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Total Results: 6,293 records

Showing results for "led".

4901. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
      December 01, 2017 - SAY: Look for the hidden, latent factors that led to the event, not just the individuals who were performing

4902. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
      December 01, 2017 - Say: Look for the hidden, latent factors that led to the event, not just the individuals who were performing

4903. Patient Safety Action Alliance: Request for Information (RFI) Summary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-rfi-report-040323_LOCKED.pdf
      March 01, 2023 - heard from a range of stakeholders from across the country, including healthcare systems, patient-led

4904. Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
      July 01, 2023 - Smith’s severe‐range blood pressure, explaining that the difficulty in obtaining IV access led to a

4905. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
      May 30, 2013 - Use unit-established approach for nursing-led patient education regarding magnesium sulfate infusion,

4906. Identifying Key Areas for Delivery System Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsr2.html
      February 01, 2014 - accurately, capitation that approached global capitation) in California in the late 1980s and 1990s led

4907. Appendix: State Overviews | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap.html
      October 01, 2014 - This decision led to their enrolling 266 members.

4908. Debrief Example Audio Transcript/Facilitator Notes - Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
      May 01, 2017 - The debrief also doesn't necessarily need to be led by physicians, so the physician engagement barrier

4909. Appendix-K-Debrief-Audio-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
      June 02, 2025 - The debrief also doesn't necessarily need to be led by physicians, so the physician engagement barrier

4910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867672/psn-pdf
      February 26, 2025 - gallbladder, should have prompted a surgical consultation for acute cholecystitis, which might have led

4911. Health Plan Patient Safety Initiatives | PSNet
      psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
      July 10, 2024 - pharmacists, and other stakeholders to develop and implement a comprehensive opioid utilization policy that led

4912. In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives | PSNet
      psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
      July 10, 2024 - pharmacists, and other stakeholders to develop and implement a comprehensive opioid utilization policy that led

4913. Archived: Rh(D) Incompatibility: Screening, 1996 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/rhd-incompatibility-screening-1996
      January 01, 1996 - These findings led to the introduction of routine postpartum prophylaxis following licensure of D immunoglobulin

4914. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough | PSNet
      psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
      September 01, 2003 - system-oriented processes that hospital quality improvement professionals had previously implemented, led

4915. In Conversation With... Heidi Wald, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-heidi-wald-md
      November 26, 2019 - Hopefully I recover that function, but maybe it’s led to functional incontinence because I’m not able

4916. Patient Safety in Frail Older Patients | PSNet
      psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
      November 26, 2019 - Hopefully I recover that function, but maybe it’s led to functional incontinence because I’m not able

4917. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/sands.html
      August 01, 2017 - implementing DA&O programs, and (4) suggested strategies for overcoming identified barriers. 11 Investigators led

4918. The Impact of Communication on Medication Errors | PSNet
      psnet.ahrq.gov/web-mm/impact-communication-medication-errors
      August 01, 2009 - Multiple Health System Vulnerabilities May 26, 2021 Success of a resident-led

4919. Critical Echocardiogram Result Lost to Follow-up | PSNet
      psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
      July 31, 2023 - systems-based model for evaluating adverse events, we can see how the holes or gaps in care aligned and led

4920. Section 4: Ways To Approach the Quality Improvement Process (Page 1 of 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
      January 01, 2020 - For example, an innovation to change the behavior of receptionists will often move quickly if it is led