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421. 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

422. 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

423. 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

424. 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

425. 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.

426. 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

427. 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

428. newbref
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/slintro-cx062819.pptx
     January 01, 2011 - Course Agenda Day 1: Module 1—Introduction Module 2—Team Structure Module 3—Communication Module 4—Leading

429. newbref
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/slintro.pptx
     January 01, 2011 - Course Agenda Day 1: Module 1—Introduction Module 2—Team Structure Module 3—Communication Module 4—Leading

430. Introducing TeamSTEPPS for Office-Based Care Online (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2018-materials/introtsoffice.pdf
     January 01, 2018 - Asked Questions" Yes Yes TEAMSTEPPS 05.2Mod 1 05.2 Page 9Slide 9 Continuing Education Credit  A leading

431. Module 1 Slides
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_slides_intro.pptx
     January 20, 2006 - Course Agenda Day 1: Module 1—Introduction Module 2—Team Structure Module 3—Communication Module 4—Leading

432. AHRQ ePSS Helps Colorado Medical Students Understand Preventive Care Guidelines | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcp362.html
     October 01, 2014 - Emily Burns, MD, MSPH, Executive Director of the Southwestern Colorado AHEC, is leading the project in

433. AHRQ-Funded Program Helps Long-Term Care Provider Reduce Falls | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cdom0604.html
     October 01, 2014 - (BHRS), one of the Nation's leading providers of long-term care, is using components of a program to

434. Step 2: Fostering a Research Culture | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/training-grants/hsrguide/hsrguide2.html
     October 01, 2014 - A list of the leading health services research journals can be found in the sidebar.

435. Epidemiology of Invasive Devices and Complications | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section2.html
     October 01, 2015 - A VAP results from aspiration of organisms into the lungs, leading to pneumonia.

436. Improving service systems for youth with serious emotional disorders and their families | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary4.html
     September 01, 2015 - Dedicating staff to leading CME development, and consulting both with a contractor and States with CME

437. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
     September 01, 2015 - infections and may cause other complications such as multidrug-resistant organisms, additional antibiotics leading

438. Care Coordination | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination.html
     June 01, 2018 - Promoting the most effective prevention and treatment practices for the leading causes of mortality,

439. Person- and Family-Centered Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pfcc.html
     June 01, 2018 - Promoting the most effective prevention and treatment practices for the leading causes of mortality,

440. Part 2: Trends in Priorities of the Heckler Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2.html
     May 01, 2018 - minority health issues, beginning with the creation of the HHS Office of Minority Health in 1986 and leading