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401. Part 1: Overviews of the Report and the Hispanic Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part1.html
     March 01, 2020 - Leading causes of morbidity and mortality include heart disease, cancer, unintentional injuries, stroke … Congenital malformation, low birthweight, and maternal complications are the leading causes of infant

402. Three Areas To Immediately Advance Diagnosis In Rural Healthcare | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare3.html
     September 01, 2024 - health literacy can prevent patients from accurately describing their symptoms or medical history, leading … to misdiagnosis.81 Similarly, poverty may prevent patients from accessing care, leading to delayed diagnoses … healthcare services and the community by better equipping patients to manage their health, ultimately leading

403. AHRQ News Now | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/index.html?order=field_date_created&page=0&sort=desc
     June 04, 2024 - Impact of its Patient Safety Tools May 30, 2023 New Interactive Data Map Shows Extent of Leading

404. Preventing Hospital-Associated Venous Thromboembolism | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/index.html
     February 01, 2024 - Medical Center and Emory University Hospitals, this guide assists quality improvement practitioners in leading

405. Healthcare’s Next Technological Frontier: 21st Century Artificial Intelligence | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/2st-century-ai.html
     October 01, 2024 - Researchers believe that using this tool will improve the prediction of patient acuity and complexity, leading

406. Preventing Hospital-Associated Venous Thromboembolism | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/index.html
     February 01, 2024 - Medical Center and Emory University Hospitals, this guide assists quality improvement practitioners in leading

407. Advancing Heart Health | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/projects/heart-health/index.html
     March 01, 2024 - care practices struggle to adopt evidence-based practices to prevent and manage heart disease, the leading

408. Assess and Adapt: Understanding the Science of Safety and Reliability | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
     July 01, 2018 - Slide 17 System Failures Leading to Error (Reason, 1990) Image: Four chunks of swiss cheese with … a red arrow going through one of the holes with Hazards at the end of the last chunk leading to Losses

409. Patient and Family-Centered Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-slides.html
     December 01, 2017 - Slide 5 Culture Change Model Comparison Table Objective Kotter: Leading Change Kouzes … How-to strategies Engaging with after an adverse event Slide 9 Hopkins Model for Leading

410. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt1.pptx
     October 01, 2015 - Leading causes of morbidity and mortality include heart disease, cancer, unintentional injuries, stroke … Congenital malformation, low birthweight, and maternal complications are the leading causes of infant

411. Final Progress Report: Patient Safety in Hospice Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
     January 01, 2024 - These include aspects of who was involved, the series of events leading to the patient safety incident … Injuries from falls: Common contributing factors for falls leading to harm included: • Patients living … Inadequate control of symptoms, particularly pain: Common contributing factors leading to poor symptom

412. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
     January 01, 2019 - Leading a Culture of Safety: A Blueprint for Success http://www.ihi.org/resources/Pages/Publications … /Leading-a-Culture-of-Safety-A-Blueprint-for- Success.aspx (requires free account setup and login) … Leading a Culture of Safety: A Blueprint for Success was developed to bridge the gap in knowledge and … http://www.ihi.org/resources/Pages/Publications/Leading-a-Culture-of-Safety-A-Blueprint-for-Success.aspx … http://www.ihi.org/resources/Pages/Publications/Leading-a-Culture-of-Safety-A-Blueprint-for-Success.aspx

413. National Quality Strategy Stakeholder Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nqstoolkit2016.pdf
     July 01, 2015 - Promoting the most effective prevention and treatment practices for the leading causes of mortality … Family-Centered Care Effective Communication and Care Coordination Prevention and Treatment of Leading … • Promoting the most effective prevention and treatment practices for the leading causes of mortality

414. Communication and Optimal Resolution (CANDOR) Toolkit Module 3: Preparing for Implementation: Change Readiness and Gap Analysis
     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 - Leading Change. Boston: Harvard Business School Press, 1996. … CANDOR process implementation follow the steps for change outlined in John Kotter’s 8-Step Process for Leading … Leading Change.

415. AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors | Agency for Healthcare Research and Quality
     www.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

416. New Clinical Processes and Improving Workflows for Opioid Management in a Geriatric Clinic: Using Input from The Team Case Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-clinical-processes-workflows.pdf
     December 15, 2023 - With only one person leading the project, this clinic needed a few more hands to help keep up the momentum

417. Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/kesselheim-report.pdf
     January 01, 2024 - physician-reported prescribing data, the reasons for use of 45 drugs (the three top drugs in each of the 15 leading … of gabapentin (Neurontin) and the antipsychotics olanzapine (Zyprexa) and aripiprazole (Abilify), leading … Investigators found that nearly 75% of a new oncologic drug’s use was off label, leading to over $1 … eltrombopag in treating HCV-associated thrombocytopenia was growing in the medical literature, ultimately leading … Many of these analyses were published in leading peer-reviewed medical and health policy journals, and

418. Strengthening National Efforts to Reduce Healthcare-Associated Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article2.html
     June 01, 2014 - in the ambulatory surgery setting. a These projects, coupled with insights HRET has gained while leading … intended to help. 16 If all innovations in health care were improvements that spread slowly, then those leading … differences were attributable to the visible impacts of anesthesia and the invisible impacts of infections leading … the comparative impact of each of these spread factors, but we believe it is very possible for those leading … Based on our experiences in leading national HAI reduction efforts, we believe this perspective is optimal

419. Strengthening National Efforts to Reduce Healthcare-Associated Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article2.html
     June 01, 2014 - in the ambulatory surgery setting. a These projects, coupled with insights HRET has gained while leading … intended to help. 16 If all innovations in health care were improvements that spread slowly, then those leading … differences were attributable to the visible impacts of anesthesia and the invisible impacts of infections leading … the comparative impact of each of these spread factors, but we believe it is very possible for those leading … Based on our experiences in leading national HAI reduction efforts, we believe this perspective is optimal

420. Site-Level Data File Specifications: AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/resources/pharmsitelevel.pdf
     July 11, 2014 - Character 2-character State abbreviation Column H* ZipCode Zip Code Character 5-digit zip code (include leading