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Total Results: 6,293 records

Showing results for "led".

  1. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
    October 01, 2014 - Third, study in detail what led to the occurrence of each Stage III or IV pressure ulcer.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33801/psn-pdf
    February 01, 2016 - were imposed on physicians, but it strikes me that physicians participated in some decisions that led

  3. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
    February 01, 2017 - Ask: What systems might have led to these events?

  4. Communication and Optimal Resolution (CANDOR) Toolkit Module 3: Preparing for Implementation: Change Readiness and Gap Analysis

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/module3-assessment-change-readiness-gap-analysis.pptx
    August 25, 2015 - The Implementation Team is led by the CANDOR Implementation Team Leader; this should be a senior leader

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33822/psn-pdf
    January 01, 2017 - During his tenure at Alcoa, he led the company to become the safest workplace in the world.

  6. Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study (pdf file)

    www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
    August 01, 2024 - The analysis led health system leaders to identify the diagnostic process as a critical issue that needs

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841139/psn-pdf
    December 14, 2022 - The increasing linguistic and cultural diversity of our country has led to the potential for communication

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61078/psn-pdf
    October 28, 2020 - Further workup led to a diagnosis of antiphospholipid syndrome, and she was treated with aspirin, mycophenolate

  9. Final Progress Report: Improving Quality in Medication Management in Schools (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/grahamlear-report.pdf
    January 01, 2024 - concerns registered by conference participants on the specific issue of psychotropic drugs at school led

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49408/psn-pdf
    July 01, 2003 - the extent to which patients can be distracted from understanding or retaining new information has led

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49552/psn-pdf
    January 01, 2008 - second victims" of medical errors.(6) In one study of internal medicine residents, committing an error led

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49600/psn-pdf
    April 01, 2010 - In this case, the medication error, a preventable ADE, led to patient harm.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33663/psn-pdf
    September 15, 2008 - The corporate Office of Clinical Effectiveness (OCE), led by the Chief Medical Officer, has responsibilities

  14. In Conversation With… Christine Cassel, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-christine-cassel-md
    February 26, 2025 - That led to the decision to refer to them now as serious reportable events.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843151/psn-pdf
    February 01, 2023 - Quality Improvement Initiatives Researchers at the CDC led a quality improvement initiative using elements

  16. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
    December 01, 2017 - Develop a “system perspective” to see the hidden factors that led to the event.

  17. A Virtual Hospitalist Program to Address a Hospital’s Challenges at the Start of the COVID-19 Pandemic | PSNet

    psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic
    October 30, 2024 - The innovation team, led by experienced hospitalists, attempted to meet the demand for patient care while

  18. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
    January 01, 2017 - ASK: What systems might have led to these events?

  19. Prompting Removal of Unnecessary Indwelling Urinary Catheters Facilitator Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal-notes.docx
    April 01, 2022 - Examples of nurse strategies include: · A nurse-led protocol to remove all urinary catheters that do

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49828/psn-pdf
    May 01, 2018 - revealed that his C-reactive protein (CRP) was now elevated, suggesting that cessation of steroids had led
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