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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/news/newsroom/case-studies/coe1203.html
September 01, 2012 - Additionally, AHRQ's comparative effectiveness review about using off-label atypical antipsychotics led
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/motzslides.pdf
May 12, 2014 - discuss mistakes
– We talk about ways to
prevent mistakes from
happening again
– Mistakes have led
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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
-
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/publications2/files/ncepcr-at-a-glance-2024-annual_0.pdf
January 01, 2024 - 2021 and 2022
$220.8 million total investment*
128 grants and cooperative agreements:12 contracts
led
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-pronovost.html
February 01, 2021 - The ICU safety project also led to the important insight that hospitals needed to establish a “culture
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-gallagher.html
May 01, 2020 - the evidence base for effective disclosures to patients when things don’t go as planned—work that has led
-
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/2024-07/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/news/newsroom/case-studies/cp30902.html
October 01, 2014 - An evidence-based, patient-led program, the AHRQ-funded CDSMP was developed by Kate Lorig, RN, PhD, Professor
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www.ahrq.gov/news/newsroom/case-studies/cp31103.html
October 01, 2014 - He led the development of the training and coordinates implementation of the program.
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www.ahrq.gov/news/newsroom/case-studies/coe0704.html
October 01, 2014 - AHRQ-funded research led by Ethan A.
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www.ahrq.gov/news/newsroom/case-studies/multicenter-0703-cp3-ockt.html
October 01, 2014 - Self-Management in 16 States
Search All Impact Case Studies
March 2007
A collaboration led
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www.ahrq.gov/news/newsroom/case-studies/201718.html
April 01, 2018 - "The CAHPS survey was one of the pieces that led us to focus throughout the organization on improving
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/conclusions.html
October 01, 2015 - In particular, the current physician-led model must be replaced by a patient-centered model, where care
-
www.ahrq.gov/news/newsroom/case-studies/201510.html
May 01, 2015 - A faculty-led team helps students make connections between TeamSTEPPS principles and the behaviors expected
-
www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil1.html
April 01, 2018 - Particularly highlighted is the experience of the Aurora Health Care project, which led to the creation
-
www.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy2/index.html
December 01, 2017 - KB ]
Communication Training – PowerPoint presentation for communication training that can be co-led