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61. Forming a Comprehensive Unit-based Safety Program Team: Slide Presentation | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/forming-cusp-team-slides.html
    February 01, 2017 - Led by clinicians. Guided by measures. Informed by a systems view. … A CUSP Facilitator supports 3 - 4 CUSP teams, each led by a CUSP Champion. … Slide 27: Discussion What strategies have you used that have led to an engaged team?

62. Fall TIPS: A Patient-Centered Fall Prevention Toolkit | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
    February 01, 2021 - Fall Prevention Toolkit The research team led by Drs. … Fall TIPS is a nurse-led, evidence-based fall prevention intervention that uses bedside tools to communicate

63. Acknowledgments (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/ts2-0ltc_acknowledgments.pdf
    June 08, 2017 - we would like to acknowledge Joanne Robinson and Karen Carp in AHRQ’s Office of Communications, who led

64. Transformed Primary Care: Care by Design (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-magill.pdf
    April 01, 2015 - Implementation efforts within each clinic were led by a two-person team, including a medical director … In addition, changes in leadership led to changes in understanding of transformation efforts and maintaining

65. Person- and Family-Centered Care | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pfcc.html
    June 01, 2018 - The reports are produced with the help of an Interagency Work Group led by the Agency for Healthcare … Key Findings of the 2015 QDR Access to care has improved dramatically, led by sustained reductions

66. Care Affordability | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/careaffordability.html
    June 01, 2018 - The reports are produced with the help of an Interagency Work Group led by the Agency for Healthcare … Improvements in access were led by sustained reductions in the number of Americans without health insurance

67. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
    January 01, 2004 - Two comments led to the identification of a programming stop code introduced when testing an update … Finally, one feedback comment led to the identification of an expired prescription being inadvertently … medications omitted from the prescription list 19 Method of updating a VISTA* medication status led … Omission of diagnoses (ICD- 9 codes) 2 Programming stop code introduced into the extraction routine led … Expired medications appeared as active in the prescription list 1 VISTA* medication status flag led

68. Increasing Access to Medication-Assisted Treatment of Opioid Abuse in Rural Primary Care Practices | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/ncepcr/research/health-it/opioids.html
    September 01, 2022 - Led by Dr. … Led by Dr.

69. TeamSTEPPS Diagnosis Improvement Course | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/teamstepps-program/diagnosis-improvement/index.html
    February 01, 2024 - Acknowledgments Project Team This project was led by the MedStar Health Institute for Quality and … Health Research Institute, Baylor College of Medicine, Clinical Directors Network, and National Nurse-Led

70. QDR 2014: Chartbook for Hispanic Health Care, Part 1 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt1.pdf
    October 01, 2015 - The reports are produced with the help of an Interagency Work Group led by the Agency for Healthcare … ■ Patient Safety improved, led by a 17% reduction in rates of hospital-acquired conditions between … ■ Healthy Living improved, led by doubling of selected adolescent immunization rates from 2008 to … ■ Parallel gains in access and quality across groups led to persistence of most disparities.

71. Care Coordination | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination.html
    June 01, 2018 - The reports are produced with the help of an Interagency Work Group led by the Agency for Healthcare … Improvements in access were led by sustained reductions in the number of Americans without health insurance

72. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
    June 01, 2018 - Based on this study, researchers estimated that preventable errors in hospital care led to 180,000 deaths … An asthma program in Boston has led to an 86-percent reduction in hospital visits and 79-percent reduction … In 1992, asthma led to 468,000 hospitalizations in the United States and an annual cost of $6.2 billion … The use of NIH guidelines has led to a 100-percent increase in the use of a drug to prevent death among … days of the initial therapy, was associated with a reduced rate of adverse drug reactions (ADRs), and led

73. AHRQ CONFERENCE GRANT PROGRAMS (R13): Angela Smith (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/smith-angela-r13-hs026679-01.pdf
    March 31, 2020 - pain while preventing the potential harms associated with the use and misuse of opioids that has led … Consequently, the American Urological Association (AUA) recognizes the growing need for physician-led … On a policy level, insights will be shared into physician-led policy initiatives to address the opioid … (Margaret Rukstalis, MD, Wake Forest School of Medicine) 10:00 – 11:00 AM Session 2: Physician-led … Session 2 will focus on physician-led multicomponent interventions in opioid stewardship. Drs.

74. Introduction and Objectives | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cusp/cauti-interim/cauti-interim2.html
    July 01, 2013 - The collaboration is led by the Health Research & Educational Trust (HRET) and its partners, the Michigan … coordination among these projects, the CDC's efforts to reduce HAIs through State health department-led

75. Project Overview: Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
    October 01, 2014 - RTI International in Research Triangle Park, N.C., and Consumers Advancing Patient Safety, a consumer-led … RTI International in Research Triangle Park, N.C., and Consumers Advancing Patient Safety, a consumer-led

76. AHRQ Multiple Chronic Conditions Research Summit: Speaker Biosketches | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
    November 01, 2021 - Academic Health Centers, the Child Development and Preventive Care program, and most recently, she led … Bazemore also led the Graham Center’s emphasis on developing tools that empower primary care providers … She led an extensive research program in translational research that was supported by the NIA, AHRQ, … She co-led an initiative that led to the University of Maryland, Baltimore and University of Maryland … Khanna led AHRQ’s efforts to develop the knowledge, tools, and data needed to improve the healthcare

77. Making Effective Changes in Antibiotic Decision Making (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
    November 01, 2019 - review this case using the Four Moments of Antibiotic Decision Making framework to understand what led … This led to unnecessary patient inconvenience, costs, and personnel time. … This could have led to avoidance of the PICC that was placed. … months to make sure the potential solution has been successfully implemented and that it has not led

78. Program-Dev-Facilitator-Guide (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
    June 01, 2021 - Let’s review the events that may have led to a poor outcome for this resident. … Identifying the Problems SAY: These are all opportunities for improvements in the system that may have led … Slide 13 How to Start SAY: Now that we have identified problems in the system that may have led … These activities could be led by the Antibiotic Stewardship Team and are a great way to introduce the

79. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - AHRQ Antibiotic Stewardship Program Led to Increased Activity, Openness to Change . … AHRQ Antibiotic Stewardship Program Led to Increased Activity, Openness to Change Clinicians reported

80. Evaluating TeamSTEPPS Worksheet (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module10/ts2-0ltc_module10_eval_exsheet.pdf
    April 24, 2017 - Many times additional nurses are required, but the shift change has led to some confusion about who