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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
    June 15, 2005 - It was evident that having team members who were participating in the study at the point of service led … This new relationship with health care providers led to clinical work practices that were more effective … Redesigning the process by which medications are managed in the clinic practice workflow led to more … Access to, and relationships with, clinic staff and patients led to a user-friendly tool that is more … Addressing medication management across the continuum of care has no doubt led to safer care of patients
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
    April 09, 2004 - This led to the initial development and standardization of definitions to clarify which events were … The evolution of incident reporting in New York State led to the inclusion of several critical characteristics … It involved subjective judgment regarding incidents through a peer review process, which led to inconsistent … An analysis of wrong- patient/wrong-site surgical errors led to the development of the New York preoperative … The NYPORTS system’s three phases of field testing in 1996 and 1997 led to initial meaningful changes
  3. www.ahrq.gov/sites/default/files/2025-03/prabhakaran-holl-report.pdf
    January 01, 2025 - High-criticality failures (e.g., failure to detect LVO, failure to use screening tools) led to the design … o The implementation was led at the two PSCs [Lake Forest Hospital (LFH) and Rush Oak Park Hospital … The Stroke Coordinators led the training sessions at their sites.
  4. www.ahrq.gov/patient-safety/resources/continuing-ed/moc-ha.html
    October 01, 2020 - This free clinician-led, Web-based meeting (in live and subsequently recorded format), offered diversified
  5. www.ahrq.gov/chsp/about-chsp/centers/dartmouth.html
    July 01, 2019 - The Dartmouth-led team created claims databases using Medicare claims.
  6. www.ahrq.gov/research/findings/final-reports/index.html?page=2
    January 01, 2024 - Medication Safety Publication Date: July 2021 Improving Transplant Med Safety through a Pharmacist-Led
  7. www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/gabbay.html
    October 01, 2015 - practices varied in size from 2 to 25 providers; one quarter of the Federally Qualified Health Centers were led
  8. www.ahrq.gov/news/newsroom/case-studies/ktcquips98.html
    October 01, 2014 - "These actions collectively have led our facility to adopt VTE as a set of core measures on which we
  9. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context.pdf
    June 01, 2013 - As some of you may recall, ESCALATES led the breakout session, “Contextual Factors Relevant for Understanding
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-fetters.pdf
    April 01, 2015 - Additionally, the PCMH transformation efforts led to improvements in the process and quality of patient
  11. www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
    January 01, 2024 - The modeling team was led by experts with knowledge of human factors, human reliability, probability … The modeling team identified two initiating errors that most often led to this PADE: errors when placing … the focus on how to use the patch correctly, rather than assuring the appropriateness of the dose, led … However, the frequency of duplicate therapy alerts with insulin led the modeling team to estimate a 30% … However, alert fatigue led the modeling team to estimate that 30% of the alerts would be bypassed.
  12. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/106-ohio-hhoi-practice-team-member-survey.pdf
    June 02, 2025 - * must provide value 11) Mistakes have led to positive changes 0 0 0 0 0 here.
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-acknowledgments.pdf
    June 02, 2025 - - Anna Wojcik, M.P.H  Expert Faculty led the design and teaching of the CANDOR curriculum, guided
  14. www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p1-barreto.html
    April 01, 2024 - Health Clinics at High-Risk for Clinician Burnout P14: Is Telehealth Effective for Providing Nurse-Led
  15. www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p10-krist.html
    May 01, 2024 - Health Clinics at High-Risk for Clinician Burnout P14: Is Telehealth Effective for Providing Nurse-Led
  16. www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p13-tawfik.html
    May 01, 2024 - Health Clinics at High-Risk for Clinician Burnout P14: Is Telehealth Effective for Providing Nurse-Led
  17. www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p12-salvador.html
    May 01, 2024 - Health Clinics at High-Risk for Clinician Burnout P14: Is Telehealth Effective for Providing Nurse-Led
  18. www.ahrq.gov/ncepcr/about/impact-stories/research-careers.html
    April 01, 2025 - This led me to apply for the AHRQ career development (K08) grant, which was my first role as a principal
  19. www.ahrq.gov/ncepcr/reports/2024-annual-report/about-this-report.html
    March 01, 2024 - Health Clinics at High-Risk for Clinician Burnout P14: Is Telehealth Effective for Providing Nurse-Led
  20. www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
    January 01, 2025 - Three decades of research have focused on the role of systems and policies on patient safety and have led … This screening led to 2,997 eligible cases, which underwent review until 100 charts were adjudicated … the NCC-MERP scale, which provides explicit definitions of harm (e.g., considering an error to have led

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