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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-2.pdf
January 01, 2015 - 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. … 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. … Mistakes have led to positive changes in this pharmacy.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-persily.pdf
February 14, 2018 - Patient and family member
preferences have led to changes in our
workflow.
57% Positive
23% Neutral
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/spectorhudaktxt.html
December 01, 2017 - Implementation of tool-use led by facilitator.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/spectorhudak.ppt
December 01, 2013 - system causes
Provide strategies for integrating tools into practice
Implementation of tool-use led
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/pbrn-p30-overview.pdf
January 01, 2016 - for participation in research and PRIME Net member
San Francisco Bay Collaborative Research Network led … C-PRL led Pediatric Patient Engagement as a Criteria for Meaningful Use Stage 3
R18 HS 022689
This … Learning:
Nurture Partnerships, Method Development, and Trans-Network Collaborations
PPRNet led … PRIME Net led Impact of Meaningful Use Patient Engagement Objectives in a Multicultural PBRN, which … Pragmatic Research and Translation Learning Group – This Learning Group is led by Paul Meissner,
Rowena
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - POSTOP
Nurse-led handoff communication.
Include procedure, medications, etc. … POSTOP
Nurse-led handoff communication.
Include procedure, medications, etc.
-
www.ahrq.gov/workingforquality/about/agency-specific-quality-strategic-plans/nqs2.html
November 01, 2016 - NDPP is a lifestyle coach led, 16 group session behavior modification program delivered in community … NDPP is a lifestyle coach led, 16 group session behavior modification program delivered in community
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
July 06, 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
-
www.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - 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 to the creation of a virtual nurse discharge advocate and a version of the tool
-
www.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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - turn 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - turn 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.
-
www.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
-
www.ahrq.gov/hai/cusp/cusp-success/stjoe.html
September 01, 2012 - The award made visible the results of a complex journey led by a gifted team of nurses and physicians … CLABSI Elimination Process
In July 2004, the Keystone Team led the implementation of the CLABSI insertion … Surviving Sepsis Campaign's guidelines for bringing down the very high mortality rates from sepsis, and led
-
www.ahrq.gov/gam/summaries/domain-definitions/index.html
July 01, 2018 - Process measures are supported by evidence that the clinical process—that is the focus of the measure—has led … Population process measures are supported by evidence that the process—that is the focus of the measure—has led
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Wears_75.pdf
May 27, 2008 - upgrades have lead to missing17 or false laboratory information18;
programming mistakes have similarly led … decision support19; and
1
computerized provider order entry, the ”Holy Grail” of safety efforts, has led … to new forms of
failure.20, 21, 22, 23 These problems have led to a small but slowly growing realization … had performed as designed,
3
but the design had not anticipated the set of circumstances that led
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight13.html
June 01, 2015 - medical home transformation and/or delivery of new preventive services, States supplemented expert-led … participated in one round of Maine’s learning collaborative—to learn with and from each other in expert-led … This strategy was one of several used by Maine that ultimately led to an increase of 11.1 percentage … Practices placed a particularly high value on learning collaboratives led by respected physicians and
-
www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_utah_health.pdf
April 01, 2019 - An initiative around opioids stewardship, for example, led to new
tools being developed to help both … By bringing diverse staff members together, the collaborative structure also has led to rapid
improvements
-
www.ahrq.gov/news/blog/ahrqviews/ahrq-in-2018.html
January 01, 2019 - Hospital-Acquired Conditions showed continued progress in improving patient safety, a signal that initiatives led
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - physician-owned until recently, when changes to reimbursement, competition, and other market dynamics led … Funding and Payers
Many factors have led purchasers in the State market to put more pressure on providers … Each RCI event is led by a facilitator, who is a member of the process improvement staff group. … This improvement in procedures led to staff having the tools they need to do their job well, in turn … This led some interviewees to question the motivations of leadership.
Other projects.