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401. Exhibit 5.17. Major Factors that Facilitated Lean Success | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-17.html
     November 01, 2014 - executive-level leader who was highly respected and liked by staff at all levels was reassigned full-time to lead

402. 165-Cusp-Monthly-Meeting-Agenda (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/165-cusp-monthly-meeting-agenda.docx
     June 02, 2025 - AHRQ Safety Program for MRSA Prevention Comprehensive Unit-based Safety Program (CUSP) Monthly Meeting Agenda Template ICU & Non-ICU Meeting goals: Insert short summary of desired meeting results here. Tip: Be specific about any decisions you want to reach by the end of the meeting. Desired goals could include followi…

403. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-2-slides.pptx
     September 01, 2015 - ‹#› AHRQ Safety Program for Reducing CAUTI in Hospitals 2 Question What did you notice that could lead

404. Pediatric Practice Research Group | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/communities/pbrn/registry/pediatric-practice-research-group.html
     June 14, 2013 - Children's health issues: mental health, obesity, hypertension, nutrition, sports injuries, tobacco; Other: lead

405. Reducing Unnecessary Urinary Catheter Use in the Emergency Department | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-urinary-catheter-use-ed-slides.html
     December 01, 2017 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department Slide Presentation Slide 1 Reducing Unnecessary Urinary Catheter Use in the Emergency Department Margarita E. Pena, MD, FACEP Medical Director, Clinical Decision Unit St. John Hospital and Medical Center Detroit, MI Image: Photo…

406. 164-Cusp-Meeting-Pre-Work (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/164-cusp-meeting-pre-work.docx
     June 02, 2025 - . · CUSP Champion: Identify any team members or guest speakers who should lead or contribute to discussions

407. NICU Family Information Packet, Appendix B, Vision Screening and Retinopathy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-vision.pdf
     June 02, 2025 - – At risk for slowly progressive retinal degenerations that can lead to retinal detachments and acuity

408. Best Practices for Administering SOPS® Surveys Users (Webcast): Ginsberg Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-ginsberg.pdf
     June 02, 2025 - ► The lead Federal agency charged with improving the safety and quality of America’s healthcare system

409. Using AHRQ’s SOPS® Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association (Webcast) | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/events/webinars/hospital-survey-workplace-safety-052324.html
     October 01, 2024 - Lead Research Associate User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat Intro

410. 108-Cusp-Psychological-Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/108-cusp-psychological-safety.docx
     June 02, 2025 - Setting clear goals and providing a supportive atmosphere will lead to improved outcomes. … Additionally, focusing on the abilities of the team members can lead to project success.

411. Impact of Medicaid Policy on Cardiovascular Drug Use and Clinical Outcomes | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/abstract-fischer.html
     December 01, 2017 - found that while such restrictions were effective in reducing use of targeted medications, they could lead

412. Clinical Case Scenarios | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/clinical-case-scenarios.html
     July 01, 2023 - seconds) Module 8: DESCR Script—Severe Hypertension   (10 minutes, 37 seconds) Tier 2 – AIM Team Lead

413. Module 1- Component Kit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
     May 01, 2017 - A team lead, shift supervisor, or charge nurse conducts a 5-minute standup meeting, or huddle, of all … “Symptomatic” issues typically lead to a root cause analysis followed by small-scale testing of solutions … Staff • Using surgical checklist • Infection control procedures Observation of Safety Work:unit lead

414. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
     August 01, 2022 - Implementation Team Structure Key characteristics of team members should include: Authority to lead … The CANDOR Implementation Team should have three subgroups with a Team Lead for each subgroup. … The Disclosure Team Lead is responsible for implementing the disclosure communication process in the … The Care for the Caregiver Team Lead is responsible for implementing a Care for the Caregiver program

415. Advancing Patient Safety Through Diagnostic Excellence (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-diagnostic-excellence-webinar.pdf
     June 01, 2025 - Patients also report that they do not feel heard by their providers, which may also lead to a breakdown … to advice or judgments.12,15 This approach helps avoid premature closure and anchoring biases that lead … What actions will help contribute to a safe diagnostic process to plan actions that can lead to better … help make sense of the disparate pieces of information that are part of the diagnostic process and lead … Clinician access to electronic health record data for case reviews • QI team with (1) a clinical lead

416. Timing the Distribution of a Healthcare Quality Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/distribute/timing/index.html
     March 01, 2016 - regular intervals. 2  Social marketing research indicates that repetition can facilitate learning and lead … regular intervals. [1] Social marketing research indicates that repetition can facilitate learning and lead

417. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/start.html
     July 01, 2018 - Identify a practice champion A practice champion is needed who can lead the implementation efforts. … Design Your Implementation The practice champion will lead the implementation team through the process

418. Preventing-Cauti-Icu-Setting-Module 3-Speaker-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_3-speaker-notes.docx
     September 01, 2015 - X was on a chronic diuretic, which would lead to high urinary output, it was not being adjusted. … Continued use of an indwelling catheter can lead to a CAUTI which may also result in bacteremia and sepsis

419. 5 Tk2 T4-Concise Antibiogram Toolkit How To Enter Data Manually Into An Antibiogram Template (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T4-Concise_Antibiogram_Toolkit_How_to_Enter_Data_Manually_into_an_Antibiogram_Template.doc
     May 01, 2014 - Similar to how a low number of overall isolates may lead to unreliable or misleading data, a low number … of an organism’s isolates tested against a given antibiotic may lead to an inaccurate interpretation

420. Strategies for Improving Patient Experience with Ambulatory Care: Planned Visits (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6l.pdf
     August 01, 2017 - Effective planned visits can lead to better clinical control of the illness (e.g., improvements in indicators … They may also lead to fewer acute care visits, reduced costs, and greater patient satisfaction.