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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
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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.
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pcmh.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/oklahoma.html
March 01, 2021 - Capacity
Managing Urinary Incontinence
Tools for Change
EvidenceNOW Leads … reviewed March 2021
Page originally created January 2018
Internet Citation: EvidenceNOW Leads
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pbrn.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/oklahoma.html
March 01, 2021 - Capacity
Managing Urinary Incontinence
Tools for Change
EvidenceNOW Leads … reviewed March 2021
Page originally created January 2018
Internet Citation: EvidenceNOW Leads
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
August 01, 2022 - you identify effective communicators who can participate in disclosure conversations as Disclosure Leads … Individuals who are effective Disclosure Leads or Communicators will:
Demonstrate empathy, sincerity … Individuals who are effective Disclosure Leads or Communicators will be experienced members of the organization … The CAQ is not meant to be used as the sole basis for identifying candidates for Disclosure Leads or
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
August 01, 2022 - you identify effective communicators who can participate in disclosure conversations as Disclosure Leads … Individuals who are effective Disclosure Leads or Communicators will:
Demonstrate empathy, sincerity … Individuals who are effective Disclosure Leads or Communicators will be experienced members of the organization … The CAQ is not meant to be used as the sole basis for identifying candidates for Disclosure Leads or
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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
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without … Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without … Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without … Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without
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psnet.ahrq.gov/issue/getting-wrong-persons-medicine-pharmacy-easy-steps-consumers-can-take-help-eliminate-these
August 07, 2024 - September 14, 2016
Electronic prescribing vulnerabilities: height and weight mix-up leads … June 10, 2018
Misprogramming PCA concentration leads to dosing errors.
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psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
March 10, 2021 - Pharmacy error leads to fatal medication mix-up. … Pharmacy error leads to fatal medication mix-up.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/learning-health-systems/harrison-borsky-lhs-research-progams.pdf
October 13, 2021 - New CEO renames, reorganizes program --
► MDs replace researchers as leads of program’s focal areas … of 3)
23
Program location System 4 System 2
People/Culture LHS staff deeply committed to Research leads … /PhD co- Chief of Academic these focused on provement (~40% clinical outcomes; safety
previously leads … LHS Program 3 co-leads: MD/MPH to CMO; 8 members; health system funds
(2017) in MD/MPH, other co-leads … , Externally funded mainly; Implementation science
(2016) in academic co-leads dept; PhD. to chair of
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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.
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www.ahrq.gov/news/tool-ppe-nursing-homes.html
June 01, 2021 - provides detailed, step-by-step instructions for recording PPE observations quickly and accurately, leads
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cdsic.ahrq.gov/sites/default/files/2023-05/StakeholderCtr2023Q1Report3_final.pdf
January 01, 2023 - Planning Committee
The Stakeholder Center Planning Committee is comprised of Stakeholder Center Leads … , AHRQ project
officers, the CDSiC Primary Investigator and Co-Investigators, and Workgroup Co-leads … Workgroup leads noted that significant progress had
been made on several products, with detailed outlines … Leads also noted that a key challenge in product development has been avoiding expansions in scope … In collaboration with Workgroup leads and with input
from Workgroup members and five key informants,
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psnet.ahrq.gov/training-catalog/2022-hqi-annual-conference
January 01, 2022 - professionals in attendance will highlight successes, celebrating achievements, and charting a course that leads
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-3-topic-work-plan-development
May 04, 2025 - team is appointed for each prioritized topic before topic scoping begins and consists of Task Force leads … Based on expertise and interest, several Task Force members are assigned to serve as leads for each topic … Both of these documents are revised and finalized through discussions with the Task Force leads and the … After approval by the Task Force leads, the draft research plan is posted on the Task Force Web site … revisions, the EPC review team incorporates final revisions into the research plan, and the Task Force leads
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effectivehealthcare.ahrq.gov/sites/default/files/ahrq-healthcare-horizon-scan-protocol-operations-manual-151001.pdf
September 01, 2015 - the above criteria, leads are
uploaded to the Initial Leads List. … This is a document library containing all leads identified by
searchers as well as leads generated from … analysts classify leads by topic class
(see Table 7). … Within each general sort area, the analysts group leads into “topics.” … The horizon scanning analysts then link related leads from the
Initial Leads List to the appropriate
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ahrq-healthcare-horizon-scan-protocol-operations-manual-151001.pdf
September 01, 2015 - the above criteria, leads are
uploaded to the Initial Leads List. … This is a document library containing all leads identified by
searchers as well as leads generated from … analysts classify leads by topic class
(see Table 7). … Within each general sort area, the analysts group leads into “topics.” … The horizon scanning analysts then link related leads from the
Initial Leads List to the appropriate
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/ahrq-healthcare-horizon-scan-protocol-operations-manual-151001.pdf
September 01, 2015 - the above criteria, leads are
uploaded to the Initial Leads List. … This is a document library containing all leads identified by
searchers as well as leads generated from … analysts classify leads by topic class
(see Table 7). … Within each general sort area, the analysts group leads into “topics.” … The horizon scanning analysts then link related leads from the
Initial Leads List to the appropriate
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/ahrq-healthcare-horizon-scan-protocol-operations-manual-151001.pdf
September 01, 2015 - the above criteria, leads are
uploaded to the Initial Leads List. … This is a document library containing all leads identified by
searchers as well as leads generated from … analysts classify leads by topic class
(see Table 7). … Within each general sort area, the analysts group leads into “topics.” … The horizon scanning analysts then link related leads from the
Initial Leads List to the appropriate