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161. TeamSTEPPS® Diagnosis Improvement: Reflective Practice Tool: The Spirit of Inquiry (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/reflective-practice-tool.pdf
     February 01, 2022 - What actions will help contribute to a safe diagnostic process to plan actions that can lead to better

162. Facility Action Plan Template | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/implement/action-plan.html
     March 01, 2017 - Facility team lead Meeting with senior leadership held and they agree to support an annual safety culture … Facility team lead Administrator HR director IT director By 10/15/17 share success of project

163. Management Practices for Sustainability - Module 2: Daily Huddles | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-slides.html
     June 01, 2017 - testing unit Box 2: Determine who should attend the huddle from your staff Box 3: Determine who should lead … consecutive days" to text box reading "four weeks" Additional tests to consider: Alternative staff lead

164. Participating in the 2023 CAHPS® Home and Community-Based Services Survey Database: What You Need to Know - Brown (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/3-2023hcbs-survey-webcast-brown.pdf
     April 01, 2024 - to individual and system- level problems Promoting improvements in quality and outcomes will lead … will lead to ...

165. National Action Alliance for Patient and Workforce Safety Commitment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-commitment-statement.pdf
     June 02, 2025 - Designa�ng an Execu�ve Lead on safety to directly interface with the highest-ranking person in the organiza

166. Useful Online Tools for CAHPS Survey Users - FISHER (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-tools-webcast-2022-fisher.pdf
     January 01, 2022 - ► The lead Federal agency charged with improving the safety and quality of America’s healthcare system

167. Background Quality Improvement Team Information Form | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/team-info-form.html
     July 01, 2023 -   Staff from Safety, Quality, or Risk Management Office     Unit Champion (Unit Team Lead

168. Introducing the CAHPS Outpatient Mental Health Survey Webcast - AHRQ (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/02-outpt-mhs-webcast-bakdash.pdf
     June 02, 2025 - Agency for Healthcare Research and Quality (AHRQ) AHRQ is: ► A research and science-based agency ► Lead

169. South Carolina Hospital’s Use of AHRQ Patient Safety Program Leads to Significant Drop in Urinary Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201607.html
     January 01, 2018 - infections that can increase the length of hospital stays and costs, intensify patient suffering, and even lead

170. Module 2: Urinary Catheter Maintenance | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod2.html
     February 01, 2023 - and think about this question for a few minutes: What did you notice in the case scenario that could lead … Slide 4: Answer Narration: You should have identified three issues that can lead to the development … Not attaching the catheter to the leg can lead to urethral irritation.

171. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts4.html
     December 01, 2017 - Leadership agrees to identify a change team champion and establish a multidisciplinary change team to lead … Two team leaders may co-lead project activities; one is a nurse and the second can be from nursing or … who should attend the meeting, what their roles are, who is responsible for the reports, and who will lead

172. Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/summary.html
     July 01, 2018 - Improved behavior is expected to lead to better disease control which should, in turn, lead to better … better at managing their disease and allow sufficient time to assess if patients' changed behaviors lead

173. Tools for Sustainability: Premortem and Scorecard: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-slides.html
     February 01, 2017 - Slide 13: Preparing To Lead 2 In a postmortem, an autopsy is performed to learn why a patient died … Slide 14: Preparing To Lead 2 Identify potential barriers and vulnerabilities. … Slide 15: Preparing To Lead 2 The Premortem Exercise helps you– Imagine the project has failed

174. PowerPoint Presentation: Premortem for Sustainability
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem.pptx
     December 01, 2017 - to the clinicians and those interested in the results, it doesn’t help the patient. 4 Preparing To Lead … premortem encourages you to imagine that the project has failed and brainstorm the reasons that could lead … the exercise individually, have team members share their responses with the team. 5 Preparing To Lead

175. Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs: Summary (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/haidesign-summary.pdf
     September 01, 2013 - agents can be brought into hospitals by colonized or infected hosts or other external sources and lead … Contact with contaminated surfaces can lead to transmission of pathogens, with health care workers … suboptimal maintenance of the built environment can increase the risk of transmission of pathogens and can lead … easy to merge discipline-specific perspectives through collaboration, but such open dialogue will lead

176. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-5.html
     June 01, 2023 - Once narrative accounts can be more reliably elicited, they may lead to an entirely new family of performance

177. National Content Series Facilitator’s Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/role-play.html
     May 01, 2017 - After the role-play, lead a discussion with staff using the discussion questions and/or worksheet provided … Ask for volunteers to share their SBAR with the group and lead a discussion in a nonpunitive manner. … Ordering a urine culture will not help decipher between a CAUTI and asymptomatic bacteriuria and may lead … Ordering a urine culture will not help decipher between a CAUTI and asymptomatic bacteriuria and may lead

178. Action Planning for the SOPS Surveys-Results (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-yount-sops-action-planning-tool.pdf
     June 01, 2019 - Who can lead the initiative? … Who can lead the initiative? 6. What resources will be needed? 7. What are possible barriers? 8.

179. HCBS CAHPS Survey Database: What You Need to Know - INTRO (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-intro.pdf
     May 18, 2023 - Kathleen Woodward, M.S.P.H., The Lewin Group, Falls Church, VA • Michael Corrothers, HCBS CAHPS Database Lead

180. Challenges in Approaching Diagnostic Safety Unique to Children | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-2.html
     August 01, 2023 - conditions, clinician risk tolerance contributes significantly to variation in testing practices and can lead … of overtesting, although not an MDO, nonetheless exposes children to possible harm if test results lead … The generally low likelihood of diagnosing serious illnesses may also lead clinicians toward opposite