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5101. Realizing Improved Patient Care Through Human-Centered Design in the Operating Room (RIPCHD.OR) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/ripchdor-long-desc.html
      April 01, 2022 - Realizing Improved Patient Care Through Human-Centered Design in the Operating Room (RIPCHD.OR) Principal Investigator:  Anjali Joseph, Ph.D., Clemson University, Clemson, SC AHRQ Grant No.:  HS24380 Project Period:  09/30/15–08/31/21 Description:  The overarching goal of RIPCHD.OR was to use an integrate…

5102. Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.html
      May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Patient Safety Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Research …

5103. Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
      January 01, 2025 - Transfer charts were reviewed to assess the patient’s condition and downstream events. … Healthcare, as a life-critical industry, must assess existing risks and improve the reliability of the … improvement in the reliability of the information exchanged during transfers; and  Assess improvement … To assess clinician’s perception of the patient’s acuity, we applied a visual analog scale developed … The aims were to assess the improvement in the effectiveness of communication, decision making, and

5104. New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - Ginsberg (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-new-sops-workplace-safety-ginsberg.pdf
      June 02, 2025 - • Raise staff awareness about patient safety • Assess patient safety culture to identify strengths and

5105. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
      May 01, 2003 - Low disclosure rates in comparison to the actual number of errors make it difficult to accurately assess

5106. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/summary.html
      August 01, 2022 - Systems will also need to interact with consumers to assess their own performance.

5107. New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Ginsberg (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-new_sops_diagnostic_safety-ginsberg.pdf
      June 02, 2025 - • Raise staff awareness about patient safety • Assess patient safety culture to identify strengths and

5108. 143-Cusp-Tip-Sheet-Engaging-Staff (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/143-cusp-tip-sheet-engaging-staff.docx
      April 01, 2025 - Situation: Sara, I understand that you are not comfortable with the fluorescent gel monitoring system to assess … Our CUSP team suggested that we establish a new fluorescent gel monitoring program to assess how well

5109. TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
      January 10, 2022 - Process of actively scanning behaviors and actions to assess elements of the situation or environment … early Situation monitoring is defined as the process of actively scanning behaviors and actions to assess … An important application of situational awareness is to assess the patient‐provider relationship. … It is important to continuously assess and update the plan throughout the diagnostic journey.

5110. Module 5: Situation Monitoring
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
      January 10, 2022 - Situation monitoring is defined as the process of actively scanning behaviors and actions to assess elements … Care: Situation Monitoring, 2015) 5 Slide Process of actively scanning behaviors and actions to assess … An important application of situational awareness is to assess the patient‐provider relationship. … It is important to continuously assess and update the plan throughout the diagnostic journey.  

5111. 2. How will we manage change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
      October 01, 2014 - How will the team assess current knowledge and practice? … Tools Assess your organization's current resources for QI by completing the "QI process inventory" … Use these worksheets to assess existing pressure ulcer prevention practices in your facility ( Tool 2D … Based on this analysis, the team can assess barriers to change among the staff that most likely will … Tools The following two tools can be used to assess staff knowledge: The Pieper Pressure Ulcer

5112. 2. How will we manage change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
      October 01, 2014 - How will the team assess current knowledge and practice? … Tools Assess your organization's current resources for QI by completing the "QI process inventory" … Use these worksheets to assess existing pressure ulcer prevention practices in your facility ( Tool 2D … Based on this analysis, the team can assess barriers to change among the staff that most likely will … Tools The following two tools can be used to assess staff knowledge: The Pieper Pressure Ulcer

5113. Six Building Blocks How-To-Implement Toolkit: Prepare and Launch Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-prepare.pdf
      February 18, 2021 - • Assess status of the first three Building Blocks, including beginning to identify priorities. … . • Assess status of the last three Building Blocks. … Assess baseline status for the first three Building Blocks: a. … Objectives Plan the clinicwide kickoff and assess the status of the last three Building Blocks. … Assess baseline status of the last three Building Blocks: a. Planned, Patient-Centered Visits; b.

5114. Putoolssect7 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
      February 16, 2011 - Using these tools, we will assess staff awareness and knowledge of pressure ulcer prevention, analyze … Instructions: Complete this checklist to assess the resources that are available and the resources that … True 2H: Pressure Ulcer Baseline Assessment Background: The purpose of this tool is to assess … Use: Use the findings to assess gaps in knowledge. … Assess the current state of staff knowledge about pressure ulcer prevention. Tool 2H.

5115. Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
      June 01, 2023 - The Challenge: To assess the longer term aftermath of perceived diagnostic mishaps, one must elicit … treatment errors suggests that aftereffects can persist up to 5 to 10 years. 25,26 How best can we assess … One can assess the magnitude of recall bias in this manner. … For example, patients need enough time to assess when diagnoses were appropriate, timely, and effectively … Those sequences of questions need to be tested to assess which aspects of diagnostic experience can be

5116. Quality Improvement Strategies | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
      July 01, 2021 - Monitor Access and Waiting Lists Use mystery shoppers or other methods to assess sufficiency of … Monitor Urgent/ Emergency Access Assess access to urgent and emergency mental health services for … Includes information on how to assess the adequacy of system capacity, use a crisis resource need calculator … Knowledge/ Beliefs Assessment Assess clinician knowledge and beliefs. … Psychosocial Services Assessment Assess psychosocial services for management of conditions for which

5117. Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast - Sorra (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-sops-teamstepps-webcast-sorra.pdf
      January 01, 2010 - Reviewed 14 articles in the SOPS Bibliography that used TeamSTEPPS training and SOPS as an outcome to assess

5118. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4k_nqi03-bsi-bestpractices.pdf
      May 17, 2016 - rates with hospital- based interventions.9,10 Recommended Practice Details of Recommended Practice Assess … Recommended Practice: Assess neonatal patients for risk factors • Assess all neonatal NICU patients … ○ When removing central lines, follow these steps:  Assess developmental status of the child to … Best Processes/Systems of Care Introduction: Essential First Steps Recommended Practice: Assess neonatal

5119. The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
      March 01, 2017 - You wouldn’t really do nothing Ask about what she ate Look at her medications Assess for catheter trauma … Assess to ensure she is at her baseline Offer fluids; often a better initial step Urine Culturing ׀ … Instead, you could: Ask about what she ate, Look at her medications, Assess for catheter trauma, and … Assess to ensure she is at her baseline.

5120. Antiseptic-impregnated catheters: Is the Juice Worth the Squeeze?
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-110414.pptx
      January 01, 2013 - Department of Veterans Affairs, VISN 11) Tier 1 Protocol: Use of Indwelling Urinary Catheter Kit Assess … removal technique Follow maintenance and removal template for care and removal of the catheter Assess … Sarah 23 GPS questions GPS questions 5 GPS Validation Study Kathlyn Fletcher, MD, PhD Goals To assess