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241. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
     January 01, 2024 - captured the way healthcare professionals think about workarounds and the manner in which workarounds lead … Workarounds and Medication Errors Although it has been suggested that workarounds can lead to medical … been little research that has captured, in a comprehensive sense, the manner in which workarounds lead … One Workaround Leads to Another and Rework May Lead to Workarounds In their review of workarounds in … By involving staff in “leaning out,” the process should also likely lead to positive outcomes (cf.,

242. TAKEheart Learning Community Webinars | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/training/learning-community-webinars/index.html
     December 01, 2022 - Support for Cardiac Rehab Stephen Hines , Ph.D., TAKEheart's Training and Technical Assistance Lead … Automatic Referral Cerner Q&A Stephen Hines , Ph.D., TAKEheart's Training and Technical Assistance Lead … Epic Q&A Stephen Hines , Ph.D., TAKEheart's Training and Technical Assistance Lead, Principal Associate

243. University of Missouri Health Care Decreases Pressure Injuries and Saves in Avoidable Costs | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
     February 01, 2024 - A multidisciplinary team was formed, supported by an executive sponsor, the CNO, a physician lead, and … a nursing lead.

244. Topic: Use of Visual Aids | Agency for Healthcare Research and Quality
     www.ahrq.gov/health-literacy/patient-education/pemat8.html
     November 01, 2020 - Examples CHOOSE "AGREE"–A clear and uncluttered illustration From Lead Poisoning: Words To Know … From A to Z http://www.cdc.gov/nceh/lead/tools/LeadGlossary_508.pdf   CHOOSE "DISAGREE"–A cluttered

245. Designing Innovative Health Information Technology to Reduce Healthcare Disparities | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-valdez.html
     June 01, 2022 - The aim of her doctoral dissertation was to create a design strategy specifically to lead to culturally-informed … “Technology that better meets patients' needs may lead to better self-management of health conditions

246. Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care-2/index.html
     July 01, 2023 - Tier 2 – AIM Team Lead Education Relying on a train-the-trainer model, the goal is to empower AIM Team

247. Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
     July 01, 2023 - Tier 2 – AIM Team Lead Education Relying on a train-the-trainer model, the goal is to empower AIM Team

248. 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

249. 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.

250. 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

251. Background Quality Improvement Team Information Form | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/team-info-form.html
     May 01, 2017 -     Staff from Safety, Quality, or Risk Management Office     Unit Champion (Unit Team Lead

252. Effective Treatment Trends and Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/trends.html
     June 01, 2018 - Chartbook on Effective Treatment Effective Treatment Trends and Measures Previous Page Next Page Table of Contents Chartbook on Effective Treatment Acknowledgments Effective Treatment Effective Treatment Trends and Measures Cardiovascular Disease Cancer Chronic Kidney Disease Diabetes …

253. Tool: I-PASS | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
     July 01, 2023 - to performing structured handoffs, they are more likely to avoid omissions that can harm patients or lead

254. Planning Facilitation Sessions Chart (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-planning-facilitation-sessions-chart.docx
     July 01, 2023 - Tip: Aim for a ratio of 1 Hospital AIM Team Lead per 15 staff members.

255. 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

256. 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

257. Material Use Guide - Sustainability Module | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/material-guide.html
     June 01, 2017 - Present slides 4-12 and lead a discussion comparing definitions and explaining why sustainability starts

258. 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

259. 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

260. 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