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121. 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?

122. 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

123. 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

124. 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

125. 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

126. 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

127. New Ideas Lead to Big Changes in Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/cascades-east.html
     March 01, 2021 - New Ideas Lead to Big Changes in Care Like many small- and medium-sized practices, the team at

128. 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

129. 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

130. 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

131. 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

132. 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

133. 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

134. 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

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46894/psn-pdf
     June 20, 2018 - Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. … //psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can- lead-patient-harm … https://psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-lead-patient-harm … https://psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-lead-patient-harm

136. Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). | PSNet
     psnet.ahrq.gov/issue/designing-and-pilot-testing-leadership-intervention-improve-quality-and-safety-nursing-homes
     April 29, 2020 - of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD … of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD … of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD

137. 3 Tk1 T2-Roles And Responsibilities Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T2-Roles_and_Responsibilities_final.pdf
     October 01, 2016 - and Tasks Phone & Email Example Assistant Director of Nursing Co-champion and infection control lead … Lead trainings. Monitor the new intervention.

138. 3 Tk1 T2-Roles And Responsibilities Final (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T2-Roles_and_Responsibilities_final.docx
     October 01, 2016 - and Tasks Phone & Email Example Assistant Director of Nursing Co-champion and infection control lead … Lead trainings. Monitor the new intervention.

139. Exhibit 7. Interviews by Position in Organization | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit7.html
     November 01, 2014 - President Corporate level staff (if applicable) n= 35 Department-level manager Administrative lead … Clinical lead n= 24 Frontline Physician Nurse Process improvement staff Mid-level

140. Integration | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence4.html
     April 01, 2025 - health system delivery and decision making: the chief of staff, division directors, thought leaders, lead … Through this partnership, the P2 team found that surgical infections lead to longer recovery times.  … prolonged, they occupy a bed on the surgical floor, which means that higher rates of surgical infections lead … integration shows how building a team of people who are integrated throughout the healthcare system can lead