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61. Past National Quality Strategy (NQS) Webinars | Agency for Healthcare Research and Quality
    www.ahrq.gov/workingforquality/events/past-webinars.html
    November 01, 2016 - Wilson, M.D., M.P.H., B.S.N., Executive Lead for the National Quality Strategy Nazleen Bharmal, M.D … Wilson, M.D., M.P.H., B.S.N., Executive Lead for the National Quality Strategy Ernest Moy, M.D., M.P.H … Wilson, M.D., M.P.H., B.S.N., Executive Lead for the National Quality Strategy Gerry Shea, Director … Wilson, B.S.N., M.D., M.P.H., Executive Lead for the National Quality Strategy Kate Goodrich, M.D., … Wilson, B.S.N., M.D., M.P.H., Executive Lead for the National Quality Strategy Chris Queram, M.H.S.A

62. Stakeholder Community and Outreach Center: Operational Framework – Option Year 2 (pdf file)
    cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%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 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,

63. Cognitive debiasing; part 1 and part 2. | PSNet
    psnet.ahrq.gov/issue/cognitive-debiasing-part-1-and-part-2
    September 18, 2024 - 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. … June 20, 2018 Clinical faculty: taking the lead in teaching quality improvement and patient

64. 19-Perioperative-Teams (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
    June 01, 2023 - Lead by example Do the work to show commitment and to motivate others. … CPHQ White Plains Hospital White Plains, NY Assistant Director of Surgical Quality ISCR project lead … Francis Health System Tulsa, OK System Manager for Infection Control and Prevention ISCR Project Lead … M.B.A., FACHE, CPHQ West Tennessee Healthcare Jackson, TN Quality Outcomes Director ISCR Project Lead … Clinical Lead, Enhanced Recovery Program, Kaiser Permanente – Northern California Physician ERAS Lead

65. Quality and patient safety. Engaging your board to take the lead.  | PSNet
    psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead
    April 21, 2015 - Engaging your board to take the lead.  Citation Text: Bader BS. … Engaging your board to take the lead. Healthcare executive. 2006;21(2):64, 66-7. … Engaging your board to take the lead. Healthcare executive. 2006;21(2):64, 66-7.

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72609/psn-pdf
    December 23, 2020 - Covid-19 surge could lead to another drop in patient visits, doctors fear—and more missed pediatric … https://psnet.ahrq.gov/issue/covid-19-surge-could-lead-another-drop-patient-visits-doctors-fear-and-more … https://psnet.ahrq.gov/issue/covid-19-surge-could-lead-another-drop-patient-visits-doctors-fear-and-more-missed-pediatric … https://psnet.ahrq.gov/issue/covid-19-surge-could-lead-another-drop-patient-visits-doctors-fear-and-more-missed-pediatric

67. The other opioid crisis: hospital shortages lead to patient pain, medical errors. | PSNet
    psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
    April 08, 2020 - Newspaper/Magazine Article The other opioid crisis: hospital shortages lead to patient … Citation Text: The other opioid crisis: hospital shortages lead to patient pain, medical errors. … Cite Citation Citation Text: The other opioid crisis: hospital shortages lead

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73895/psn-pdf
    September 29, 2021 - Open Notes shines light on errors in patient medical records — will the new rule lead to a flood of … https://psnet.ahrq.gov/issue/open-notes-shines-light-errors-patient-medical-records-will-new-rule-lead … https://psnet.ahrq.gov/issue/open-notes-shines-light-errors-patient-medical-records-will-new-rule-lead-flood-correction … https://psnet.ahrq.gov/issue/open-notes-shines-light-errors-patient-medical-records-will-new-rule-lead-flood-correction

69. FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. | PSNet
    psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosing-errors-when-switching-between
    April 08, 2020 - announcement alerts prescribers to differences in two oral formulations of the same medication that can lead … Differences in strength expression on product labels of compounders and conventional manufacturers may lead … Differences in strength expression on product labels of compounders and conventional manufacturers may lead

70. Training and Support for Patients and Consumers Engaged in Research (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/bonoff-text.pdf
    January 01, 2000 - element for success § Methods to support patient and consumer involvement are evolving § NBCC Project LEAD … ® Story Slide 8 What is Project LEAD®? … range of NBCC research advocacy and public policy training § Includes: § Full range of Project LEAD … sessions § Mentoring § Over 2000 graduates, 74 courses – since 1995 Slide 11 Types of Project LEAD … Courses § Project LEAD® Institute- an intensive science and research methodology course to prepare

71. Slide 1 (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/ahrq_community_forum_webinar_bonoff.pdf
    January 01, 2000 - for success • Methods to support patient and consumer involvement are evolving – NBCC Project LEAD … opportunities – Reduce barriers to participation Advocacy Training: The NBCC Project LEAD … ® Story What is Project LEAD®? … Continuing Education, mentoring Types of Project LEAD Courses • Project LEAD® Institute- an … ® Courses • Project LEAD® Workshop – introductory level course on basic scientific concepts and

72. Adopting high reliability organization principles to lead a large scale clinical transformation. | PSNet
    psnet.ahrq.gov/issue/adopting-high-reliability-organization-principles-lead-large-scale-clinical-transformation
    November 21, 2021 - Commentary Adopting high reliability organization principles to lead a large scale … Adopting high reliability organization principles to lead a large scale clinical transformation. … Adopting high reliability organization principles to lead a large scale clinical transformation.

73. Module 2—The Infection Preventionist—The Nursing Home Infection Preventionist Training Course | Agency for Healthcare Research and Quality
    www.ahrq.gov/nursing-home/resources/module-2-infection-preventionist.html
    May 01, 2022 - Preventionist Training Course This module describes the role of an infection preventionist, who serves as the lead

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41800/psn-pdf
    November 07, 2012 - The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram … The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram … https://psnet.ahrq.gov/issue/effects-electrode-misplacement-clinicians-interpretation-standard-12-lead … - electrocardiogram Misplacement of the electrical leads when performing a standard 12-lead electrocardiogram … https://psnet.ahrq.gov/issue/effects-electrode-misplacement-clinicians-interpretation-standard-12-lead-electrocardiogram

75. Administering a saline flush "site unseen" can lead to a wrong route error. | PSNet
    psnet.ahrq.gov/issue/administering-saline-flush-site-unseen-can-lead-wrong-route-error
    June 10, 2018 - Newspaper/Magazine Article Administering a saline flush "site unseen" can lead to … Citation Text: Administering a saline flush "site unseen" can lead to a wrong route error. … Cite Citation Citation Text: Administering a saline flush "site unseen" can lead … June 10, 2018 Drawn curtains, muted alarms, and diverted attention lead to tragedy in

76. Candor-Impguide (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
    April 01, 2016 - Care for the Caregiver Lead Resolution Team Lead Disclosure Lead CANDOR Implementation Team … The CANDOR Implementation Team should have three subgroups with a Team Lead for each subgroup. … The Disclosure Team Lead is responsible for implementing the disclosure communication process in the … The Care for the Caregiver Team Lead is responsible for implementing a Care for the Caregiver program … Lead Care for the Caregiver Team Lead Event Reporting, Investigation, and Analysis Team Lead

77. Implementing Opioid Risk Screening for Older Adults Using Automated Patient Reminders in an Electronic Health Record Case Study (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-risk-screening.pdf
    June 02, 2025 - The physician- owner, who also acts as a quality improvement (QI) lead at Pearl Family Medicine, recognized … The physician-owner/QI lead opted to screen with existing, validated screening tools available for … The Pearl team, the physician-owner/QI lead and office manager, planned and implemented an intervention … 1 PA1 ▶ Number of patients: 1,200 ▶ Quality Improvement team: The (MD) practice owner was the QI Lead … The physician-owner/QI lead at Pearl Family Medicine felt a professional obligation to make improvements

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47735/psn-pdf
    June 24, 2019 - The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety … https://psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead- … https://psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety … https://psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety

79. Open Notes shines light on errors in patient medical records — will the new rule lead to a flood of correction requests? | PSNet
    psnet.ahrq.gov/issue/open-notes-shines-light-errors-patient-medical-records-will-new-rule-lead-flood-correction
    March 27, 2024 - Open Notes shines light on errors in patient medical records — will the new rule lead … Citation Text: Open Notes shines light on errors in patient medical records — will the new rule lead … Citation Text: Open Notes shines light on errors in patient medical records — will the new rule lead

80. 017-Ss-Importance-Ssi-Mrsa-Prevention-Fg (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/017-ss-importance-ssi-mrsa-prevention-fg.docx
    April 01, 2025 - Slide 10 MRSA and SSIs Lead to Increased Mortality SAY: Among surgical patients, SSIs are associated … Slide 11 MRSA and SSIs Lead to Increased Costs SAY: Overall, it is estimated that SSIs account for … In addition to the increased length of stay, SSIs also lead to increased cost of care. … A person’s own MRSA colonization can lead to invasive disease and/or an SSI. … Surgical procedures and underlying illnesses decrease or bypass patients’ natural defenses and can lead