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  1. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
    September 01, 2022 - ambulatory care setting Slide 2 The Importance of Antibiotics SAY: The discovery of antibiotics has led … SAY: A number of factors led to this patient having a poor outcome.
  2. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
    March 08, 2019 - • Contributions of human factors to errors that have led to harm.
  3. ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/815.html
    May 01, 2022 - These discussions led to the formation of the Consortium of HCA Healthcare and Academia for Research … Within months of its formation, CHARGE members initiated 10 research projects, several of which have led
  4. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
    May 01, 2015 - led to safety issues. … A fortunate coincidence led to another policy change. … This type of disconnect led to unhappy patients and unhappy physicians. … The Program also led to demonstrable improvements in staff engagement. … Flexible implementation led by local staff.
  5. ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
    January 01, 2010 - early 2000, just 60 days after the IOM report was published, the Federal Government, through an AHRQ-led … The health IT portfolio led to 200 projects that are currently distributed across 48 States and included … Accreditation Council for Graduate Medical Education in 2003 and that the long shifts medical interns worked led … Additional funding led 10 to the creation of a virtual nurse discharge advocate and a version of
  6. ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/overview.html
    October 01, 2015 - more difficult than others…Mixed methods enabled generation and testing of hypotheses about change and led … For example, a study of 10 clinics at the University of Utah led by Magill used both existing operations
  7. ce.effectivehealthcare.ahrq.gov/ncepcr/reports/grants-transform/overview.html
    March 01, 2017 - more difficult than others…Mixed methods enabled generation and testing of hypotheses about change and led … For example, a study of 10 clinics at the University of Utah led by Magill used both existing operations
  8. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
    April 01, 2022 - Nurses Nurse-led protocol to remove all urinary catheters that do not meet criteria (nurse empowered … HOUDINI: make that urinary catheter disappear – nurse-led protocol. J Infect Prev. 2012;13:44-6. … Implementation of a multifaceted nurse-led intervention to reduce indwelling urinary catheter use in
  9. ce.effectivehealthcare.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/northwest.html
    March 01, 2021 - face-to-face visits, regular phone calls) and shared learning opportunities (i.e., webinars and office hours led … Peer-led educational outreach (academic detailing).
  10. ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6m-group-visits.html
    March 01, 2020 - Physician-led groups can be more effective at reducing no-shows than groups led by nurses or other mid-level
  11. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
    March 01, 2020 - Subsequent adoption of smart pump technology led the error rate to further decrease to 3.9 percent.5 … They found that, after implementation of a nurse-led smart pump champions program, compliance among … Not provided Pharmacist-led implementation of smart pump-EMR interoperability led to measurable improvements … Nurses often forgot to validate infusion completion times, which led to large errors in recorded … Not provided Development of a nurse-led champion program led to a significant improvement in compliance
  12. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-rice.pdf
    February 09, 2023 - Administration Human Resources Nursing ITPlant Engineering Education Patient Safety Off Campus o Led
  13. ce.effectivehealthcare.ahrq.gov/ncepcr/reports/grants-transform/key-themes.html
    March 01, 2017 - example, a change in leadership at a university health system studied by one of the TPC investigators led … In a study led by Cooley and McAllister, care coordinators were identified as integral to a practice’ … that acquiring the authority to make decisions empowered them to be more involved in patient care and led … not necessarily with a patient’s regular primary care provider. 10 The study of safety net practices led
  14. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
    May 01, 2007 - patient safety event happens, hospital management looks at more than staff actions to determine what led
  15. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-nc.pdf
    April 01, 2015 - Extensive outreach to multiple stakeholders led to application for a State Innovation Model design grant … multiple organizations have been committed to developing productive relationships over time, which has led
  16. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
    August 03, 2016 - support of patient safety, and institutionalized a standard set of patient safety protocols that have led … with coding and documentation issues during the field test and evaluation of the original QI Toolkit led
  17. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/toolkit/PharmSOPSform.doc
    June 09, 2016 - When a mistake happens, we try to figure out what problems in the work process led to the mistake … Mistakes have led to positive changes in this pharmacy FORMCHECKBOX 1 FORMCHECKBOX 2 FORMCHECKBOX
  18. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6m.pdf
    October 01, 2017 - Physician-led groups can be more effective at reducing no-shows than groups led by nurses or other mid-level
  19. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-guide.docx
    September 01, 2022 - Patients often are unable to recall the specific symptoms that led to the diagnosis of the penicillin … to antibiotics like penicillin have had prior exposure to the agent causing the reaction, which has led … Rashes that were blistering or led to skin peeling and/or involved mucous membranes suggest a Stevens-Johnson-like
  20. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
    March 01, 2004 - This led to an important expansion from the original academic orientation of SDCPS to a substantive … San Diego’s DCERPS, which led to the creation of the SDCPS, was one of the eighteen developmental centers … We also have the support of the County Medical Society, which has led to several potential collaborations … In response to feedback received after the first conference, eight breakout sessions led by patient … A presentation on one institution’s approach to a JCAHO requirement led to a spirited discussion and

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