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psnet.ahrq.gov/node/43926/psn-pdf
April 22, 2015 - The impact of a nurse led rapid response system on
adverse, major adverse events and activation of the … The impact of a nurse led rapid response system on adverse, major
adverse events and activation of the … https://psnet.ahrq.gov/issue/impact-nurse-led-rapid-response-system-adverse-major-adverse-events-and- … https://psnet.ahrq.gov/issue/impact-nurse-led-rapid-response-system-adverse-major-adverse-events-and-activation-medical … https://psnet.ahrq.gov/issue/impact-nurse-led-rapid-response-system-adverse-major-adverse-events-and-activation-medical
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
March 01, 2020 - Medication Reviews
We found one study of a clinician-led medication review. … Pharmacist-led
medication review led
to a decrease in the
number of drug-related
problems from 1.63 to … Not provided Intervention led to
decrease in the number
of medications per
patient. … Not provided Intervention led to a
decrease in number of
inappropriate
medications filled. … medication review led
to a decrease in the
number of prescribed
regular medications.
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www.ahrq.gov/pqmp/grants/centers-of-excellence.html
June 01, 2018 - Evaluation and Research (CHEAR) Unit, University of Michigan, Ann Arbor
The AHRQ-CMS CHIPRA Q-METRIC was led … Health Evidence and Policy, Mount Sinai School of Medicine, New York
The AHRQ-CMS CHIPRA CAPQuaM was led … and Development, Seattle Children's Research Institute, Seattle, WA
The AHRQ-CMS CHIPRA COE4CCN was led … Quality Officer, Children's Hospital and Health System of Wisconsin
The AHRQ-CMS CHIPRA PMCoE was led … Policy in the Department of Medicine at Children's Hospital Boston
The AHRQ-CMS CHIPRA CEPQM was led
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psnet.ahrq.gov/node/36096/psn-pdf
September 28, 2010 - How a series of errors led to recurrent hypoglycemia.
September 28, 2010
Singh R. … How a series of errors led to recurrent hypoglycemia. J Fam Pract. 2006;55(6):489-97. … https://psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
This case study illustrates … https://psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
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psnet.ahrq.gov/node/41187/psn-pdf
October 16, 2012 - A pharmacist-led information technology intervention for
medication errors (PINCER): a multicentre, … A pharmacist-led information technology intervention for medication
errors (PINCER): a multicentre, … https://psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer … This study implemented a pharmacist-led information technology
intervention (PINCER) composed of feedback … https://psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
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psnet.ahrq.gov/node/866255/psn-pdf
July 10, 2024 - Cyberattack led to harrowing lapses at Ascension
hospitals, clinicians say. … https://psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
Cybersecurity … https://psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
https
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www.ahrq.gov/news/meps-webinars.html
May 01, 2024 - webinars that consist of sessions that provide a general introduction of the topic along with instructor-led … webinars that consist of sessions that provide a general introduction of the topic along with instructor-led
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psnet.ahrq.gov/issue/effect-pharmacist-led-multicomponent-intervention-focusing-medication-monitoring-phase
June 29, 2011 - Study
Effect of a pharmacist-led multicomponent intervention focusing on the medication … Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to … Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to
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psnet.ahrq.gov/node/37153/psn-pdf
October 06, 2011 - effect-rapid-response-team-major-clinical-outcome-measures-community-
hospital
The widespread implementation of rapid response systems (RRS) has led … to the development of several
different models, ranging from physician-led teams (termed medical emergency … teams) to teams led by
nurses or mid-level practitioners (termed rapid response teams). … The published literature on RRS has
generally evaluated the effects of physician-led teams. … Conducted at a community hospital in Rhode Island,
this study assessed the effect of an RRS led by specially
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psnet.ahrq.gov/node/37614/psn-pdf
March 21, 2011 - How hepatitis probe led to clinic: old-fashioned legwork
yielded clues that came together. … https://psnet.ahrq.gov/issue/how-hepatitis-probe-led-clinic-old-fashioned-legwork-yielded-clues-came- … https://psnet.ahrq.gov/issue/how-hepatitis-probe-led-clinic-old-fashioned-legwork-yielded-clues-came-together … https://psnet.ahrq.gov/issue/how-hepatitis-probe-led-clinic-old-fashioned-legwork-yielded-clues-came-together
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www.ahrq.gov/patient-safety/about/uni-chicago-medicine.html
February 01, 2024 - initiative based on the Activity Measure for Post-Acute Care (AM-PAC) scores, to standardize nursing-led … Collaboration across trauma, orthopedics, neurology, and neurosurgery led to optimization of anticoagulation … initiative based on the Activity Measure for Post-Acute Care (AM-PAC) scores, to standardize nursing-led … Collaboration across trauma, orthopedics, neurology, and neurosurgery led to optimization of anticoagulation
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psnet.ahrq.gov/issue/pharmacist-led-intervention-reduction-inappropriate-medication-use-patients-heart-failure
December 22, 2021 - Study
Pharmacist-led intervention on the reduction of inappropriate medication use … Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure … Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure … July 1, 2019
Impact of pharmacist-led multidisciplinary medication review on the safety
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psnet.ahrq.gov/node/41159/psn-pdf
September 29, 2017 - A nurse-led approach to developing and implementing a
collaborative count policy. … A nurse-led approach to developing and implementing a
collaborative count policy. … https://psnet.ahrq.gov/issue/nurse-led-approach-developing-and-implementing-collaborative-count-policy … https://psnet.ahrq.gov/issue/nurse-led-approach-developing-and-implementing-collaborative-count-policy
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psnet.ahrq.gov/node/42437/psn-pdf
September 04, 2013 - Patient-led training on patient safety: a pilot study to test
the feasibility and acceptability of an … Patient-led training on patient safety: a pilot study to test the
feasibility and acceptability of an … https://psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability … https://psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability
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psnet.ahrq.gov/issue/engaging-pediatric-resident-physicians-quality-improvement-through-resident-led-morbidity-and
November 16, 2022 - Engaging pediatric resident physicians in quality improvement through resident-led … Engaging Pediatric Resident Physicians in Quality Improvement Through Resident-Led Morbidity and Mortality … Engaging Pediatric Resident Physicians in Quality Improvement Through Resident-Led Morbidity and Mortality
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psnet.ahrq.gov/node/48013/psn-pdf
May 29, 2019 - economic-outcomes-associated-safety-interventions-pharmacist-adjudicated-
prior-authorization
This retrospective analysis examined the economic outcomes of a pharmacist-led … Researchers calculated that pharmacist adjudication led to savings in drug costs and also
avoided costs … They recommend
wider use of pharmacist-led formulary management.
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psnet.ahrq.gov/node/43109/psn-pdf
December 10, 2014 - Creating a physician-led quality imperative. … Creating a physician-led quality imperative. … https://psnet.ahrq.gov/issue/creating-physician-led-quality-imperative
This commentary relates one hospital's … https://psnet.ahrq.gov/issue/creating-physician-led-quality-imperative
https://psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety
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psnet.ahrq.gov/node/42996/psn-pdf
March 19, 2014 - The "physician-led chart audit": engaging providers in
fortifying a culture of safety. … The "physician-led chart audit: " engaging providers in fortifying a
culture of safety. … https://psnet.ahrq.gov/issue/physician-led-chart-audit-engaging-providers-fortifying-culture-safety … https://psnet.ahrq.gov/issue/physician-led-chart-audit-engaging-providers-fortifying-culture-safety
https
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psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
October 26, 2022 - Article
'We had such trust, we feel such fools’: how shocking hospital mistakes led … Citation Text:
'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter … Citation
Citation Text:
'We had such trust, we feel such fools’: how shocking hospital mistakes led
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psnet.ahrq.gov/node/72530/psn-pdf
January 01, 2021 - realist-synthesis-pharmacist-conducted-medication-reviews-primary-care-after-
leaving-hospital
Pharmacist-led … utilization is not clear.In this evidence synthesis, the
authors explored the reasons why pharmacist-led … reducing-readmission-academic-medical-center-results-pharmacy-facilitated-discharge
https://psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-effectiveness-pharmacist-led-medication-reconciliation