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Showing results for "led".

1401. From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
      May 05, 2008 - brief summary of the resulting policy agenda, and a discussion of how and why the Commission’s process led … It led to tight project management of parallel and iterative processes, affected development of the

1402. Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Leonhardt_35.pdf
      March 15, 2008 - presentations at physician leadership and management meetings, individual physician discussions, and workshops led … This community engagement, led by formal and informal leaders, was evidenced by the measure of penetration

1403. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
      January 01, 2003 - pressure to satisfy patient desires for painless, stress-free care for all types of procedures has led … Accident and emergency department led implementation of ketamine sedation in pediatric practice and

1404. Barriers Associated with Medication Information Handoffs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
      January 01, 2004 - This led to an informed pre- and post-evaluation of an implemented information technology (IT) solution … , analysis, and validation Focus groups and key informant interviews Focus group sessions were led

1405. Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
      November 01, 2015 - It is the Fluoroquinolones that have led to this upsurge in C. diff , many people think, especially … of restriction dramatically declined the use of Septra-axon as you see in the olid green, but also led

1406. Rafael Borja (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
      September 09, 2014 - It is the Fluoroquinolones that have led to this upsurge in C. diff, many people think, especially the … of restriction dramatically declined the use of Septra-axon as you see in the solid green, but also led

1407. Connecting the Dots: Improving Unit Safety Culture to Stop HAI (October 8, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-transcript.html
      December 01, 2017 - Mistakes have led to positive changes here. … We're actively doing things to improve patient safety, but have mistakes actually led to positive changes

1408. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-transcript.doc
      October 08, 2013 - Mistakes have led to positive changes here. … We're actively doing things to improve patient safety, but have mistakes actually led to positive changes

1409. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
      January 01, 2024 - This networking led us to begin working with Tim Bickmore, PhD, who works with “Embodied Conversational … paperwork Include section on discharge plan with details of significant psychosocial issues that have led

1410. Advancing Patient Safety: A Decade of Evidence, Design, and Implementation (pdf file)
      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

1411. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      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.

1412. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      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.

1413. Best Practices in the Management of Patients With Antibiotic Allergies – Facilitator Guide (doc file)
      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

1414. Saint Joseph Mercy Health System–Ann Arbo | Agency for Healthcare Research and Quality
      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

1415. NQMC Measure Domain Definitions | Agency for Healthcare Research and Quality
      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

1416. “Safeware”: Safety-Critical Computing and Health Care Information Technology (pdf file)
      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

1417. How did CHIPRA quality demonstration States employ learning collaboratives to improve children’s health care quality? | Agency for Healthcare Research and Quality
      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

1418. University of Utah Health: Creating a Formula for Value-Based Care (pdf file)
      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

1419. AHRQ in 2018: Laying Essential Groundwork for Improved Healthcare Quality, Better Value | Agency for Healthcare Research and Quality
      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

1420. Case 2. Central Hospital | Agency for Healthcare Research and Quality
      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.