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181. 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.

182. 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

183. 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.

184. 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

185. 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

186. 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

187. 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

188. 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.

189. 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

190. 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

191. DSF Measures 2-3 Attachment 11.1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_XIA.pdf
     June 02, 2025 - V82.5 Special screening for lead poisoning Source: “Developmental Screening Billing and Payment … Z13.88 Special screening for lead poisoning

192. DSF Measures 2-3 Attachment 11.1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_XIA.pdf
     June 02, 2025 - V82.5 Special screening for lead poisoning Source: “Developmental Screening Billing and Payment … Z13.88 Special screening for lead poisoning

193. Did duty hour reform lead to better outcomes among the highest risk patients? | PSNet
     psnet.ahrq.gov/issue/did-duty-hour-reform-lead-better-outcomes-among-highest-risk-patients
     January 13, 2010 - Study 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? … Did duty hour reform lead to better outcomes among the highest risk patients?

194. Antibiotic Stewardship Slides, Part 1: Hand Hygiene
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptx
     March 01, 2017 - Antibiotics can actually lead to harm; side effects are pretty common with antibiotics. … Antibiotics can wipe out our healthy bacteria, which can lead to secondary infections like yeast infections … “Extra urine cultures lead to extra antibiotics—and that’s not good for anyone.” … In our example, the person went on to explain, “Extra urine cultures lead to extra antibiotics—and that … AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI Pressure from residents and family members may lead

195. Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents. | PSNet
     psnet.ahrq.gov/issue/residents-feel-unprepared-and-unsupervised-leaders-cardiac-arrest-teams-teaching-hospitals
     February 07, 2024 - Housestaff traditionally lead cardiac arrest resuscitation ("code blue") teams at academic institutions … found that most respondents felt that ACLS training alone did not leave them adequately prepared to lead

196. Antibiotic Stewardship Program Development: Part 1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-facilitator-guide.pdf
     November 01, 2019 - The physician lead of stewardship is ideally trained in infectious diseases, as this specialty provides … Whether trained in infectious diseases or not, the physician lead should have an interest in both optimal … To ensure maximum uptake of stewardship recommendations, the physician lead should be a diplomatic … In addition, pharmacists often lead efforts to coordinate data needs of the program, such as data on … The pharmacist lead of stewardship is also ideally trained in infectious diseases.

197. Module 2: PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles.pptx
     May 01, 2017 - appropriate testing unit Determine who should attend the huddle from your staff Determine who should lead … Practice 9 Five consecutive days Four weeks Additional tests to consider: Alternative staff lead … Staff • Using surgical checklist • Infection control procedures Observation of Safety Work:unit lead

198. Roll-Out Diagram Generic (pdf file)
     psnet.ahrq.gov/sites/default/files/2021-09/Roll-out%20diagram%20generic.pdf
     January 01, 2021 - leads or physician champions request program roll-out for unit/department Resilience program lead … Anticipate and Plan stress inoculation discussions with dept/ unit members (ongoing) Dept/nursing lead

199. Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/index.html
     January 01, 2007 - AHRQ is the lead federal agency sponsoring research to promote diagnostic excellence. … of dedicated research into improving medical diagnosis and in particular, diagnostic failures that lead

200. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. | PSNet
     psnet.ahrq.gov/issue/authentic-leadership-cleveland-clinic-psychological-safety-midst-crisis
     October 19, 2022 - BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader-2022-000626. … BMJ Lead . 2023; 7 (3) :196-202 . View more articles from the same authors. … BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader-2022-000626.