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181. 162-Example-Completed-Learning-Defects-Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
     October 01, 2024 - methicillin-resistant Staphylococcus aureus (MRSA), the defects we focus on are events that could potentially lead … List what you will do, who will lead the intervention, and when you will follow up to note the intervention … Discuss and develop interventions to defend against the factors, assign the person(s) who will lead the … Contributing Factors Interventions Person(s) Assigned To Lead Efforts Followup Dates Technical Factor

182. Methods | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi2.html
     January 01, 2013 - The Missouri Center for Patient Safety (MOCPS) was selected to lead this effort. … State Clinical Lead Calls and Face-to-Face Meetings.

183. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/primary-care-research/introduction.html
     January 01, 2024 - As the designated federal agency to lead primary care research, the Agency for Healthcare Research and … the Healthcare Research and Quality Act , AHCPR was renamed AHRQ and specifically designated as the lead

184. AHRQ Joins New HHS Initiative To Improve Outcomes Via Primary Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/ahrq-joins-new-hhs-initiative.html
     November 01, 2019 - officer in the Bureau of Primary Health Care at the Health Resources & Services Administration, will lead

185. AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
     August 01, 2022 - Regardless of the setting, diagnostic errors can derail proper care and may lead to severe injury or … All of AHRQ’s efforts in diagnostic safety – its lead role among Federal agencies, its research investments

186. QI Guide on Improved Nursing Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/monahrq/myqi/nursing.html
     November 01, 2020 - General Resources on Nursing and Quality of Care Patient Centered Care Falls and Injuries Falls can lead … Top Preventing Other Healthcare Associated Infections Healthcare-associated infections (HAIs) lead … Ineffective handoffs can lead to adverse events and patient safety risks.

187. Final Progress Report: Are Volume Standards Accurate Measures? (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
     January 01, 2024 - Selective avoidance of low-volume centers does not lead to improved outcomes, whereas selective avoidance … routine administrative data without the POA indicator to construct hospital quality report cards may lead … test whether: Regionalizing high-risk surgery by diverting patients from low-quality centers will lead … The inability to separate the two in most administrative databases is likely to lead to biased risk … Selective avoidance of low-volume hospitals would not lead to any improvement in outcomes.

188. Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Overview of NYP Patient Narrative Reporting Project (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-shaller.pdf
     July 03, 2023 - Patient Experience ► Maria Colon, Patient Experience Program Manager ► Annery Polanco, Patient Experience Lead … Name 20 Active User Support During 9-Month Study Intervention Period • ACN Patient Experience Lead

189. 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

190. Foreword | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/confid-report/foreword.html
     February 01, 2016 - during the selection of measures and design of the reports to the mechanisms by which the reports could lead … It is inappropriately dismissed as a small detail to be checked off instead of a bridge that can lead

191. Measure Dx: A Tool To Identify, Analyze, and Learn From Diagnostic Safety Events | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/ideas-project/measure-dx.html
     March 01, 2025 - This QI team should include a clinical lead with diagnostic expertise and a quality manager with operations … Have or create a QI team that includes: (1) a clinical lead with diagnostic expertise and (2) a quality

192. Building the Workforce | Agency for Healthcare Research and Quality
     www.ahrq.gov/learning-health-systems/building-workforce.html
     May 01, 2022 - and improve understanding of best practices for training the next generation of researchers who can lead … To engage stakeholders in all aspects of the research process and effectively lead and manage LHS research … Domain Definition: To engage stakeholders in all aspects of the research process and effectively lead … Competencies Demonstrate the ability to build and lead research teams with diverse health system

193. Program Evaluation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
     July 01, 2023 - patient safety culture becoming better established and improving over time Collectively, these will lead … lead to reductions in adverse events – as shown in the impact column. 18 Hospital AIM Team

194. Program Evaluation - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8_program-evaluation.pptx
     July 01, 2023 - patient safety culture becoming better established and improving over time Collectively, these will lead … lead to reductions in adverse events – as shown in the impact column. 17 Evaluation Data Collection

195. Program Evaluation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
     July 01, 2023 - patient safety culture becoming better established and improving over time Collectively, these will lead … lead to reductions in adverse events – as shown in the impact column. 18 Hospital AIM Team

196. Program Evaluation - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8_program-evaluation.pptx
     July 01, 2023 - patient safety culture becoming better established and improving over time Collectively, these will lead … lead to reductions in adverse events – as shown in the impact column. 17 Evaluation Data Collection

197. TeamSTEPPS® Diagnosis Improvement: Reflective Practice Tool: The Spirit of Inquiry (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-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

198. 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

199. AHRQ’s Surveys on Patient Safety Culture® for New Users - Introduction (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/01-sops-overview-webcast-intro.pdf
     January 15, 2025 - Lead Research Associate User Network for AHRQ Surveys on Patient Safety Culture Westat 3 Agenda

200. Improving Antibiotic Use is a Patient Safety Issue
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-slides.pptx
     September 01, 2022 - Antibiotic Use – Ambulatory Care 5 Step 2: Establish an Antibiotic Stewardship Team6 6 Clinician lead … Interest in patient safety/quality improvement Diplomatic, collegial, communication skills Administrative lead … with practicewide consensus on treatment of common infectious disease syndrome Stewardship clinician lead … consistent, practicewide strategies for communicating with patients and families8-11 Stewardship clinician lead