of over 50,000 adult inpatients, emergency room patients, and ambulatory surgery

1884. Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
      January 01, 2025 - necrotizing soft tissue infection: A Practice Management Guideline from the Eastern Association for the Surgery

1885. Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
      January 01, 2025 - treating patients at specialty care clinics, 40 outpatient community practice sites, and two ambulatory surgery

1886. Final Progress Report: Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/schnipper2-report.pdf
      January 01, 2024 - 3,718 P value Age in years, mean (SD) 60.3 (17.6) 62 (18.3) P=0.002 Service, n (%) Medicine Surgery

1887. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/access/qrdr2015-chartbookaccess.pptx
      January 01, 2020 - The 24-hour coverage of surgery in level I facilities also provides trauma patients with many surgical

1888. Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-ehr-impact.pdf
      August 01, 2024 - early exploration of an AI language model’s impact on medicine at large and its role in pediatric surgery

1889. 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 - The cardiologist insisted that the symptoms I had following open heart surgery could not be related

1890. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
      January 29, 2008 - the use of a drug (10 percent).5 In terms of overall numbers, preventable technical complications of surgery

1891. Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Adams-Pizarro_109.pdf
      January 08, 2008 - teams added a line item on antibiotic timing to their “Time-Out” process, which is performed prior to surgery

1892. 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 - provide specialized skilled nursing and transitional rehabilitation services for those recovering from surgery

1893. AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
      January 01, 2024 - teams (staffed with attendings, residents, and interns/first- year residents) and services (medicine, surgery

1894. Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/wakefield2-report.pdf
      January 01, 2024 - Data not collected No unit like this Hospital Wide Adult Inpatient Medicine Unit(s) Adult Inpatient Surgery

1895. Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
      January 01, 2025 - designed to provide high-quality care to patients with very specific medical needs (e.g., cardiac surgery

1896. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
      April 01, 2025 - . • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement. • Patient Falls

1897. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.pdf
      March 01, 2018 - o Surgery (10 percent). … Database Respondents Work Area Number Percent Other 113,133 30% Medicine (non-surgical) 49,105 13% Surgery

1898. Understanding CAHPS® Surveys Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-transcript.pdf
      January 01, 2019 - measurement of experiences with care for particular facilities such as a hospital, or a nursing home, or a surgery

1899. Webinar Transcript - National Quality Strategy: Using Payment to Improve Health and Health Care Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-using-payment-to-improve-health-and-health-care-quality.html
      November 01, 2016 - If you're having hand surgery, you don't want to know about general surgeons.

1900. Final Progress Report: NPSF Joint Medical-Legal Conference at SMU (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
      January 01, 2025 - In brief, following knee replacement surgery, a nurse put the right pain medication in the wrong path