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2061. Chartbook on Black Health Care: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/qdr-blackhealth-slides.html
      November 01, 2020 - Produced with the help of an Interagency Work Group led by the Agency for Healthcare Research and Quality … This reduction, in turn, led to significant cost savings. Slide 77 References Arias E. … Also led to significant cost savings for participants.

2062. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2015qdr-chartbookblacks.pptx
      February 09, 2016 - QDR, generally reflecting collection through 2014 Produced with the help of an Interagency Work Group led … This reduction, in turn, led to significant cost savings. 76 References Arias E. … Also led to significant cost savings for participants. 119 NQS Priority: Healthy Living National

2063. Episiotomy (Overuse) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0083episiotomy.pdf
      March 01, 2016 - The AMA-convened Physician Consortium for Performance Improvement® (PCPI™) is a national, physician-led

2064. Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdf
      January 01, 2024 - deliberation group when the participants realized that diagnosis is a process rather than a one-time event led

2065. Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-237-fullreport.pdf
      October 01, 2019 - Disclosing data collected as part of the Health Plan Employer Data and Information Set (HEDIS) led to

2066. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
      November 15, 2017 - When a system issue led to the care plan not being followed, we fixed the system.

2067. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
      September 03, 2014 - Visualize the factors that led to the event. Step 2. Identify the contributing factors. Step 3.

2068. CAHPS Transcript: Strategies for Improving CAHPS Health Plan Survey Scores (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/hp-survey-strategies-webcast-transcript.pdf
      April 01, 2016 - And that’s led to a really strong organizational focus on cultural competence among staff.

2069. The CAHPS Ambulatory Care Improvement Guide: Determining Where to Focus Efforts to Improve Patient Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
      May 01, 2017 - Focus Groups A focus group is a moderator-led discussion among staff and/or patients that is designed

2070. Situation Monitoring: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - This is notable because had the facilitator, who seemed to have some formal power in the group, led

2071. On-Time Pressure Ulcer Healing: Introduction to Pressure Ulcer Healing Reports Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/erepguide.html
      December 01, 2016 - session, give the participants the reading assignment— simulated change team Self-Assessment meeting led

2072. Episiotomy (Overuse): Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
      March 01, 2016 - The AMA-convened Physician Consortium for Performance Improvement® (PCPI™) is a national, physician-led

2073. Behavioral Health Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0085-fullreport.pdf
      December 31, 2015 - The AMA-convened Physician Consortium for Performance Improvement® (PCPI™) is a national, physician-led

2074. Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0082-fullreport.pdf
      March 01, 2016 - The AMA-convened PCPI™ is a national, physician-led initiative dedicated to improving patient health

2075. National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/chipra-final-report_0.pdf
      February 21, 2016 - Nonetheless, our efforts to do so led to three positive developments. … Partnership Learning Network hosted by AcademyHealth, (3) the National Improvement Partnership Network led

2076. ChartBook On Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
      March 04, 2016 - The reports are produced with the help of an Interagency Work Group led by the Agency for Healthcare … This practice of compounding has led to a variety of medication concentrations in use.

2077. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.pdf
      January 28, 2011 - Led by the American Institutes for Research, the team included the Institute for Patient and Family-Centered … Many hospitals use a process called root-cause analysis to illuminate the events and decisions that led

2078. Chsp-Accomplishments-Report-2021 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
      January 01, 2021 - The Dartmouth-led team created claims databases using Medicare claims. … They found that the program led a significant portion of organizations to invest in primary care redesign

2079. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report.pdf
      January 01, 2020 - These different administration modes could have led to differences in survey responses; further research

2080. Cognitive Load Theory and Its Impact on Diagnostic Accuracy - Issue Brief 17 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load.pdf
      May 01, 2024 - Retrospective investigation into the contributing factors that led to the diagnostic error are subsequently