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161. Public Reporting of Patients' Comments with Quality Measures: How Can We Make It Work? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/2_steven_martino.pdf
     June 02, 2025 - page Pre- and post-survey questions 14 www.cahps.ahrq.gov Key Finding: Comments Lead … One Research on Reporting Comments: SelectMD 1.0 SelectMD 1.0 Experiment Key Finding: Comments Lead

162. Clinical faculty: taking the lead in teaching quality improvement and patient safety. | PSNet
     psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety
     July 01, 2017 - Commentary Clinical faculty: taking the lead in teaching quality improvement and … Clinical faculty: taking the lead in teaching quality improvement and patient safety. … Clinical faculty: taking the lead in teaching quality improvement and patient safety.

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46593/psn-pdf
     November 08, 2017 - Unreadable barcodes and multiple barcodes on packages can lead to errors. … https://psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors Barcodes … https://psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors https

164. Prologue: Laying the Foundation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
     June 02, 2025 - Risk is treated by safety scientists as the likelihood that exposure to a hazard will lead to adverse … identifying underlying hazards and assessing risk—that is, the probability that exposure to a hazard will lead … Eventually, well conceived and executed assessment efforts lead to actionable recommendations and targeted

165. 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 .

166. Toolkit To Improve Antibiotic Use in Ambulatory Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/ambulatory-care/index.html
     October 01, 2022 - framework for all patients receiving antibiotics Improve antibiotic prescribing Clinician Lead … and Administrative Lead:  It is recommended that you review the content in all four boxes above.  

167. Facilitator Guide: Sustainability and the Premortem (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem_facnotes.docx
     December 01, 2017 - Slide 3 Preparing To Lead SAY: To better understand the premortem, consider the postmortem process … Slide 4 Preparing To Lead SAY: Similarly, doing a postmortem for a project after it ends doesn’t help … premortem encourages you to imagine that the project has failed and brainstorm the reasons that could lead … Slide 5 Preparing To Lead SAY: The premortem exercise is used to identify potential barriers and vulnerabilities

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49824/psn-pdf
     March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay March 1, 2018 O'Connor RE. … Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018. … https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay The Case A 35-year-old … When emergency medical services (EMS) arrived at the patient's home, EMS providers obtained a 12-lead … The Commentary https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay

169. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults1.html
     September 01, 2024 - public health challenge and is estimated to affect at least 1 in 20 U.S. adults, with the potential to lead … to severe harm in about 6 million outpatients per year. 4 It can lead to inappropriate treatments,

170. FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. | PSNet
     psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
     February 15, 2024 - URL August 7, 2024 July 26, 2024; Patient-administered medications can lead … Differences in strength expression on product labels of compounders and conventional manufacturers may lead

171. Learning Module: Mamuno sa Pagiging Huwaran | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/tg/learning-modules/lead-by-example.html
     December 01, 2022 - Learning Module: Mamuno sa Pagiging Huwaran Ang maikling video na ito ay nag-aalok ng mga ideya upang makatulong na palakasin ang pagpapahalaga sa sarili, bumuo ng tiwala, lumikha ng isang positibong kapaligiran sa trabaho, at magsanay ng bukas na usapan. Mamuno sa Pagiging Huwaran Anuman ang iyong posisyon…

172. Modil Aprantisaj: Dirije pa Egzanp | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/hc/learning-modules/lead-by-example.html
     November 01, 2022 - Modil Aprantisaj: Dirije pa Egzanp Modil aprantisaj sa a ofri lide pou ede ranfòse moral, bati konfyans, kreye yon anviwònman travay pozitif, epi pratike kominikasyon ouvè. Modil Aprantisaj: Dirije pa Egzanp Kèlkeswa pozisyon ou, gen bagay senp ou ka fè pou w pran yon wòl lidèchip ak konseye nan mezon retrè…

173. Módulo de aprendizaje: Predicar con el ejemplo | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/nursing-home/learning-modules/lead-by-example.html
     December 01, 2022 - Módulo de aprendizaje: Predicar con el ejemplo Este módulo de aprendizaje ofrece ideas para ayudar a elevar la moral, generar confianza, crear un ambiente de trabajo positivo y practicar la comunicación abierta. Predicar con el ejemplo Sin importar el puesto que tenga, hay cosas sencillas que puede hacer …

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46965/psn-pdf
     March 28, 2018 - The other opioid crisis: hospital shortages lead to patient pain, medical errors. … https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors … https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60359/psn-pdf
     May 20, 2020 - incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone- overdose Lack of familiarity with smart pumps can lead … The article describes conditions that lead to a programing mistake.

176. Healthy Hearts of Michigan: HH4M Outreach & Engagement Workgroup Charter (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/26-michigan-hh4m-outreach-charter.pdf
     August 01, 2021 - activities Workgroup Membership Name Organization Role Liz Jones Altarum Outreach & Engagement Lead … Bruce Maki Altarum PM Carrie Frye Altarum Lead PF Stephanie Pence Altarum Notetaker Marlene Beaudry

177. Guide to Patient and Family Engagement in Hospital Quality and Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.html
     March 01, 2023 - Quality and Safety Research shows that when patients are engaged in their health care, it can lead … The scan includes: A framework that describes how patient and family engagement can lead to improved

178. Lessons on How To Improve Future National Collaboratives | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal5.html
     January 01, 2013 - Every State lead, whether from a high-performing State or a more challenged one, indicated turnover was … Better Communication of Project Requirements, Other State Lead Resources Several State leads interviewed … State leads expressed appreciation for the State Lead Manual, which was not available at the start of … reduce HAIs and other unit-based quality improvement (QI) initiatives, 2) an adequate infrastructure to lead

179. Washington | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/washington
     January 01, 2023 - Washington State and has designated Qualis Health, a private nonprofit Quality Improvement Organization, to lead … The Washington State Health Care Authority is the lead agency for the state government.

180. Pediatric weight errors and resultant medication dosing errors in the emergency department. | PSNet
     psnet.ahrq.gov/issue/pediatric-weight-errors-and-resultant-medication-dosing-errors-emergency-department
     August 04, 2021 - Weight-based dosing errors can lead to adverse drug events . … This retrospective study found that weight-related errors are rare but did lead to medication dosing