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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
January 01, 2013 - Bladder Bundle”
Study Period: 2007 to 2010
163 units in 71 participating Michigan hospitals
Nurse-led
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
July 01, 2023 - Use unit-established approach for nursing-led patient education regarding magnesium sulfate infusion,
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Typically led by the obstetrician/surgeon.
Ensure shared mental model.
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - A formal root cause analysis of the case found many errors that led to the adverse events.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/speech-and-language-delay-in-preschool-children-screening-2006
February 15, 2006 - Evaluation of a structured test and a parent led method for screening for speech and language problems
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/rodriguez/rodriguez.pptx
June 02, 2025 - or MA team-based approaches
Cultural adaptations to the models were important
Emphasizing physician-led
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www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
November 19, 2015 - QIO program to
hospitals, and technical assistance and catalytic efforts of the HHS PfP initiative led
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - Several errors led to the poor outcome, stemming from an initial failure to recognize pseudohyperkalemia
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cdsic.ahrq.gov/sites/default/files/2025-03/Operations%20Center%20OY2%20Operational%20Framework_508.pdf
January 01, 2025 - updates from the wider CDS ecosystem including AHRQ’s broader PCOR CDS Initiative, CDS
stakeholder-led
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/primary-healthcare-spending-technical-brief-protocol.pdf
January 01, 2023 - Although most approaches to assessing primary care spending start by
stating a definition, this has led
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psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - Unexpected Drawbacks of Electronic Order Sets
Citation Text:
McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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effectivehealthcare.ahrq.gov/products/patient-safety-practices/white-paper
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/chronic-obstructive-pulmonary-disease-screening
May 10, 2022 - The effectiveness of a nurse-led illness perception intervention in COPD patients: a cluster randomised
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digital.ahrq.gov/sites/default/files/docs/publication/r13hs018310-marcin-final-report-2010.pdf
January 01, 2010 - In pediatrics, regionalization of children's services has led to higher quality of
care and improved
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psnet.ahrq.gov/node/853081/psn-pdf
August 30, 2023 - issues and to catch potential problems, such as labs, medication errors, or procedures that would have
led
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018214-olson-final-report-2012.pdf
January 01, 2012 - Feedback from the advisory group
testing the messages led to a weekly summary of the exercise options
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - Later, problems with data gathering and information processing led
to a brief delay in recognizing emerging
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psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
April 26, 2023 - of The Joint Commission's understanding of health care with high reliability organizational learning led
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - The catheter-related
bloodstream work, which was led by Dr.
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or26.pdf
June 01, 2012 - deaths due to injuries, both
intentional and unintentional, reveal major racial disparities which have led