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181. 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

182. 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

183. 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

184. "Superficial" Report Leads to "Deep" Problem | PSNet
     psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
     July 01, 2012 - WebM&M Cases Missing ECG and Missed Diagnosis Lead

185. 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.

186. A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
     September 01, 2014 - Financial barriers represent a patient safety issue that can lead to many downstream consequences including

187. Leading a Culture of Safety: a Blueprint for Success. | PSNet
     psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success
     August 20, 2018 - Book/Report Leading a Culture of Safety: a Blueprint for Success. Citation Text: Leading a Culture of Safety: a Blueprint for Success. Chicago, IL: American College of Healthcare Executives, National Patient Safety Foundation's Lucian Leape Institute; 2017. Copy Citation …

188. Leading High-Reliability Organizations in Healthcare. | PSNet
     psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare
     May 06, 2015 - Book/Report Leading High-Reliability Organizations in Healthcare. Citation Text: Leading High-Reliability Organizations in Healthcare. Morrow R. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781466594883. Copy Citation Save Save to your library Print …

189. Diagnostic delays in infectious diseases. | PSNet
     psnet.ahrq.gov/issue/diagnostic-delays-infectious-diseases
     December 15, 2021 - Delayed diagnosis of infectious diseases can lead to serious patient harm . … April 15, 2020 Diagnostic errors that lead to inappropriate antimicrobial use.

190. The fallacy of a single diagnosis. | PSNet
     psnet.ahrq.gov/issue/fallacy-single-diagnosis
     October 05, 2022 - accept a diagnosis before it has been confirmed and alternative diagnoses have been explored and can lead … Findings suggest that bias can lead individual to overlook the likelihood of COVID-19 when an alternative

191. Diagnostic errors--The next frontier for patient safety. | PSNet
     psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety
     October 14, 2020 - This commentary discusses individual and systems factors that lead to diagnostic error and proposes … An AHRQ WebM&M  perspective discussed cognitive biases that lead to diagnostic error.

192. 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

193. AHRQ Views: Continuing a 35-Year History, AHRQ Pursues Vital Pathways To Improve Patient Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/914.html
     May 01, 2024 - While the National Institutes of Health lead the way globally in biomedical research, AHRQ plays a leading … AHRQ will continue to lead efforts to advance medical progress along these pathways, making today’s research … The reports align with the agency’s lead role in advancing safety, including establishment of the National … They asserted that a standard primary care spending definition could lead to deeper understanding and

194. Medication Mix-Up Leads to Patient Death | PSNet
     psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
     July 08, 2022 - Increased stress caused by understaffing can lead to coping strategies that manifest as safety workaround … Workarounds occur within healthcare systems and may lead to deviations from protocols while providing … The modern healthcare system has non-routine episodes of medication administration that can lead to errors … medication administration were split among individuals, increasing the opportunity for cognitive biases to lead

195. Provider CHCANYS Qualitative Interview Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-qi-ny.pdf
     June 02, 2025 - Provider CHCANYS Qualitative Interview Guide HealthyHearts NYC Provider/Quality Improvement Team Lead … How long have you been the/a lead clinician at this site? Can you describe your role? … HealthyHearts NYC Provider/Quality Improvement Team Lead (CHCANYS) Qualitative Interview Guide 2 … HealthyHearts NYC Provider/Quality Improvement Team Lead (CHCANYS) Qualitative Interview Guide PROBE … HealthyHearts NYC Provider/Quality Improvement Team Lead (CHCANYS) Qualitative Interview Guide 10

196. Exhibit 4.19. Major Factors that Inhibit Lean Success | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-19.html
     November 01, 2014 - Scope Failure to review the medical evidence base may lead to a focus on improving processes that … Lean team composition and size Using the same staff repeatedly on Lean events might lead to burnout

197. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
     August 01, 2022 - For the change effort to be successful, a group must lead the change and work as a team to support the … Key characteristics of team members should include: authority to lead the change, leadership skills, … The Team Lead for each subgroup is responsible for overseeing the implementation of individual steps … The three subgroups include: Communication Team—which is further divided into the Disclosure Lead … responsible for the disclosure communication process for the organization and Care for the Caregiver Lead

198. Two-Day Training Content | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/intro/teach/two-day.html
     January 01, 2024 - Full instructions on how to prepare for and lead this exercise are available here. … Using Slide 4, "Teamwork Exercise: Discussing Rounds 1 and 2," lead a discussion of the groups' experiences … Day 1 ends with a discussion of how the tools collectively can lead to high-performing teams and safer … Performance," ask training participants to identify barriers to effective team performance that may lead … Performance: Explain that improved knowledge and attitudes will lead to improved performance.

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838135/psn-pdf
     January 01, 2023 - accept a diagnosis before it has been confirmed and alternative diagnoses have been explored and can lead … Findings suggest that bias can lead individual to overlook the likelihood of COVID-19 when an alternative

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50934/psn-pdf
     February 26, 2020 - Resident in Quality and Safety (CRQS) program alumni suggests that such programs can teach residents to lead … and engage other residents in patient safety and ultimately lead to a workforce fostering a culture