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201. Changing-System-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
     June 01, 2021 - Forgetting to put in a stop date may lead to a default stop date of 2 weeks or 30 days, far longer than … time it takes to correct these errors, which involves contacting the facility or the prescriber, may lead … to delays in starting or stopping the antibiotic, and can lead to adverse consequences for the resident … Stasis dermatitis, a condition which occurs because of inadequate function of the venous system, can lead … This patient had a recent cardiac event, which can lead to lower extremity swelling.

202. Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
     February 01, 2023 - 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. … Slide 4 You should have identified three issues that can lead to the development of a CAUTI: The … Not attaching the catheter to the leg can lead to urethral irritation. … X was on a chronic diuretic, which would lead to high urinary output, it was not being adjusted.

203. Exhibit 3.16. Project Team Composition–Cardiology Follow-up Appointment Scheduling | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-16.html
     November 01, 2014 - Team lead: Advanced registered nurse practitioner (ARNP).

204. Section 8: The Care Management Evidence Base (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8c.html
     October 01, 2014 - Clinical Outcome Measures Our search returned three studies that found care management intervention can lead … in-person care management, care management, decision support, and provider education to manage COPD can lead … Clinical Outcome Measures Our search returned four studies that found care management interventions can lead … care management, self-management education, decision support, and provider education to manage CAD can lead

205. Long COVID is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/long-covid.html
     March 01, 2023 - Poorly conceived payment policies lead to perverse incentives. … believe that a research-driven agenda committed to equity and restoring Americans’ trust can inform, lead

206. VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
     September 26, 2023 - VHA Integrate HRO behaviors and strong practices into VHA operations at every organizational level Lead … consults with improvement project teams to help guide efforts Green Belt: Knowledge and skills to lead … department level Yellow Belt: Knowledge and skills to participate as an improvement project member or lead

207. Exhibit 5. Consumer reporting systems inputs and analytic capabilities | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh5.html
     August 01, 2022 - Both types of submission lead to systems input using common data standards.

208. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - INTRO (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-intro.pdf
     January 01, 2021 - Kathleen Woodward, M.S.P.H., The Lewin Group, Falls Church, VA • Michael Corrothers, HCBS CAHPS Database Lead

209. Chapter 1. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpra1.html
     April 01, 2018 - Thus, despite their growing prevalence, there remain differences in ASC settings that may lead to the … important is the tool's utility in examining single-point failures, as well as combinations of events that lead

210. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
     August 01, 2022 - The CANDOR Response Team is also responsible for notifying the CANDOR Communication Lead that a CANDOR … Ideally, the CANDOR Response Team and/or CANDOR Communication Lead are responsible for the initial communication … The CANDOR Communication Lead coordinates all communications, and ensures that all caregivers are consistent

211. Enhancing Performance Via Integrated Health Systems (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/casalino.ppt
     February 16, 2011 - therefore: identify types of organizations that tend to be high performing identify incentives likely to lead … 13 * 2/16/2011 Key research area #2 analyses of ways to structure incentives so that they lead

212. Team Check-up Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/team-checkup.html
     December 01, 2012 - Your team should collectively complete one Team Check-up Tool every month and submit it to the project lead

213. A Toolkit to Engage High-Risk Patients in Safe Transitions: Final Report (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
     November 01, 2017 - Narrated PowerPoint Presentation: Team Lead 4. Narrated PowerPoint Presentation: Team 5. … of work included identifying the facility that met the desired criteria, identifying a facility-site lead … were provided in unison an overview of how to use the toolkit via an online webinar using the team lead … The guide listed suggestions for how the team lead could train other staff members including: sharing … Meeting with COR and AHRQ Office of Communications Draft outline for ACF Lead

214. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
     June 01, 2017 - Self-Assessment Worksheet can help nursing home staff identify and review care that they provide that may lead … worksheet shows the nursing home’s practices around screening for conditions and symptoms that may lead

215. Guide for Developing a Community-Based Patient Safety Advisory Council (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
     April 01, 2008 - AHRQ is the lead Federal agency charged with supporting research designed to improve the equality of … Project Lead The project lead is the coach of the team. … Key characteristics for a project lead include: • A leadership position in the organization. … Project lead roles and responsibilities include: • Developing project goals and objectives. … Staff leads may also represent a discipline or profession, e.g., nurse lead or physician lead.

216. Staff Member Survey for Physicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/physician-survey-post-intervention-nw.pdf
     January 01, 2014 - 189 mg/dl but 10-year ASCVD risk ≥7.5% Please rate your agreement whether these new guidelines will lead … for black patients Please rate your level of agreement regarding whether these new guidelines will lead … Year field 2 of 4: Year field 3 of 4: Year field 4 of 4: Name of your practice: Mistakes lead

217. 77. For the Patient Who Has Recently Quit (Continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide77.html
     October 01, 2014 - Suggest continued use of tobacco use medications, which can reduce the likelihood that a lapse will lead

218. Background Quality Improvement Team Information Form | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/bckgrnd-qi-team.html
     December 01, 2012 -   Staff from Safety, Quality, or Risk Management Office     Unit Champion (Unit Team Lead

219. AHRQ Safety Program for Perinatal Care: Background Quality Improvement Team Information Form (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/team-info-form.docx
     May 01, 2017 - s Aides) Staff from Safety, Quality, or Risk Management Office Unit Champion (Unit Team Lead

220. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
     January 01, 2003 - Discussion: The models provide contextual maps of the errors and behaviors that lead to medication … between human errors, cultural or behavioral norms, systems, and equipment failures that together may lead … to a manageable size, while addressing the danger that process and procedural variations that may lead … The models provide contextual maps of the errors and behaviors that lead to system failures so that … are not generally reported in the literature, nor are there any descriptions of the behaviors that lead