-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
July 01, 2023 - Smith’s severe-range blood pressure, explaining that the difficulty in obtaining IV access led to a delay … Smith had dangerously elevated blood pressure, which could have led to stroke or seizures.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
January 01, 2013 - Mistakes have led to positive changes here. (A9)
3. … Mistakes have led to positive changes here. (A9) 63%
3.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
December 01, 2017 - further, we wonder how can this be when we can see that there have been advances in medicine that have led … of the NASA and its engineers and other employees to fix the problem with o-rings that we now know led
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
June 03, 2014 - further, we wonder how can this be when we can see that there have been advances in medicine that have led … of the NASA and its engineers and other employees to fix the problem with o-rings that we now know led
-
www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.html
July 01, 2019 - General huddle includes entire team; specific huddle is provider-led. … The entire core team meets for a brief huddle at 8 a.m. led by the nursing supervisor to optimize clinic
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - the national data is that the intervention on the floor, both in the medical and surgical side, have led … That led us to think that if we actually asked some key MDs on the floor to take the GPS that could allow
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - the national data is that the intervention on the floor, both in the medical and surgical side, have led … That led us to think that if we actually asked some key MDs on the floor to take the GPS that could allow
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es-rev.pdf
January 01, 2023 - These surges led to recurring spikes in cases, hospitalizations, and deaths
throughout 2021. … required that nursing
home workers isolate several days to weeks to avoid infecting residents, which led
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
January 01, 2003 - clinical trial we are currently participating in, paper-based clinical
decision support tools have led … LDL, or SBP in certain
groups of patients, such as those with diabetes or heart disease, has often led
-
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
-
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.
-
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.
-
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.
-
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.
-
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 led … Led by the guiding questions, we then addressed the key questions that were posed by
AHRQ on behalf
-
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,
-
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
-
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.
-
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
-
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