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psnet.ahrq.gov/innovations-video
August 09, 2025 - implemented innovative practices and/or interventions that have resulted in improved patient safety and reduced
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - How will you know the risk is reduced? … Determine if something can be measured to demonstrate that incidence of the adverse event has been reduced … Decision Making
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
Make Sure Risks Are Being Reduced … Do staff believe risks were reduced? … Follow up to ensure that solutions are implemented and harm is reduced.
21
Changes in Antibiotic Decision
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
October 01, 2024 - Describe how you know you have reduced the risk. … incident to determine whether the intervention has been used effectively and whether risk has been reduced … How will you know the risk is reduced? … Ask frontline staff involved in the defect whether the interventions were effectively carried out and reduced … Impact of Intervention
Interventions Were Effectively Carried Out, 1 (Low) to 5 (High)
Interventions Reduced
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - How will you know the risk is reduced?
Questions 1 & 2 are highlighted. … How will you know the risk is reduced? … Do staff members believe risks were reduced? … Slide 44: How Will You Know Risks Were Reduced? … Post the stories of reduced risks (with data!).
Share with others.
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www.ahrq.gov/news/newsletters/e-newsletter/919.html
July 01, 2024 - Extending Medicaid Eligibility Reduced Number of Uninsured New Mothers . … Extending Medicaid Eligibility Reduced Number of Uninsured New Mothers Extending Medicaid eligibility … during the COVID-19 pandemic significantly reduced the number of uninsured new mothers, according to … latest interactive data visualization allows users to explore how dental visits were substantially reduced
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psnet.ahrq.gov/node/48168/psn-pdf
July 24, 2019 - Investigators attempted to assess whether
hospitals penalized under the program reduced HAC rates. … By contrast, quality improvement
collaboratives like Partnership for Patients have markedly reduced
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www.ahrq.gov/takeheart/about/case-for-cardiac-rehab/index.html
December 01, 2022 - who have:
Had a heart attack
Stable angina
Received angioplasty or stent
Heart failure with reduced … heart-lung transplant surgery
The Challenges
Despite improved health outcomes for patients and reduced
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/skin-cancer-counseling
June 30, 2016 - ); whether primary care–relevant counseling interventions improve skin cancer prevention behaviors (reduced … (KQ2); the harms of counseling interventions for skin cancer prevention (increased time in the sun, reduced … Do primary care–relevant counseling interventions improve skin cancer prevention behaviors (e.g., reduced … the harms of counseling interventions for skin cancer prevention (e.g., increased time in the sun, reduced … Any harm of behavioral counseling interventions, such as anxiety, increased time spent in the sun, reduced
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-leveraging-data-enhance-cr-program.pdf
November 12, 2020 - saw a spike in patients
discontinuing CR, so they created an ambassador
program that drastically reduced … The interventions they implemented to reduce observed
disparities reduced their average time to start … These reports also enhanced their ability to adjust to
reduced gym capacity while scheduling patient … increased falls back to changes in the gym
and track layout that allowed them to make basic changes that reduced
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psnet.ahrq.gov/node/47013/psn-pdf
April 07, 2019 - The intervention
significantly reduced the proportion of patients coprescribed opioids and benzodiazepines … impact-opioid-safety-initiative-opioid-related-prescribing-veterans
https://psnet.ahrq.gov/issue/electronic-medical-record-alert-associated-reduced-opioid-and-benzodiazepine-coprescribing
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www.ahrq.gov/patient-safety/settings/multiple/project-echo/videos.html
April 01, 2021 - Sanjeev Arora describes how Project ECHO significantly reduced his clinics' wait times for receiving … Sanjeev Arora describes how Project ECHO significantly reduced his clinics' wait times for receiving
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digital.ahrq.gov/ahrq-funded-projects/decreasing-ades-montana-frontier-critical-access-hospitals-through-hit
January 01, 2023 - Implementation of the Web-based ADE reporting system appears to have reduced voluntary ADE reporting … prescription, transcription, and dispensing process errors, clarified the impact of ADEs on patients, and reduced
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/value-added-analysis
January 01, 2023 - STUDY THE NON-VALUE-ADDED ACTIVITIES so they can be reduced or removed.
7. … STUDY ORGANIZATIONAL VALUE-ADDING ACTIVITIES so they can be reduced or removed.
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psnet.ahrq.gov/node/47331/psn-pdf
October 17, 2018 - description-and-factors-associated-missed-nursing-care-acute-care-
community-hospital
Prior research has shown that missed nursing care may in part result from reduced … Using survey data from a sample of nurses at a single
community hospital, researchers found that reduced
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/kidney-disease-medicine_surveillance.pdf
October 01, 2012 - ESRD was not
significantly reduced in patients
with CKD stages 1–3 who did
not have proteinuria. … ESRD was not significantly reduced in
patients with CKD stages 1–3 who did not
have proteinuria. … proteinuria to 1.44
(1-07-1.93) g/day (P=0.003), addition of a
LSD reduced it to 0.85 (0.66-1.10) … g/day
(P<0.001) and addition of ARB + LSD
reduced it to 0.67 (0.50-0.91) g/day (P<0.001). … ESRD was not significantly reduced in
patients with CKD stages 1–3 who did not
have proteinuria.
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
December 01, 2017 - How will you know the risk is reduced?
Slide 10: What Happened?
Walk the process. … Slide 19: How Will You Know Risks Were Reduced? … Do staff members believe risks were reduced?
Use data-driven metrics whenever possible. … Post the stories of reduced risks (with data!).
Share with others.
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psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
January 26, 2022 - utilization is widespread, the authors conclude that definitive evidence that RRTs are associated with reduced … The authors note that evidence does support that RRTs are associated with reduced secondary outcomes,
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psnet.ahrq.gov/issue/changes-hospital-safety-following-penalties-us-hospital-acquired-condition-reduction-program
September 29, 2021 - Investigators attempted to assess whether hospitals penalized under the program reduced HAC rates. … By contrast, quality improvement collaboratives like Partnership for Patients have markedly reduced
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psnet.ahrq.gov/node/40263/psn-pdf
March 02, 2011 - Use of the CDSS resulted in significantly reduced errors, and also reduced morbidity compared to standard
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psnet.ahrq.gov/node/36276/psn-pdf
October 21, 2010 - They found that implementation of specific actions in frequent nursing bedside
rounds reduced patient … use of call lights, increased their satisfaction with care, and reduced falls.