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1. Facilitator Guide for Hospital AIM Team Leads (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-facilitator-guide.docx
   July 01, 2023 - Facilitator Guide for Hospital AIM Team Leads Facilitator Guide for Hospital AIM Team Leads What Is … We refer to these individuals as “Hospital AIM Team Leads” throughout this guide. … Hospital AIM Team Leads will have attended a 1-day in-person teamwork training workshop that will provide … Preparing for In-Person Facilitation Sessions We recommend Hospital AIM Team Leads follow the steps below … No. 23-0046 July 2023 AHRQ Safety Program for Perinatal Care II Facilitator Guide AIM Team Leads 1

2. Unprofessional Behavior Leads to Complications. | PSNet
   psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
   October 31, 2023 - Audiovisual Presentation Unprofessional Behavior Leads to Complications. … Citation Text: Unprofessional Behavior Leads to Complications. JN Learning. 2020. … Cite Citation Citation Text: Unprofessional Behavior Leads … February 8, 2023 How health care complexity leads to cooperation and affects the autonomy … August 25, 2009 When medical care leads to harm—difficulty finding words: a teachable

3. Lapse in Antibiotics Leads to Sepsis | PSNet
   psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
   November 21, 2021 - Lapse in Antibiotics Leads to Sepsis Citation Text: Levy MM. … Lapse in Antibiotics Leads to Sepsis. PSNet [internet]. … Lapse in Antibiotics Leads to Sepsis. PSNet [internet]. … Lapse in Antibiotics Leads to Sepsis. PSNet [internet].

4. Diffusion of Responsibility Leads to Danger | PSNet
   psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
   November 08, 2013 - Diffusion of Responsibility Leads to Danger Citation Text: Balcezak TJ, Deshpande O. … Diffusion of Responsibility Leads to Danger. PSNet [internet]. … Diffusion of Responsibility Leads to Danger. PSNet [internet]. … Diffusion of Responsibility Leads to Danger. PSNet [internet].

5. "Superficial" Report Leads to "Deep" Problem | PSNet
   psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
   July 01, 2012 - "Superficial" Report Leads to "Deep" Problem Citation Text: Dhaliwal G. … "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. … "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. … "Superficial" Report Leads to "Deep" Problem. PSNet [internet].

6. Medication Mix-Up Leads to Patient Death | PSNet
   psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
   July 08, 2022 - Medication Mix-Up Leads to Patient Death Citation Text: Sanchez L, Romano PS. … Medication Mix-Up Leads to Patient Death. PSNet [internet]. … Medication Mix-Up Leads to Patient Death. PSNet [internet]. … Medication Mix-Up Leads to Patient Death. PSNet [internet].

7. Misprogramming PCA concentration leads to dosing errors. | PSNet
   psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors
   May 02, 2018 - Newspaper/Magazine Article Misprogramming PCA concentration leads to dosing errors … Citation Text: Misprogramming PCA concentration leads to dosing errors. … Cite Citation Citation Text: Misprogramming PCA concentration leads

8. Miscommunication in the OR Leads to Anticoagulation Mishap | PSNet
   psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
   May 08, 2019 - Miscommunication in the OR Leads to Anticoagulation Mishap Citation Text: Solsky I, Haynes … Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. … Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. … Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet].

9. An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet
   psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
   January 29, 2021 - An Incomplete Anesthesia History Leads to Adverse Outcomes Citation Text: Bohringer C. … An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. … An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. … An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. … October 27, 2022 WebM&M Cases Saline Flush Leads

10. Lessons on How To Improve Future National Collaboratives | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal5.html
    January 01, 2013 - of recruited hospitals reduced the opportunity for peer learning and provided less impetus for State leads … Teams reported to the State leads that the monthly data collection was too frequent and found the tool … All State leads further reported that senior leader engagement was very important to their successful … Some State leads used small incentives like inexpensive food gift cards to encourage struggling teams … After this point State leads led the coaching calls on their own.

11. Inadvertent Use of More Potent Acid Leads to Burn | PSNet
    psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
    November 01, 2023 - Inadvertent Use of More Potent Acid Leads to Burn Citation Text: Maibach HI. … Inadvertent Use of More Potent Acid Leads to Burn. PSNet [internet]. … Inadvertent Use of More Potent Acid Leads to Burn. PSNet [internet]. … Inadvertent Use of More Potent Acid Leads to Burn. PSNet [internet].

12. AHRQ Impact Case Studies Criteria | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/criteria.html
    December 01, 2019 - Impact Case Studies are developed by AHRQ's Office of Communications (OC) based on leads that are provided … Viable leads follow the general development process outlined below. … Criteria Development of an Impact Case Study starts by collecting leads. … Viable leads must meet the following criteria: The user (person or entity that uses AHRQ’s material

13. COVID-19 leads to increased need for dialysis machines. | PSNet
    psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines
    April 29, 2020 - Audiovisual COVID-19 leads to increased need for dialysis machines. … Citation Text: COVID-19 leads to increased need for dialysis machines. Mosley T. Here & Now. … Copy URL Cite Citation Citation Text: COVID-19 leads

14. A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet
    psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
    September 01, 2014 - A Costly Colonoscopy Leads to a Delay in Diagnosis Citation Text: Moriates C. … A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. … A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. … Leads the World in Health Expenditures. New York Times. June 1, 2013. [Available at] 14. … A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet].

15. Selection of incorrect medication pump leads to chemotherapy overdose. | PSNet
    psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose
    September 09, 2015 - Newspaper/Magazine Article Selection of incorrect medication pump leads to chemotherapy … Citation Text: Selection of incorrect medication pump leads to chemotherapy overdose. … Cite Citation Citation Text: Selection of incorrect medication pump leads … September 9, 2015 Electronic prescribing vulnerabilities: height and weight mix-up leads

16. Program Evaluation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
    July 01, 2023 - Program Evaluation Hospital AIM Team Leads SPPC‐II Program Evaluation Module 8 of 8 SPPC‐II … module we will discuss aspects related to the evaluation of the program. 1 Hospital AIM Team Leads … the proposed evaluation approach for the SPPC–II Demonstration Project. 2 Hospital AIM Team Leads … Hospital AIM Team Leads SPPC‐II Growing Interest in Severe Maternal Morbidity (SMM) □ Calls by … SPPC‐II Key Program Evaluation Concepts 10 10 Hospital AIM Team Leads SPPC‐II What

17. Program Evaluation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
    July 01, 2023 - Program Evaluation Hospital AIM Team Leads SPPC‐II Program Evaluation Module 8 of 8 SPPC‐II … module we will discuss aspects related to the evaluation of the program. 1 Hospital AIM Team Leads … background data that justify the need for our program and its evaluation. 3 Hospital AIM Team Leads … Hospital AIM Team Leads SPPC‐II Growing Interest in Severe Maternal Morbidity (SMM) □ Calls by … SPPC‐II Key Program Evaluation Concepts 10 10 Hospital AIM Team Leads SPPC‐II What

18. What We Learned: Five Key Lessons | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal4.html
    January 01, 2013 - experiences of the National Project Team (NPT) over 4 years, and with interviews conducted with 11 State leads … All State leads interviewed by HRET stated that the national expertise and leadership of members of the … To keep State leads informed, HRET created a weekly update, which State leads could use in turn to communicate … The NPT held monthly State lead calls in which State leads could share their experiences and strategies … The NPT met frequently to try to address the lower level of engagement of these State leads and their

19. Program Evaluation - PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8_program-evaluation.pptx
    July 01, 2023 - No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 8 of the SPPC-II Teamwork … program evaluation concepts SPPC-II/Demonstration Project evaluation approach 2 Hospital AIM Team Leads … the national AIM program SPPC-II Demonstration Project in Oklahoma & Texas 4 Hospital AIM Team Leads … Hospital AIM Team Leads SPPC-II SCRIPT The most common causes of maternal mortality in the United States … 23 Hospital AIM Team Leads SPPC-II This concludes the presentation for the Evaluation Module.

20. Program Evaluation - PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8_program-evaluation.pptx
    July 01, 2023 - No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 8 of the SPPC-II Teamwork … program evaluation concepts SPPC-II/Demonstration Project evaluation approach 2 Hospital AIM Team Leads … the national AIM program SPPC-II Demonstration Project in Oklahoma & Texas 4 Hospital AIM Team Leads … Hospital AIM Team Leads SPPC-II SCRIPT The most common causes of maternal mortality in the United States … 23 Hospital AIM Team Leads SPPC-II This concludes the presentation for the Evaluation Module.