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421. TeamSTEPPS 2.0: Module 11. Implementation Workshop | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module11/igimplement.html
     March 01, 2014 - A team process is a series of interdependent actions that lead toward a desired endpoint. … following steps: Identify a recurring problem or opportunity for Improvement that, if addressed, could lead … Study the process to identify weak points where things could go wrong and lead to a recurrence of the … This in turn will prevent the targeted problem from recurring or will lead to your targeted improvements … Identify risk points where things could or do go wrong and lead to a recurrence of the problem, challenge

422. 6 Tk1 T5-Suspect A Urinary Tract Infection Brochure Ma Coalition Final (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
     June 18, 2015 - Sometimes antibiotics can: »Lead to a drug interaction, where one of your medications could become

423. Identifying Key Areas for Delivery System Research | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsr2.html
     February 01, 2014 - It is likely that some organizational structures and processes lead to higher quality, lower cost care … each other better in small practices than in large medical groups, and that this mutual knowledge may lead … Identifying the types of incentives likely to lead to the creation of more high-performing organizations … measured and rewarded areas of quality spill over into improved quality in other areas, or does it lead … experience from other industries (e.g., education) shows that inadequate performance measurement can lead

424. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/pdsa-worksheet.docx
     March 01, 2017 - develop, document, and test small changes, through the use of the Plan-Do-Study-Act (PDSA) cycle, that lead

425. When Do You Need An Antibiotic? (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/when-need-antibiotic.pdf
     March 01, 2017 - and vomiting Cause diarrhea, including the kind due to Clostridium difficile, an infection that can lead

426. Dailygoals (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
     January 01, 2003 - Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and

427. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D. (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
     January 01, 2015 - ► The lead Federal agency charged with improving the safety and quality of America’s healthcare system

428. Transcript: How To Empower Nurses To Effectively Implement a Nurse-Driven Protocol for Removing Urinary Catheters, Including How To Obtain Buy-In From Physicians (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses-transcript.pdf
     April 01, 2022 - untoward consequence of having a urinary catheter in, there are number of other things that this can lead … This is important to get out because it can lead to all these other things, too, besides an infection

429. Just Culture Webcast Presentation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
     May 01, 2007 - • Manager and all comer training near the end of the collaborative (Feb/March 2007) • David Marx lead

430. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
     February 01, 2017 - a venous thromboembolism, a medication error, ventilator-associated pneumonia, or anything that can lead … They seek to engage people who have the knowledge, skills, and ability to lead the many components of … Slide 18: Staff Safety Assessment Say: A safety program lead or a designee should coordinate the … Slide 24: Preparing to Lead Say: In a postmortem, an autopsy is performed to learn why a patient

431. Executive Briefing
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/leadership-brief/ts-leadershipbrief.pptx
     January 01, 2013 - These skills lead to important team outcomes, such as enabling the teams to: Adapt to changing situations … If we implement TeamSTEPPS, our teams will learn about the four competency areas that lead to improved … We should identify a champion for this effort, someone with high credibility in the organization to lead … We need to select a powerful group to lead this effort by identifying individuals with leadership authority

432. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Medication overdoses can lead to harm, sometimes requiring emergency treatment or hospitalization and … Drug name confusion can easily lead to medication errors, and the ISMP has recommended interventions

433. Tool 1: Readmission Data Analysis and Interpretation (xls file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
     September 20, 2016 - Tool 1: Readmission Data Analysis and Interpretation Instructions Tool 1. Readmission Data Analysis and Interpretation Brief Description: A quantitative readmission analysis tool. Purpose: Analyze hospital administrative data to evaluate readmission patterns. Understanding readmission patterns is critical to design…

434. Transcript: Senior Leadership Podcast – What Does It Mean To Be Engaged? (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module2-transcript.pdf
     June 01, 2017 - Talking about it in meetings, talking about it in our daily huddles, being able to lead that discussion … What Does It Mean To Be Engaged | 5 them, like how should a senior leader lead … what do we need to do to provide the senior leadership and our board what they need to be able to lead

435. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
     February 01, 2017 - underdistention of other areas occurs), and barotrauma, which causes complications from high pressure that can lead … This leads to stiff lungs, and can lead to overinflation and underinflation in air distribution across … Slide 19: The Problem With Large Tidal Volumes (V t ) Say: Larger tidal volumes could also lead … Low tidal volumes can lead to atelectasis and, of course, that can lead to shunt. … Respiratory Rate Say: The low tidal volume strategy sometimes requires an approach that will lead

436. Program Overview: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
     December 01, 2017 - undergoing inpatient surgeries develop complications, and these complications prolong hospital stays, lead … These individuals should lead the surgical safety team. … leader plays a critical role in ensuring the hospital physicians are on the same page as the project lead … Include a team lead, a nurse lead, a surgeon lead, and an executive partner along with other team members … Slide 47: References Slide 48: References Slide 49: Next Steps Slide 50: Preparing to Lead

437. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
     September 01, 2015 - RETHINK THE “CULTURE OF CULTURING” URINE Reflex pan culturing may lead to C. difficile infection.

438. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-slides.pptx
     June 01, 2021 - Care Assessment UTI 6 Asymptomatic Bacteriuria, continued1-3 Common among older adults Does not lead … Treating a resident for asymptomatic bacteriuria can lead to harmful side effects.

439. Preventing-Cauti-Icu-Setting-Module 1-Speaker-Notes (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
     September 01, 2015 - and 7 percent per day, so we know that unnecessary culturing without signs or symptoms of UTI could lead … This can lead to inappropriate use of antibiotics.

440. Implementing SBAR: Improving Communication and Response Times in Critical Care Transport
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-nov2013.pptx
     January 01, 2013 - ) Barb Edson (Project Director) Chris Hund (Project Manager) IMPAQ International David Baker (Team Lead