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21. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil2.html
    April 01, 2018 - Recognizing that collaboration with their providers through patient-centered care leads to better self-management … Improving consumer satisfaction, which leads to stronger patient loyalty.

22. Eliminating CLABSI, A National Patient Safety Imperative: A Progress Report on the National 'On the CUSP: Stop BSI' Project, Neonatal CLABSI Prevention (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/clabsineonatal.pdf
    October 01, 2012 - These State clinical leads worked with their State hospital associations and recruited NICUs to participate … These State clinical leads worked with their State hospital associations and recruited NICUs to participate … The State leads were neonatologists, not employed by a State hospital association. 2. … For these interventions, the national project team provided the State clinical leads and their units … These new State clinical leads have also completed plans to spread the success of the NCLABSI project

23. Biosketches | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
    September 01, 2016 - serves as Immediate Past President of the Clinical Laboratory Management Association, where he also leads … Within CDOM he leads research on organization and delivery system change. … serves as a Core Faculty member of the Armstrong Institute for Patient Safety and Quality, where he leads … She leads several health care award initiatives at Intermountain Healthcare and is a leader in the High … He leads a portfolio of VA and AHRQ-funded patient safety research in improving the use of health IT

24. Create a Safe Medicine List Together: Scripts (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-Quick-Start-Clinicians.pdf
    September 01, 2022 - The Calibrate Dx User Guide leads clinicians through four steps to improve diagnosis: 1.

25. Antibiotic Side Effects (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-side-effects.pdf
    June 01, 2021 - emergency department (ED) visits for drug-related adverse events • 1 in 1,000 antibiotic prescriptions leads

26. Jeffrey "Jay" Toven | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/cpi/centers/oms/jtoven-bio.html
    June 01, 2018 - He leads a staff of 50 professionals, who execute the Agency’s programs for human resources, grants and

27. Lesson 2: Leading Teams and Situation Monitoring - Lesson 2: Leading Teams and Situation Monitoring : Video 2: Leading Teams and Situation Monitoring (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/video-debrief2.pdf
    November 30, 2015 - Lesson 2: Leading Teams and Situation Monitoring - Lesson 2: Leading Teams and Situation Monitoring : Video 2: Leading Teams and Situation Monitoring TeamSTEPPS for Office-Based Care Video 2 Debrief Worksheet Practice Facilitator Debrief Team STEPPS for Office-Based Care Practice Facilitator Debrief Workshe…

28. NAC Member Biography: Edmondo Robinson | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/cpi/about/organization/nac/robinson.html
    July 01, 2023 - Robinson leads Moffitt’s Center for Digital Health, which leverages the tools of information technology

29. Previous SOPS Webcasts | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/sops/webcasts/previous.html
    June 01, 2023 - Understanding SOPS Surveys: A Primer for New Users (February 19, 2020) Event Reporting and Learning System Leads

30. TeamSTEPPS 2.0: Module 8. Change Management | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module8/slchangemgmt.html
    March 01, 2014 - Training leads to intervention. Intervention includes testing and leads to Phase III.

31. TeamSTEPPS 2.0: Module 9. Coaching Workshop | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module9/slcoaching.html
    March 01, 2014 - Training leads to intervention. Intervention includes testing and leads to Phase III. 

32. TeamSTEPPS 2.0: Module 10. Measurement | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module10/slmeasure.html
    March 01, 2014 - Training leads to intervention. Intervention includes testing and leads to Phase III. 

33. TeamSTEPPS for Office-Based Care: Change Management | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps/officebasedcare/module9/office_mgmt.html
    September 01, 2015 - Training leads to intervention. Intervention includes testing and leads to Phase III.

34. TeamSTEPPS for Office-Based Care: Measurement | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps/officebasedcare/module10/office_msmt.html
    September 01, 2015 - Training leads to intervention. Intervention includes testing and leads to Phase III.

35. Just Culture Webcast Presentation (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
    May 01, 2007 - learning” document for managers to guide the sharing with staff • And since then Employee Relations leads

36. Preventing Falls in Hospitals (Slide Presentation) | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
    June 01, 2018 - challenges Slide 10   Relevant Tools Flowchart showing the following text boxes: Challenges leads … to Opportunity leads to Tools That Really Help Slide 11   Challenge Image of Atlas holding the

37. TeamSTEPPS Action Planning At-A-Glance (Text Description) | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps/instructor/reference/quickrefguidefigtxt.html
    March 01, 2014 - Step 10 leads to another box stating 'Incorporate Feedback from Key Personnel', which then has an arrow

38. Implementing SBAR: Improving Communication and Response Times in Critical Care Transport
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-nov2013.pptx
    January 01, 2013 - 1 05.2 Page ‹#› TeamSTEPPS Communication is Priority Miscommunication 80% of all medical errors Leads … to 98,000 deaths per year Leads to other negative outcomes (Vardaman et al, 2012) Call for standardization

39. Sample “Plan-Do-Study-Act” Form | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
    June 01, 2017 - Agreement by leads of quality improvement (QI) project. … Who leads huddle?

40. TeamSTEPPS for Office-Based Care: Implementation Planning | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps/officebasedcare/module11/office_impplan.html
    September 01, 2015 - Training leads to intervention. Intervention includes testing and leads to Phase 3.