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  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
    March 01, 2020 - contribute to the high mortality rate for sepsis.9 The need for early recognition and rapid treatment have led … level due to the risk of fluid overload.12 The need to diagnose sepsis unambiguously and quickly has led … colleagues found that a nurse-administered screening tool in the ED of a 320-bed community hospital led … screening result (positive or negative), which suggests that a positive screening test may have led … Paper-based, nurse-led screening tools appear to be more sensitive in the identification of septic
  2. 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
  3. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport_0.pdf
    March 01, 2018 - Organizational learning—Continuous improvement Mistakes have led to positive changes and changes are … (A6) 84% Mistakes have led to positive changes here. … doing things to improve patient safety. 84% 6.51% 40% 75% 80% 84% 88% 91% 100% A9 Mistakes have led … Mistakes have led to positive changes here. 64% 64% 0% 18% -41% 4% -5% A13 3.
  4. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport.pdf
    March 01, 2018 - Organizational learning—Continuous improvement Mistakes have led to positive changes and changes are … (A6) 84% Mistakes have led to positive changes here. … doing things to improve patient safety. 84% 6.51% 40% 75% 80% 84% 88% 91% 100% A9 Mistakes have led … Mistakes have led to positive changes here. 64% 64% 0% 18% -41% 4% -5% A13 3.
  5. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.pdf
    March 01, 2018 - Organizational learning—Continuous improvement Mistakes have led to positive changes and changes are … (A6) 84% Mistakes have led to positive changes here. … doing things to improve patient safety. 84% 6.51% 40% 75% 80% 84% 88% 91% 100% A9 Mistakes have led … Mistakes have led to positive changes here. 64% 64% 0% 18% -41% 4% -5% A13 3.
  6. 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
  7. 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.
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-topic-refinement.pdf
    November 01, 2022 - Only 4 of these CEDs led to a NCD for continued coverage, and 2 CEDs led to coverage revocation and … Perceived need to reflect best practices for understanding heterogeneity in treatment effectiveness ledLed by the guiding questions, we then addressed the key questions that were posed by AHRQ on behalf
  9. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case1.html
    November 01, 2014 - Frontline staff reported that these efficiency gains led to increased physician productivity and patient … year after completing this Patient Flow project, an unfavorable shift in patient satisfaction scores led … commented that the cultural transformation initiative and the shared mission to produce results has also led … A more hierarchically controlled, and expert-led approach to Lean may improve success.
  10. www.ahrq.gov/hai/tools/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
    November 01, 2018 - Use unit-established approach for nursing-led patient education regarding magnesium sulfate infusion,
  11. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dx-journey-mr-kane.pptx
    June 14, 2016 - The story outlines several areas where communication failures led to missed and delayed diagnosis that
  12. www.ahrq.gov/research/findings/studies/index.html?page=160
    January 01, 2024 - This led to high-priced HOPDs being less likely to be chosen by CalPERS patients for both procedures.
  13. www.ahrq.gov/research/findings/studies/index.html?page=417
    January 01, 2024 - Also, interventions in communication or workflow led to greater improvements in clinician satisfaction
  14. www.ahrq.gov/research/findings/studies/index.html?page=240
    January 01, 2024 - substantial gaps existed in processes for diagnosis and referral of patients with hyperparathyroidism that led
  15. www.ahrq.gov/research/findings/studies/index.html?page=283
    January 01, 2024 - Their hypothesis was rejected as shorter video durations for surgical performance assessment led to inflated
  16. www.ahrq.gov/research/findings/studies/index.html?page=245
    January 01, 2024 - care that aimed directly toward making treatment-related decisions based on predicted risk of bleeding led
  17. www.ahrq.gov/research/findings/studies/index.html?page=311
    January 01, 2024 - This community-led study was conducted to assess patient preferences for fecal immunochemical tests (
  18. www.ahrq.gov/research/findings/studies/index.html?page=247
    January 01, 2024 - The investigators concluded that participation in a physician-led collaborative was associated with significant
  19. www.ahrq.gov/research/findings/studies/index.html?page=318
    January 01, 2024 - chronically ill patients discharged from an acute care setting, to facilitate nurse care coordinator led
  20. www.ahrq.gov/research/findings/studies/index.html?page=361
    January 01, 2024 - The undertaking of corrective actions was reported, and these events led to changes in personal, group

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