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  1. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.pdf
    June 06, 2018 - When a mistake happens, we try to figure out what problems in the work process led to the mistake . … Mistakes have led to positive changes in this pharmacy.............................................
  2. www.ahrq.gov/news/newsroom/press-releases/cardiac-rehabilitation-project.html
    April 01, 2019 - It also will contribute to the national Million Hearts® 2022 initiative , co-led by the CDC and the
  3. www.ahrq.gov/ncepcr/research-transform-primary-care/pbrn/profiles/p30-centers.html
    September 01, 2021 - for participation in research  and PRIME Net member San Francisco Bay Collaborative Research Network led
  4. www.ahrq.gov/news/blog/ahrqviews/covid-19.html
    May 01, 2020 - The pandemic has separated friends and family, led to job losses for tens of millions of Americans, and
  5. www.ahrq.gov/ncepcr/communities/pbrn/profiles/p30-centers.html
    September 01, 2021 - for participation in research  and PRIME Net member San Francisco Bay Collaborative Research Network led
  6. www.ahrq.gov/news/blog/ahrqviews/academy-health-2022-meeting.html
    May 01, 2022 - Also not to be missed will be a session Monday at 10:15 a.m., led by another esteemed colleague, Francis
  7. www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/index.html
    July 01, 2021 - P-HIP is led by Kaiser Permanente Washington Health Research Institute and funded by the Agency for Healthcare
  8. www.ahrq.gov/news/newsroom/case-studies/201809.html
    January 01, 2019 - toolkit’s device risk checklist to account for a number of variables that could identify patterns that led
  9. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/taekman-report.pdf
    January 01, 2010 - and VE conditions were separated into groups of three or four and participated in a facilitator- led … The scenario was followed by a facilitator-led debriefing. … Training for the skills assessment led to significant delays and challenges. … These additions led to hours of additional practice beyond our original estimate. … if it is the learning intervention itself, the debrief itself, or the combination of the two that led
  10. 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
  11. 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
  12. 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
  13. 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
  14. www.ahrq.gov/patient-safety/news-events/psaw-2024/index.html
    March 01, 2024 - offering virtual and limited in-person TeamSTEPPS 3.0 and TeamSTEPPS Diagnosis Improvement trainings led
  15. 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
  16. 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
  17. 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.
  18. 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
  19. 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
  20. 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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