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321. Updated Systematic Review Examines Pharmacotherapy for Adults With Alcohol Use Disorder in Outpatient Settings | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/press-releases/alcohol-use-disorders.html
     November 01, 2023 - “Unhealthy alcohol use is the third leading preventable cause of death in the United States, accounting

322. K Award Grantee Interview: Christopher Landrigan, M.D., M.P.H. | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/landrigan-transcript.html
     June 01, 2016 - Particularly, as we began to accumulate data that sleep deprivation really was a pretty universal problem leading

323. | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/programs/index.html?page=3
     are designed to help L&D units reduce obstetric hemorrhage and severe hypertension in pregnancy, two leading

324. Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
     July 01, 2023 - All of you here today are part of your Hospital AIM Team and responsible for leading the efforts for

325. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
     www.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

326. Module 6: Sustainability: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
     March 01, 2017 - Leading Change. … Leading Change. … Leading Change.

327. D. Subcommittee Member and Staff Biographies | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapd.html
     May 01, 2018 - Wood Johnson Foundation's national initiative, Aligning Forces for Quality, and is responsible for leading … Prior to this, he was head of Aetna Condition Analysis, leading medical cost management activities. … Rawlins also led the design, development, and implementation of Aetna's industry-leading end-of-life

328. Private Sector Efforts in Value-Based Purchasing and Quality Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
     June 01, 2018 - Seven leading business and employer organizations have recently announced a new initiative, the Employer … There is a clear need to coordinate and build upon these leading edge efforts, so that many more Americans … Their leading edge efforts tell us that we can do better.

329. Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
     July 01, 2023 - All of you here today are part of your Hospital AIM Team and responsible for leading the efforts for

330. 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 - One of the more recognized models is John Kotter’s 8-Step Process for Leading Change.

331. Improving Patient Safety Through Simulation Research: Funded Projects (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/simulproj11.pdf
     June 30, 2014 - grant HS20455; Project period April 1, 2011 – March 31, 2014 Sepsis is a diagnostic challenge and a leading … less effective than it could be, and ineffective interpersonal communication has been identified as a leading

332. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-facguide.docx
     January 01, 2017 - Communication failures are the leading contributing factor to medical errors, especially in the intensive … Breakdowns Cause Sentinel Events SAY: As mentioned earlier, ineffective communication is the second leading

333. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
     April 01, 2025 - breadth of elements of patient- and family-centered care and to assess where they are against the leading … Leading a Culture of Safety: A Blueprint for Success https://www.ihi.org/resources/publications/leading-culture-safety-blueprint-success … (requires free account setup and login) Leading a Culture of Safety: A Blueprint for Success was … /resources/white-papers/ihi-framework-improving-joy-work https://www.ihi.org/resources/publications/leading-culture-safety-blueprint-success … Toolkit Just Culture Decision Support Tool Just In Time Toolkits: Recipes for Staffing Transformation Leading

334. EvidenceNOW: A Model for Heart Health and Beyond (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/evidencenow-story.pdf
     September 01, 2021 - care practices struggle to adopt evidence-based practices to prevent and manage heart disease, the leading

335. Current State of Diagnosis Education | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-3.html
     March 01, 2022 - Breakdowns in collaboration and teamwork are leading system-related issues in cases of diagnostic error

336. For American Heart Month, AHRQ Offers New Tools for Expanding Cardiac Rehabilitation | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/heart-month-tools.html
     February 01, 2023 - As we recognize American Heart Month —and once again rank heart disease as America’s leading cause of

337. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
     January 01, 2024 - Five areas were included: the situation leading to the workaround; how the task would normally be completed … These themes were higher-order themes, such as the nature of blocks leading to workarounds. … Situations Leading to Workarounds Computer issues (e.g., system down) were the leading cause of workarounds … Other situations leading up to the workarounds included poor communication, staffing issues, time constraints

338. Building an Engaged CUSP Team Facilitator Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-notes.docx
     April 01, 2022 - Another key role the nurse champion plays is assisting in sharing data with bedside nurses, and leading

339. Healthcare Spending 26 Percent Higher Among Adults Who Had Adverse Childhood Experiences | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/healthcare-costs-childhood-experiences.html
     August 01, 2024 - Additional research is needed to understand better the factors leading to ACEs, but much is already known

340. EvidenceNOW: Building State Capacity | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/projects/state/index.html
     October 01, 2024 - of preventable cardiovascular events, which account for a significant national health burden and the leading