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4421. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/errors-safety/simulproj15/simulation-brief.pdf
      February 01, 2015 - roles to play via avatars, and interact with the presented environment which, in turn, will change or lead

4422. TeamSTEPPS, Module 9: Coaching Workshop (Instructor Guide) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/igcoaching.pdf
      February 22, 2014 - Unmet expectations often lead to finger pointing, denial of personal responsibility, and other dysfunctional

4423. Coaching Workshop (Instructor Guide) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module9/ts2-0ltc_module9_ig_coaching.pdf
      May 03, 2017 - Unmet expectations often lead to finger pointing, denial of personal responsibility, and other dysfunctional

4424. Strategy 3: Bedside Shift Report (Tool 3)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
      July 23, 2010 - 18 Strategy 3: Nurse Bedside Shift Report (Tool 3) After the video, lead the group discussion around

4425. Final Progress Report: Assessing Barriers to ADA Guideline Adherence (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/kaminski-report.pdf
      January 01, 2024 - researchers have addressed one barrier and interventions in an organization, this effort has not lead

4426. Pediatric Medical Complexity Algorithm (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-fullreport.pdf
      July 01, 2017 - Health IT Calculation Please assess the likelihood that missing or ambiguous information will lead to

4427. Return on Investment Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
      January 01, 2013 - For example, reduction in adverse events can lead to reduced length of stay, which may affect finances

4428. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
      January 01, 2004 - of New York Medication Errors 133 A medication error is any preventable event that may cause or lead

4429. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
      January 01, 2003 - Similarly, a high stacking load may lead to errors or omissions, particularly when further complicated

4430. Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
      April 14, 2008 - large-scale datasets permit proactive, hypothesis-generating studies of health care utilization and could lead

4431. Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
      April 14, 2004 - these secondary layers of approval not only further complicate the research process, but also may lead

4432. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
      January 01, 2003 - We decided, for example, not to ask for extensive demographics that could lead to the identification

4433. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
      November 29, 2004 - Inappropriate or risky medication use was also common and some medication errors had the potential to rapidly lead

4434. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
      March 30, 2008 - Making changes without first allowing this period of adjustment and acceptance can lead to failure

4435. Return on Investment Estimation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.pdf
      January 01, 2013 - For example, reduction in adverse events can lead to reduced length of stay, which may affect finances

4436. Final Progress Report: Team-Based Safe Opioid Prescribing (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
      January 01, 2024 - expert trains and then provides support to an internal facilitator, such as a Quality Improvement lead

4437. The Use of Surgical Simulators to Reduce Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
      January 01, 2003 - simulation devices that train surgical tasks and basic skills through repetitive proctored challenges may lead

4438. Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/recruitment-and-retention-toolkit.pdf
      January 01, 2019 - Improving practice function and quality of care can lead to increased satisfaction for clinicians,

4439. Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workflow (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-10-workflow-mapping.pdf
      September 01, 2015 - will have the skill, time, and vantage point to help a practice map its key workflows and then to lead

4440. MOSAIC: Meaningful Outcomes and Science to Advance Innovations Center of Excellence (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/MOSAIC.pdf
      May 01, 2015 - The American Academy of Family Physician's National Research Network (AAFP NRN), MOSAIC’s lead PBRN,