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101. Six Building Blocks How-To-Implement Toolkit: Prepare and Launch Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-prepare.pdf
     February 18, 2021 - clinical voice on the team Tracking and monitoring lead Highly variable depending on your system … Agenda (details) Use what you learned during the preparatory work to lead the opioid improvement team … Based on existing capacity, the QI lead and the tracking and monitoring lead should propose an approach … lead 25 minutes Clinical champion 5 minutes When planning the clinicwide kickoff, lead the team … (you): Tracking and Monitoring Lead: Clinical Champion: How To Do It 1.

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46103/psn-pdf
     September 23, 2017 - Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. … Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. … https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable- moment … https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment … https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment

103. Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. | PSNet
     psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life
     August 20, 2021 - Resource Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead … Citation Text: Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to … Citation Citation Text: Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead

104. The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. | PSNet
     psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety
     April 03, 2019 - Report The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead … Citation Text: The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the … Citation Citation Text: The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead

105. Heart Healthy Ohio Initiative Charter: August 2021 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/57-ohio-hhoi-charter.pdf
     August 01, 2021 - Lead: Aleece Caron, PhD The HHOI Data and Evaluation Team will develop and evaluate success metrics … Interim Lead: Cathy Sullivan, MS, RD The HHOI Dissemination, Engagement, and Sustainability Team will … PI Bolen, Cardi-OH lead, with PI Caron has used QI practice facilitation, audit and feedback, performance … , MS (CWRU) Research Assistant, TBD HHOI Data and Evaluation Team Thomas Love, PhD (CWRU) Co- Lead … Adam Perzynski, PhD (CWRU) Co-Lead Douglas Einstadter, MD, MPH (CWRU) Kurt Stange, MD, PhD (CWRU)

106. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60540/psn-pdf
     November 01, 2016 - Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery … Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery … https://psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton … https://psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton-vertex-cesarean … https://psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton-vertex-cesarean

107. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
     August 20, 2015 - Many models in the literature define the steps of change that lead to a sustainable improvement. … Support the CANDOR Implementation Team Lead(s). … Provide ongoing education and training to Implementation Team Lead and other champions. 9 Module 8 … Provide Team Lead and member training. … The CANDOR Implementation Team Lead and Team Leads play an important role in ensuring that frontline

108. Figure 1.2. Framework for a System Approach to Tracking and Increasing Screening for Population Health Improvement Regarding Colorectal Cancer (SATIS-PHI/CRC) (Text Description) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreenfigtxt1-2.html
     April 01, 2018 - Steps 2 and 4 lead to the patient outcome of screening. … Steps 2 and 6 lead to the patient outcome of followup of positive screens. Return to Document

109. FINAL STAKEHOLDER COMMUNITY AND OUTREACH CENTER OPERATIONAL FRAMEWORK (pdf file)
     cdsic.ahrq.gov/sites/default/files/2023-02/Final%20Stakeholder%20Center%20Operational%20Framework_Personnel%20Update_Jan26.pdf
     January 01, 2023 - Desai from NORC at the University of Chicago (NORC) and Elizabeth Cope from AcademyHealth will co-lead … & Dissemination of CDS ■ Chair: Jerome Osheroff, MD, FACP, FACMI (TMIT Consulting) ■ Associate Lead … : Allison McCoy, PhD, FAMIA (Vanderbilt University) ■ Support Lead: Krysta Heaney-Huls, MPH (NORC) … : Angela Dobes, MPH (Crohn’s & Colitis Foundation) ■ Support Lead: Rachel Dungan, MSSP (AcademyHealth … : Rachel Richesson, PhD, MPH, MS (University of Michigan) ■ Support Lead: Janna Gordon, PhD (NORC

110. FINAL STAKEHOLDER COMMUNITY AND OUTREACH CENTER OPERATIONAL FRAMEWORK (pdf file)
     digital.ahrq.gov/sites/default/files/Final%20Stakeholder%20Center%20Operational%20Framework_Personnel%20Update_Jan26.pdf
     October 01, 2022 - Desai from NORC at the University of Chicago (NORC) and Elizabeth Cope from AcademyHealth will co-lead … & Dissemination of CDS ■ Chair: Jerome Osheroff, MD, FACP, FACMI (TMIT Consulting) ■ Associate Lead … : Allison McCoy, PhD, FAMIA (Vanderbilt University) ■ Support Lead: Krysta Heaney-Huls, MPH (NORC) … : Angela Dobes, MPH (Crohn’s & Colitis Foundation) ■ Support Lead: Rachel Dungan, MSSP (AcademyHealth … : Rachel Richesson, PhD, MPH, MS (University of Michigan) ■ Support Lead: Janna Gordon, PhD (NORC

111. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35160/psn-pdf
     January 02, 2017 - Unlabeled containers lead to patient's death. January 2, 2017 Cohen MR, Smetzer JL. … Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7. … https://psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death The authors review selected incidents … https://psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death

112. Best Practices for Administering SOPS® Surveys Users (Webcast): Introduction (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-intro.pdf
     January 24, 2024 - Lead Research Associate and Communications Lead, User Network for SOPS, Westat Moderator Caren Ginsberg

113. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? | PSNet
     psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction
     May 19, 2021 - Study Can the standard configuration of a cardiac monitor lead to medical errors … Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? … Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction?

114. Understanding SOPS® Surveys: A Primer for New Users - Intro (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-intro.pdf
     January 01, 2022 - video • The raise hand feature and chat are also disabled 3 Today’s Speakers Sari Edelman, MPH, Lead … Analyst, AHRQ Laura Gray, MPH, Senior Study Director, User Network for SOPS, Westat Ryan Hare, MPP, Lead

115. Gap Analysis for Antibiotic Stewardhip in Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/gap-analysis-tool.pdf
     September 01, 2022 - Has a Clinician Lead been identified to assist with implementation of antibiotic stewardship … ☐ Yes ☐ No ☐ N/A Has the Clinician Lead received specialized training in antibiotic stewardship … Use – Ambulatory Care Job Title Antibiotic Stewardship Area Answers Comments Administrative Lead … Is an Administrative Lead (e.g., office manager, clinic nurse, pharmacist) with the ability to … ☐ Yes ☐ No Does the Administrative Lead have access to data?

116. Using Geographic Information to Target Health Disparities: State Experience
     hcup-us.ahrq.gov/reports/race/GeographicInfoIB.jsp
     June 01, 2016 - Incidence of Lead Poisoning by Census Block, 1993-2005 Figure 3 provides another example of how … The data being displayed is the incidence of lead poisoning for 1993 through 2005. … Lead Poisoning Map Shows Huge Disparities in Rate of Affliction," Providence Business News . … Lead Poisoning Map Shows Huge Disparities in Rate of Affliction," Providence Business News . … . 11 For more information, visit the Childhood Lead Action Project.

117. AHRQ's Guide to Evaluating Health Information Exchange Projects - Appendix A - Workbook (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-appendix-a.pdf
     June 16, 2021 - Responsibilities: • Who will take the lead for the evaluation for the measure? … • Who will lead the data analysis? • Who will present the findings? … for Evaluation: Measure 2 - Lead for Evaluation: Measure 3 - Lead for Evaluation: Measure 4 - … Lead for Evaluation: Measure 1 - Responsible for Data Collection: Measure 2 - Responsible for Data … for Data Analysis: Measure 2 - Lead for Data Analysis: Measure 3 - Lead for Data Analysis: Measure

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35810/psn-pdf
     December 15, 2009 - Engaging your board to take the lead.  December 15, 2009 Bader BS. Quality and patient safety. … Engaging your board to take the lead. Healthcare executive. 2006;21(2):64, 66-7. … https://psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead The author discusses … https://psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead

119. Research Centers for Excellence in Clinical Preventive Services | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
     October 01, 2018 - David Baker, MD, MPH—Center Director Michael Wolf, PhD, MPH—Collaborative Scientific Lead Reducing … Russell Harris, MD, MPH—Center Director Noel Brewer, PhD, MS—Collaborative Scientific Lead Health … offers: Allison Kempe, MD, MPH—Center Director Elaine Morrato, DrPH, MPH—Collaborative Scientific Lead … Lisa LeRoy, MBA, PhD—Project Director, Abt Associates Judith Schaefer, MPH—Lead, MacColl Center for

120. Leading by Example Learning Module | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/resources/leading-by-example.html
     August 01, 2022 - Leading by Example Learning Module Resource: Leading by Example Learning Module This learning module offers ideas to help boost morale, build trust, create a positive work environment, and practice open communication. Source: AHRQ Topic(s): Leadership & Management Audience(s): Managers, Clinical Lea…