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141. Conclusions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim5.html
     July 01, 2013 - evaluating the abilities and needs of the States in order to identify methods that best support State leads … not limited to, reviews of the education materials, question-and-answer sessions with team and State leads … a specialized training and coaching event was developed for faculty and State hospital association leads … I-ACT was created as a collaborative and interactive workshop to provide NPT and State leads alike a … encouraged and working on ways to improve, spread, and replicate the program for future faculty and State leads

142. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
     December 01, 2017 - DON or ADON typically leads the meeting. … Charge nurse or nurse manager typically leads the meeting.       … Rehab director typically leads the meeting.       … DON or ADON leads the meeting. … DON typically leads the meeting.

143. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4m_combo_psi18-19-obstetriclaceration-bestpractices.pdf
     May 20, 2016 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes https://innovations.ahrq.gov … /profiles/rehearsing-team-care-relatively-rare-obstetric- emergencies-leads-improved-outcomes • AHRQ … Early_Deliveries_Without_Medical_Indications https://innovations.ahrq.gov/profiles/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes … https://innovations.ahrq.gov/profiles/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes

144. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
     January 01, 2024 - . – The anesthesia resident had only connected ECG leads into the anesthesia monitor, and not into … ) may be induced by attempted cardioversion.8 – It is therefore very important to connect the ECG leads … pacing mode, as in the electrophysiology lab or in the operating room, where pacing via epicardial leads … – With this set-up, a separate pair of chest leads directly connected to the defibrillator is no … (1) Connect defibrillators to the ECG leads (2) Connect defibrillators to the ECG leads (3) Be familiar

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42535/psn-pdf
     October 16, 2013 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads … Implementing an interprofessional patient safety learning initiative: insights from participants, project leads

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43661/psn-pdf
     November 05, 2014 - challenging-authority-during-life-threatening-crisis-effect-operating-theatre-hierarchy https://psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error … https://psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error

147. Tool 1.1: E-Prescribing Team Roster for E-Prescribing Implementation Toolset | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-11-e-prescribing-team-roster-e-prescribing-implementation-toolset
     January 01, 2023 - Tasks: Builds and leads implementation team Leads negotiation of goals with executive or owner … ______________________________ Implementation Project Manager Role: Manages the project, leads … Coordinates contract negotiations Works closely with the physician champion and executive sponsor Leads

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47616/psn-pdf
     January 01, 2020 - The authors theorized that misalignment leads to missed follow-up testing and deterioration in patient–physician … issue/process-care-failures-breast-cancer-diagnosis https://psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis

149. "Use as directed" can cause confusion for both patients and practitioners. | PSNet
     psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners
     August 24, 2016 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared … February 24, 2016 Electronic prescribing vulnerabilities: height and weight mix-up leads … June 10, 2018 Misprogramming PCA concentration leads to dosing errors.

150. Safety still compromised by computer weaknesses. | PSNet
     psnet.ahrq.gov/issue/safety-still-compromised-computer-weaknesses
     September 14, 2016 - September 7, 2022 Electronic prescribing vulnerabilities: height and weight mix-up leads … June 10, 2018 Misprogramming PCA concentration leads to dosing errors. … Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared

151. Procedure Manual Section 1. Overview of U.S. Preventive Services Task Force Structure and Processes | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-1
     December 01, 2013 - If the request to reconsider is approved, the topic leads review and present the evidence supporting … This team consists of three to four topic "leads" from the USPSTF membership, members of AHRQ staff ( … The responsibilities of the USPSTF leads are described in Appendix IV . … Task Force members volunteer to be leads and are appointed by the USPSTF Chair. … The EPC's presentation is followed by comments from Task Force topic leads.

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49747/psn-pdf
     December 01, 2015 - While a standard diagnostic ECG acquires data from 12 different leads (via 10 electrodes placed on the … could have checked the patient's full diagnostic standard 12-lead ECG to determine which of the 12 leads … Another suggestion for industry is to create algorithms that analyze all of the available ECG leads, … rather than only a select few leads. … Low voltage QRS complexes are present in the seven leads available for monitoring (I, II, III, aVR,

153. Tool-1-1-Team-Roster (doc file)
     digital.ahrq.gov/sites/default/files/docs/page/tool-1-1-team-roster.docx
     June 16, 2021 - . · Tasks: · Builds and leads implementation team · Leads negotiation of goals with executive or owner … ___________ Core Team (continued) Implementation Project Manager · Role: Manages the project, leads … Coordinates contract negotiations · Works closely with the physician champion and executive sponsor · Leads

154. Final Progress Report: Mentored Implementation of I-PASS for Better Handoffs and Safer Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
     January 01, 2024 - Yu, MD SHM I-PASS Site Leads Arkansas Children's Hospital/University of Arkansas for Medical Sciences … Furthermore, all the site leads in the I-PASS study participated extensively in the development of the … We developed a robust implementation guide for site leads that extensively detailed key implementation … At 1 year post-participation, 87.5% of site leads reported that the use of I-PASS was sustained in … Lack of FTE support for I‐PASS site leads and champions Lack of funding/resources Prioritization

155. Introduction & Objectives | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi1.html
     January 01, 2013 - These State clinical leads worked with their State hospital associations and recruited NICUs to participate … NCLABSI project model differed from the adult On the CUSP: Stop BSI model in that: The State leads

156. Building an Engaged CUSP Team Facilitator Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-notes.docx
     April 01, 2022 - So, the team leads will need to assess learning needs the senior executive may have and address these … As the team leads engage in these discussions, they are cultivating the relationship with the senior … As the team leads are developing the relationship with the senior executive, it will be important to … The team leads may need to be explicit as they develop a shared mental model with the executive about … and the team, and any other role the team leads need the executive to fulfill.

157. Learn From Defects | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.html
     March 01, 2017 - Senior leaders, facility team leads, team members. How should you use this tool?

158. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
     December 01, 2015 - often monitored using telemetry A standard electrocardiogram (ECG) acquires data from 12 different leads … Telemetry monitoring is a 5-electrode configuration Acquires 6 limb leads (I, II, III, aVR, aVL, aVF … ) and 1 chest lead (V) Telemetry display usually only shows 2 leads (often leads II and V) A computer … algorithm then continuously analyzes a limited number of leads (usually 1–2) The algorithm monitors … 19 Device Settings to Combat Alarm Fatigue (2) Creating algorithms that analyze all available ECG leads

159. Patient outcomes after the introduction of statewide ICU nurse staffing regulations. | PSNet
     psnet.ahrq.gov/issue/patient-outcomes-after-introduction-statewide-icu-nurse-staffing-regulations
     June 19, 2019 - Inadequate nurse staffing in hospitals leads to increased morbidity and mortality . … reassessment, which are particularly important for seriously ill patients , and that inadequate staffing leads

160. Harm From Alarm Fatigue | PSNet
     psnet.ahrq.gov/web-mm/harm-alarm-fatigue
     February 14, 2018 - While a standard diagnostic ECG acquires data from 12 different leads (via 10 electrodes placed on the … patient's body), telemetry monitoring systems typically acquire data from fewer leads (via 3–6 electrodes … could have checked the patient's full diagnostic standard 12-lead ECG to determine which of the 12 leads … Another suggestion for industry is to create algorithms that analyze all of the available ECG leads, … rather than only a select few leads.