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181. 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

182. 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

183. The Rationale for Case Mix and Mode Adjustments - Bakdash (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2-case-mix-mode-adjustments-webcast-bakdash.pdf
     June 02, 2025 - Agency for Healthcare Research and Quality (AHRQ) AHRQ is: ► A research and science-based agency ► Lead

184. 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.

185. 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

186. 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

187. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
     January 01, 2018 - 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 with administrator

188. University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cdom0803.html
     October 01, 2014 - Lead investigator Jingzhen (Ginger) Yang, PhD, MPH, Assistant Professor, Department of Community and … Though sports-related concussions may not directly lead to death, the impact on overall health and well-being

189. Nursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather-a-Team-updated.docx
     October 01, 2016 - These individuals should lead the effort and be responsible for program outcomes. … Suggested roles include: Champions: develop agendas and policies, lead training, provide leadership and

190. Taxonomic Guidance for Remedial Actions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
     December 23, 2004 - work of Norman, Rasmussen, van der Schaaf, and others to characterize and classify the failures that lead … This project developed a relationship between classifications of failures that lead to events and possible … The categories follow the lead of Kapp and Caldwell.7 A failure of detection can result from • The … Madison Medical Taxonomy second tier pathway * *The lettered circles lead to the third level of … Hardware/software failures seldom actually cause events or untoward outcomes in medicine, but often lead

191. Performing a Premortem Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/premortem-assessment.html
     October 01, 2024 - During a premortem, the team brainstorms all conceivable reasons that could lead to failure, identifying

192. Developing Ground Rules for Primary Care Team Communication | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/tools/ground-rules.html
     November 01, 2018 - This resource can be used to lead a group discussion about developing ground rules for how primary care

193. About the Toolkit Development | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/clabsi-tools/about.html
     March 01, 2018 - project administration and management, budget oversight, recruitment of States, and development of State lead

194. Empowering Women and Providers for Improved Care of Urinary Incontinence: EMPOWER Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_empower.pdf
     January 01, 2024 - Lead organization University Hospitals Cleveland Medical Center (UH Urology Institute, UH Primary Care … Semi-structured interviews are also conducted with the lead provider and project manager at up to 45

195. CUSP Toolkit: The Role of the Nurse Manager | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/nursing/sl-nursing.html
     December 01, 2012 - 1,2,3,4 Nurse managers lead the care efforts on their units. … Human Resource Management 4 Nurse managers lead their employees by: Hiring, firing, training … Lead staff training to ensure the safest care for patients.

196. AHRQ Safety Program for Ambulatory Surgery Final Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
     May 01, 2017 - Effective coaching largely depends on building a trusting relationship with the facility lead. … This was based on the premise that using the Safe Surgery Checklist does lead to better outcomes. … Did the facility lead have experience working on other QI projects? … Once a facility lead reported attaining a goal, the QIA took the opportunity to coach the facility lead … Unanticipated case cancellations also lead to a waste of resources.

197. Introducing the CAHPS Clinician & Group Visit Survey 4.0 (beta) - Intro (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cg-survey-4-beta-webinar-introduction.pdf
     December 17, 2020 - Department of Medicine CAHPS RAND Corporation PI Stephanie Fry, Senior Study Director CAHPS Instrument Team Lead

198. Webinar Agenda - Progress Update: The National Action Alliance for Patient and Workforce Safety—What, Why and How? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/progress-update-2024-agenda.pdf
     January 01, 2024 - Measurement and Value-Based Incentives Group, Centers for Medicare and Medicaid Services • Amanda Carnes, Lead

199. Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
     April 01, 2018 - infectious 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 often … suboptimal maintenance of the built environment can increase the risk of transmission of pathogens and can lead … be easy to merge discipline-specific perspectives through collaboration, but such open dialogue will lead

200. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-key.docx
     March 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