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3921. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
      January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator 39 Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objective: Evaluate the A…

3922. Protocol - Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/sleep-apnea-protocol.pdf
      June 09, 2020 - Protocol - Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients Evidence-based Practice Center Systematic Review Protocol Project Title: Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients I. Backgrou…

3923. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
      July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism Appendix A: Tools and Resources Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter …

3924. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
      January 01, 2004 - Web- based databases have the ability to store lab test results and medication orders in one place;

3925. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
      January 01, 2004 - Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology 323 Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology Jiajie Zhang, Vimla L. Patel, Todd R. Johnson, Philip Chung, James P. Turley Abstract Human errors in med…

3926. Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
      April 14, 2008 - Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration Robert R. Campbell, JD, MPH, PhD; An…

3927. Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
      January 01, 2021 - Implementation Guide for the NQF’s 15 measures in 2005 and is currently conducting a 2-year project to test

3928. 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…

3929. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
      March 30, 2008 - Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems Donald K. Baker, PharmD; James M. Hoffman, PharmD; Gregory A. Hal…

3930. The Nature, Characteristics and Patterns of Perinatal Critical Events Teams (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
      April 02, 2008 - reviewed five randomly selected video recordings (these were not used in the actual data analysis) to test

3931. The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
      March 03, 2008 - The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems Gregg S. Meyer, MD, MSc; David F. Torchiana, MD; Deborah Colton; James Mountford, MB, BCh; Elizabeth Mort, MD; Sarah Lenz; Nancy Gagliano, MD; Elizabet…

3932. Final Progress Report: Epidemiology, Exploration, and Evaluation: Addressing potentially dangerous medications in children on Medicaid with a mental health diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/kleinman-report.pdf
      January 01, 2024 - a prescription has been filled, and 26% receive monthly reports regarding Rx fills 18 CME POST TEST … PCMH clearly requires further study to test thoughtful hypotheses regarding what outcomes it may improve … Participation in the survey and CME post-test appears to have motivated respondents to consider enhancements

3933. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
      October 01, 2017 - Measuring pressure injury rates is the test of how this hospital or unit is performing, but pressure

3934. Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight07.pdf
      September 08, 2015 - Conclusions Maryland, Georgia, Utah, and Idaho are using different approaches to test and refine caregiver

3935. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
      January 01, 2017 - as knowledge, skills, and motivations · Task factors, such as clarity of structure and accuracy of test

3936. Labor and Delivery Unit Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
      May 01, 2017 - • Pilot test any new procedures to work out any bugs or problems.

3937. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/hacrate2013.html
      January 01, 2018 - will use this evaluation and other data to make judgments about the overall impact of the PfP model test

3938. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
      January 01, 2021 - However, the largest number of total harm events (n = 14; 28.0%) occurred during Product test or request … 0% 25% 50% 75% 100% Post-transfusion or administration Sample collection Other process Product test … Product selection Product manipulation Sample handling Product storage Sample testing Product test … 2021| 93 VTE diagnosed based on any one, or any combination of, (1) clinical criteria, (2) D-dimer test … results, or (3) imaging test results that are “inconclusive” or are of “low probability” Superficial

3939. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
      January 01, 2016 - Measuring pressure injury rates is the test of how this hospital or unit is performing, but pressure

3940. Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
      January 01, 2024 - The project is using an innovative web-based assessment that will test the efficacy of the intervention