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261. AHRQ: A Brief History | Agency for Healthcare Research and Quality
     www.ahrq.gov/cpi/about/brief-history.html
     March 01, 2025 - It is also the nation’s lead federal agency supporting patient safety research and supports state-of-the-art … Patient Safety Laying the foundation for its role as the nation’s lead patient safety research agency

262. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
     January 01, 2004 - They encompass most of the factors that lead to a particular CDR or, as is more likely, an aggregate … Changing conditions and interpersonal conflict in the workplace may lead to temporary or ongoing changes … Finally, the phenomenon of “group think” can lead to a variety of behaviors in team members that are … Finally, the disruption of circadian rhythms that results from shiftwork may lead to mood disturbances … It should follow that if we are able to delineate the principal factors that lead to those CDRs that

263. 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

264. Communication: Obstetric Hemorrhage (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
     July 01, 2023 - To avoid making assumptions that can lead to error, you should verify in writing or orally any nonverbal … looking at an electrocardiogram would quickly tell the nurse the severity of the situation and might lead

265. 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

266. Strategy 2: Communicating for Improve Quality (Tool 5) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_5_Comm_Comp_508.pdf
     June 02, 2025 - Communication Competencies Effective communication between clinicians, patients, and families can lead … This can lead to questions, concerns, or anxieties.

267. Team Structure and Assembly (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
     July 01, 2023 - Therefore, as a Hospital AIM Team Lead you’ll want to understand all perceived losses and make it clear

268. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
     February 01, 2017 - nurses, doctors, and other clinicians find frustrating because it affects their workflow and could lead … Anything that might lead to preventable patient harm can be considered a defect. … can lead to the implementation of an intervention which ensures that necessary supplies are available … Why did one contributing factor lead to another contributing factor? … And why did the next factor lead to the next?

269. 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

270. 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.

271. Effective Treatment of Leading Causes of Morbidity and Mortality | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-eff.html
     September 01, 2015 - Chartbook on Women's Health Care Effective Treatment of Leading Causes of Morbidity and Mortality Previous Page 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 Affordabil…

272. Implementing the SPPC-II Teamwork Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
     July 01, 2023 - Determine if refresher training is required • Create training timelines Reference Document: AIM Team Lead … o Frontline staff (step 5) o Limit to 15 frontline staff per Hospital AIM Team Lead in attendance … 15 SCRIPT Schedule regular facilitation sessions (conducted by you, the Hospital AIM Team Lead) … Hospital AIM Team Leads SPPC‐II Step 7: Finalize Your Implementation Plan Step Lead Completion … Along with doing the following steps, you need to know who will lead them, in whole or in part.

273. 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

274. Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/rinke-report.pdf
     January 01, 2025 - Hypothesis 1: Implementation of a quality improvement collaborative will lead to a 40% reduction in … Hypothesis 2: Implementation of a quality improvement collaborative will lead to a 30% reduction in … Hypothesis 3: Implementation of a quality improvement collaborative will lead to a 45% reduction in … Lead exposure in children: prevention, detection, and management. … increase the lead screening of children.

275. Mutual Support: Obstetric Hemorrhage (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
     July 01, 2023 - Mutual Support: Obstetric Hemorrhage SPPC‐II Toolkit                                                               Hospital AIM Team Leads SPPC II Mutual  Support Obstetric  Hemorrhage Module 5 of 8 ‐ SCRIPT Welcome to Module 5 of the SPPC‐II Teamwork Toolkit. In this module, we will discuss the diffe…

276. AHRQ’s Surveys on Patient Safety Culture® for New Users - Jonathan Bakdash (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-overview-webcast-bakdash.pdf
     June 02, 2025 - of the US Department of Health and Human Services that supports evidence- based practices ► The lead

277. The Power of Patient Stories for Improving the Patient Experience webcast - Ginsberg (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/patient-narratives-webinar-ahrq.pdf
     June 02, 2025 - ► The lead Federal agency charged with improving the safety and quality of America’s healthcare system

278. Getting Started: Laying the Groundwork for Implementing Automatic Referral and Effective Care Coordination (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-implementation-guide.pdf
     March 01, 2023 - Select a QI Team Lead The CR champion may benefit from having a separate QI team lead. … • Remember: the job of the project lead is NOT to have all the solutions. … • Assigns a specific person to lead or complete each task. … • TASK LEAD COLUMN: In the Task Lead column, type in the name of the person responsible for the task … Task Task Lead S.M.A.R.T.

279. Coaching (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching-speaker-notes.pdf
     July 01, 2023 - Unmet expectations often lead to finger pointing, denial of personal responsibility, and other dysfunctional … Unmet expectations often lead to finger pointing, denial of personal responsibility, and other dysfunctional

280. Coaching (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching-speaker-notes.pdf
     July 01, 2023 - Unmet expectations often lead to finger pointing, denial of personal responsibility, and other dysfunctional … Unmet expectations often lead to finger pointing, denial of personal responsibility, and other dysfunctional