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381. TeamSTEPPS Fundamentals Course: Module 5. Situation Monitoring | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/instructor/fundamentals/module5/slsitmonitor.html
     July 01, 2018 - Return to Contents   Slide 20: How Shared Mental Models Help Teams Lead to mutual understanding … Lead to more effective communication. Enable back-up behaviors.

382. Communication: Severe Hypertension (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_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

383. 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

384. Implementing a State-Level Quality Improvement Collaborative: A Resource Guide From the Medicaid Network for Evidence-based Treatment (MEDNET) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/mednetresourceguide/mednetresourcedguide.pdf
     October 01, 2014 - Identify a Champion, Project Lead, and Core Staff Team .............................................. … )  Who has the clinical knowledge as well as leadership skill to serve as project lead? … Identify a Champion, Project Lead, and Core Staff Team. 2. Engage Stakeholders and Partners. 3. … Project lead b. Point person for data analysis c. Core staff team d. Stakeholders e. … Identify a Champion, Project Lead, and Core Staff Team 2. Engage Stakeholders and Partners 3.

385. 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.

386. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
     June 01, 2018 - Underuse of Services: The failure to provide a needed service can lead to additional complications, … Overuse of Services: Unnecessary services add costs and can lead to complications that undermine the … Overuse of antibiotics has been shown to lead to resistance and as much as $7.5 billion a year in excess … Misuse of Services: Errors in health care delivery lead to missed or delayed diagnoses, higher costs … still an unacceptable rate of errors; one study estimates that preventable errors in hospital care lead

387. Compendium of U.S. Health Systems, 2021 | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/data-resources/compendium-2021.html
     November 01, 2024 - Compendium of U.S. Health Systems, 2021 December 2024 New File Announcement: Group Practice Linkage File for 2021 has been added.  August 2024 New File Announcement: Nursing Home and Home Health Organization Linkage files for 2021 have been added. The Compendium of U.S. Health Systems is composed of 635 U.S…

388. Compendium of U.S. Health Systems, 2020 | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/data-resources/compendium-2020.html
     November 01, 2024 - Compendium of U.S. Health Systems, 2020 December 2024 New File Announcement: Group Practice Linkage File for 2020 has been added.  August 2024 New File Announcement: Nursing Home and Home Health Organization Linkage files for 2020 have been added. The Compendium of U.S. Health Systems is composed of 629 U.S…

389. Compendium of U.S. Health Systems, 2022 | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/data-resources/compendium-2022.html
     November 01, 2024 - Compendium of U.S. Health Systems, 2022 December 2024 New File Announcement: Group Practice Linkage File for 2022 has been added.  August 2024 New File Announcement: Outpatient Site, Nursing Home, and Home Health Organization Linkage files for 2022 have been added. The Compendium of U.S. Health Systems is c…

390. New Interactive Data Map Shows Extent of Leading Mental Disorders in the United States | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/866.html
     May 01, 2023 - New Interactive Data Map Shows Extent of Leading Mental Disorders in the United States Issue Number 866 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. May 30, 2023 AHRQ Stats: Americans Treated for Joint Disorders The number of Americans receiving treatmen…

391. Medical Home Transformation in Pediatric Primary Care—What Drives Change? | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/funding/grants/transform/profiles/cooley.html
     March 01, 2017 - Provider Satisfaction Lead clinicians and care coordinators described an enhanced sense of personal … Family participation was a lead driver of PCMH transformation.

392. Session 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess1.html
     October 01, 2014 - When one thing goes wrong, it seems to lead to another thing going wrong, and that can continue until … So noticing changes that might signal or lead to a serious condition is important. … Not reporting a change can lead to other things going wrong.

393. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
     January 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?

394. 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?

395. 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

396. Event Reporting and Learning System Leads to Improvements in Patient Safety Culture (Webcast) | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/events/webinars/unc-improvement-stories/index.html
     February 01, 2024 - Event Reporting and Learning System Leads to Improvements in Patient Safety Culture (Webcast) December 18, 2019 Summary Speakers and Presentation Slides Recording Transcript Summary On Wednesday, December 18, 2019, AHRQ hosted a webcast that highlighted an event reporting initiative from the Uni…

397. Appendix B. Your First Checklist Meeting Guide - Implementation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-b.html
     May 01, 2017 - Your Role as the Team Lead   Implementation Team Member Roles Providing insight into workflow and

398. National Strategy for Quality Improvement in Health Care (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/about/agency-specific-quality-strategic-plans/nqs2.html
     November 01, 2016 - National Strategy for Quality Improvement in Health Care (continued) Centers for Disease Control and Prevention (CDC) Agency-Specific Quality Strategic Plan Brief Introduction/Overview CDC's mission is collaborating to create the expertise, information, and tools that people and communities need to protect th…

399. Exhibit 48. Original manual process flow for surgical site infection surveillance | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiexh48.html
     April 01, 2018 - leading to verification step and an independent documentation step; a suspicious EMR review could also lead

400. TeamSTEPPS 2.0 Overview (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/ts2-0ltc_overview.pdf
     April 24, 2017 - designed to help you develop and deploy a customized plan to train your staff in teamwork skills and lead … It may be necessary, for example, to lead a discussion about the changes to help correct misconceptions