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3301. Pillars of a Smart, Safe Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
      April 07, 2008 - context aware training environment that can recognize the presence of a trainee or mentor and take appropriate

3302. Engaging Stakeholders to Improve the Quality of Children's Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1.pdf
      September 08, 2015 - CHIPRA Quality Demonstration State Experiences: Engaging the Appropriate Stakeholders • Because Georgia … • What is the most appropriate method of selecting stakeholders to serve on the governing body? … Start by clearly defining the purpose of your assessment so that you can select an appropriate strategy … You can, however, set appropriate expectations by: – Being clear about the group’s goals.

3303. Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
      May 01, 2024 - Appropriate antibiotics are started and sepsis, with its associated high morbidity and mortality, is

3304. Final Progress Report: Improving Patient Safety by Examining Pathology Errors (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
      January 01, 2025 - Bookmarks Passed Bookmarks are present in large documents Color contrast Needs manual check Document has appropriate … Lbl and LBody Passed Lbl and LBody must be children of LI Headings Rule Name Status Description Appropriate … nesting Passed Appropriate nesting Back to Top

3305. Chapter-7 - Harm Due to Anticoagulants (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
      March 01, 2020 - Appropriate use of heparin. Empiric vs nomogram-based dosing. … Implementation of an emergency department atrial fibrillation and flutter pathway improves rates of appropriate … Prior to protocol implementation, the appropriate documentation of HIT in the medical record was

3306. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
      September 02, 2022 - • What systems are in place here to ensure that appropriate followup has occurred? … opportunities transparently and in a timely manner to patients, families, team members, supervisors, and appropriate

3307. Final Report: Embracing the PBRN Model To Improve the Medication Use Process (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lipowski-report.pdf
      January 01, 2024 - Results: The conference resulted in a consensus that practice-based research networks were an appropriate … drivers for this component were to identify funding sources, develop a research focus, and create an appropriate

3308. Final Progress Report: Developing biomechanical models from initiated fall actions and reactions in frail elderly patients (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
      January 01, 2024 - essential for the understanding of falls in the frail elderly and leading to the identification of appropriate … Though this may be appropriate for the healthy population, there is a need to define additional phases

3309. Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
      October 01, 2011 - associated codes (flagged or unflagged) assigned by the hospital, the reviewer generated and recorded the appropriate … attempted to prevent via mechanisms, such as identifying patients at high risk for falls and implementing appropriate

3310. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
      July 18, 2008 - In these cases, common process problems included failure to order an appropriate test, create a proper … properly acted upon; the patient is notified; the report information is recorded/documented; and appropriate

3311. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
      January 29, 2008 - unavoidable accident from which to learn, but rather as an instance of contingencies failing to influence appropriate … medical journals suggests hospitals have been implementing OBM strategies to increase the occurrence of appropriate

3312. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
      February 21, 2008 - Review the appropriate steps for what to do if a problem arises. … RED; an individualized, patient-friendly “After-Hospital Care Plan” (AHCP) written at the patient’s appropriate

3313. Using Data Mining to Predict Errors in Chronic Disease Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
      March 28, 2008 - of omission are (1) identifying patterns of behavior that predict future errors and (2) determining appropriate … of visits and titration of single medications, the model would schedule visits more often, and when appropriate

3314. Learn-From-Defects-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal Safety Sensemaking and Learn From Defects for Perinatal Safety SAY: The Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify recurring defects in your system and apply Comprehen…

3315. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
      July 01, 2023 - Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Sensemaking and Learn From Defects for Perinatal Safety Say: The Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify recurring …

3316. Chapter 4. Assessing Surgeon Acceptance of Risk Adjustment Models | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi4.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 4. Assessing Surgeon Acceptance of Risk Adjustment Models Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executiv…

3317. Chapter 5 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
      August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 5 Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter 3. Description of Metho…

3318. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
      April 01, 2022 - Strategy 6P: Service Recovery Programs Contents 6.P.1. The Problem 6.P.2. The Intervention 6.P.3. Implementing This Intervention 6.P.4. The Impact of Service Recovery Programs References    Download Strategy 6P:   Service Recovery Programs  (PDF, 748 KB)     6.P.1. The Problem No ma…

3319. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
      January 01, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requ…

3320. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascguide.pdf
      April 01, 2015 - values, beliefs, and norms about what is important and what attitudes and behaviors are expected and appropriate … composites of ASC safety culture, relevant background questions about staff and ASC characteristics, and appropriate … But to help you decide which data collection method is most appropriate for your ASC, consider the following