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psnet.ahrq.gov/node/47921/psn-pdf
June 18, 2019 - Communication problems
most often led to delays in care without physical harm, highlighting the difficulty … A WebM&M commentary discussed a
series of communication errors that led to a child's death.
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psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
December 20, 2023 - Health information technology (HIT) has led to improvements and efficiencies in patient care but has … Of all incidents, 20% led to patient harm.
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psnet.ahrq.gov/node/45474/psn-pdf
October 29, 2017 - This pre–post study found that
implementation of an electronic health record–facilitated, pharmacist-led … , standardized ordering and
monitoring program for oral chemotherapy led to better identification of
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www.ahrq.gov/cpi/about/brief-history.html
March 01, 2025 - Leadership AHCPR was initially led by J. Jarrett Clinton, M.D., M.P.H., and Clifton Gaus, Sc.D. … He led the agency until 2002, mentoring a generation of physician researchers . Dr. … This led to development of the Comprehensive Unit-based Safety Program (CUSP) , a life-saving initiative
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effectivehealthcare-admin.ahrq.gov/products/binge-eating/clinician
December 01, 2019 - Psychological and Behavioral Therapy Interventions
Therapist-led CBT a vs. waitlist b
4 (MA c ) … [evidence low]
Therapist-led CBT vs. partially therapist-led CBT
2
158
No differences were … [evidence low]
Therapist-led CBT vs. … CBT is delivered in various ways—for example, therapist-led individual and group sessions, structured … Therapist-led CBT
CBT in which a therapist is present for the duration of each group or individual
-
psnet.ahrq.gov/issue/criteria-selection-paediatric-patients-susceptible-reconciliation-error
December 12, 2021 - 25, 2022
View More
Related Resources
Components of pharmacist-led … September 11, 2024
Impact of pharmacist-led discharge medication reconciliation on error … July 17, 2024
Impact of pharmacist-led admission medication reconciliation on patient
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psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
January 12, 2022 - January 12, 2022
Pharmacist-led educational interventions provided to healthcare providers … September 22, 2021
Pharmacist-led program to improve transitions from acute care to skilled … September 23, 2020
View More
Related Resources
A clinical pharmacist-led
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psnet.ahrq.gov/issue/impact-medication-reconciliation-and-review-patients-using-oral-chemotherapy
November 17, 2021 - November 17, 2021
Oncology pharmacist-led medication reconciliation among cancer patients … April 7, 2021
View More
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Impact of pharmacist-led … April 21, 2021
Oncology pharmacist-led medication reconciliation among cancer patients
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psnet.ahrq.gov/node/43631/psn-pdf
December 19, 2014 - intervention including voluntary reporting,
trigger tool review, and pharmacy process improvement led … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
https://psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
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psnet.ahrq.gov/node/46066/psn-pdf
August 03, 2017 - showed that when providers
had similar individual diagnostic accuracy rates, pooling their assessments led … Investigators found that pooling independent
assessments led to enhanced diagnostic accuracy as compared
-
www.ahrq.gov/news/blog/ahrqviews/shaping-the-future-through-dhr.html
September 01, 2024 - In 2023, DHR funded 107 grants and contracts led by researchers at 70 institutions in 25 states and the … These investments led to important advancements, including: A team at Kaiser Foundation Hospitals is
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www.ahrq.gov/news/newsroom/case-studies/coe0805.html
October 01, 2014 - a leading authority on health literacy, says that "the [evidence] report was the seminal work that led … This led to a significant increase in the number of publications on health literacy interventions, particularly
-
www.ahrq.gov/news/newsroom/case-studies/coe0605.html
October 01, 2014 - focusing specifically on testing, prevention, and treatment of coronary disease for women, but it also led … community to a number of issues, such as the disparity of care and differences in outcomes by gender, and led
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/qi-knowledge-survey.pdf
March 03, 2021 - (check all that apply)
____ Designed QI project
____ Led/coached QI project
____ Senior leadership … small, rapid cycle changes to test improvement ideas
(PDSA)
Identifying whether a change has led
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/binge-eating_clinician.pdf
May 01, 2016 - .
�� Meta-analysis provided strong evidence that therapist-led
CBT reduced binge-eating frequency … partially therapist-led CBT 2 158
No differences were found in binge-eating abstinence or frequency, … eating-related
psychopathology, BMI, or symptoms of depression.
���
Therapist-led CBT vs. … found in eating-related psychopathology, BMI, or symptoms
of depression.
���
Partially therapist-led … CBT is
delivered in various ways—for example, therapist-led individual
and group sessions, structured
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/binge-eating_clinician.pdf
May 01, 2016 - .
�� Meta-analysis provided strong evidence that therapist-led
CBT reduced binge-eating frequency … partially therapist-led CBT 2 158
No differences were found in binge-eating abstinence or frequency, … eating-related
psychopathology, BMI, or symptoms of depression.
���
Therapist-led CBT vs. … found in eating-related psychopathology, BMI, or symptoms
of depression.
���
Partially therapist-led … CBT is
delivered in various ways—for example, therapist-led individual
and group sessions, structured
-
digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
January 01, 2019 - the coordination and quality of patient care, poor EHR design, usability, and implementation has also led … Could the concept of a “black box,” a flight data recorder that has led better system design and preventing … including mouse movement and keystrokes, errors were retrospectively analyzed to understand factors that led
-
psnet.ahrq.gov/node/44519/psn-pdf
December 02, 2015 - role-pharmacist-counseling-preventing-adverse-drug-events-after-hospitalization
https://psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre … https://psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
-
psnet.ahrq.gov/node/45594/psn-pdf
December 19, 2017 - ://psnet.ahrq.gov/issue/engaging-pediatric-resident-physicians-quality-improvement-through-resident-led-morbidity-and … ://psnet.ahrq.gov/issue/engaging-pediatric-resident-physicians-quality-improvement-through-resident-led-morbidity-and
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www.ahrq.gov/funding/grantee-profiles/grtprofile-graber.html
May 01, 2020 - is Human: Building a Safer Health System , much of the focus was on health care system issues that led … The report, which contained very few specifics on diagnostic errors, led Dr.