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1. Lead Poisoning | Effective Health Care (EHC) Program
   effectivehealthcare.ahrq.gov/health-topics/lead-poisoning

2. Role of the Nurse Manager, Unit Team Lead
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursing.pptx
   July 07, 2012 - Role of the Nurse Manager, Unit Team Lead Learning Objectives Understand the responsibilities … 1, 2, 3, 4 Nurse managers lead the care efforts on their units Nurse managers benefit patient safety … unit’s interests and resources with organizational goals Human Resource Management4 Nurse managers lead … aligns with the highest quality of care: - Understand key quality and safety improvement measures - Lead

3. Reconciliation failures lead to medication errors. | PSNet
   psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors
   November 01, 2012 - Study Reconciliation failures lead to medication errors. … Reconciliation failures lead to medication errors. Jt Comm J Qual Patient Saf. 2006;32(4):225-9. … Reconciliation failures lead to medication errors.

4. Unlabeled containers lead to patient's death. | PSNet
   psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
   September 26, 2017 - Commentary Unlabeled containers lead to patient's death. … Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7. … Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7.

5. Tenfold errors can lead to tragedy. | PSNet
   psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy
   February 21, 2007 - Newspaper/Magazine Article Tenfold errors can lead to tragedy. … Citation Text: Tenfold errors can lead to tragedy. Sipkoff M. Drug Topics. August 21, 2006. … URL Cite Citation Citation Text: Tenfold errors can lead

6. EvidenceNOW: Interview Protocol - QI Lead | Agency for Healthcare Research and Quality
   www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/interview-protocol-qi-ny.html
   March 01, 2021 - EvidenceNOW: Interview Protocol - QI Lead New York City Cooperative Resource: Provider/Quality … Improvement Team Lead (CHCANYS) Qualitative Interview Guide (PDF, 142.6 KB, 4 pages) This interview … by an EvidenceNOW Cooperative's staff to interview participating practices’ quality improvement (QI) lead

7. Effectively leading for quality. | PSNet
   psnet.ahrq.gov/issue/effectively-leading-quality
   November 25, 2020 - Commentary Effectively leading for quality. Citation Text: Lachman P, Nicklin W. Effectively leading for quality. Healthc Manage Forum. 2017;30(5):233-236. doi:10.1177/0840470417706705. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

8. Diagnostic errors that lead to inappropriate antimicrobial use. | PSNet
   psnet.ahrq.gov/issue/diagnostic-errors-lead-inappropriate-antimicrobial-use
   October 19, 2022 - Study Diagnostic errors that lead to inappropriate antimicrobial use. … Diagnostic Errors that Lead to Inappropriate Antimicrobial Use. … Diagnostic Errors that Lead to Inappropriate Antimicrobial Use.

9. VA takes the lead in paperless care. | PSNet
   psnet.ahrq.gov/issue/va-takes-lead-paperless-care
   March 27, 2013 - Newspaper/Magazine Article VA takes the lead in paperless care. … Citation Text: VA takes the lead in paperless care. Brown D. … Copy URL Cite Citation Citation Text: VA takes the lead

10. Will prosecuting medical errors lead to a culture of silence? | PSNet
    psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence
    March 13, 2024 - Newspaper/Magazine Article Will prosecuting medical errors lead to a culture of silence … Citation Text: Will prosecuting medical errors lead to a culture of silence? Fiore K. … Cite Citation Citation Text: Will prosecuting medical errors lead

11. Leading by Example Learning Module | Agency for Healthcare Research and Quality
    www.ahrq.gov/nursing-home/learning-modules/lead-by-example.html
    December 01, 2022 - Leading by Example Learning Module This learning module offers ideas to help boost morale, build trust, create a positive work environment, and practice open communication. Leading by Example No matter what your position, there are simple things you can do to take on a leadership and mentorship role in…

12. Improving use of prehospital 12-lead ECG for early identification and treatment of acute coronary syndrome and ST-elevation myocardial infarction. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/ems-based-tipi-cardiac-care-qi-error-reduction-system/citation/improving-use
    January 01, 2023 - Improving use of prehospital 12-lead ECG for early identification and treatment of acute coronary syndrome … Improving use of prehospital 12-lead ECG for early identification and treatment of acute coronary syndrome … Improving use of prehospital 12-lead ECG… Principal Investigator Selker, Harry Project

13. Getting doctors to clean their hands: lead the followers. | PSNet
    psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers
    June 12, 2013 - Study Getting doctors to clean their hands: lead the followers. … Getting doctors to clean their hands: lead the followers. … Getting doctors to clean their hands: lead the followers.

14. Improving the quality of health care: who will lead? | PSNet
    psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead
    June 14, 2011 - Classic Improving the quality of health care: who will lead … Improving the quality of health care: who will lead? Health Aff (Millwood). 2001;20(5):164-79. … Improving the quality of health care: who will lead? Health Aff (Millwood). 2001;20(5):164-79.

15. Implementation Guide for the CANDOR Process: Appendix C | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apc.html
    August 01, 2022 - Team Role Name Credentials Title Signature Date CANDOR Implementation Team Lead   …         Disclosure Team Lead           Care for the Caregiver Team Lead …           Event Reporting, Investigation, and Analysis Team Lead           … Resolution Team Lead           Physician Champion           Nurse

16. Leading Healthcare Quality and Safety | PSNet
    psnet.ahrq.gov/training-catalog/leading-healthcare-quality-and-safety
    August 11, 2025 - provides healthcare practitioners and others with an introduction to the knowledge and skills needed to lead

17. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet
    psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
    March 01, 2015 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay Citation Text: O'Connor RE. … Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. … Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. … When emergency medical services (EMS) arrived at the patient's home, EMS providers obtained a 12-lead … Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet].

18. New Clinical Processes and Improving Workflows for Opioid Management in a Geriatric Clinic: Using Input from The Team Case Study (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-clinical-processes-workflows.pdf
    June 02, 2025 - The quality improvement lead at South Shore initially planned a quality improvement (QI) efort focused … The QI-lead then shifed the focus of the project to improving care for patients prescribed opioids for … The QI lead did not have a support team for this project. … The QI lead worked with clinicians to identify key components of the updated workflow. … The QI lead focused on staf and clinician education to improve their buy-in for implementing the new

19. Diagnostic Error in the Testing Process | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
    August 01, 2024 - 20 Interventions to improve diagnostic testing should target breakdowns in the testing process that lead … symptoms, which can increase the risk of wrong (false positive) diagnosis of urinary tract infections and lead … test specimen, and presence of substances that interfere with analysis. 31,32 Interpretive errors can lead

20. Slide Presentation: An Introduction to Safe Transitions for Patients to New Appointments
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions.pptx
    June 02, 2025 - The team lead for this project plays an important role in providing oversight. … If you plan on implementing the toolkit, you must have a team lead. … Who is the team lead at your facility? … In Step 1, the team lead reviews the toolkit guide. … In Step 2, the team lead completes the Pre-Intervention Assessment.