-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
March 21, 2008 - prescribed 1 1.2
Failure to implement changed medication
across settings 1 1.2
Info patient received led
-
psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - The corporate Office of Clinical Effectiveness (OCE), led by the Chief Medical Officer, has responsibilities
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
September 01, 2015 - What factors led to this? Who was
involved? What was your role? What roles did others play?
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/chcanys-qi-primer.pdf
August 01, 2017 - Practice site designated QI teams will participate in a 12 month
practice facilitator led intervention
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
October 01, 2024 - discovers the Hospital Acquired Pneumonia Prevention by Engaging Nurses (HAPPEN) initiative, a nurse-led
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finalsummary.pdf
February 21, 2016 - Lessons learned
The multi-State partnerships created for this grant program led to
substantial transfer
-
psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
June 01, 2018 - I have also led the formation of the Yale Point-of-care Ultrasound Council: a multispecialty group that
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - This led to the development of a handoff tool to facilitate
some of this communication.
-
www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
January 01, 2024 - We tested whether the absence of date stamping led to biased measures of
hospital quality using the
-
www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
January 01, 2024 - • Meditech implementation was not clinically led.
• A clear clinical vision was not established early
-
www.ahrq.gov/sites/default/files/2024-07/ferguson2-report.pdf
January 01, 2024 - The three teams identified above were originally led by Woman’s Hospital members of the
Planning Committee
-
psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
May 01, 2013 - What we've seen with public reporting is that it has led organizations to focus a lot on process measures
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
July 01, 2023 - , the team imagines that the
project has failed and brainstorms all of the reasons that could have led
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
July 01, 2023 - , the team imagines that the
project has failed and brainstorms all of the reasons that could have led
-
www.ahrq.gov/sites/default/files/publications/files/finalsummary.pdf
February 21, 2016 - Lessons learned
The multi-State partnerships created for this grant program led to
substantial transfer
-
www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
September 01, 2015 - This led to the development of a handoff tool to facilitate
some of this communication.
-
psnet.ahrq.gov/perspective/conversation-michael-l-millenson
April 27, 2022 - Absent that media spotlight, the same facts would have led to the same inaction that had continued for
-
psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
February 01, 2017 - This recognition led to the formation of cross-disciplinary teams, especially for activities where the
-
psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
September 27, 2023 - While this follow-up would not have prevented the infection, it may have led to its earlier identification
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/3R9N4ojm9Sk7qk8ybD3LU6
October 11, 2019 - These factors led the
USPSTF to reduce assessments of certainty and magnitude of ben-
efit, resulting