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361. Case 6. Horizon Hospital—Lakeview Healthcare | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
     November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 6. … Studies Introduction to the Case Studies Case 1. … Lakeview Healthcare Case 2. Central Hospital Case 3. Grand Hospital Center Case 4. … Suntown Hospital Case 5. Heights Hospital Case 6. … Overall, only a few key barriers and facilitators emerged in the Horizon case.

362. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/104-what-are-4-es.pptx
     April 01, 2025 - 3 Case Example: Regional Hospital Regional Hospital is a small community hospital with limited resources … | 4 Case Example AHRQ Safety Program for MRSA Prevention | Surgical Services AHRQ Safety Program … Case Example: Convening the Team and Engaging Leadership The new MRSA and SSI Prevention Team recruits … Case Example: Engaging Staff and Assessing Practice The MRSA and SSI Prevention Team talks directly … 22 Case Example: Did Our Efforts Make a Difference?

363. Final Progress Report: MammoTutor: An Internet-Based Computer Tutoring System to Teach General Radiologists the Early Signs of Breast Cancer (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/mello-thoms-report.pdf
     January 01, 2025 - Methods: A case set of digital mammograms was collected. … We have expanded our case collection to include more ductal, medullary, and papillary cancers, which … DomainBuilder combines knowledge authoring, case authoring, and validation tasks under one digital … Feedback Sub-Module Pedagogic Module Domain Module Student Sub-Module Teacher Sub-Module Case … This ontology was used to form a knowledge base on a case set of digital mammograms.

364. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/156-what-are-4es.pptx
     October 01, 2024 - | 3 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU What Are The Four Es 3 Case Example … | 4 Case Example AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for … | 8 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU What Are The Four Es Case Example: … | 9 Case Example AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program … | 12 Case Example AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program

365. 089-Or-Traffic-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/089-or-traffic-fg.docx
     April 01, 2025 - Discussion before the case will decrease the number of OR entries and exits during the case. … Slide 11 Case Example: Background SAY: Here is a case example to review the importance of focusing … Slide 13 Case Example: What Happened? SAY: So, what happened? … Slide 15 Case Example: How To Reduce the Likelihood of This Defect Happening Again? … Slide 16 Case Example: How To Know the Risk Is Reduced?

366. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/042-vap-prevention-slides.pptx
     October 01, 2024 - Example: A Recent Increase in VAP Rates | 27 Case Example AHRQ Safety Program for MRSA Prevention … MRSA Prevention | ICU & Non-ICU VAP & NV-HAP Prevention 28 VAP Case Example: Identifying Barriers … | 30 Case Example AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program … MRSA Prevention | ICU & Non-ICU VAP & NV-HAP Prevention 31 VAP Case Example: Ensuring All Patients … | 33 Case Example AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program

367. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
     January 01, 2024 - Case-related covariables included hospital (VUMC or PCH), surgical specialty, case complexity or ASA … That is, teams with higher SOS scores reported fewer NREs per case. … VUMC and PCH were characterized by high NRE case rates and high SOS scores. … We adjusted for the case-related variables. A ran... Aim 3. … That is teams with higher SOS scores reported fewer NREs per case.

368. Introduction to the SPPC‐II Teamwork Toolkit for Obstetric Hemorrhage (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
     July 01, 2023 - Obstetric Hemorrhage Master Case Obstetric Hemorrhage Master Case Obstetric Hemorrhage Master Case … Obstetric Hemorrhage Master Case Obstetric Hemorrhage Master Case Obstetric Hemorrhage Master Case … Obstetric Hemorrhage Master Case Obstetric Hemorrhage Master Case Obstetric Hemorrhage Master Case … Obstetric Hemorrhage Master Case Obstetric Hemorrhage Master Case Obstetric Hemorrhage Master Case … Obstetric Hemorrhage Master Case Obstetric Hemorrhage Master Case Obstetric Hemorrhage Master Case

369. Assess-Resident-Uti-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
     June 01, 2021 - Slide 2 Case 1 SAY: One of your colleagues is reviewing the case of Mary Ann, a resident who is … Slide 7 Case 1 SAY: Let’s look more deeply into the case we just discussed. … Slide 8 Case 1: Question 2 SAY: Let's review Mary Ann’s case information. … Slide 11 Case 2: Walter SAY: Let’s move on to a second case. … Slide 15 Case 3: Sally SAY: Let’s discuss a third case.

370. Appendix-K-Debrief-Audio-Facnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
     June 02, 2025 - That's what we're going to do in this case. … In this case we set a goal of June 1. … the end of each case. … Just one case. … Let's assume in this case, Dr.

371. Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
     July 01, 2023 - Briefs are hosted at the start of a case. … Debriefing each case, whether the case went smoothly or there were adverse events associated with the … What were our major lessons learned from this case? … Williams’ case. Just to briefly recap, Ms. … Williams’ case. Just to briefly recap, Ms.

372. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
     June 01, 2021 - coughing  Vitals Temperature 99.8F HR 98 BP 124/86 RR 16 Pulse ox 96% ‹#› Assessment of RTI 5 Case … Bring her a bowl of ice cream and something to help her sleep. ‹#› Assessment of RTI 6 Case 1: … He has a few wheezes on exam in both lungs. ‹#› Assessment of RTI 9 Case 2: Jonas, Next Step You … : Pneumonia Versus Not Pneumonia 2 Weeks Ago Current ‹#› Assessment of RTI 14 Case 2: Jonas, … Case 3: Peter, Diagnosis?

373. CAHPS Child Hospital Survey-Using Data and New Narrative Items - Overview (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-toomey.pdf
     December 01, 2022 - Management ► Improving Overall Willingness to Recommend • AHRQ Child HCAHPS toolkit highlights QI case … J Nurs Care Qual 2019;34(1):86-90. 16 Case Study #2: Improving Pain Management Engagement Goal: … Hosp Pediatr December 2022; 12 (12): 1019– 1035. https://doi.org/10.1542/hpeds.2022-006696 18 Case … Hosp Pediatr December 2022; 12 (12): 1019– 1035. https://doi.org/10.1542/hpeds.2022-006696 19 Case … Hosp Pediatr December 2022; 12 (12): 1019– 1035. https://doi.org/10.1542/hpeds.2022-006696 20 Case

374. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
     January 01, 2024 - curriculum, and textual analysis of responses to case studies. … of questions that accompanied each case study. … These factors then guided the development of a case-based curriculum intervention. … Participants found a variety of ways to use the case-based curriculum. … The use of case studies seemed to offer a way to achieve system change.

375. Module 8: Implementing Effective Care Coordination | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/training/module-8/index.html
     December 01, 2022 - AACVPR Case Study: Genesis Health System . Accessed October 25, 2021. … AACVPR Case Study: Southwest Florida Heart Group .  Accessed October 25, 2021. … AACVPR Case Study: Mount Carmel Health System . Accessed October 25, 2021. … AACVPR Case Study: Christiana Care Health System . Accessed October 25, 2021. … AACVPR Case Study: Miriam Hospital Center . Accessed October 25, 2021.

376. Calibrate Dx: A Resource to Improve Diagnostic Decisions (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/calibrate-dx-guide.pdf
     October 01, 2022 - WHAT DEFINES A “CASE”? … It may be helpful to walk through each case by reflecting aloud, starting with “Tell me about the case … Search for “simulation case” and “simulated case.” … Interactive Medical Case. https://www.nejm.org/multimedia/interactive-medical- case. … Although the facts of each case will vary, the goal in dissecting a case is to identify and categorize

377. Primary Care Clinician Educational Module on Urinary Incontinence (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/mui-clinician-educational-module.pdf
     June 02, 2025 - Primary Care Clinician Educational Module on Urinary Incontinence Case 1 Case 2 Case 3 Case 4 Case

378. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-slides.pptx
     June 01, 2021 - for a UTI. 2 AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care Assessment UTI 2 Case … R MCG/ML 3 AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care Assessment UTI 3 Case … Case 1: Question 2 9 Ask about urinary urgency, frequency, dysuria, chills, and pelvic or bladder … AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care Assessment UTI Case 2: Walter 12 … AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care Assessment UTI Case 3: Take-Home

379. Enhancing Care Coordination for CR Resource Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-resource-guide.pdf
     November 17, 2022 - Case Study: Memorial Hospital of Carbondale — Phase 1 Cardiac Rehabilitation 4. … Case Study: Christiana Care Health System—Use Clinician Follow-up to Bolster Enrollment Q&A with Christiana … https://www.aacvpr.org/Portals/0/Million%20Hearts%20Change%20Package/4.18.2018%20Files/A-6-CRCP-Case% … Case Study: University of Vermont Medical Center—Financial Incentives to Improve Cardiac Rehabilitation … Case Study: Christiana Care Health System—Reducing Cost-Sharing Barriers for CR Services with Creative

380. Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
     July 01, 2023 - These should take place as soon after the incident as possible. 11 Severe Hypertension Master Case … 12 Read the master case scenario on the following slides. … related to a severe hypertension case.  … Johnson.   16 Severe Hypertension Master Case Kim notifies Dr. Johnson about Ms. … Smith’s blood pressure, which is now 202/120. 19 Severe Hypertension Master Case 20