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461. Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
     January 01, 2024 - mobility Risk Factors (difficulty ambulating, four or more medications, unsafe footwear, dizziness, low vision

462. Innovations-Improve-Cr-Event-Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/innovations-improve-cr-event-summary.pdf
     May 20, 2021 - transitioned to group orientations “it took a while and lots of feedback from staff in order to adapt the vision

463. Final Progress Report: Medication Reconciliation: A Team Approach (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
     January 01, 2024 - body   or coalition,   the   organizations   can   partner   while   sharing   a   common   vision … coordinating body or coalition, specific organizations can partner to take action while sharing a common vision

464. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides1.html
     October 01, 2017 - Have a vision with clearly defined goals and an associated action plan.

465. Preventing Pressure Injuries in Hospitals
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
     June 16, 2017 - Have a vision with clearly defined goals and an associated action plan. (Update every 6-12 months.)

466. Using Quality Measures to Drive Improvement: Lessons from the CHIPRA Quality Demonstration | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-slides.html
     January 01, 2016 - When it comes to ourselves, we have tunnel vision." — North Carolina Practice Manager Slide 14

467. Human Resources Issues (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Human_Resources_Transcript_2011_02_01.pdf
     January 01, 2011 - By engaging HR staff and defining and making explicit the mission and vision for HR, first of all, and

468. Case Example #6: Henry Ford Health System | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-6.html
     July 01, 2019 - –A-PCTC Vision Statement A-PCTC Strategies Define top-of-license roles for each care team member … Return to Contents Team Building and Training The K-15 staff all provided input on the A-PCTC vision

469. New Models of Primary Care Workforce - Case Example #6: Henry Ford Health System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
     October 01, 2016 - –A-PCTC Vision Statement ▌pg. 2 A-PCTC Strategies • Define top-of-license roles for each … Team Building and Training The K-15 staff all provided input on the A-PCTC vision statement.

470. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/104-what-are-4-es.pptx
     April 01, 2025 - Establish a shared vision of what success will look like.

471. Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) (pdf file)
     www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
     January 01, 2025 - Glove cut open and blood on floor - Scrub cap on floor - Patient name not written on OR board - Vision … added for resolved troubleshooting challenges - The patient cart is ON but there is no visual on the vision … - The suction is ON but is not working correctly - The ultrasound machine is not illuminated on the vision

472. A Summary of the First Annual Workshop of AHRQ’s Comparative Health System Performance Initiative | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/events/coe-workshopissuebrief.html
     January 01, 2017 - A Summary of the First Annual Workshop of AHRQ’s Comparative Health System Performance Initiative Issue Brief The Agency for Healthcare Research and Quality and the Coordinating Center of the Comparative Health System Performance Initiative held a workshop September 29, 2016, to share learning a…

473. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/098-cusp-why-choose-cusp-approach.pptx
     October 01, 2024 - 8 CUSP Vision CUSP aims to eliminate preventable harm.

474. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load-references.html
     May 01, 2024 - Interplay Between Cognitive Load and Diagnostic Accuracy Measures of Cognitive Load A Future Vision

475. Section 2: Explanation of Key Team Leadership Concepts and Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
     July 01, 2023 - the environment and culture for a teamwork system to flourish by: Establishing and communicating vision

476. NAA National Webinar August 2024 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-august-2024.pdf
     January 01, 2024 - Knowledge Themes Leadership, Governance, and Culture • Leadership and Governance for Safety • Shared Vision

477. CUSP Toolkit Spread Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/spread/notes.html
     December 01, 2012 - Internal factors include: Leadership: Does the process align with the organization's mission, vision

478. Patient and Family Engagement in the Emergency Department | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-transcript.html
     December 01, 2017 - Her vision is to create and sustain patient [inaudible 00:01:44] models of care delivery to improve the

479. Patient And Family Engagement In The Ed Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/Patient_and_Family_Engagement_in_the_ED_transcript.docx
     July 07, 2015 - Her vision is to create and sustain patient [inaudible 00:01:44] models of care delivery to improve the

480. A Summary of the First Annual Workshop of AHRQ’s Comparative Health System Performance Initiative (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/coe-workshopissuebrief.pdf
     January 11, 2017 - A Summary of the First Annual Workshop of AHRQ’s Comparative Health System Performance Initiative A Summary of the First Annual Workshop of AHRQ’s Comparative Health System Performance Initiative Based on the workshop discussions, a number of important takeaways will inform future work of the initiative: •…