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3761. Toolkit 1. Start an Antimicrobial Stewardship Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather_a_Team-updated.pdf
      October 01, 2016 - Choose members to serve on the antimicrobial stewardship program team. … It is likely that many staff may be new to antimicrobial stewardship. … links to many relevant resources, including the following: a. … An understanding of how to be a good team player e. … Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines

3762. Technical Interventions To Prevent CAUTI | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
      October 01, 2015 - Appropriate Indications In 2009, the Centers for Disease Control and Prevention’s (CDC) Healthcare … to prevent obstruction related to the clots. … Engage the input of frontline staff to determine which products to add to the hospital and unit Central … Only health care workers, family members, or patients themselves who know the correct technique of aseptic … Health care workers and others who take care of catheters should be given periodic education (e.g., annual

3763. Final Progress Report: Implementing Best Practices in Palliative Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/johnson-report.pdf
      January 01, 2024 - Palliative Care Title:  Implementing Best Practices in Palliative Care Funding Agency:  Agency for Healthcare … of Medicine Grant Number:  R18HS022763 Funding Statement:  This work was funded by the Agency for Healthcare …   PCRC ensure that specialty palliative care is working toward its goal of achieving rapid learning healthcare … determination of place of care, caregiver needs,  sources of practical and emotional support, facilitate access … It also depends upon how many consults I have to do ‐ I may have to be less comprehensive in order to

3764. Acknowledgments | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advances/adacknow.html
      July 01, 2022 - been accomplished without the involvement of many people, both inside and outside of the Agency for Healthcare … Foremost, a note of special gratitude is extended to the vast number of patient safety researchers who … We believe their work collectively makes a significant contribution to the field. … Wakefield deserve our thanks for "adopting" individual volumes, reading their contents, and helping to … And finally, thanks to Sandy Cummings and Mary Rolston for their cover design efforts. The Editors

3765. Team Check-up Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/team-checkup.html
      December 01, 2012 - Health care providers. … Directions: Your team should collectively complete one Team Check-up Tool every month and submit it to … that are part of the CUSP project.           2 Unit staff are confused about how to … days between incidents on the unit.           5 There are good systems in our unit to … 1 Our team meets at least once a month.           2 There is not enough time to

3766. Implementing Your Surgical Site Infection Prevention Bundle: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-slides.html
      October 01, 2020 - Tailored to your environment. Five to seven elements. Dynamic and evolving. … Likelihood Score: Team scores each barrier from 1 (unlikely to occur) to 5 (very likely to occur). … Temperature in pre-op area prior to going to OR. … to do … Moving staff from compliant to engaged is key to a successful intervention.

3767. AHRQ Final report: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
      January 01, 2024 - system that impacts patient safety. … The healthcare system has many inherent latent conditions (holes and weaknesses) that interact in complex … in a typical healthcare facility project, from strategic planning to occupancy, in order to improve … Virtua Health, a comprehensive healthcare system headquartered in Marlton, NJ, is one of CHD’s Alumni … Guidelines for design and construction of health care facilities.

3768. The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
      March 03, 2008 - Committee on Quality of Health Care in America, National Institute of Medicine. … Institute of Medicine, Committee on Quality of Health Care in America. … Qual Manag Health Care 1995; 4: 27-33. www.nap.edu/catalog.php?record_id=10027. … External incentives, information technology, and organized processes to improve health care quality … What is the empirical basis for paying for quality in health care?

3769. Next Steps | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily6.html
      July 01, 2018 - Although there is much to build on, there are no turn-key solutions to rely on. … The materials that come closest to meeting all criteria are those related to Component 2, the patient … and family partnership in health care organization processes and decisionmaking material. … people understand how to become involved and to build the skills and self-efficacy they need to participate … Return to Contents Proceed to Next Section

3770. Improving the Measurement of Surgical Site Infection Risk Stratification and Outcome Detection
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
      September 18, 2011 - to determine SSI rates for selected procedures* in 4 unique hospital settings Conduct focus groups to … reviewed and categorized as modifiable or non-modifiable Each site determined if they had electronic access … preop_albumin = 70% missing postop_hemoglob = 38% postop_hematocrit = 30% Upon combining the data from each healthcare … systems, we found a significant amount of missing lab values, especially for the outpatient procedures … -, so we decided to use multiple imputation (MI) to approximate missing data.

3771. 130-Ss-Swiss-Cheese-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
      April 01, 2025 - harm because there are layers of defense in place, including policies, procedures, and/or observant healthcare … To learn from these defects, examine the holes that lined up to enable the defect to occur. … Unfortunately, small mistakes in healthcare rarely get a system fix and are therefore often poised to … Any practice described in this presentation must be applied by healthcare practitioners in accordance … These practices are offered as helpful options for consideration by healthcare practitioners, not as

3772. Community-Acquired Pneumonia Clinical Decision Support Training: Primary Care
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/tool4b_pc-setting.pptx
      January 10, 2017 - Acknowledgements This project was funded under contract/grant number HHSP233201500023I from the Agency for Healthcare … EHR (age, blood pressure, and respiratory rate) and calculates score Provides option to add 1 to score … more intensive treatment —i.e., hospitalization or, where appropriate and available, intensive in-home health … care services—is usually warranted.” i Moderate recommendation (Even if a majority would follow the … in the hyperlink to revise the CRB-65 score accordingly.

3773. Impact | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi6.html
      January 01, 2013 - To estimate the number of central line-associated bloodstream infections (CLABSIs) prevented, the number … To estimate the deaths prevented, a range in mortality was assumed (11-31 percent) 2 .  … In total, an estimated 131 infections were prevented over the course of the study which translates to … As such, preventing 131 infections is equivalent to $2,201,776 in excess costs averted.  … 131 due to rounding. 2.

3774. Be Prepared To Be Engaged (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/beprepared-slides-508.pdf
      June 02, 2025 - Care Settings by Engaging Patients and Families Presenter Presentation Notes The Agency for Healthcare … AHRQ is a federal agency whose mission is to produce evidence to make health care safer, higher quality … The goal is to help patients and families to be ready for the appointment, to ask questions, and to speak … In the first section, patients can write what they want to make sure they talk about with their health … care team.

3775. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
      November 29, 2004 - available as more health-care delivery organizations invest in better information systems.24 Passive … Key issues in transforming healthcare organizations for quality: the case of Advanced Access. … Qual Saf Health Care. 2002 Sep;11(3):233–8. 11. Johnson PE, Veazie PJ, Kochevar L, et al. … Health Care Manag Sci. 2002;5:175–89. 12. Bates DW, Evans RS, Murff H, et al. … Improving diabetes care in a large health care system: an enhanced primary care approach.

3776. Final Progress Report: Automated Image Analysis for the Prevention of Radiotherapy Delivery Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/lamb-report.pdf
      January 01, 2024 - Project Officer: Darryl Gray MD Acknowledgment of Agency Support: This work supported by Agency for Healthcare … apply those algorithms retrospectively to clinical image databases to detect un-reported errors, and … Structured interviews of clinical physicists were carried out to elicit barriers and facilitators to … equal to 1 cm in any direction to be applied to images of any part of the body. … Unfortunately, we were not able to secure institutional approval to perform such a search.

3777. 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 - Slide Number and Image This module, titled “Building an Engaged CUSP Team,” is part of the Agency for Healthcare … Improving culture within the healthcare setting requires the model to be based on the understanding that … to fulfill. … safety and lead to more open dialogue to problem-solve for barriers to CUSP implementation. … with staff, educating staff on clinical competencies, and managing local resources so that staff have access

3778. Prompting Removal of Unnecessary Indwelling Urinary Catheters Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal-notes.docx
      April 01, 2022 - Number and Image This module, titled “Indwelling Urinary Catheter Removal,” is part of the Agency for Healthcare … to facilitate early removal. … to remain post-op are additional provider driven strategies to facilitate early removal. … daily reminders to either the healthcare provider or the nurse and requires documentation that indication … Some pearls include: Be sure to tailor the type of reminder to the care setting.

3779. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
      July 25, 2018 - Qualities and Disparities Report, and the Consumer Assessment of Health Care Providers and Systems, … We are also very focused on extending patient safety improvement to all health care settings. … in fact help build within health care to accelerate patient safety improvement. … Obviously, HIT has enabled the health care system in many different respects to become much more safer … now in the health care that we deliver, we felt like technology needed to be included as a foundational

3780. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
      January 01, 2024 - Hughes, PhD This project was supported by a grant from the Agency for Healthcare Research and Quality … Specific Aim 4 To adapt strategies used by other industries to improve the vigilance of nurses working … lapses in attention and contribute to medical error and healthcare mishaps.10 More than two thirds … at night (midnight to 6 a.m.). … Finally, nurses, like most Americans, need to be encouraged to obtain more sleep.