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Total Results: 2,271 records

Showing results for "led".

2001. Final Progress Report: Workshop on Consumer Engagement in Selected Patient Safety Topics (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/hatlie-report.pdf
      January 01, 2024 - Both Dan and Sue have experienced health system failure that led to serious injury or death of a family

2002. Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
      January 01, 2024 - This lack of standardization led to inconsistently applied processes to verify the correct person, procedure

2003. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
      May 01, 2017 - Use of the briefing card led to a drop in wrong-site surgeries and other adverse events.

2004. SOPS™ 101 Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
      June 01, 2020 - served as the Director of AHRQ's Center for Quality Improvement and Patient Safety since 2014, and led

2005. Pharmacy Survey Webinar Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/psopswebinartrans.pdf
      October 29, 2013 - And we also didn’t do as well in the question where it says -- have mistakes led to positive changes?

2006. About the CAHPS Patient Narratives Elicitation Protocol (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
      April 24, 2018 - , the team found that the narratives enhanced engagement with information on physician quality but led

2007. Just Culture Webcast November 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
      June 01, 2017 - During her time as the Patient Safety Officer she has promoted and/or led the introduction and sustainment

2008. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
      December 01, 2017 - Michigan Hospital Association has led work in about 18, 20 Michigan hospitals, hospital EDs, and Ascension

2009. Ed-Catheter-Insertions-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
      September 10, 2013 - Michigan Hospital Association has led work in about 18, 20 Michigan hospitals, hospital EDs, and Ascension

2010. Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
      November 01, 2016 - Needless to say, the assessment ignited a department-wide conversation about quality and this conversation led

2011. Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
      November 01, 2016 - Those investments have led to extraordinary advances in treatment, and have helped so many people who

2012. Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
      January 01, 2024 - following CRI:SIS in the intervention group versus the control group. 3) Our process improvement strategy led

2013. National Healthcare Quality and Disparities Report Chartbook on Rural Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/qdr-ruralhealthchartbook-update.pdf
      January 01, 2020 - The reports are produced with the help of an Interagency Work Group led by the Agency for Healthcare … Receipt of Pap Smears • Importance: Pap testing has led to a significant reduction in cervical cancer … population. 48 | National Healthcare Quality and Disparities Report • Importance: Pap testing has led

2014. Making Healthcare Safer Practices: 10. Harms Due to Opioids (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
      March 01, 2020 - Similarly, Jacobs et al. found significant improvements in guideline-concordant care after the pharmacist-led … significant increase in the use of a PDMP with opioid prescribing after implementation of a pharmacist-led … Implementing an opioid risk assessment telephone clinic: Outcomes from a pharmacist-led initiative in

2015. AHRQ Surveys on Patient Safety CultureTM (SOPS®) Hospital Survey Version 2.0 with HIT, V&E, and Workplace Safety Supplemental Items for the SOPS Hospital Survey Survey Data File Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops_20_hit-wp-ve_data_spec.pdf
      October 25, 2021 - Patient and family member preferences have led to changes in our workflow VEC3 Column CF 1 = Strongly

2016. Coordinating Care for Adults With Complex Care Needs in the Patient-Centered Medical Home: Challenges and Solutions - (WHITE PAPER) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/coordinating-care-for-adults-with-complex-care-needs-white-paper.pdf
      January 01, 2012 - A nonprofit, physician-led practice support organization with regional branches (Community Care of North … officials also highlight the importance of local provider engagement; all of the regional networks are led … departments and Medicaid agencies, a large regional integrated health system, and regional physician-led … health departments and Medicaid agencies, regional integrated health systems, and regional physician-led

2017. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/downloads/pub/advances/vol2/Schiff.pdf
      January 01, 2005 - important, but represent an underemphasized and understudied area of patient-safety.1–8 This belief led … We identified another patient where a “known” artifact on a spiral CT nearly led to an unnecessary aneurysm

2018. Pediatric Diagnostic Safety: State of the Science and Future Directions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
      September 01, 2023 - These efforts led to the formation of the National Pediatric Readiness Project (NPRP) in 2009. … Notably, in half of cases studied, the timeout did not confirm the initial diagnosis, often led to new

2019. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
      January 01, 2005 - important, but represent an underemphasized and understudied area of patient-safety.1–8 This belief led … We identified another patient where a “known” artifact on a spiral CT nearly led to an unnecessary aneurysm

2020. Issues Regarding Identification of Urinary Catheter Use From Medical Records | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article18.html
      August 01, 2018 - Effect of nurse-led multidisciplinary rounds on reducing the unnecessary use of urinary catheterization