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461. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
     July 01, 2023 - abbreviations with different meanings, as well as unfamiliar accents or dialects, can all cause confusion that leads

462. Improving Communication Between Members of the Practice Around Antibiotic Decisions – Facilitator Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-guide.docx
     September 01, 2022 - It is an approach that leads to effective communication.

463. Special Considerations for Measurement of Diagnostic Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
     June 01, 2020 - Efforts should focus on conditions that have been shown to be relatively common in being missed, which leads

464. Module 1: Overview - Facilitator's Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module1-speaker-notes.html
     February 01, 2023 - From a public health standpoint, CAUTIs pose another risk, namely that their frequency leads to additional

465. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
     January 01, 2004 - The summation of their effects leads to at least one, but more often an aggregate of cognitive dispositions … fast and frugal approach to his complaint involves primarily a pattern recognition heuristic that leads

466. Prologue: Laying the Foundation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
     June 02, 2025 - Prologue: Laying the Foundation Prologue Laying the Foundation Kerm Henriksen, PhD The volume starts with papers that look to the future and examine the past with respect to patient safety; however, its overarching theme is assessment. An underlying premise to any volume that focuses on assessment is tha…

467. Assemble the Team, Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/assemble/team-notes.html
     December 01, 2012 - Team leads should remember to use the 4 E’s when recruiting CUSP team members: Engage team members … Team leads should keep the 4 E’s in mind when recruiting team members: engage, educate, execute, and

468. 130-Ss-Swiss-Cheese-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
     April 01, 2025 - Active failures occur when an “operator” performs an unsafe action that leads to an event.

469. Implementing a State-Level Quality Improvement Collaborative: A Resource Guide From the Medicaid Network for Evidence-based Treatment (MEDNET) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/mednetresourceguide/mednetresourcedguide.pdf
     October 01, 2014 - Namely, having a skilled champion and project leads working together helps ensure that the project is … Once a champion and project leads are identified, the next step is to recruit a core staff team. … and early planning ideas) 5-8 weeks before event  Hold planning call with core team (including leads

470. 114-Mrsa-Prevention-Learning-From-Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Learning From Defects Tool ICU & Non-ICU Problem statement: Healthcare organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that future patients will be harmed. What is a defect? A defect is any clinical or o…

471. Implementation-Guide-Appendix-A (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-a.docx
     January 01, 2008 - · Demonstrate potential gaps between the evidence and practice · Compare an individual to others · Leads

472. Patient and Family Engagement in the Emergency Department | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-transcript.html
     December 01, 2017 - Patient and Family Engagement in the Emergency Department Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany July 7, 2015 ED Coaching Call Sarah:  Hello everyone, and thank you for listening today. My name is Sarah Dalton, and I am a Program Specialist at the Health Res…

473. Patient And Family Engagement In The Ed Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/Patient_and_Family_Engagement_in_the_ED_transcript.docx
     July 07, 2015 - On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany July 7, 2015 ED Coaching Call Sarah: Hello everyone, and thank you for listening today. My name is Sarah Dalton, and I am a Program Specialist at the Health Research and Educational Trust. Welcome to the fifth mini-presentation in the CAUTI ED cohort …

474. Transcript: Senior Leadership Podcast – What Does It Mean To Be Engaged? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module2-transcript.pdf
     June 01, 2017 - could really talk about, here's what it means to be a senior leader who gets quality and safety, who leads

475. Appendix A. Checklists for Assessing Executive and Physician Champion Potential | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-a.html
     October 01, 2015 - Leads peer discussions to build consensus for the changes related to appropriate use and timely removal

476. Learn Module Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
     April 01, 2013 - to spark engagement in staff safety assessments Provide templates and discussion guides to project leads

477. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Assemble the Team and Engage Leadership
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
     May 01, 2017 - Safety Program for Perinatal Care Assemble Team/ Engage Leadership 38 The Nurse Manager’s Role Leads

478. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar05/mixedmethods.html
     June 01, 2017 - collection and analysis and Qualitative data collection & analysis both lead to Compare or relate, which leads

479. Facilitator Guide: Deep-Rooting Your Data (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data_facnotes.docx
     December 01, 2017 - Make it clear that greater compliance leads to fewer infections.

480. Deep-Rooting Your Data: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-fac-notes.html
     December 01, 2017 - Make it clear that greater compliance leads to fewer infections.