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www.ahrq.gov/practiceimprovement/delivery-initiative/holtropstudysnapshot/index.html
December 01, 2016 - Return to Contents
Study Methodology
A research team led by Jodi Summers Holtrop, Ph.D., compared … by the physician organizations than for the plan-based program: Patients participating in provider-led
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www.ahrq.gov/patient-safety/reports/liability/silence.html
August 01, 2017 - and families after harm has occurred, and it is being part of the solution to fix the problems that led … The significance of having a well‑developed, leadership-led, and staff-supported CRP cannot be stressed
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
May 01, 2024 - Retrospective investigation into the contributing factors that led to the diagnostic error are subsequently
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/reports/2024-annual-report/ncepcr-grant-summaries-table.pdf
January 01, 2024 - Daniel Tawfik, MD, MS
Stanford University
P14 Is Telehealth Effective for Providing Nurse-Led Healthcare … the shift in healthcare to telehealth, as a response to the COVID-19 pandemic, on innovative
nurse-led
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www.ahrq.gov/ncepcr/funding/tips-obtaining.html
May 01, 2025 - This resource includes the following sections: Diversifying Funding Sources for Investigator-Led Research … Work Suggestions and Considerations Additional Resources Diversify Funding Sources for Investigator-Led
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www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
January 01, 2025 - Interventions also led to significant reductions in inappropriate antibiotic prescribing, revealing racial … Setting and Participants: This project was led by a team of investigators within the Department of
Emergency … Findings from this initial phase of our project led to the initiation and completion of numerous inter-related … targeted public health interventions to address the spread of SARS-CoV-2 in the
Latino community and led … ADDITIONAL WORK: This AHRQ Patient Safety Learning Lab led to the creation of data infrastructure
and
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/themes.html
October 01, 2015 - example, a change in leadership at a university health system studied by one of the TPC investigators led … In a study led by Cooley and McAllister, care coordinators were identified as integral to a practice’ … that acquiring the authority to make decisions empowered them to be more involved in patient care and led … not necessarily with a patient’s regular primary care provider. 10 The study of safety net practices led
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www.ahrq.gov/ncepcr/reports/grants-transform/key-themes.html
March 01, 2017 - example, a change in leadership at a university health system studied by one of the TPC investigators led … In a study led by Cooley and McAllister, care coordinators were identified as integral to a practice’ … that acquiring the authority to make decisions empowered them to be more involved in patient care and led … not necessarily with a patient’s regular primary care provider. 10 The study of safety net practices led
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www.ahrq.gov/news/newsroom/case-studies/cquips0704.html
October 01, 2014 - Their interest in safety led a group to review pharmacy journals in late 2006 to detect the use of inappropriate
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www.ahrq.gov/news/newsroom/case-studies/201804.html
July 01, 2018 - Staff education is also emphasized in the toolkit, which led the hospital to provide annual, mandatory
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www.ahrq.gov/news/blog/ahrqviews/uspstf-40th-anniversary.html
July 01, 2024 - This recognition of the potential life-saving benefits of preventive care led to the Patient Protection
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www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/index.html
July 01, 2021 - NCINQ is led by the National Committee for Quality Assurance (NCQA) and funded by the Agency for Healthcare
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - Try to find out what exactly led to the defect. … Simulate the process that led to the defect. … ASK:
Were these contributing factors that led to or exacerbated the harm? … What led to the next factor that contributed to the defect occurring? … Incompatible blood types could have led to an egregious patient harm.
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www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_bsw.pdf
April 01, 2019 - 5 years, contracts with the
Centers for Medicare & Medicaid Services
(CMS) and other payers have led … population health data, coupled with the right processes for understanding and using those
data, has led … One example of a successful project led by the Digital Health team was the redesign of the
MyBSWHealth
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - analysis tool in health care) of the underlying problems after an attempted suicide event at the hospital led … The findings also led to the establishment of the Massachusetts Alliance for Communication and Resolution … determine if (1) better adherence to medical guidelines could have prevented some patient harms that led
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www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
January 01, 2024 - referral center;
and local Public/Community Health departments) followed a six-step planning process led … To complete a successful system-wide, patient-centered planning process led by
physicians, nurses, and … All nine hospitals are members of Mercy Health Network–North Iowa, which is led
by Mercy Medical Center–North … C) Budget
cuts and declining inpatient levels have led to substantial staff reductions, requiring many … James Flanagan, project consultant, led an evening workshop to
educate hospital and public/community
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www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
January 01, 2024 - Scope
Institute of Medicine (2004) reports on patient safety and medical error have led to an emphasis … Using these categories, we developed open-ended questions targeted at
instances when workflow blocks led … We found a number of
examples in which a workaround by a nurse led him or her to engage in additional … workarounds found in
our interviews (because it bypasses numerous safety checks in the system), it also led … Rework and checking also led to workarounds.
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www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
January 01, 2024 - In reality, patients are not
usually informed if a medical error has not led to any impact for the patient … given a letter for the first time
informing them about a medical error and the circumstances that led … Having a mental
illness or a family member with mental illness led to disrespectful interactions
between … Also, being overweight led to feeling a lack of
respect by healthcare providers. … For example, “not understanding our Native American ways” or
“being Black” led to feeling disrespected
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-6mon-post-intervention-nw.pdf
June 02, 2025 - one for each row):
Strongly
disagree
Disagree Neutral Agree Strongly
agree
Mistakes have led
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www.ahrq.gov/news/newsroom/case-studies/201807.html
November 01, 2018 - CUSP has produced a major change in attitude here, and that has led to a much stronger culture for patient