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Showing results for "led".

1581. 4. How do we implement best practices in our organization? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
      October 01, 2014 - Team members may or may not be certified in wound care and may be led by a physician, nurse, or physical

1582. TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
      March 01, 2022 - The story outlines several areas where communication failures led to missed and delayed diagnosis that

1583. Supplements to Evaluation Highlight No. 2: How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight02.pdf
      August 01, 2012 - Massachusetts, North Carolina), and one State was using a combination of multiple tools (West Virginia).This led

1584. 4. How do we implement best practices in our organization? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
      October 01, 2014 - Team members may or may not be certified in wound care and may be led by a physician, nurse, or physical

1585. 124-Cusp-Science-Safety-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
      April 01, 2025 - Look at the Swiss Cheese model to prompt of all the contributing factors or holes in the system that led

1586. Meeting Minutes, March 2021 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
      July 01, 2021 - Edgman-Levitan added that Kedar Mate at IHI has led much of the work, including efforts to improve equity

1587. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
      March 01, 2020 - Poor compliance with infection control measures such as contact precautions and hand hygiene led to … This led to reduced nosocomial CRE transmission from a monthly incidence of 55.5 cases per 100,000 patient-days … infection control such as incomplete environmental cleaning and poor hand hygiene may have led

1588. Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
      May 01, 2018 - This process has led us to enhance the validity of this measure by deflating competing concepts and … These tests led us to analyze 2 years of data – as shown in the diagram included with our specifications … State, we found that absence of pharmacy data reduced the number of eligible children modestly and led

1589. AHRQ Safety Program for Perinatal Care Summary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
      May 01, 2017 - these teamwork concepts or “resurface” them in situations where prior implementation efforts had not led … Typically, local facilitators and a small group of nurses and/or a hospital-based learning specialist led … month implementation, many L&D units observed numerous positive impacts on their unit culture, which led

1590. Chartbook on Care Coordination: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
      June 01, 2018 - Produced with the help of an Interagency Work Group led by the Agency for Healthcare Research and Quality … Notes: Improvements in access were led by sustained reductions in the number of Americans without … EHR-based medication support and nurse-led medication therapy management: rationale and design for a

1591. Scientific Rationale (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/scientific-rationale.pdf
      March 01, 2022 - It led to national programs and targeted strategies to reduce device and procedure- related HAIs, such … in all-cause bloodstream infections, including CLABSIs.12 The success of the REDUCE MRSA Trial led

1592. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
      March 01, 2002 - We examined medication events that led to patient harm (adverse drug events) and potential adverse drug … confidential, Web-based reporting application for reporting patient-related incidents that may have led

1593. Development and Implementation of a Consensus Algorithm to Optimize Preoperative Antimicrobial Prophylaxis and Decrease Gram-Positive Surgical Site Infections for Cardiac and Orthopedic Procedures | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article3.html
      June 01, 2014 - included assessment of compliance with STOP SSI algorithm; surgical care improvement project nurse led … reporting SSIs to State agencies 10 or more Change in department level or C-suite leadership Turnover led

1594. Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23464-Crystal-draft-1.pdf
      February 13, 2019 - disease, or Tourette’s syndrome).8 Persistently high use despite growing evidence of mortality risks led … information from the study on effective practices in other states, these changes were noteworthy and led

1595. Development and Implementation of a Consensus Algorithm to Optimize Preoperative Antimicrobial Prophylaxis and Decrease Gram-Positive Surgical Site Infections for Cardiac and Orthopedic Procedures | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article3.html
      June 01, 2014 - included assessment of compliance with STOP SSI algorithm; surgical care improvement project nurse led … reporting SSIs to State agencies 10 or more Change in department level or C-suite leadership Turnover led

1596. Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigtrainer.pdf
      July 01, 2012 - the most well-known examples in which limited English proficiency and cultural misunderstandings led … In several cases, this led to ‘close calls’ like the one described on this slide.”

1597. Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
      January 01, 2024 - disease, or Tourette’s syndrome).8 Persistently high use despite growing evidence of mortality risks led … information from the study on effective practices in other states, these changes were noteworthy and led

1598. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
      January 01, 2024 - Subsequently, Ohio’s eight children’s hospitals, led by Dr. … on nephrotoxic medication associated acute kidney injury in noncritically ill hospitalized children led

1599. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
      January 01, 2025 - elicitation and feedback Stakeholder workshops: Annual multidisciplinary stakeholder workshops, led … The systems engineering led team identified key design issues and would explore alternatives and use

1600. Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Gershon_88.pdf
      January 01, 2012 - Even more dramatic growth occurred after the 1987 revisions to Medicare, which led to facilitated reimbursement … medical cost saving24 that began in the late 1980s when a nationwide campaign to reduce medical costs led