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61. Eliminating CLABSI, A National Patient Safety Imperative: Final Report (pdf file)
    www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
    October 01, 2012 - State leads and the NPT received positive feedback from unit teams on this peer-to-peer teaching. … to learn how to coach on their own, the NPT developed a schedule in which State leads coached teams … To keep State leads informed, HRET created a weekly update, which State leads could use in turn to communicate … After this point State leads led the coaching calls on their own. … NPT Support to State Leads 9.

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37517/psn-pdf
    August 25, 2009 - How health care complexity leads to cooperation and affects the autonomy of health care professionals … How health care complexity leads to cooperation and affects the autonomy of health care professionals … https://psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health … https://psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals … https://psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40242/psn-pdf
    February 23, 2011 - An anesthesiology department leads culture change at a hospital system level to improve quality and … An anesthesiology department leads culture change at a hospital system level to improve quality and … https://psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level- improve-quality-and … https://psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and … https://psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and

64. Roll-Out Diagram Generic (pdf file)
    psnet.ahrq.gov/sites/default/files/2021-09/Roll-out%20diagram%20generic.pdf
    January 01, 2021 - program as part of a psychological resilience intervention Can stand alone* Specific nursing unit leads … request program roll-out for unit/department Resilience program lead meets with dept/unit leads … to assess needs and explain program Program leads facilitate “all hands” launch meeting with … of Battle Buddies Distribute Battle Buddy Pairings and Pocket Card to dept/unit members Key leads

65. When a vital sign leads a country astray—the opioid epidemic. | PSNet
    psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opioid-epidemic
    May 27, 2020 - Commentary When a vital sign leads a country astray—the opioid epidemic. … When a Vital Sign Leads a Country Astray—The Opioid Epidemic. … When a Vital Sign Leads a Country Astray—The Opioid Epidemic.

66. Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error. | PSNet
    psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error
    June 10, 2018 - Magazine Article Electronic prescribing vulnerabilities: height and weight mix-up leads … Citation Text: Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error … Citation Citation Text: Electronic prescribing vulnerabilities: height and weight mix-up leads … June 10, 2018 Misprogramming PCA concentration leads to dosing errors.

67. Heart Healthy Ohio Initiative Charter: August 2021 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/57-ohio-hhoi-charter.pdf
    August 01, 2021 - , and Project Management Team Leads, will:  Coordinate activities among all the Team leads  Implement … Team members will engage with project teams/team leads as needed. … Co-Leads: Kurt Stange, MD, PhD; Christopher Bernheisel, MD The HHOI QIP Co-Design Team consists of … Co-Leads: Aleece Caron, PhD, and Shari Bolen, MD, MPH HHOI QI External Support Infrastructure Team … They will work with project teams and team leads as required.

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43863/psn-pdf
    July 16, 2015 - Learning through simulated independent practice leads to better future performance in a simulated crisis … Learning through simulated independent practice leads to better future performance in a simulated crisis … https://psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future- performance-simulated … https://psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-performance-simulated … https://psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-performance-simulated

69. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center - Intro (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-unc-webcast-intro.pdf
    December 18, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … at UNC Medical Center - Intro Implementation of an Event Reporting and Learning System Leads to Improvements

70. Implementing the SPPC‐II Teamwork Toolkit (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
    July 01, 2023 - Implementing the SPPC‐II Teamwork Toolkit Hospital AIM Team Leads SPPC‐II Implementing the SPPC‐II … tactics and planning for the SPPC‐II Teamwork Toolkit implementation. 1 2 Hospital AIM Team Leads … providing your organizational leadership with an overview of your plan. 2 Hospital AIM Team Leads … We will now be working on the last four steps. 4 Hospital AIM Team Leads SPPC‐II ✓ Step … 20 Hospital AIM Team Leads SPPC‐II Step 6.

71. Coaching (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching-speaker-notes.pdf
    July 01, 2023 - Coaching Hospital AIM Team Leads SPPC‐II Coaching Module 6 of 8 SPPC‐II Toolkit SCRIPT … tactics for coaching your frontline providers on using the teamwork tools. 1 Hospital AIM Team Leads … coaching as you work on your AIM clinical bundles and promote teamwork. 2 Hospital AIM Team Leads … and Adaptive (e.g., teamwork) implementation and sustainment efforts. 4 Hospital AIM Team Leads … the implementation of SPPC‐II Teamwork Toolkit and training material. 5 Hospital AIM Team Leads

72. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching.pptx
    July 01, 2023 - No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 6 of the SPPC-II Teamwork … Effective coaching helps to achieve: Clearly defined goals Alignment of expectations between AIM Team Leads … and strategies Role model behavior Observe performance and provide feedback 4 Hospital AIM Team Leads … Independently: Strategize a plan for personal self-improvement (page 4) 8 Hospital AIM Team Leads … Hospital AIM Team Leads are primarily responsible for providing initial coaching to the frontline.

73. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching.pptx
    July 01, 2023 - No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 6 of the SPPC-II Teamwork … Effective coaching helps to achieve: Clearly defined goals Alignment of expectations between AIM Team Leads … and strategies Role model behavior Observe performance and provide feedback 4 Hospital AIM Team Leads … Independently: Strategize a plan for personal self-improvement (page 4) 8 Hospital AIM Team Leads … Hospital AIM Team Leads are primarily responsible for providing initial coaching to the frontline.

74. Coaching (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching-speaker-notes.pdf
    July 01, 2023 - Coaching Hospital AIM Team Leads SPPC‐II Coaching Module 6 of 8 SPPC‐II Toolkit SCRIPT … tactics for coaching your frontline providers on using the teamwork tools. 1 Hospital AIM Team Leads … coaching as you work on your AIM clinical bundles and promote teamwork. 2 Hospital AIM Team Leads … and adaptive (e.g., teamwork) implementation and sustainment efforts. 4 Hospital AIM Team Leads … the implementation of SPPC‐II Teamwork Toolkit and training material. 5 Hospital AIM Team Leads

75. When medical care leads to harm—difficulty finding words: a teachable moment. | PSNet
    psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
    September 23, 2017 - Commentary When medical care leads to harm—difficulty finding words: a teachable … When medical care leads to harm- difficulty finding words: a teachable moment. … When medical care leads to harm- difficulty finding words: a teachable moment. … September 23, 2017 How health care complexity leads to cooperation and affects the autonomy

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40641/psn-pdf
    July 27, 2011 - Error in body weight estimation leads to inadequate parenteral anticoagulation. … Error in body weight estimation leads to inadequate parenteral anticoagulation. … https://psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation … https://psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36416/psn-pdf
    December 22, 2010 - A medical error leads to tragedy: how do we inform the patient? December 22, 2010 Baumrucker SJ. … A medical error leads to tragedy: how do we inform the patient? … https://psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient This roundtable discussion … https://psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient

78. Implementing the SPPC-II Teamwork Toolkit (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
    July 01, 2023 - tactics and planning for the SPPC‐II Teamwork Toolkit implementation. 1 Hospital AIM Team Leads … providing your organizational leadership with an overview of your plan. 2 Hospital AIM Team Leads … We will now be working on the last four steps. 4 Hospital AIM Team Leads SPPC‐II ✓ Step … 10 Hospital AIM Team Leads SPPC‐II Step 3A: Establish a Roll‐out Plan with timeframe Key … 21 Hospital AIM Team Leads SPPC‐II Step 6.

79. Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. | PSNet
    psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
    May 07, 2018 - Newspaper/Magazine Article Failed check system for chemotherapy leads to pharmacist's … Citation Text: Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary … Cite Citation Citation Text: Failed check system for chemotherapy leads … May 5, 2018 Misprogramming PCA concentration leads to dosing errors.

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60309/psn-pdf
    May 06, 2020 - COVID-19 leads to increased need for dialysis machines. May 6, 2020 Mosley T. Here & Now. … https://psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines Comorbidities can result … https://psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines https://psnet.ahrq.gov/issue