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psnet.ahrq.gov/issue/what-i-wish-id-known-how-experienced-physician-managers-diagnose-treat-and-prevent-disruptive
September 23, 2020 - BMJ Lead. 2023;7(2):128-132. doi:10.1136/leader-2022-000615. … BMJ Lead. 2023;7(2):128-132. doi:10.1136/leader-2022-000615.
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psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
October 19, 2022 - BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. … BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
August 01, 2018 - Physician, Patient/Family; CUSP – Learn from Defects
Jenny Tuttle, RN, MSNEd, CNRN
Clinical Nurse Leader … Research & Education Trust
American Hospital Association
Emily Pasola MSN, RN, CNL
Clinical Nurse Leader … 7
Reducing CAUTIs: Nurse Engagement in the ICU
Jenny Tuttle, RN, MSNEd, CNRN
Clinical Nurse Leader … engagingfamilies/index.html
Slide 53
Learn From a Defect
Emily Pasola MSN, RN, CNL
Clinical Nurse Leader
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles.pptx
May 01, 2017 - surgical checklist
• Infection control
procedures
Observation of
Safety Work:unit
lead & senior leader … Solving
• Compliance
• “Just Fix It”
• Investigate causes
• QI* project
Integration With Leaders
• Senior leader
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psnet.ahrq.gov/issue/infection-preventionist-checklist-improve-culture-and-reduce-central-line-associated
January 15, 2014 - May 11, 2011
Executive/senior leader checklist to improve culture and reduce central … March 17, 2021
Executive/senior leader checklist to improve culture and reduce central
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ipe-large-org-webcast-fishkin.pdf
March 24, 2020 - pain control and
side effects during “check-
back” or purposeful hourly
round
Key
Enablers
Nurse leader … checks in with patient during nurse leader rounds and validates patient
understanding of medications
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psnet.ahrq.gov/taxonomy/term/3440
April 10, 2025 - Alternatively, in assigning tasks in a crisis, the leader may ignore signals from a team member, which
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_pilotstudyreport.pdf
November 01, 2021 - workplace aggression and keep
providers and staff safe.
2 0.67
Supervisor, Manager, or
Clinical Leader … , Lab, Radiology) 524 7%
Other Clinical Position Subtotal 1,242 18%
Supervisor, Manager, Clinical Leader … , Senior Leader
Supervisor, Manager, Department Manager, Clinical Leader, Administrator
716 10% … Senior Leader, Executive, C-Suite 87 1%
Supervisor, Manager, Clinical Leader, Senior Leader Subtotal
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report.pdf
January 01, 2022 - Supervisor, Manager, or Clinical Leader
Support for Patient Safety
80%
of respondents "strongly … , Senior Leader
Supervisor, Manager, Department Manager, Clinical Leader,
Administrator, Director … 14,171 7%
Senior Leader, Executive, C-Suite 1,151 1%
Supervisor, Manager, Clinical Leader, Senior … Supervisor, Manager, or Clinical Leader Support for Patient Safety 80%. … ca l leader seriously considers st aff
suggest ions for improving patient safety.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
January 01, 2017 - , in order to ensure timely completion of project activities, your
team will need to choose a team leader … This leader will oversee the implementation of CUSP,
and additional team members can help implement … The CUSP team
leader should ensure that all clinicians and staff members watch the Science of Safety … What the CUSP Team Needs To Do
The CUSP team leader (or designee) should schedule monthly safety rounds … –CUSP Team Leader
Step 4: Learning From Defects
Once defects are identified and prioritized, the
-
psnet.ahrq.gov/training-catalog/ismp-education-solutions
August 09, 2025 - Organization
ECRI Institute
Event Description: As a global leader
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
December 01, 2024 - Supervisor, Manager, or Clinical Leader Support for Patient Safety
and Hospital Management Support … Supervisor, Manager, or Clinical Leader
Support for Patient Safety and Hospital Management Support for … Supervisor, Manager,
or Clinical Leader Support for Patient Safety and Hospital Management Support … Supervisor, Manager,
or Clinical Leader Support for Patient Safety and Hospital Management Support … Clinical Nurse Leader Tool Kit
https://www.aacnnursing.org/Portals/0/PDFs/CNL/CNLToolKit.pdf
The
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
January 01, 2012 - Work
Create a CUSP team
Nurses, physician, support staff, infection preventionist
Assign a team leader … Measure culture in the unit
Work with hospital quality leader or hospital management to have a senior … Toolkits
Slidesets
Manuals
Project Management Checklists
Pre-Implementation Checklist
CEO/Senior Leader … Respect the wisdom
Have a physician champion
Include charge nurses/staff development
Engage an executive leader
-
psnet.ahrq.gov/issue/hospital-board-checklist-improve-culture-and-reduce-central-line-associated-bloodstream
May 24, 2012 - May 11, 2011
Executive/senior leader checklist to improve culture and reduce central … Reduce Missed and Delayed Diagnoses of Cancer
July 31, 2023
Executive/senior leader
-
www.ahrq.gov/sops/international/hospital/translators-version-2.html
October 01, 2024 - Supervisor, Manager, or Clinical Leader Support for Patient Safety
(Strongly Disagree, Disagree, Neither … My supervisor, manager, or clinical leader seriously considers staff suggestions for improving patient … My supervisor, manager, or clinical leader wants us to work faster during busy times, even if it means … My supervisor, manager, or clinical leader takes action to address patient safety concerns that are brought
-
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. doi:10.1136/leader-2023-000922.
-
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. doi:10.1136/leader-2020-000407.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/module3-assessment-change-readiness-gap-analysis.pptx
August 25, 2015 - See Module 2 for more information on obtaining senior leader, risk management, and staff buy-in and support … The Implementation Team is led by the CANDOR Implementation Team Leader; this should be a senior leader … implementation of individual steps in the CANDOR process and reports to the CANDOR Implementation Team Leader … Module 3
11
To be effective as a team, the CANDOR Implementation Team Leader must take steps that empower
-
digital.ahrq.gov/sites/default/files/docs/page/2006Estrin_Trk4_051311comp.pdf
March 08, 2006 - Making
• Communication
National Technology
Advisory Panel – AHRQ
Requirement Governor’s Office
Leader … Project Team
Clinical
Working Group
Financial
Working Group
Security and Privacy
Working Group
Leader … : Executive Director - TBH
Members: RHIO Operations
State HIT Coordinating Council
Leader: Antoine … : Chair Elect and
Executive Director
Members:
Leader: Mark Frisse, AHRQ Program Director
Members … : Implementation Team
AHRQ Evaluation: Kevin Johnson
Structure
Leader: Dave Archer, St.
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psnet.ahrq.gov/issue/posttraumatic-growth-and-second-victim-distress-resulting-medical-mishaps-among-physicians
January 12, 2022 - January 12, 2022
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Related Resources
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March 27, 2024
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