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2221. Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
      June 15, 2003 - reporting, timely and effective information sharing, and adoption of real-time practice changes that lead … Reporting systems To identify system failures & unsafe conditions that could lead to system failures … and individuals to (1) identify and learn from past system failures and unsafe conditions that could lead … transforms knowledge into learning through the creation of new standards, processes, and practices that lead … • Hospital staff tracking information for all systems failures and unsafe conditions that could lead

2222. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
      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 … , nurse lead, surgeon lead, and executive partner along with other team members List team member names … Include a team lead, a nurse lead, a surgeon lead, and an executive partner along with other team members

2223. Transforming Hospitals | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
      December 01, 2017 - for the cost of patient falls that occur in their facilities, and insurers are likely to follow its lead … Well-illuminated, quiet, private spaces allow pharmacists to fill prescriptions without the distractions that may lead … sunlight in patient rooms, views of nature, artwork, and music, also reduce patient stress and can lead

2224. Training the Next Generation of Leaders in Clinical Preventive Services | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/chronic-care/decision/research-centers/rce_profile_wretling.html
      August 01, 2014 - With guidance and oversight by Lisa Schilling, MD MSPH, the Health Information Technology CORE lead at

2225. How to Use the CUSP Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/index.html
      July 01, 2018 - Prompts (SAY, DO, ASK) lead the facilitator through each slide's content.

2226. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4m_combo_psi18-19-obstetriclaceration-bestpractices.pdf
      May 20, 2016 - can have a physical, psychological, and financial impact on all involved.2 If left untreated it may lead

2227. Biosketches | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
      September 01, 2016 - Arnold helps lead the Agency’s efforts to develop the knowledge, tools, and data needed to improve the … He also served as associate editor to the Journal of Patient Safety , lead editor of two AHRQ four-volume … Ling has served as the lead coordinator and facilitator of the CCSQ Measures Forum. Dr. … Ling also serves as the clinical sub-group lead for the HHS National Alzheimer's Project Act. Dr.

2228. Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-m.html
      October 01, 2020 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units…

2229. SNAC Member: Elizabeth A. Shenkman, Ph.D. | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/nac/snac-shenkman.html
      November 01, 2019 - SNAC Member: Elizabeth A. Shenkman, Ph.D. Professor and Chair Department of Health Outcomes and Biomedical Informatics University of Florida College of Medicine Elizabeth A. Shenkman, Ph.D., is the chair of the Department of Health Outcomes and Biomedical Informatics and the co-director of the University of…

2230. Patient And Family Engagement In The Ed Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/Patient_and_Family_Engagement_in_the_ED_transcript.docx
      July 07, 2015 - She serves as a Clinical Content Development Lead and works with teams guiding the CUSP CAUTI acute and … She went on to lead several state and national initiatives as a performance improvement specialist in

2231. Patient and Family Engagement in the Emergency Department | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-transcript.html
      December 01, 2017 - She serves as a Clinical Content Development Lead and works with teams guiding the CUSP CAUTI acute and … She went on to lead several state and national initiatives as a performance improvement specialist in

2232. Conclusions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim5.html
      July 01, 2013 - Eliminating CAUTI: Interim Data Report Conclusions Previous Page   Table of Contents Eliminating CAUTI: Interim Data Report Executive Summary Introduction and Objectives Methods Results Outcome and Process Measures Culture Measures Conclusions The national project team …

2233. Management Practices for Sustainability - Module 1: Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-slides.html
      June 01, 2017 - Daily 5-minute standup huddle with unit lead and staff, standard agenda, and visual board as backdrop

2234. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil2.html
      April 01, 2018 - developed on the premise that a collaborative process, with patients and providers working together, would lead

2235. Chartbook on Women's Health Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/index.html
      March 01, 2020 - Chartbook on Women's Health Care Next Page Table of Contents Chartbook on Women's Health Care Acknowledgments Women's Health Care Key Findings of the 2014 QDR 2014 Chartbooks Access to Health Care Affordability Communication and Care Coordination Effective Treatment of Leading Causes…

2236. Grand Rounds Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
      August 01, 2022 - doesn't communicate, or the communication doesn't meet the patients' or families' expectations, it may lead … Potential decrease in adverse events being litigated, which can potentially lead to lower malpractice … Resolution should lead to a settlement of issues related to the adverse event,but doesn’t always lead

2237. Subcommittee Member: Lucy A. Savitz | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/nac/pcortf-snac/savitz.html
      November 01, 2022 - Subcommittee Member: Lucy A. Savitz Lucy A. Savitz, Ph.D., M.B.A. Professor, Health Policy & Management University of Pittsburgh Graduate School of Public Health Senior Advisor UPMC Health Plan Services Lucy A. Savitz, Ph.D., M.B.A., has more than three decades of experience in healthcare delivery and h…

2238. Mod01-Grand-Rounds-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
      April 01, 2016 - doesn’t communicate, or the communication doesn’t meet the patients’ or families’ expectations, it may lead … ■ Potential decrease in adverse events being litigated, which can potentially lead to lower malpractice … Resolution should lead to a settlement of issues related to the adverse event, but doesn’t always lead

2239. Step 4: Communicating and Reporting | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/hsrguide/hsrguide4.html
      October 01, 2014 - An Organizational Guide to Building Health Services Research Capacity Step 4: Communicating and Reporting Previous Page Next Page Table of Contents An Organizational Guide to Building Health Services Research Capacity Introduction Step 1: Assessing Your Organization's Needs and Capabilities St…

2240. Improving Health Information Technology (IT) Patient Safety: A Resource List for Users of the AHRQ Health Information Technology Supplemental Item Set (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/patient-safety-technology-resources.pdf
      May 01, 2023 - Improving Health Information Technology (IT) Patient Safety: A Resource List for Users of the AHRQ Health Information Technology Supplemental Item Set SOPS Health IT Patient Safety Supplemental Item Set Resource List 1 Improving Health Information Technology (IT) Patient Safety: A Resource List for Users of the A…