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www.ahrq.gov/sops/events/webinars/using-sops-tools-090925.html
September 01, 2025 - Lead Research Analyst User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat Amelia … (Moderator) Lead Research Associate and Communications Lead User Network for the AHRQ Surveys on Patient
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psnet.ahrq.gov/issue/patient-safety-culture-health-information-technology-implementation-and-medical-office
December 15, 2010 - safety culture, health information technology implementation, and medical office problems that could lead … Safety Culture, Health Information Technology Implementation, and Medical Office Problems That Could Lead … Incorrect or delayed diagnoses can subject patients to unnecessary testing and delays in care that lead … Safety Culture, Health Information Technology Implementation, and Medical Office Problems That Could Lead
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/01-sops-hospital-survey-workplace-item-set-webcast-intro.pdf
May 23, 2024 - Lead Research Associate and
Communications Lead
User Network for AHRQ Surveys
on Patient Safety Culture … Instrument Development and Analysis Lead
User Network for the AHRQ Surveys on Patient Safety Culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
August 21, 2015 - The knowledge, skills, and attitudes necessary for an individual to serve as a Disclosure Lead will be … A Disclosure Lead is notified of the CANDOR event during CANDOR System Activation and is responsible … ,” in consultation with a Disclosure Lead.
… Followup communications
Conducted by Disclosure Lead or other
designated communicators. … Communication Skills for Disclosure Lead
Show empathy.
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psnet.ahrq.gov/node/863222/psn-pdf
February 28, 2024 - Systematic review of morbidity and mortality meeting
standardization: does it lead to improved professional … Systematic review of morbidity and mortality meeting standardization:
does it lead to improved professional … ://psnet.ahrq.gov/issue/systematic-review-morbidity-and-mortality-meeting-standardization-does-it-
lead-improved … https://psnet.ahrq.gov/issue/systematic-review-morbidity-and-mortality-meeting-standardization-does-it-lead-improved … https://psnet.ahrq.gov/issue/systematic-review-morbidity-and-mortality-meeting-standardization-does-it-lead-improved
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www.ahrq.gov/action-alliance/commitment/index.html
September 01, 2025 - The email should be sent from your executive lead on safety, and should commit to completing an organizational … The executive lead should join the National Action Alliance listserv to become an active participant … Designating an Executive Lead on safety to directly interface with the highest-ranking person in the
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psnet.ahrq.gov/node/848082/psn-pdf
April 26, 2023 - Adopting high reliability organization principles to lead a
large scale clinical transformation. … Adopting high reliability organization principles to lead a large
scale clinical transformation. … https://psnet.ahrq.gov/issue/adopting-high-reliability-organization-principles-lead-large-scale-clinical … https://psnet.ahrq.gov/issue/adopting-high-reliability-organization-principles-lead-large-scale-clinical-transformation … https://psnet.ahrq.gov/issue/adopting-high-reliability-organization-principles-lead-large-scale-clinical-transformation
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psnet.ahrq.gov/node/837734/psn-pdf
July 27, 2022 - Can the standard configuration of a cardiac monitor lead
to medical errors under a stress induction? … Can the standard configuration of a cardiac monitor lead to
medical errors under a stress induction? … https://psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress … https://psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction … https://psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction
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www.ahrq.gov/downloads/teamsteppstools/officebasedcare/online_2/lesson2.html
March 06, 2024 - Module 2: Leading Teams & Situation Monitoring
This course requires JavaScript to be enabled in your browser.
Please enable JavaScript, then relaunch the course.
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psnet.ahrq.gov/node/60939/psn-pdf
September 23, 2020 - Does increased schedule flexibility lead to change? … Does increased schedule flexibility lead to change? … https://psnet.ahrq.gov/issue/does-increased-schedule-flexibility-lead-change-national-survey-program- … https://psnet.ahrq.gov/issue/does-increased-schedule-flexibility-lead-change-national-survey-program-directors … -2017-work
https://psnet.ahrq.gov/issue/does-increased-schedule-flexibility-lead-change-national-survey-program-directors
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - Errors of omission, like from this current case, can be as serious as errors of commission and can lead … Transitions in care across institutions and within hospitals may lead to errors and put patient safety
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digital.ahrq.gov/sites/default/files/OY1%20Stakeholder%20Center%20Operational%20Framework.pdf
September 01, 2024 - Priyanka Desai from NORC at the University of Chicago (NORC) will
lead the Stakeholder Center. … Additionally, each Workgroup will have a Support
Lead. … )
■ Support Lead: Rachel Kurtzman, PhD (NORC)
Implementation,
Adoption, and Scaling
■ Co-Lead: … ■ Co-Lead: Jessica Ancker, PhD, MPH, FACMI (Vanderbilt University)
■ Co-Lead: Angela Dobes, MPH (Crohn … Frameworks
■ Co-Lead: Aziz Boxwala, MD, PhD, FACMI (Elimu Informatics)
■ Co-Lead: Rachel Richesson
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-notes.docx
April 01, 2022 - The team lead needs to engage with the senior executive and actively work to establish a relationship … skills the lead sees they have or how their influence could engage the team. … The CUSP team lead will also encourage ICU team involvement and obtain feedback. … But let’s not forget about the recommendation of having a second team lead, or a co-lead, who could also … These support roles may be a great source for a CUSP team lead or team co-lead.
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psnet.ahrq.gov/node/867144/psn-pdf
November 13, 2024 - How Abortion Bans Lead to
Preventable Deaths. … How Abortion Bans Lead to Preventable Deaths.
ProPublica. 2024:September - November 2024. … https://psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
Healthcare policy … https://psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
https://psnet.ahrq.gov
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digital.ahrq.gov/sites/default/files/OY2_Final%20Stakeholder%20Center%20Operational%20Framework.pdf
August 01, 2025 - Priyanka Desai from NORC at the University of Chicago (NORC) will
lead the Stakeholder Center. … Additionally, each Workgroup will have a Support
2
Lead. … Support Lead: Rachel Kurtzman, PhD (NORC)
Implementation,
Adoption, and Scaling
• Co-Lead: Ken … Informatics)
• Support Lead: Krysta Heaney-Huls, MPH (NORC)
Trust and Patient-
centeredness
• Co-Lead … • Co-Lead: Aziz Boxwala, MD, PhD, FACMI (Elimu Informatics)
• Co-Lead: Rachel Richesson, PhD, MPH,
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-work-around.pdf
June 02, 2025 - Implementing the Quality Improvement Project:
▶ The QI lead reviewed patients with upcoming
appointments … /DOs, 5 PAs, 2 NPs, 5 LPNs1
▶ Number of patients: 41,000
▶ Quality Improvement team: The (PA) QI lead … In addition, the QI lead at Sugar House Health Center Primary Care:
▶ Submitted a request to the EHR … project started,
staf found the tool accessible and straightforward to use when prompted by the QI lead … In this case, the QI lead played that role.
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psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
October 31, 2023 - Audiovisual Presentation
Unprofessional Behavior Leads to Complications.
Citation Text:
Unprofessional Behavior Leads to Complications. JN Learning. 2020.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - Misconnection Leading to Arterial Thrombosis
Citation Text:
Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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Format:
Google Scholar Bib…
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psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
May 08, 2019 - Miscommunication in the OR Leads to Anticoagulation Mishap
Citation Text:
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Forma…
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cdsic.ahrq.gov/sites/default/files/2024-02/OY1%20Stakeholder%20Center%20Operational%20Framework.pdf
January 01, 2024 - Priyanka Desai from NORC at the University of Chicago (NORC) will
lead the Stakeholder Center. … Additionally, each Workgroup will have a Support
Lead. … )
■ Support Lead: Rachel Kurtzman, PhD (NORC)
Implementation,
Adoption, and Scaling
■ Co-Lead: … ■ Co-Lead: Jessica Ancker, PhD, MPH, FACMI (Vanderbilt University)
■ Co-Lead: Angela Dobes, MPH (Crohn … Frameworks
■ Co-Lead: Aziz Boxwala, MD, PhD, FACMI (Elimu Informatics)
■ Co-Lead: Rachel Richesson