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www.ahrq.gov/ncepcr/reports/2024-annual-report/overview.html
April 01, 2024 - Health Clinics at High-Risk for Clinician Burnout
P14: Is Telehealth Effective for Providing Nurse-Led … Primary Care Contracts
The 12 primary care related contracts funded by AHRQ in 2021 and 2022 were led
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
July 01, 2023 - Antecedent events are those actions and decisions that led up to the consequent event. … Visualize the factors that led to the event.
Step 2. Identify the contributing factors.
Step 3.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-tools-webcast-2022-sangria.pdf
January 01, 2022 - Detailed
Information:
Regional
2021 Adult Medicaid Survey 5.0/5.1
Getting Care Qu ickly
Detai led
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www.ahrq.gov/patient-safety/resources/learning-lab/caregiver-nicu-long-desc.html
April 01, 2022 - This tool led to a 100 percent capture of UPEs and reduced the number of unknown UPEs since it was implemented
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight02.pdf
September 08, 2015 - quality
of care for children and adults, but varying conceptual definitions
and measurement goals have led … measurement across
the demonstration sites, and lack of
measurement in some comparison
practices, led … This led
to the creation of the Medical Home
Index-Revised Short Form (MHI-RSF).9
The MHI-RSF consists
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - efforts can be successful.
3
Advances in Medicine: Lingering Contradictions
Advances in medicine have led … What systems may have led to these events? … What systems may have led to the events?
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www.ahrq.gov/patient-safety/reports/engage/findings.html
March 01, 2017 - Medication reconciliation, 102–105
Patient medication lists, 67 , 69 , 70 , 106–109
Pharmacist-led … One intervention that promotes shared decisionmaking between family physicians and their patients led … One published report indicated that an advisory committee-led intervention resulted in a significant
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
March 30, 2008 - In addition, informal sharing of patient
stories at Safety Mentor meetings ultimately led to a system-wide … In 2005, the work of one safety team led to significant
changes in the electronic event reporting system … As mentioned earlier, this insight led to development of a system-wide storytelling forum called
“No
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - Patterns discovered led to provider feedback, action plans, and followup reviews as
needed. … example, reported
inconsistencies in
communication and
recommended
followup for
abnormal Pap tests
led … notification of an abnormal study result might be told that his or her report was one of several
that led
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www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
January 01, 2024 - Consideration of agendas for existing quality healthcare
improvement conferences led to the support … Additionally, the engagement of
the editor of Clinical Pediatric Emergency Medicine at this conference has led … Additionally, 27% (95% CI 14,39%) reported an
increase in the number of projects they led (n=49). … Among those who reported not having led any quality improvement projects in the prior
3 months, 30% … a subgroup of participants who
had not been engaged in a project in the prior 3 months or had not led
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
October 01, 2024 - Purpose of tool: The purpose of this tool is to provide a structured approach to help identify steps that led
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
June 02, 2025 - Mistakes have led to positive changes here.
A13.
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www.ahrq.gov/news/newsletters/e-newsletter/951.html
March 01, 2025 - The event will be sponsored by the AHRQ-led National Action Alliance for Patient and Workforce Safety
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www.ahrq.gov/sites/default/files/wysiwyg/topics/boarding-response-to-rep.-dingell.pdf
December 31, 2024 - t=124
Page 3
and has an active internal ED boarding working group led by the Centers for Clinical
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-rationale.html
September 01, 2013 - carriers, sometimes as high as 33 percent in the year following hospitalization. 16-18 These findings led
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - Antecedent events are those actions and decisions that led up to the consequent event. … Visualize the factors that led to the event.
Step 2. Identify the contributing factors.
Step 3.
-
www.ahrq.gov/research/findings/final-reports/ssi/ssi4.html
April 01, 2018 - The DH-led team will work with the AHRQ Office of Communications and Knowledge Transfer (OCKT) to identify … The DH-led research team conducted two relevant analyses that extend our Chapter 2 and Chapter 3 work
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-slides.html
February 01, 2017 - What systems may have led to these events?
-
www.ahrq.gov/patient-safety/resources/continuing-ed/moc-sms.html
October 01, 2020 - This clinician-led, web-based meeting (offered live and, subsequently, as a recording), offered diversified
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/48-prep-colorectal-facilitator.docx
June 01, 2023 - This led to a seriously flawed study in England by a prominent colorectal surgeon who compared an effective