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321. EvidenceNOW Leads to Huge Gains for Small Oklahoma Practice | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/oklahoma.html
     March 01, 2021 - Advancing Heart Health EvidenceNOW Stories EvidenceNOW in Action EvidenceNOW Leads … Capacity Managing Urinary Incontinence Tools for Change EvidenceNOW Leads … reviewed March 2021 Page originally created January 2018 Internet Citation: EvidenceNOW Leads

322. EvidenceNOW Leads to Huge Gains for Small Oklahoma Practice | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/oklahoma.html
     March 01, 2021 - Advancing Heart Health EvidenceNOW Stories EvidenceNOW in Action EvidenceNOW Leads … Capacity Managing Urinary Incontinence Tools for Change EvidenceNOW Leads … reviewed March 2021 Page originally created January 2018 Internet Citation: EvidenceNOW Leads

323. EvidenceNOW Leads to Huge Gains for Small Oklahoma Practice | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/oklahoma.html
     March 01, 2021 - Advancing Heart Health EvidenceNOW Stories EvidenceNOW in Action EvidenceNOW Leads … Capacity Managing Urinary Incontinence Tools for Change EvidenceNOW Leads … reviewed March 2021 Page originally created January 2018 Internet Citation: EvidenceNOW Leads

324. EvidenceNOW Leads to Huge Gains for Small Oklahoma Practice | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/oklahoma.html
     March 01, 2021 - Advancing Heart Health EvidenceNOW Stories EvidenceNOW in Action EvidenceNOW Leads … Capacity Managing Urinary Incontinence Tools for Change EvidenceNOW Leads … reviewed March 2021 Page originally created January 2018 Internet Citation: EvidenceNOW Leads

325. EvidenceNOW Leads to Huge Gains for Small Oklahoma Practice | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/oklahoma.html
     March 01, 2021 - Advancing Heart Health EvidenceNOW Stories EvidenceNOW in Action EvidenceNOW Leads … Capacity Managing Urinary Incontinence Tools for Change EvidenceNOW Leads … reviewed March 2021 Page originally created January 2018 Internet Citation: EvidenceNOW Leads

326. Prashila Dullabh, MD, FAMIA | CDSiC
     cdsic.ahrq.gov/cdsic/Prashila-Dullabh
     Dullabh leads NORC’s portfolio of work on informatics and PCOR. … Dullabh also leads NORC’s growing portfolio of implementation science projects to increase the quality

327. Improving Antibiotic Use Is a Patient Safety Issue | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/long-term-care/safety/improve-use.html
     June 01, 2021 - Recognize that changes to the system, not just to the behavior of individuals, leads to sustained improvements

328. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49818/psn-pdf
     January 01, 2018 - A Costly Colonoscopy Leads to a Delay in Diagnosis January 1, 2018 Moriates C. … A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. 2018. … https://psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis The Case A 50-year-old man presented … https://psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis The Commentary by Christopher … Leads the World in Health Expenditures. New York Times. June 1, 2013. [Available at] 14. Cooke M.

329. New Toolkits Can Help Improve Patient Safety for Mothers and Their Newborns | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/perinatal-care-toolkits.html
     August 01, 2023 - include guidance for frontline clinicians and Alliance for Innovation on Maternal Health  program team leads

330. Hidden medication loss when using a primary administration set for small-volume intermittent infusions. | PSNet
     psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-intermittent
     December 14, 2022 - October 20, 2021 Leaving a discontinued FentaNYL infusion attached to the patient leads … October 21, 2020 Incorrect use of smart infusion pump in the operating room (OR) leads

331. Procedure Manual Section 3. Topic Work Plan Development | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/procedure-manual/procedure-manual-section-3-topic-work-plan-development
     April 05, 2021 - 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

332. Final Progress Report: Mentored Implementation of I-PASS for Better Handoffs and Safer Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23291-Landrigan-report.pdf
     September 29, 2018 - 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

333. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
     August 21, 2015 - Module 5 4 Response and Disclosure is led by a team of trained Disclosure Leads. … Module 5 9 Communication Assessment Guide Help identify a team of Disclosure Leads. … The organization should identify a team of Disclosure Leads who can develop the knowledge, skills, and … Several tools in the toolkit can be used to identify Disclosure Leads and help them train and prepare … The Disclosure Checklist is a reference tool that provides Disclosure Leads and staff with the basic

334. Semantically ambiguous language in the teaching operating room. | PSNet
     psnet.ahrq.gov/issue/semantically-ambiguous-language-teaching-operating-room
     November 11, 2020 - March 29, 2023 WebM&M Cases Saline Flush Leads to … Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads

335. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73875/psn-pdf
     October 27, 2021 - Human Factors Champions (nurses and clinical leads who received human factors training) observed teams … The majority of respondents felt better able to perform as team leads, supervise their teams, provide

336. Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. | PSNet
     psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-best-practices
     February 12, 2020 - December 16, 2020 Incorrect use of smart infusion pump in the operating room (OR) leads … November 17, 2021 Leaving a discontinued FentaNYL infusion attached to the patient leads

337. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - East Alabama Health (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-rice.pdf
     February 09, 2023 - formance Improvement Cu l t ure EPIC LEAN INCREASING STANDARDIZATION, REDUCES VARIATION, WHICH LEADS … resources, security, patient safety • Trend data • Develop metrics RESIDENT Workplace Safety Leads

338. 19-Perioperative-Teams (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
     June 01, 2023 - How to use the tool: Hospital leadership (e.g., ISCR project leads, clinical champions) should review … Regularly report data to frontline staff via managers and department leads. … Another way to invite the voices of team members is to deepen the discussion by asking, “What leads you … opportunities for improvement and works closely with teams to develop programs to improve surgical outcomes Leads … Current work involves continuous clinical QI, hospital-acquired conditions, and physician engagement, and leads

339. Pilot To Promote Entry of Structured Data Into the Systematic Review Data Repository (SRDR) | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/pilot-structured-data-srdr/methods-report
     October 01, 2019 - Key Messages Using an online survey of nine Project Leads we determined that Microsoft Excel and … We conducted a survey of EPC Project Leads that had recently uploaded to SRDR data from a systematic … The survey was completed by nine of nine eligible EPC Project Leads (100%).

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836942/psn-pdf
     April 27, 2022 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in … Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in … https://psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper- medication-labeling … The Commentary By Robert Scott Kriss, DO https://psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling … https://psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling