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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - opioids via patient-controlled analgesia (PCA)
and simultaneously via intravenous push has historically led
-
psnet.ahrq.gov/node/73526/psn-pdf
July 28, 2021 - this Joint Commission requirement and failing to follow the patient safety
safeguard of the 8 R’s led
-
psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
January 01, 2020 - nurses, vascular surgery team, and the OR staff likely would
have expedited OR setup and possibly led
-
psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - 90% of readmissions.11 A pre-post study of
11 hospitals found that participation in Project BOOST led
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
August 20, 2024 - Subsequently, she led
primary care practice redesign and
systems level transition from volume to
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_II.pdf
June 02, 2025 - referral, tracking of referrals leads to better communication with local referral
resources, and tracking led
-
psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - In case 2, the healthcare providers’ desire to complete the MRI quickly led to repeated dosing of both
-
psnet.ahrq.gov/node/33607/psn-pdf
September 27, 2022 - /Institute for Healthcare Improvement
launched a National Steering Committee for Patient Safety co-led
-
www.ahrq.gov/sites/default/files/2025-06/nishisaki3-report.pdf
January 01, 2025 - resulting from hypoxemia or allowed
clinicians to perform laryngoscopy for a longer duration, which led
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.pdf
October 28, 2009 - Costs
The Partnership for Patients: Better Care, Lower Costs is a public-private
partnership that is led
-
psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
August 10, 2025 - Instead, optimal teamwork and positive safety culture led the high-performing wards to implement these
-
meps.ahrq.gov/data_files/publications/st548/stat548.shtml
May 01, 2023 - rooms during the year, including both âtreat and
releaseâ visits and visits that led
-
digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr
January 01, 2023 - The project, led by Blackford Middleton, M.D., director of clinical informatics research & development
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/ghbfx9e3A6jQEqVW26y8Jv
March 09, 2021 - For every 1000
persons screened in the NLST, false-positive results led to 17 invasive procedures (number … In the NLST, false-positive results led to invasive procedures
(needle biopsy, thoracotomy, thoracoscopy … Incidental findings led to downstream evaluation,
including consultations, additional imaging, and invasive … imprecise
(except precise
for NPV)
Good: 3
Fair: 21
Incomplete or unreported
follow-up length may have led … IFs led to consultations, additional imaging, and invasive
procedures
Incidental detection of thyroid
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2021.pdf
January 01, 2021 - share
lessons learned using CDS Connect
o Delivered two-part discussion
on patient partnering that led … Report
11
The initial prototyping in Year 4 of the CPG-
on-FHIR-based CDS artifact schema led … www.amia.org/amia2020
CDS Connect Maintenance and Update | Final Report
37
also co-led … The virtual conference
was held in May 2021, with two team
members in attendance, one of whom co-led
-
effectivehealthcare.ahrq.gov/system/files/docs/topic-brief-hospital-length-of-stay.pdf
November 01, 2019 - the Safety Net: Results of a Randomized
Controlled Trial. 7 This RCT assessed the impact of a nurse-led … Most reviews found that
ERAS led to decreased LOS. … One 2018 SR59 focused on acute surgical unit, a
consultant led, independent surgical team that is solely … These included: advanced practice nurse-led team121;
geriatric liaison intervention119; specialized
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - and technical assistance, on participating hospitals’ pressure injury-related outcomes
AFYA, Inc., led … )/Instructor
Note: Alert the organizational leader (or other appropriate individual) to share what led … The agreement led to increased collaboration between frontline nursing staff and wound care consultants … This led to increased collaboration between frontline nursing staff and wound care consultants related
-
www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/rtc2016rev_2%20(3).pdf
December 01, 2016 - The Task Force is made up of 16 independent, nonfederal members who serve 4-year terms, led by a chair … New evidence led the USPSTF to update its recommendation on screening for hepatitis C virus
(HCV) infection … New evidence led the USPSTF to update its recommendation on screening for hepatitis B virus
(HBV) infection … New evidence led the USPSTF to update its recommendation on screening for lung cancer from
“insufficient
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening
April 30, 2024 - what proportion of screen-detected DCIS represents overdiagnosis (ie, a lesion that would not have led … , and invasive follow-up procedures; overdiagnosis and overtreatment of lesions that would not have led … average of 2.0% annually between 2015 and 2019, a higher rate than in previous years. 3 These factors led … screening. 60 , 61 One of these studies, using data from the BCSC, reported that biennial screening led
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/zmvjborz6pkcGVzgcP5nCw
September 30, 2024 - what pro-
portion of screen-detected DCIS represents overdiagnosis (ie, a lesion
that would not have led … and invasive follow-up procedures; overdiagnosis and over-
treatment of lesions that would not have led … average of 2.0% annually between 2015
and 2019, a higher rate than in previous years.3 These factors led … between
screening.60,61 One of these studies, using data from the BCSC,
reported that biennial screening led