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261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49747/psn-pdf
     December 01, 2015 - Yet excessive false alarms may lead to unintended harm. … Since one monitor watcher is responsible for watching as many as 40 patients' data, only one ECG lead … If the telemetry algorithm uses just one ECG lead for analysis, this can more easily be misinterpreted … the responsible physician, the correct action would have been to search for another ECG monitoring lead … For example, the resident and nurse could have checked the patient's full diagnostic standard 12-lead

262. McDonald T et al. 1998 "A comparison of a manual and a computer system in a primary health care clinic." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mcdonald-t-et-al-1998
     January 01, 1998 - It is said that computerising the clinic at the point of service will naturally lead to less time devoted … Objective "[T]o determine whether computerising the clinic at the point of service will naturally lead

263. Implementing Antibiotic Stewardship in Your Practice – Facilitator Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-guide.docx
     September 01, 2022 - First, they should aim to provide the Antibiotic Stewardship Team with sufficient protected time to lead … be engaged in antibiotic stewardship activities, two essential individuals should be identified to lead … group: a prescribing clinician, such as a physician or advanced practitioner, and an administrative lead … The clinician lead is responsible for determining stewardship goals and needed interventions, building … The administrative lead is responsible for ensuring that stewardship issues are regularly included on

264. Roxane Laboratories initiates a nationwide voluntary recall of a single manufacturing lot of Azathioprine tablets in the U.S. and Puerto Rico. | PSNet
     psnet.ahrq.gov/issue/roxane-laboratories-initiates-nationwide-voluntary-recall-single-manufacturing-lot
     June 22, 2011 - Bottles may have been erroneously filled with another medication, which could lead to serious health … Differences in strength expression on product labels of compounders and conventional manufacturers may lead

265. Drug shortages: effect on parenteral nutrition therapy. | PSNet
     psnet.ahrq.gov/issue/drug-shortages-effect-parenteral-nutrition-therapy
     June 20, 2018 - Shortages of medications and compounding components can lead to diversion from recommended treatment … October 3, 2018 The other opioid crisis: hospital shortages lead to patient pain, medical

266. Cognitive errors in diagnosis: instantiation, classification, and consequences. | PSNet
     psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
     June 21, 2016 - The authors conclude that cognitive errors lead to serious morbidity. … Classification of these error types may lead to future prevention efforts as a result of greater understanding

267. Research in Shared Decision Making | Agency for Healthcare Research and Quality
     www.ahrq.gov/sdm/research/index.html
     May 01, 2023 - This model focuses on the "problems that lead patients and clinicians to be interacting in the first … opportunities for improvement and advancement, and occasionally invite other experts in the field to lead

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46510/psn-pdf
     January 01, 2019 - pediatric-weight-errors-and-resultant-medication-dosing-errors-emergency- department Weight-based dosing errors can lead … This retrospective study found that weight- related errors are rare but did lead to medication dosing

269. 162-Example-Completed-Learning-Defects-Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
     October 01, 2024 - methicillin-resistant Staphylococcus aureus (MRSA), the defects we focus on are events that could potentially lead … List what you will do, who will lead the intervention, and when you will follow up to note the intervention … Discuss and develop interventions to defend against the factors, assign the person(s) who will lead the … Contributing Factors Interventions Person(s) Assigned To Lead Efforts Followup Dates Technical Factor

270. Module 2 Slides: Systems Change: Laying the Foundation, Leadership and Action Plans (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-slides.pdf
     December 31, 2021 - will be able to: Select a CR champion to advocate for automatic referral with care coordination and lead … Who will lead each task? When will each task be completed? … Utilize an Action Plan Template 26 PARTICIPANTSTEMPLATE ACTION PLAN TASK/ MILESTONE TASK LEAD … Example of Action Plan 28 PARTICIPANTSTEMPLATE ACTION PLAN TASK/ MILESTONE TASK LEAD TARGET

271. At-A-Glance CDS Artifact Update Process to Inform Your Annual Review (pdf file)
     cds.ahrq.gov/sites/default/files/CDS_Connect_Update_Checklist_At_a_Glance_07-16-2024.pdf
     January 01, 2024 - sister CDS artifacts; confirm web links function; virus scan attachments Publishing Organization Lead … patient-centered outcomes research findings into clinical practice through CDS. 1 The Publishing Organization Lead

272. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/Dec-2024-IAWG-roster.pdf
     January 01, 2024 - CDC Lead, Diagnostic Excellence Initiative, Division of Laboratory Systems, Office of Laboratory Systems … Compton, M.D., M.A., CPE DoD Lead, HEART and Field Operations; Patient Safety/Clinical Quality Management

273. In Conversation With... Jack Westfall, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
     September 28, 2022 - So, I think we’re well positioned to lead patient safety efforts. … Primary care needs to lead the proactive sharing of information when we transition patients and refer … We need to lead the charge in making sure that those organizations have the information they need to … JW: I want to just reiterate the point that primary care and family physicians can lead the efforts … AHRQ is the lead federal agency for patient safety research.

274. Conclusions | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/conclusions.html
     July 01, 2018 - Improved behavior is expected to lead to better disease control, which in turn, should lead to better … better at managing their disease and allow sufficient time to assess if patients' changed behaviors lead

275. Summary of USPSTF Draft Recommendation: Screening for Cervical Cancer (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/3UuREAobGvgLbE_FBAnrYQ
     January 13, 2025 - cervical cancer are caused by human papillomavirus (HPV), a sexually transmitted infection that can lead … An HPV test tells you whether someone has HPV, including the types of HPV that are most likely to lead … there are some harms associated with screening, including false-positive results, which can then lead

276. Final Progress Report: Are Volume Standards Accurate Measures? (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
     January 01, 2024 - Selective avoidance of low-volume centers does not lead to improved outcomes, whereas selective avoidance … routine administrative data without the POA indicator to construct hospital quality report cards may lead … test whether: Regionalizing high-risk surgery by diverting patients from low-quality centers will lead … The inability to separate the two in most administrative databases is likely to lead to biased risk … Selective avoidance of low-volume hospitals would not lead to any improvement in outcomes.

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37026/psn-pdf
     September 15, 2011 - residents-feel-unprepared-and-unsupervised-leaders-cardiac-arrest-teams- teaching-hospitals Housestaff traditionally lead … found that most respondents felt that ACLS training alone did not leave them adequately prepared to lead

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33808/psn-pdf
     May 01, 2016 - This desensitization can lead to longer response times or to missing important alarms. … Staff education Patient education Artifacts in the Waveform Waveform artifacts can be caused by poor lead … They can also lead to alarms when the monitor falsely perceives arrhythmias. … placement and change the electrodes daily.(6) In addition, proper care and maintenance of lead wires … Hospitals should not only have a policy for electrode changes, but also for monitoring and replacing lead

279. Implementing Automatic Referral | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/training/implementing-automatic-referral/index.html
     April 01, 2023 - Epic Q&A Cerner Q&A Stephen Hines , Ph.D., TAKEheart's Training and Technical Assistance Lead … Session (PDF, 2 MB) Epic Q&A Stephen Hines , Ph.D., TAKEheart's Training and Technical Assistance Lead

280. Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare leaders. | PSNet
     psnet.ahrq.gov/issue/power-saying-i-dont-know-psychological-safety-and-participatory-strategies-healthcare-leaders
     August 31, 2011 - BMJ Lead. 2024;Epub Jan 17. doi:10.1136/leader-2023-000906. … BMJ Lead . 2024; Epub Jan 17 . View more articles from the same authors. … BMJ Lead. 2024;Epub Jan 17. doi:10.1136/leader-2023-000906.