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161. Executive Briefing
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/leadership-brief/ts-leadershipbrief.pptx
     January 01, 2013 - events that were reported to them over the last 10 years and identified communication failure as the leading … of performance. 18 Importance of Communication Communication failure has been identified as the leading … events that were reported to them over the last 10 years and identified communication failure as the leading

162. AHRQ National Advisory Council to Meet Virtually on July 14 | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsroom/press-releases/national-advisory-meeting-july-14.html
     July 01, 2021 - SHARE: More topics in this section News Newsroom Press Releases AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events AHRQ National Advisory Council to Meet Virtually on July…

163. TeamSTEPPS 2.0: Module 11. Implementation | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module11/slimplement.html
     March 01, 2014 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Curriculum Materials TeamSTEPPS® 2.0 TeamSTEPPS® Rapid Response Systems Guide Training Guide: Using Simulation in TeamSTEPPS® Training Patients with Limited English …

164. Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/diagnostic-safety/index.html
     January 01, 2007 - SHARE: Diagnostic Safety and Quality Current State of Diagnostic Safety: Implications for Research, Practice, and Policy Identifying themes related to the curren…

165. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
     February 01, 2024 - Leading to the creation of these interventions, researchers first adapted validated tools (Safer Dx,

166. Improving Patient Safety in Healthcare | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
     December 01, 2023 - Fairbanks has been listed several times by  Becker’s Hospital Review  as an expert leading the field

167. Bleeding Risks Increase When Blood Thinners and Aspirin Are Taken Together | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/902.html
     February 01, 2024 - The program provides opportunities to work with leading health services researchers and contribute to

168. AHRQ Efforts To Address Long COVID | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/coronavirus/long-covid.html
     March 01, 2024 - Resources What's New AHRQ Efforts To Address Long COVID AHRQ is leading

169. Strategy 2: Communicating for Improve Quality (Tool 5) (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_5_Comm_Comp_508.docx
     February 10, 2011 - following list identifies behaviors to help clinicians build partnerships with patients and families, leading

170. TeamSTEPPS® 2.0 Leadership Briefing | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
     April 01, 2017 - events that were reported to them over the last 10 years and identified communication failure as the leading … of Page Slide 19: Importance of Communication Communication failure has been identified as the leading … events that were reported to them over the last 10 years and identified communication failure as the leading

171. Hospital Resources | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/resource/about.html
     December 01, 2017 - A fall may result in fractures, lacerations, or internal bleeding, leading to increased health care utilization

172. TeamSTEPPS Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module6/slmutualsupp.html
     July 01, 2018 - of Cues  Lack of Role Clarity Communication: SBAR  Call-Out  Check-Back  Handoff  Leading

173. EvidenceNOW Leads to Huge Gains for Small Oklahoma Practice | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/oklahoma.html
     March 01, 2021 - SHARE: More topics in this section EvidenceNOW EvidenceNOW Model Practice Facilitation EvidenceNOW Projects Advancing Heart Health About Advancing Heart Health Origin Cooperatives EvidenceNOW Stories EvidenceNOW …

174. Nursing Home Resources | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/es/nursing-home/resources/search.html
     January 01, 2022 - tool can be used by nursing homes on a culture change journey to become aware of concrete changes that leading

175. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
     August 01, 2022 - Leading teams: Setting the stage for great performances.

176. TeamSTEPPS 2.0: Module 8. Change Management | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module8/igchangemgmt.html
     March 01, 2019 - Leading change . Boston, MA: Harvard Business School Press. Kotter, J. & Rathgeber, H. (2005).

177. AHRQ Welcomes Your Comments on Draft Report to Congress about Improving Patient Safety | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/blog/ahrqviews/comments-pso-draft-report.html
     February 01, 2021 - SHARE: More topics in this section News Newsroom Blog AHRQ Views Newsletter Events AHRQ Views: Blog posts from AHRQ leaders AHRQ Welcomes Your Comments on Draft Report to Congress about Improving Patient Safe…

178. Patient Safety and Quality Improvement | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/index.html
     January 01, 2024 - SHARE: Patient Safety and Quality Improvement National Action Alliance for Patient and Workforce Safety Learn about the public-private collaboration to advance s…

179. EvidenceNOW in Action | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
     March 01, 2021 - SHARE: More topics in this section EvidenceNOW EvidenceNOW Model Practice Facilitation EvidenceNOW Projects Advancing Heart Health About Advancing Heart Health Origin Cooperatives EvidenceNOW Stories EvidenceNOW …

180. Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/884.html
     October 01, 2023 - conditions (including deaths from suicide and overdose/poisoning related to substance use disorders) are the leading