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141. Leading your organization to high reliability. | PSNet
     psnet.ahrq.gov/issue/leading-your-organization-high-reliability
     August 18, 2021 - Commentary Leading your organization to high reliability. Citation Text: Kemper C, Boyle DK. Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. doi:10.1097/01.NUMA.0000349684.24165.68. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

142. 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

143. 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.

144. 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.

145. 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

146. 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

147. 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

148. Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey (Webcast) | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/events/webinars/best-practices-103024.html
     November 01, 2024 - Lead Research Associate and Communications Lead User Network for the AHRQ Surveys on Patient Safety Culture

149. An Overview of the SOPS Surveys for New Users (Webcast) | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/events/webinars/sops-primer-110123.html
     December 01, 2023 - Lead Research Associate User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat … Lead Research Analyst User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat SOPS

150. Improving EHR Design Increases Patient Safety—Especially for Children | Digital Healthcare Research
     digital.ahrq.gov/2018-year-review/research-spotlights/improving-ehr-design-increases-patient-safety-especially-children
     January 01, 2018 - Raj Ratwani and his research team identified pervasive problems with EHR systems that regularly lead … “Poor interface design and poor technology implementations can lead to errors that may result in patient … Improving EHR design and usability will reduce errors that can lead to patient harm. … other EHR functionality can help increase the safety of EHR systems, which will reduce errors that can lead … to establish clear guidelines for both EHR vendors and healthcare provider organizations that will lead

151. Mod5-Disclosure-Checklist (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
     April 01, 2016 - Disclosure Lead and any staff who will be engaged in disclosure conversations. … Disclosure Checklist ■ Rehearse (in person or by phone) the discussion with another CANDOR Disclosure Lead … Conversation ■ Debrief the conversation with colleagues who were present and the CANDOR Disclosure Lead … If you are not certain what to document, contact a CANDOR Disclosure Lead or risk manager.

152. Sustainability and the Premortem Tool: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/premortem-slides.html
     December 01, 2017 - Slide 4: Preparing To Lead 1 In a postmortem, an autopsy is performed to learn why a patient died … Slide 5: Preparing To Lead The Premortem Exercise helps you– Imagine the project has failed. … Slide 6: Preparing To Lead Identify potential barriers and vulnerabilities.

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36842/psn-pdf
     April 25, 2007 - VA takes the lead in paperless care. April 25, 2007 Brown D. … https://psnet.ahrq.gov/issue/va-takes-lead-paperless-care This article describes the Veterans Affairs … https://psnet.ahrq.gov/issue/va-takes-lead-paperless-care

154. Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. | PSNet
     psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose
     June 03, 2020 - Lack of familiarity with smart pumps can lead to user error  and patient harm. … The article describes conditions that lead to a programing mistake .

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36235/psn-pdf
     September 06, 2006 - Tenfold errors can lead to tragedy. September 6, 2006 Sipkoff M. Drug Topics. August 21, 2006. … https://psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy This article discusses a decimal error  … https://psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy

156. Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. | PSNet
     psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-create-culture
     August 29, 2017 - Book/Report Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior … Citation Text: Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create … Copy URL Cite Citation Citation Text: Taking the Lead

157. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/overview/background/appendix-b2.html
     December 01, 2009 - 19C Physical Activity Counseling (NQCA) 6 5-7 14 5 5-7 14 6 5-7 14 PHP-29 Lead … screening 2nd year—% of members who turned age 2 during the reporting period and received a lead test … MaineCare claims and the Maine CDC) 5 4.5-6 16 5 4.5-7 16 5 4-6.5 16 PHP-29B Lead … screening 1st year—% of members who turned age 1 during the reporting period and received a lead test … MaineCare Claims and Maine CDC) 5 4.5-6 16 5 4.5-7 16 5 4-6.5 16 PHP-29C HRSA Lead

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39069/psn-pdf
     February 18, 2011 - Did duty hour reform lead to better outcomes among the highest risk patients? … Did duty hour reform lead to better outcomes among the highest risk patients? … https://psnet.ahrq.gov/issue/did-duty-hour-reform-lead-better-outcomes-among-highest-risk-patients The … https://psnet.ahrq.gov/issue/did-duty-hour-reform-lead-better-outcomes-among-highest-risk-patients https

159. Covid-19 surge could lead to another drop in patient visits, doctors fear—and more missed pediatric cancers. | PSNet
     psnet.ahrq.gov/issue/covid-19-surge-could-lead-another-drop-patient-visits-doctors-fear-and-more-missed-pediatric
     February 13, 2008 - Newspaper/Magazine Article Covid-19 surge could lead to another drop in patient visits … Citation Text: Covid-19 surge could lead to another drop in patient visits, doctors fear—and more missed … URL Cite Citation Citation Text: Covid-19 surge could lead

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37291/psn-pdf
     May 02, 2018 - Error-prone conditions that lead to student nurse-related errors. … https://psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors Reporting on survey … https://psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors https://psnet.ahrq.gov