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Total Results: 6,293 records

Showing results for "led".

5341. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
      August 01, 2009 - are going to find is that people actually followed the rules and that the rules were bad rules and led

5342. Meeting Minutes, November 2020 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html
      March 01, 2021 - The virus has led to the deaths of more than 60,000 nursing home residents and staff during the past

5343. Trauma Informed Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-informed-care-protocol.pdf
      April 19, 2023 - A federal agency, the Substance Abuse and Mental Health Services Administration (SAMHSA) has led the

5344. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-5-protocol-update-2023.pdf
      January 01, 2023 - review methods, scope, and data presentation make it difficult to synthesize across reviews and have led

5345. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
      January 01, 2024 - to Fatal Discitis and Sepsis A case involving an intraoperative dural tear during spine surgery that led

5346. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
      September 01, 2005 - by all providers, we encouraged but could not require participation of individuals—a problem that led

5347. Lessons in Safety Climate and Safety Practices from a California Hospital Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
      April 01, 2003 - information technologies expert as well as a consultant to the Stanford Patient Safety Consortium project, led

5348. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
      January 01, 2004 - Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology 323 Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology Jiajie Zhang, Vimla L. Patel, Todd R. Johnson, Philip Chung, James P. Turley Abstract Human errors in med…

5349. Creating Safety in the Testing Process in Primary Care Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
      February 19, 2008 - Previous work11, 12, 13, 14, 15, 16, 17, 18, 19 has led to an understanding of the steps that make up

5350. Cognitive Engineering for Complex Decision Making & Problem Solving in Acute Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs022542-hettinger-final-report-2020.pdf
      January 01, 2020 - Focus groups were led by a single researcher and target participants included emergency medicine nurses

5351. Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
      April 14, 2008 - This has led to the development of systems in other countries (mainly in the EU) based on reporting

5352. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
      June 05, 2008 - medical adverse events are a leading negative contributor to health care quality in the United States led

5353. Envisioning Patient Safety in the Year 2025: Eight Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
      January 01, 2025 - Situation-Background-Assessment-Recommendation]) fortunately died quiet deaths along the way, unmourned victims of new ways of thinking that led

5354. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - recommendations for research Considering items that were not included on the list and implementation issues led

5355. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
      April 08, 2004 - Health Care, is cross-listed by the departments of medical physics and industrial engineering and led

5356. Common Cause Analysis: Focus on Institutional Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
      January 20, 2008 - The results of this discussion led to a consensus and confirmed the RPN.

5357. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
      March 30, 2008 - improvement specialists; and informatics specialists, including a pharmacist/informatics specialist who led

5358. The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
      March 03, 2008 - The increased scrutiny of our data sources to support this rogram led to the recognition of failures

5359. Error Producing Conditions in the Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
      February 26, 2008 - The analysis of these ventilator events led the Joint Commission to designate improved effectiveness

5360. AMIA Health Policy Conference Series - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r13hs021825-kuperman-final-report-2015.pdf
      January 01, 2015 - A facilitator led each of the three groups for each of the three breakout sessions (a total of nine