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psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order
December 21, 2022 - The introduction of computerized provider order entry (CPOE) systems has led to many readily apparent … July 1, 2017
A pharmacist-led information technology intervention for medication errors
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www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-d.html
May 01, 2024 - Health Clinics at High-Risk for Clinician Burnout
P14: Is Telehealth Effective for Providing Nurse-Led … Clinics at High-Risk for Clinician Burnout (PI: Tawfik) P14: Is Telehealth Effective for Providing Nurse-Led
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psnet.ahrq.gov/node/44244/psn-pdf
November 03, 2015 - Second opinions led to a change in diagnosis or treatment in more than 40% of participants. … It is not clear how often the second opinions were correct and
whether they actually led to better patient
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/user-guide.pdf
June 02, 2025 - with the Getting Started curriculum if you are
new to quality improvement (QI) or have not recently led … Audio-visual recordings of these ten expert and peer-led training sessions are available for
download … Audio-visual recordings of these ten expert and peer-led t...
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - That led me to want to study their journey—and that led me to the
postdischarge period and readmission … RW: What led you to characterize what happens to patients after they leave the hospital as a syndrome … This led me to think about
what might be the mechanism.
Where the idea came from is interesting. … That jet-lag experience led me to think about this toxicity. … Leora Horwitz (now at
NYU) led a study that we did together in which we documented that people, soon
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psnet.ahrq.gov/node/43346/psn-pdf
August 02, 2015 - diffusion-surgical-innovations-patient-safety-and-minimally-invasive-radical-
prostatectomy
The increasing technological sophistication of hospital care has led … Safety
Indicators to examine whether the introduction of a new medical device, the da Vinci robot, led
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psnet.ahrq.gov/node/38245/psn-pdf
February 18, 2011 - examine clinical outcomes or actual errors in documentation, the potential safety issues raised have led … commentary discussed how inaccurate clinical information
pasted forward through a hospitalization led
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psnet.ahrq.gov/issue/clinical-and-economic-impact-medication-reconciliation-cancer-patients-systematic-review
January 27, 2019 - did not include a contemporaneous comparison group, they did report that medication reconciliation led … December 14, 2016
View More
Related Resources
Impact of pharmacist-led
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psnet.ahrq.gov/issue/swiss-cheese-conference-integrating-and-aligning-quality-improvement-education-hospital
March 14, 2016 - Core elements of the program rely on effective case selection, root cause analysis , and resident-led … 2017
Engaging pediatric resident physicians in quality improvement through resident-led
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psnet.ahrq.gov/issue/introduction-rapid-response-system-united-states-veterans-affairs-hospital-reduced-cardiac
January 02, 2017 - This study demonstrated a 57% reduction in cardiac arrests following implementation of a physician-led … January 2, 2017
Four years' experience with a hospitalist-led medical emergency team:
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psnet.ahrq.gov/issue/understanding-causes-intravenous-medication-administration-errors-hospitals-qualitative
June 25, 2014 - The investigators found that high workload and lack of support led to nurses employing workarounds that … Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led
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psnet.ahrq.gov/issue/physicians-attitudes-towards-copy-and-pasting-electronic-note-writing
March 04, 2015 - examine clinical outcomes or actual errors in documentation, the potential safety issues raised have led … commentary discussed how inaccurate clinical information pasted forward through a hospitalization led
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psnet.ahrq.gov/issue/evaluation-evidence-based-nurse-driven-checklist-prevent-hospital-acquired-catheter
June 03, 2013 - Adoption of a nurse-driven checklist led to reductions in catheter days and catheter-associated urinary … June 27, 2012
Evaluation of a nurse-led safety program in a critical care unit.
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psnet.ahrq.gov/issue/improving-admission-medication-reconciliation-pharmacists-or-pharmacy-technicians-emergency
May 08, 2017 - Pharmacist and technician reconciliation led to similarly large decreases in minor and life-threatening … Although pharmacist-led reconciliation reduces in-hospital ADEs in research settings, real-world implementation
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psnet.ahrq.gov/issue/diffusion-surgical-innovations-patient-safety-and-minimally-invasive-radical-prostatectomy
June 06, 2008 - The increasing technological sophistication of hospital care has led to greater appreciation of the potential … Safety Indicators to examine whether the introduction of a new medical device, the da Vinci robot, led
-
psnet.ahrq.gov/node/46542/psn-pdf
June 19, 2018 - Pharmacist and technician
reconciliation led to similarly large decreases in minor and life-threatening … Although pharmacist-led reconciliation reduces in-hospital ADEs in research settings, real-world
implementation
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www.ahrq.gov/cpi/about/impact/index.html
April 01, 2017 - AHRQ’s and other HHS investments have led to central line-associated blood stream infections declining … AHRQ’s support led to doctors developing the ImproveCareNow Enhanced Registries Project, the world’s … The substantial growth and interest led Congress to enact the "Expanding Capacity for Health Outcomes … invaluable in tracking progress in the Partnership for Patients, a Centers for Medicare & Medicaid Services-led
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www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/curriculum/front-matter.html
February 01, 2022 - AHRQ's Developing and Running a Primary Care Practice Facilitation Program: A How-To Guide—an effort led … by much of the same team that led the development of this curriculum.
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www.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
February 01, 2021 - Fall Prevention Toolkit
The research team led by Drs. … Fall TIPS is a nurse-led, evidence-based fall prevention intervention that uses bedside tools to communicate
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effectivehealthcare.ahrq.gov/sites/default/files/speakerbiosketches_deliberativemethodswebinar1.pdf
May 29, 2025 - She has developed an array of deliberative discussion materials and has co-led
and facilitated moderator … in
which she defined strategic direction, initiated programs to achieve these goals, and built and
led … As director of research and
evaluation, she led performance assessment efforts, creating systems and