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  1. www.healthcare411.ahrq.gov/patient-safety/reports/liability/crane.html
    August 01, 2017 - The primary error was defined as “the breakdown in process, or knowledge/skill deficit that led to the
  2. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
    September 01, 2015 - What factors led to this? Who was involved? What was your role? What roles did others play?
  3. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finalsummary.pdf
    February 21, 2016 - Lessons learned The multi-State partnerships created for this grant program led to substantial transfer
  4. www.healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
    September 01, 2017 - The huddle is usually led by the clinician responsible for the patient.
  5. www.healthcare411.ahrq.gov/research/findings/factsheets/minority/amindbrf/index.html
    July 01, 2018 - Disparities Improvements in preventive services, care for chronic conditions, and access to care have led
  6. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Kenyon2014.pdf
    February 01, 2014 - Impact of a nurse-led home management training program in children admitted to hospital with acute asthma
  7. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - have been available for years, the implementation of communication devices that accept messages has led
  8. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
    January 01, 2013 - In-person communication rather than telephonic communication led to a significant reduction of 2.5%
  9. Improving-Facnotes (doc file)

    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
    May 01, 2017 - Use of the briefing card led to a drop in wrong-site surgeries and other adverse events.
  10. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
    March 01, 2013 - Broader inclusion standards than the Cochrane review led to the inclusion of 43 trials, case-control
  11. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
    June 01, 2020 - served as the Director of AHRQ's Center for Quality Improvement and Patient Safety since 2014, and led
  12. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
    June 01, 2017 - During her time as the Patient Safety Officer she has promoted and/or led the introduction and sustainment
  13. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
    April 24, 2018 - , the team found that the narratives enhanced engagement with information on physician quality but led
  14. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript-ad.pdf
    June 01, 2020 - served as the Director of AHRQ's Center for Quality Improvement and Patient Safety since 2014, and led
  15. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
    January 01, 2021 - The Dartmouth-led team created claims databases using Medicare claims. … They found that the program led a significant portion of organizations to invest in primary care redesign
  16. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-26-ehr-and-mu.pdf
    September 01, 2015 - Extremrties ] lleurological ) ,( P~hiatric Extremities ( •led al nonnal ... ·~,' Pulses Vascular
  17. www.healthcare411.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
    May 01, 2017 - Use of the briefing card led to a drop in wrong-site surgeries and other adverse events.
  18. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/coordinating-care-in-the-medical-neighborhood-white-paper.pdf
    June 01, 2011 - medical neighborhood should incorporate the PCMH in these care transition efforts, with activities led … sponsored by the Agency for Healthcare Research and Quality (AHRQ) and the National Quality Forum (NQF) has led
  19. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/action-planning-webcast-transcript.pdf
    June 01, 2019 - has served as the director of AHRQ Center for Quality Improvement and Patient Safety since 2014 and led
  20. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-transcript.pdf
    April 01, 2019 - April 2019  Webcast April 2019 http://www.ahrq.gov/cahps | 10 of 16 conclude if any one idea led

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