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101. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
     August 01, 2022 - The individuals who are responsible for leading implementation should consult this guide. … How to use this guide: Organizations committed to the program should expect to implement a number of leading

102. Biosketches | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
     September 01, 2016 - Adelman was named one of “50 Experts Leading the Field of Patient Safety” by Becker’s Hospital Review … In 2015 and 2016, Becker’s Hospital Review named her one of 50 experts leading the field of patient … His publications include papers in leading health services research journals, two books on organizational

103. TeamSTEPPS Fundamentals Course: Module 7. Sumary—Pulling it All Together | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/instructor/fundamentals/module7/slsummary.html
     July 01, 2018 - Misinterpretation of Cues Lack of Role Clarity Communication SBAR Call-Out Check-Back Handoff Leading

104. Instructor Manual Print Components | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/instructor/printver/index.html
     March 01, 2014 - KB) Classroom Slides ( PowerPoint® File , 2.3 MB) Evidence Base ( PDF File , 205 KB) Module 4: Leading

105. Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/tools/ambulatory-care/cap-toolkit/index.html
     January 01, 2018 - Community-acquired pneumonia is the eighth leading cause of death in the United States, according to

106. TeamSTEPPS in Long-Term Care (LTC): Financial and Safety Benefits of Implementing TeamSTEPPS in Nursing Homes and LTC Facilities
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
     January 01, 2013 - healthcare delivery systems where teamwork principles are practiced Communication failures are the leading … sentinel events reported to The Joint Commission over 10 years identified communication failure as the leading

107. Preventing Falls in Hospitals | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html
     February 01, 2024 - A fall may result in fractures, lacerations, or internal bleeding, leading to increased health care utilization

108. TeamSTEPPS Fundamentals Course: Module 1. Introduction | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/instructor/fundamentals/module1/slintro.html
     June 01, 2019 - Module 4—Leading Teams. Module 5—Situation Monitoring. Module 6—Mutual Support.

109. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
     December 01, 2017 - Slide 13 Leading Change For anything to change, someone has to start acting differently. … Slide 14 Images: The book cover in the slide above, the CUSP logo, and the book cover for "Leading … Catheter with a large red circle with a line through it superimposed over it, and the book cover for "Leading

110. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
     August 01, 2022 - CANDOR process implementation follow the steps for change outlined in John Kotter’s 8-Step Process for Leading

111. Section 1: Overview of Key Concepts and Tools | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
     June 01, 2023 - Illness Severity Stable, "watcher," unstable Patient Summary Summary statement Events leading

112. Mod5-Disclosure-Checklist (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
     April 01, 2016 - Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations, including key disclosure communication skills. Who should use this tool? Disclosure Lead and any staff who will be engaged in disclosure conversations. How to use this tool: Use Part I of the checklist to pre…

113. AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
     August 01, 2022 - Leading Federal efforts: In response to a 2017 Senate report, AHRQ established the Federal Interagency

114. AHRQ Safety Program Helps Hospitals Decrease Antibiotic Use and Reduce Infections, Study Finds | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsroom/press-releases/antibiotic-stewardship-hospital.html
     February 01, 2021 - prescriptions; availability of local antibiotic guidelines; having at least one paid, dedicated staffer leading

115. Improving Medication Safety for Older Adults | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-chui.html
     March 01, 2022 - would facilitate their communication with a pharmacist who could help them make informed decisions, leading

116. Improving Clinical Performance and Safety Culture Through TeamSTEPPS Implementation
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
     January 01, 2016 - Clinical Performance & Safety Culture Slide ‹#› 7 About HCA Founded in 1958 One of the nation’s leading

117. New Ideas Lead to Big Changes in Care | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/cascades-east.html
     March 01, 2021 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

118. Understanding SOPS® Surveys: A Primer for New Users - Intro (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-intro.pdf
     January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Intro Understanding SOPS® Surveys: A Primer for New Users Webcast November 7, 2022 1:00-2:00 PM ET Need Help? • No sound from computer speakers? ► Choose Phone Call or Call Me • Trouble with your connection or slides not moving? ► Log out and log back …

119. TeamSTEPPS Fundamentals Course: Module 5. Situation Monitoring | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/instructor/fundamentals/module5/slsitmonitor.html
     July 01, 2018 - of Cues Lack of Role Clarity Communication SBAR Call-Out Check-Back Handoff Leading

120. Clean Equipment and Environment Promotes Safe Resident Care | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/environ-equip-slides.html
     March 01, 2017 - quality resident care; however, improper care and maintenance can introduce infections in residents, leading … quality resident care; however, improper care and maintenance can introduce infections in residents, leading