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4121. Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/rinke-report.pdf
      January 01, 2025 - Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics 1. TITLE PAGE Reducing Diagnostic Errors in Primary Care Pediatrics Principal Investigator: Michael L. Rinke, MD, PhD Co-Investigators: David G. Bundy, MD, Hardeep Singh, MD, MPH, MPH, Moonseong Heo, PhD, Jason S. Adelman, MD, MS, Heathe…

4122. Final Progress Report: Patient Focused Outcomes: Quality of Life and Lost Productivity (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/lofland-report.pdf
      January 01, 2025 - Final Progress Report: Patient Focused Outcomes: Quality of Life and Lost Productivity PATIENT FOCUSED OUTCOMES: QUALITY OF LIFE AND LOST PRODUCTIVITY Jennifer H. Lofland, PharmD, MPH, PhD Principal Investigator1, David B. Nash, MD, MBA Co-Mentor1, Donald Steinwachs, PhD Co-Mentor2, Kevin D. Frick, PhD Thesis Advi…

4123. 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 - Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions Verbal Order Policies, Occurrence, and Perceptions Douglas S. Wakefield, PhD Principal Investigator Center for Health Care Quality University of Missouri Bonnie Wakefield, RN, PhD Co-Investigator Associate Research Professor Sinclair…

4124. Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
      November 01, 2004 - Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries 305 Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries Pascale Carayon, Ann Schoofs Hundt, Carla J. Alvarado, Scott Springman, Amanda Borgsdorf, Lynn Jenkins Abstract This…

4125. Clinical Inertia and Outpatient Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
      January 01, 2003 - Clinical Inertia and Outpatient Medical Errors 293 Clinical Inertia and Outpatient Medical Errors Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush, George Biltz Abstract Clinical inertia is defined as lack of treatment intensification in a patient not at evidence-based goals for …

4126. Physician Engagement (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/engagement.html
      April 01, 2013 - Physician Engagement (Transcript) September 13, 2011 Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions. At that time, instructions will be given i…

4127. Using the Opportunity Estimator (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/estimator.html
      April 01, 2013 - Using the Opportunity Estimator (Transcript) July 20, 2010 Operator: Good day, ladies and gentlemen, and welcome to the CUSP supplemental conference call. At this time, our participants are on a listen-only mode. Later, we'll conduct a question-and-answer session and instructions will be given at that time. …

4128. Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
      July 01, 2023 - Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation Situation Monitoring Obstetric Hemorrhage Module 4 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 4 of the SPPC-II Teamwork Toolkit. In this module, we will talk about situation moni…

4129. Situation Monitoring: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - Situation Monitoring: Obstetric Hemorrhage SPPC‐II Toolkit                                                                                     Hospital AIM Team Leads SPPC II Situation Monitoring Obstetric Hemorrhage Module 4 of 8 ‐ SCRIPT Welcome to Module 4 of the Safety Program for Perinatal Ca…

4130. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
      June 01, 2015 - Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration  Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration P…

4131. Final Progress Report: Patient-Centric Risk Model for Medication Safety During Care Transitions (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
      January 01, 2024 - Two research pharmacy technicians, trained on the use of patient-centric risk assessment tool by the

4132. Final Progress Report: Auditory Perception of Drug Names: Neighborhood Effects (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/lambert3-report.pdf
      January 01, 2024 - They were spoken by a woman who was a trained phonetician and an experienced voice- over actor.

4133. Family Experiences with Coordination of Care (FECC) Measure Set (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fullreport.pdf
      March 01, 2018 - medical records contained information regarding care coordination in a place that was identifiable by trained

4134. Prevehosp-Reports-Ig (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
      November 30, 2013 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1 On-Time Preventable Hospital and ED Visits: Reports AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits Training Slide 1: Introduction to Preventable Hospital and ED Visits Reports …

4135. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
      February 04, 2022 - TeamSTEPPS for Improving Diagnosis Participant Workbook TeamSTEPPS® for Diagnosis Improvement Participant Workbook Participant Workbook This page is intentionally blank. Contents Introduction: TeamSTEPPS for Diagnosis Improvement ........................................................1 Module 1: Introducti…

4136. 0129References (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
      October 23, 2013 - References 1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428. 2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA. Readmission rates and cost following colorectal surgery. Dis …

4137. Recovering After Emergency Appendectomy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/appendectomy-booklet.pdf
      November 01, 2023 - Recovering After Emergency Appendectomy Recovering After Emergency Appendectomy e Emergency Appendectomy Patient Education Guide 1 Recovering After Emergency Appendectomy Patient Name ___________________________________________________________________ Surgeon Name _________________________________________…

4138. Recovering After Emergency Gallbladder Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/gallbladder-booklet.pdf
      November 01, 2023 - Recovering After Emergency Gallbladder Surgery Recovering After Emergency Gallbladder Surgery e Recovering After Emergency Gallbladder Surgery Patient Name __________________________________________________________________ Surgeon Name _________________________________________________________________ …

4139. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
      November 19, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Interim Data From National Efforts To Make Care Safer, 2010-2014 Summary Interim estimates for 2014 show a s…

4140. Final Progress Report: Immersive Simulation for Design and Evaluation of an Emergency Department IT System (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/bisantz-report.pdf
      January 01, 2025 - Final Progress Report: Immersive Simulation for Design and Evaluation of an Emergency Department IT System Immersive Simulation for Design and Evaluation of an Emergency Department IT System Principal Investigator: Ann Bisantz, PhD1 Co-Investigators: Rollin J. Terry Fairbanks, MD1, 2,5 Li Lin, PhD1 A. Zachary He…