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2841. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
      September 01, 2005 - using a detailed, process-oriented taxonomy that allowed for thorough documentation of the processes leading

2842. A Conceptual Model for Disclosure of Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
      January 01, 2004 - Advances in Patient Safety: Vol. 2 490 “undermine your relationship with the patient,” and leading

2843. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
      April 08, 2004 - This was chosen to be a core course because medication errors are one of the leading risks to patient

2844. Creating a Curriculum for Training Health Profession Faculty Leaders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
      March 31, 2004 - leadership and frontline staff in patient safety concepts as well as in fostering cultural changes leading

2845. Burnout in Primary Care: Assessing and Addressing it in Your Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/burnout-in-primary-care.pdf
      February 01, 2023 - use, divorce, and suicide.3, 4 Burnout can increase worker turnover and reduce the quality of care, leading

2846. Six Building Blocks How-To-Implement Toolkit: Prepare and Launch Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-prepare.pdf
      February 18, 2021 - The team is responsible for leading the work, such as revising policy, developing and implementing workflows

2847. Implementation Guide for Automatic Referral: Building, Implementing, and Troubleshooting and Automatic Referral for Cardiac Rehabilitation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
      March 01, 2023 - . • Failure of providers to understand their role in utilizing the EMR leading to counterproductive

2848. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
      June 30, 2025 - Care 2014–2017 $1,999,179 Final Report Purpose: To research how provider handoffs of care are a leading

2849. Understanding SOPS Surveys: A Primer for New Users (Webcast) Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
      June 01, 2022 - And our most recent webcast was about the Implementation of an Event Reporting and Learning System Leading

2850. Implementation and Impacts of Lean Redesigns in Primary Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/leanprimarycarewebinar.html
      December 01, 2017 - Implementation and Impacts of Lean Redesigns in Primary Care October 28, 2016 Lean is a set of principles, practices, and problem-solving tools that aim to improve efficiency and quality. This webinar, presented on October 28, 2016, discussed implementation and impact of Lean redesign in primary care.   Con…

2851. Final Progress Report: How Do Consumers View the Risks of Medical Errors? (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
      January 01, 2024 - Final Progress Report: How Do Consumers View the Risks of Medical Errors? FINAL REPORT Title of Project: How Do Consumers View the Risks of Medical Errors? Principal Investigator: Ellen Peters Team Member: Paul Slovic Organization: Decision Research Inclusive Dates of Project: 09/01/2001 – 08/31/2003 Federal …

2852. TeamSTEPPS Building Block Exercise Instructions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-exercise-instructions.pdf
      June 02, 2025 - TeamSTEPPS Building Block Exercise Instructions TeamSTEPPS Exercise Instructions Overview TeamSTEPPS trainers use a number of exercises to introduce TeamSTEPPS and begin their trainings. This exercise has been created to support onsite trainings, entirely virtual trainings, or trainings with a blend of…

2853. Final Progress Report: A Multiyear Grant To Support the Diagnostic Error in Medicine (DEM) Annual Conference (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/newman-toker-report.pdf
      January 01, 2025 - Final Progress Report: A Multiyear Grant To Support the Diagnostic Error in Medicine (DEM) Annual Conference FINAL PROGRESS REPORT TITLE PAGE (R13HS019252, PI Newman-Toker) Title: A Multiyear Grant to Support the Diagnostic Error in Medicine (DEM) Annual Conference Principal Investigator: David E. Newman-Toker Tea…

2854. Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-work-around.pdf
      June 02, 2025 - Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study Focus on High Leverage Change: Risk Assessment Creating a Work-Aro…

2855. 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 - Implementing Opioid Risk Screening for Older Adults Using Automated Patient Reminders in an Electronic Health Record Case Study 1 Intervention: Many older adults experience chronic pain that requires long term opioid therapy (LTOT). The physician- owner, who also acts as a quality improvement (QI) lead at Pearl F…

2856. “Role of the Nurse Manager” Slide Content and Alternative Text | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/nursing/alt-text.html
      April 01, 2013 - Partnership Learning Domain Framework Managing the business Creating the leader within yourself Leading

2857. SNAC Member: Jaime Zimmerman, M.P.H., PMP  | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/nac/snac-zimmerman.html
      December 01, 2021 - SNAC Member: Jaime Zimmerman, M.P.H., PMP  Senior Program Advisor Designated Management Official, National Advisory Council Office of the Director Agency for Healthcare Research and Quality Jaime Zimmerman, M.P.H., PMP, serves as a senior program advisor in the Office of the Director at the Agency for Heal…

2858. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
      August 01, 2022 - In module 3, we will discuss in greater detail Kotter’s 8-Step Process for Leading Change model.

2859. Gap Analysis for Antibiotic Stewardhip in Ambulatory Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/gap-analysis-tool.pdf
      September 01, 2022 - Gap Analysis for Antibiotic Stewardhip in Ambulatory Care AHRQ Safety Program for Improving Antibiotic Use Gap Analysis for Antibiotic Stewardship in Ambulatory Care Instructions: Complete this document to evaluate the practices antibiotic stewardship activities on an annual basis and to define areas …

2860. CUSP Toolkit: The Role of the Nurse Manager | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/nursing/sl-nursing.html
      December 01, 2012 - Leading the people.