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221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848314/psn-pdf
     May 03, 2023 - safety issues (e.g., potentially inappropriate prescribing, polypharmacy, adverse drug reactions) that lead … medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment

222. Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. | PSNet
     psnet.ahrq.gov/issue/exploring-challenges-quality-and-safety-work-nursing-homes-and-home-care-case-study-basis
     August 14, 2019 - A part of the SAFE-LEAD program to promote safety culture in Norwegian nursing homes and home … of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD

223. Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/investigating-influence-selected-leadership-styles-patient-safety-and-quality-care-systematic
     October 07, 2020 - BMJ Lead. 2024;18(3):208-214. doi:10.1136/leader-2023-000846. … BMJ Lead . 2024; 18 (3) :208-214 . View more articles from the same authors. … BMJ Lead. 2024;18(3):208-214. doi:10.1136/leader-2023-000846.

224. System planning for modern-day Just Culture to mitigate worker distress and second victim response. | PSNet
     psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response
     July 19, 2023 - BMJ Lead. 2024;8(2):149-152. doi:10.1136/leader-2023-000811. … BMJ Lead . 2024; 8 (2) :149-152 . View more articles from the same authors. … BMJ Lead. 2024;8(2):149-152. doi:10.1136/leader-2023-000811.

225. What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. | PSNet
     psnet.ahrq.gov/issue/what-i-wish-id-known-how-experienced-physician-managers-diagnose-treat-and-prevent-disruptive
     September 23, 2020 - BMJ Lead. 2023;7(2):128-132. doi:10.1136/leader-2022-000615. … BMJ Lead . 2023; 7 (2) :128-132 . View more articles from the same authors. … BMJ Lead. 2023;7(2):128-132. doi:10.1136/leader-2022-000615.

226. Incivility in healthcare: the impact of poor communication. | PSNet
     psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
     October 19, 2022 - BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. … BMJ Lead . 2024; 8 (1) :83-87 . View more articles from the same authors. … BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717.

227. 036-Sources-Pathways-Mrsa-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/036-sources-pathways-mrsa-one-pager.docx
     October 01, 2024 - Four Main Sources and Pathways of MRSA Transmission and Infection A person’s own MRSA colonization can lead … Environmental reservoirs of MRSA can lead to colonization or infection.10 · High-touch surfaces (HTS … between patients or from the environment to patient(s).9,11-14 · Improving hand hygiene practices can lead

228. Surgical Safety Team Roles and Responsibilities Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/surgical-roles.html
     December 01, 2017 - Implement Teamwork Tools Who will lead the implementation of briefings, debriefings, and other teamwork … Implementation of Practice Changes Who will lead efforts to align practice with evidence-based guidelines

229. Module 2: Urinary Catheter Maintenance Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.html
     February 01, 2023 - and think about this question for a few minutes: What did you notice in the case scenario that could lead … Slide 4 Say: You should have identified three issues that can lead to the development of a CAUTI … Not attaching the catheter to the leg can lead to urethral irritation.

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837299/psn-pdf
     June 01, 2022 - new-index-obstetrics-safety-and-quality-care-integrating-cesarean-delivery- rates-maternal-and Cesarean delivery can lead … /psnet.ahrq.gov/primer/maternal-safety https://psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton-vertex-cesarean

231. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. | PSNet
     psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national-analysis-2008-2017
     March 18, 2020 - that registration errors most commonly occur in outpatient areas and emergency departments and can lead … January 12, 2022 Does increased schedule flexibility lead to change?

232. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/034-importance-mrsa-prevention-slides.pptx
     October 01, 2024 - Antibiotic pressure can: Lead to selective advantage for resistance of S. aureus. … of MRSA Prevention Pathways of MRSA Transmission and Infection A person’s own MRSA colonization can lead … Environmental reservoirs of MRSA can lead to colonization or infection. … patient(s).10-14 Hands of healthcare workers can transfer organisms to and from patients or surfaces and lead … Contaminated environmental and high-touch surfaces can lead to MRSA infection.

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60825/psn-pdf
     August 19, 2020 - Results suggest that, for many cancer patients, treatment delays of 2-6 months will lead to a substantial … Results also indicate that even small delays (e.g., 2 months) can lead to substantial survival decrements

234. The compliance with a patient safety bundle for management of placenta accreta spectrum. | PSNet
     psnet.ahrq.gov/issue/compliance-patient-safety-bundle-management-placenta-accreta-spectrum
     October 19, 2022 - in this study, but the intervention did improve adherence to the patient safety bundle, which could lead … November 9, 2016 Quality improvement initiatives lead to reduction in nulliparous term

235. Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. | PSNet
     psnet.ahrq.gov/issue/impact-alarm-fatigue-work-nurses-intensive-care-environment-systematic-review
     August 31, 2022 - Alarm fatigue , which can lead to desensitization and threaten  patient safety , is particularly concerning … January 25, 2023 Can the standard configuration of a cardiac monitor lead to medical

236. Investigating Interventions to Reduce Unsafe Use of Antibiotics | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-grigoryan.html
     November 01, 2024 - is vitally important to both individual and public health because inappropriate antibiotic use can lead … She is the lead investigator on a 5-year AHRQ  grant awarded in 2023.

237. Figure 2: Framework for Stroke Rehabilitation | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/vision/visfig2.html
     October 01, 2002 - in the framework shows that physiological changes resulting from an underlying disease or injury may lead … In the instance of stroke, brain tissue is damaged from a lack of blood flow, which may lead to a limitation

238. Action Planning for the SOPS Surveys-Introducing SOPS (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-gray-sops-action-planning-tool.pdf
     June 02, 2025 - Who can lead the initiative? … Who can lead the initiative? 6. What resources will be needed? 7. What are possible barriers? 8.

239. Surgical Safety Team Roles and Responsibilities Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/surgical_roles.docx
     December 01, 2017 - Implement Teamwork Tools Who will lead the implementation of briefings, debriefings, and other teamwork … Implementation of Practice Changes Who will lead efforts to align practice with evidence-based guidelines

240. CAHPS® Moving Forward: Innovations in Tools and Research Webcast (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
     March 01, 2010 - et al. 2010) • Providers may pay greatest attention to patients near the end of life, which would lead … Does Providing Unwelcome Advice Lead to Lower Patient Care Scores? 2. … want to hear smoking cessation advice • Concern about receiving poor experience of care scores may lead … Does Providing Unwelcome Advice Lead to Lower Patient Care Scores? 2. … patient-centered care that providers can, and do, improve • Improving patient experiences does not lead