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  1. Redesigning Primary Health Care Teams for Population Health and Quality Improvement | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/delivery-initiative/redesigningprimaryhealthcareteams.html
    November 01, 2017 - For the first phase in implementation of a redesigned team, the quality improvement lead provided 30 … In addition to training, implementation included team coaching by the quality improvement lead. … To support implementation and address new workflow concerns as they arose, the quality improvement lead … By design, quality improvement leads chose provider champions at each practice site willing to lead and … It was important that a quality improvement lead was present to make senior-level decisions on changes

  2. When we're all responsible for a patient's death, no one is. | PSNet

    psnet.ahrq.gov/issue/when-were-all-responsible-patients-death-no-one
    December 09, 2020 - 2020 Open Notes shines light on errors in patient medical records — will the new rule lead … April 20, 2022 Will prosecuting medical errors lead to a culture of silence?

  3. Methods | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi2.html
    January 01, 2013 - The Missouri Center for Patient Safety (MOCPS) was selected to lead this effort. … State Clinical Lead Calls and Face-to-Face Meetings.

  4. Preventing-Cauti-Icu-Setting-Module 2-Speaker-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_2-speaker-notes.docx
    September 01, 2015 - and think about this question for a few minutes: What did you notice in the case scenario that could lead … AHRQ Pub No. 15-0073-4-EF September 2015 SAY: You should have identified three issues that can lead … Not attaching the catheter to the leg can lead to urethral irritation. 3.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46416/psn-pdf
    March 13, 2018 - has shown that prescribing opioids to opioid-naïve patients at the time of hospital discharge may lead … prescribing in the emergency department more often comported with CDC guidelines and was less likely to lead

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42588/psn-pdf
    September 18, 2013 - However, this process can lead to diagnostic error, as numerous cognitive biases can adversely affect … Pat Croskerry, the lead author of these articles, was interviewed by AHRQ WebM&M in 2010.

  7. AHRQ Training Web Conference on the Clinical Decision Support Authoring Tool - Slides (pdf file)

    digital.ahrq.gov/sites/default/files/docs/cds-authoring-tool-slides-020719.pdf
    February 07, 2019 - the Clinical Decision Support Authoring Tool Presented by: Sharon Sebastian, CDS Connect Project Lead … , MITRE Chris Moesel, CDS Connect Technical Lead, MITRE Moderated by: Edwin Lomotan, MD Agency … Clinical Informatics, Center for Evidence and Practice Improvement, AHRQ • CDS Connect Project Lead … • CDS Connect Technical Lead • CDS Authoring Tool Lead 3 … – sharon@mitre.org • Chris Moesel, CDS Connect Technical Lead – cmoesel@mitre.org mailto:sharon

  8. Title Page (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015124-selker-final-report-2008.pdf
    January 01, 2008 - Prehospital 12-lead ECG with ACI-TIPI and TPI Site Selection EMS agencies were selected … The target measures included: chest pain assessment, 12-lead ECG performance and interpretation, and … Figure 4. 12-Lead ECG performance feedback report Figure 5. … Logistic Regression was used to measure associations between having a 12-lead ECG and the variables … Factors associated with 12-Lead ECG performance Table 2a.

  9. Eliminating CLABSI, A National Patient Safety Imperative: Final Report (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
    October 01, 2012 - staff person, most often the senior quality manager in the association, to become the ―State lead‖ … The lead responsibilities of each partner are listed in the chart below. … This manifested itself in how the NPT advised States on monthly State lead calls and in using faculty … from HHS and CDC to present to unit teams and at State lead meetings. … Every State lead, whether from a high-performing State or a more challenged one, indicated turnover

  10. “Role of the Nurse Manager” Slide Content and Alternative Text | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/nursing/alt-text.html
    April 01, 2013 - Nurse managers lead the care efforts on their units Nurse managers benefit patient safety and quality … with organizational goals   Slide 10 Human Resource Management Nurse managers lead … aligns with the highest quality of care: Understand key quality and safety improvement measures Lead

  11. Report links Georgia's abortion ban to preventable deaths. | PSNet

    psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
    November 13, 2024 - How Abortion Bans Lead to Preventable Deaths. … How Abortion Bans Lead to Preventable Deaths.

  12. Comparing hospital leadership and front-line workers' perceptions of patient safety culture: an unbalanced panel study. | PSNet

    psnet.ahrq.gov/issue/comparing-hospital-leadership-and-front-line-workers-perceptions-patient-safety-culture
    June 07, 2016 - BMJ Lead. 2024;8(8):335-339. doi:10.1136/leader-2023-000922. … BMJ Lead . 2024; 8 (8) :335-339 . View more articles from the same authors. … BMJ Lead. 2024;8(8):335-339. doi:10.1136/leader-2023-000922.

  13. When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. | PSNet

    psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety
    December 16, 2015 - BMJ Lead. 2024;8(1):59-62. doi:10.1136/leader-2023-000849. … BMJ Lead . 2024; 8 (1) :59-62 . View more articles from the same authors. … BMJ Lead. 2024;8(1):59-62. doi:10.1136/leader-2023-000849.

  14. Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/interprofessional-model-speaking-behaviour-healthcare-professionals-qualitative-study
    December 21, 2017 - BMJ Lead. 2022;6(1):15-19. doi:10.1136/leader-2020-000407. … BMJ Lead . 2022; 6 (1) :15-19 . View more articles from the same authors. … BMJ Lead. 2022;6(1):15-19. doi:10.1136/leader-2020-000407.

  15. Inadvertent Use of More Potent Acid Leads to Burn | PSNet

    psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
    November 01, 2023 - Inadvertent Use of More Potent Acid Leads to Burn Citation Text: Maibach HI. Inadvertent Use of More Potent Acid Leads to Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar B…

  16. COVID-19 leads to increased need for dialysis machines. | PSNet

    psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines
    April 29, 2020 - Audiovisual COVID-19 leads to increased need for dialysis machines. Citation Text: COVID-19 leads to increased need for dialysis machines. Mosley T. Here & Now. Boston Public Radio. April 27, 2020. Copy Citation Save Save to your library Print Dow…

  17. Foreword | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/tools/confid-report/foreword.html
    February 01, 2016 - during the selection of measures and design of the reports to the mechanisms by which the reports could lead … It is inappropriately dismissed as a small detail to be checked off instead of a bridge that can lead

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47178/psn-pdf
    July 10, 2018 - The associated overtreatment that results from overdiagnosis can lead to increased financial stress … shown that breast cancer screening may identify lesions that are not clinically meaningful and may lead

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60653/psn-pdf
    April 25, 2020 - Medication error is a broad term used to describe a number of more specific events that may cause, or lead … Experts say COVID-19 will likely lead to US drug shortages. News & Perspectives. … and Policy. https://www.cidrap.umn.edu/news-perspective/2020/03/experts- say-covid-19-will-likely-lead-us-drug-shortages … psnet.ahrq.gov//#_ednref3 https://www.cidrap.umn.edu/news-perspective/2020/03/experts-say-covid-19-will-likely-lead-us-drug-shortages … https://www.cidrap.umn.edu/news-perspective/2020/03/experts-say-covid-19-will-likely-lead-us-drug-shortages

  20. Heart of Virginia Healthcare (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-packet-va.pdf
    October 01, 2015 - initiative, AHRQ defines small and medium practices as organizations or offices that consist of 10 or fewer lead … Community Health Centers with 10 or fewer lead clinicians may be included. … Multi-specialty practices that provide primary care and which have ten or fewer total lead clinicians
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