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  1. Geographicinfoib (pdf file)

    hcup-us.ahrq.gov/reports/race/GeographicInfoIB.pdf
    April 01, 2011 - incidence of lead poisoning. … “Lead Poisoning Maps in Rhode Island Reveal Huge Disparities, Guide Cleanup,” ScienceDaily. … Lead Poisoning Map Shows Huge Disparities in Rate of Affliction,” Providence Business News. … For more information, visit the Childhood Lead Action Project. … /RI-lead-poisoning-map-shows-huge-disparities-in-affliction,53511 http://www.pbn.com/RI-lead-poisoning-map-shows-huge-disparities-in-affliction

  2. Career impact of the chief resident in quality and safety training program: an alumni evaluation | PSNet

    psnet.ahrq.gov/issue/career-impact-chief-resident-quality-and-safety-training-program-alumni-evaluation
    June 19, 2019 - Resident in Quality and Safety (CRQS) program alumni suggests that such programs can teach residents to lead … and engage other residents in patient safety and ultimately lead to a workforce fostering a culture … February 24, 2011 Did duty hour reform lead to better outcomes among the highest risk

  3. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
    August 01, 2022 - The Implementation Team Lead and other Team Leads help build and promote a shared vision of organizational … Many models in the literature define the steps of change that lead to a sustainable improvement. … The CANDOR Implementation Team Lead not only explains the program goals and components, but also helps … The organization can support the CANDOR Implementation Team Lead and other champions by providing ongoing … The CANDOR Implementation Team Lead and Team Leads play an important role in ensuring that frontline

  4. Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. | PSNet

    psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors
    June 10, 2018 - Article Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead … Citation Text: Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to … Citation Citation Text: Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead … Interruptions lead to errors and unfinished…wait, what was I doing?

  5. Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. | PSNet

    psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
    June 10, 2018 - Newspaper/Magazine Article Drawn curtains, muted alarms, and diverted attention lead … Citation Text: Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia … Citation Citation Text: Drawn curtains, muted alarms, and diverted attention lead … May 7, 2014 Administering a saline flush "site unseen" can lead to a wrong route error

  6. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
    June 01, 2021 - Understanding the science of safety Improve teamwork and communication Recognize current practices that may lead … Cambridge University Press Identifying Targets 12 13 The antibiotic stewardship team Physician lead … Pharmacist lead Nurse lead Prioritize top problems Identify all the factors that could lead to this

  7. Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? | PSNet

    psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
    June 10, 2018 - Interruptions lead to errors and unfinished…wait, what was I doing? … Interruptions lead to errors and unfinished…wait, what was I doing? ISMP Medication Safety Alert! … Interruptions lead to errors and unfinished…wait, what was I doing? ISMP Medication Safety Alert! … 8, 2016 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead

  8. Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. | PSNet

    psnet.ahrq.gov/issue/differences-strength-expression-product-labels-compounders-and-conventional-manufacturers-may
    April 08, 2020 - 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 … Differences in strength expression on product labels of compounders and conventional manufacturers may lead

  9. New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. | PSNet

    psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors
    April 26, 2023 - Doctors worry that could lead to errors. … Doctors worry that could lead to errors. Lovelace Jr, B. NBC News. September 7, 2022. … Doctors worry that could lead to errors. Lovelace Jr, B. NBC News. September 7, 2022.

  10. PCIP Provider Qualitative Interview Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-staff-ny.pdf
    June 02, 2025 - - - - - - - - - - - - - - - - - - - - - - - - HealthyHearts NYC Provider/Quality Improvement Team Lead … How long have you been the/a lead clinician at this practice? 2. … HealthyHearts NYC Provider/Quality Improvement Team Lead … HealthyHearts NYC Provider/Quality Improvement Team Lead … 4 HealthyHearts NYC Provider/Quality Improvement Team Lead (CHCANYS

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41436/psn-pdf
    October 19, 2012 - Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment … Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment … https://psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical- … https://psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service … https://psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73151/psn-pdf
    April 14, 2021 - Could Efforts to Fight the Coronavirus Lead to Overuse of Antibiotics? … https://psnet.ahrq.gov/issue/could-efforts-fight-coronavirus-lead-overuse-antibiotics Antibiotic overuse … https://psnet.ahrq.gov/issue/could-efforts-fight-coronavirus-lead-overuse-antibiotics https://psnet.ahrq.gov

  13. Diffusion of Responsibility Leads to Danger | PSNet

    psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
    November 08, 2013 - In summary, high patient acuity and volume can lead to delays in safe transitions from the ED to a setting

  14. New Ideas Lead to Big Changes in Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/cascades-east.html
    March 01, 2021 - New Ideas Lead to Big Changes in Care Like many small- and medium-sized practices, the team at

  15. Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Introduction (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/01-sops-riverside-handoffs-webcast-intro.pdf
    October 30, 2024 - Lead Research Associate and Communications Lead User Network for AHRQ Surveys on Patient Safety Culture

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836869/psn-pdf
    April 06, 2022 - Will prosecuting medical errors lead to a culture of silence? April 6, 2022 Fiore K. … https://psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence Experts are concerned … https://psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence https://psnet.ahrq.gov

  17. Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. | PSNet

    psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
    September 29, 2017 - Commentary Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable … Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. … Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. … July 29, 2020 Does increased schedule flexibility lead to change?

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44118/psn-pdf
    May 19, 2018 - Inadequate preoperative team briefings lead to more intraoperative adverse events. … Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. … https://psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse- … https://psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events … https://psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838141/psn-pdf
    September 21, 2022 - Doctors worry that could lead to errors. September 21, 2022 Lovelace Jr, B. NBC News. … https://psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors Look-alike … https://psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors https

  20. Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional development, system improvements, clinician engagement, and enhanced patient safety culture? | PSNet

    psnet.ahrq.gov/issue/systematic-review-morbidity-and-mortality-meeting-standardization-does-it-lead-improved
    October 23, 2024 - Review Systematic review of morbidity and mortality meeting standardization: does it lead … 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
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