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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41637/psn-pdf
    February 20, 2013 - Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening … https://psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may- lead-rare-life … https://psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life … https://psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41528/psn-pdf
    May 07, 2018 - Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors … https://psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead … https://psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors … https://psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41439/psn-pdf
    May 30, 2012 - Getting doctors to clean their hands: lead the followers. … Getting doctors to clean their hands: lead the followers. … https://psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers This study found that … https://psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers https://psnet.ahrq.gov/

  4. Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton-vertex-cesarean
    October 19, 2022 - Study Classic Quality improvement initiatives lead to reduction … 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

  5. Does increased schedule flexibility lead to change? A national survey of program directors on 2017 work hours requirements. | PSNet

    psnet.ahrq.gov/issue/does-increased-schedule-flexibility-lead-change-national-survey-program-directors-2017-work
    October 12, 2022 - Study Does increased schedule flexibility lead to change? … Does increased schedule flexibility lead to change? … Does increased schedule flexibility lead to change?

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38584/psn-pdf
    June 17, 2014 - Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. … https://psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and … https://psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-create-culture … https://psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-create-culture

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41937/psn-pdf
    September 26, 2016 - Interruptions lead to errors and unfinished…wait, what was I doing? … https://psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what … https://psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing … https://psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing

  8. 114-Mrsa-Prevention-Learning-From-Defects (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
    October 01, 2024 - methicillin-resistant Staphylococcus aureus (MRSA), the defects we focus on are events that could potentially lead … List what you will do, who will lead the intervention, and when you will follow up to note the intervention … Discuss and develop interventions to defend against the factors, assign the person(s) who will lead the … Contributing Factors Interventions Person(s) Assigned To Lead Efforts Followup Dates Enter contributing

  9. Plan Do Study Act (PDSA) Form (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/pdsa-form.pdf
    February 11, 2015 - PLAN DO STUDY ACT (PDSA) FORM Cycle #: Start Date: End Date: Project Title: State: Project Lead … Did the change lead to improvement? Why or why not?) … Change: Off Test a Change: Off Implement a Change: Off Cycle #: Start Date: End Date: Project Lead

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42166/psn-pdf
    June 10, 2018 - Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit … https://psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy- postanesthesia-care-unit … https://psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit … https://psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit

  11. PRCCSR ChangeLog v20221 v20231 (xls file)

    hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR-ChangeLog-v20231-v20241.xlsx
    December 01, 2023 - Therapy, Percutaneous Endoscopic Approach 'MST018' Bone excision 0WHC0GZ Insertion of Defibrillator Lead … , Open Approach 'CAR026' Pacemaker and defibrillator procedures 0WHC3GZ Insertion of Defibrillator Lead … Endoscopic Approach 'CAR026' Pacemaker and defibrillator procedures 0WPC0GZ Removal of Defibrillator Lead … Endoscopic Approach 'CAR026' Pacemaker and defibrillator procedures 0WPCXGZ Removal of Defibrillator Lead … External Approach 'CAR026' Pacemaker and defibrillator procedures 0WWC0GZ Revision of Defibrillator Lead

  12. AcademyHealth’s Annual Research Meeting: An Opportunity to Connect, Engage, and Inspire | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/blog/ahrqviews/academy-health-2022-meeting.html
    May 01, 2022 - is one of the participating Federal agencies supporting this important event, and it’s an honor to lead … , I’ll be fortunate enough to lead a session, “Can We Talk About Money? … As part of the session, I’ll share my vision for AHRQ and will lead a discussion about questions that

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34663/psn-pdf
    December 23, 2008 - Improving the quality of health care: who will lead? December 23, 2008 Becher EC, Chassin MR. … Improving the quality of health care: who will lead? Health Aff (Millwood). 2001;20(5):164-79. … https://psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead In this review, Becher and … https://psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43598/psn-pdf
    October 08, 2014 - Clinical faculty: taking the lead in teaching quality improvement and patient safety. … Clinical faculty: taking the lead in teaching quality improvement and patient safety. … https://psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety … https://psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44185/psn-pdf
    September 29, 2017 - Diagnostic errors that lead to inappropriate antimicrobial use. … Diagnostic Errors that Lead to Inappropriate Antimicrobial Use. … https://psnet.ahrq.gov/issue/diagnostic-errors-lead-inappropriate-antimicrobial-use Overuse of antibiotics … https://psnet.ahrq.gov/issue/diagnostic-errors-lead-inappropriate-antimicrobial-use https://psnet.ahrq.gov

  16. AHRQ Impact Case Studies Criteria | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/criteria.html
    December 01, 2019 - Each Impact Case Study must meet basic criteria to move beyond the lead stage.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35802/psn-pdf
    January 02, 2017 - Reconciliation failures lead to medication errors. January 2, 2017 Santell JP. … Reconciliation failures lead to medication errors. Jt Comm J Qual Patient Saf. 2006;32(4):225-9. … https://psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors Medication reconciliation … https://psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors https://psnet.ahrq.gov/primer

  18. Program Implementation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal2.html
    January 01, 2013 - The lead responsibilities of each partner are listed in the chart below. … project administration and management, budget oversight, recruitment of States, and development of State lead … HRET designed its project management structure based on six key functional areas: 1) State lead program … Institute and one from MHA Keystone—to coach teams on monthly calls and to be available to answer State lead … These coaching calls were led by the State lead and always included a monthly review of CLABSI and teamwork

  19. Improvement Tools | PSNet

    psnet.ahrq.gov/improvement-tools
    February 26, 2025 - Improvement Resources Overview Patient Safety Innovations highlight important innovations that can lead … The Patient Safety Innovations Exchange highlights important innovations that can lead

  20. 2. Developing and Running a State-Based Extension Program To Support QI in Primary Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide2.html
    August 01, 2024 - Different types of organizations can effectively lead a healthcare extension program. … What organization is best suited to lead the extension program depends on historical leadership roles … However, other types of lead organizations have different potential benefits. … A project management team made up of a small group from the two lead organizations managed day-to-day … During the initial launch meeting the lead organization reviews the primary purpose and goals of the
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