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401. Debrief Example Audio Transcript/Facilitator Notes - Implementation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
     May 01, 2017 - 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.

402. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/002-ss-antimicrobial-prophylaxis-part-1.pptx
     April 01, 2025 - AHRQ Safety Program for MRSA Prevention | Surgical Services Antimicrobial Prophylaxis Part 1 21 Case … | 24 Case Example AHRQ Safety Program for MRSA Prevention | Surgical Services AHRQ Safety Program … | 25 Case Example AHRQ Safety Program for MRSA Prevention | Surgical Services AHRQ Safety Program … for MRSA Prevention | Surgical Services Antimicrobial Prophylaxis Part 1 25 Case: Summary The CUSP … | 26 Case Example AHRQ Safety Program for MRSA Prevention | Surgical Services AHRQ Safety Program

403. The Contribution of Diagnostic Error to Maternal Mortality and Severe Maternal Morbidity | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
     September 01, 2021 - blood loss, and identification of early signs of hypovolemia. 15 The sidebar presents a composite case … The case has been adapted from the Obstetric Hemorrhage Quality Improvement Initiative of the California … The case demonstrates how deficiencies in multiple dimensions of the diagnostic process can lead to the … Opportunities and Learning Points noted with superscript letters (e.g., a, b ) in the Maternal Hemorrhage Case … Case Discussion: Maternal Hemorrhage 20 Composite Case Example: A healthy 24-year-old presented at

404. Module 6: Laying the Groundwork for Care Coordination | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/training/module-6/index.html
     December 01, 2022 - AACVPR Case Study: Genesis Health System . Accessed August 31, 2021. Genesis Healthcare System. … AACVPR Case Study: Southwest Florida Heart Group . Open Gym Concept. Accessed August 31, 2021. … AACVPR Case Study: Mount Carmel Health System . Cardiac Rehab Open Gym. Accessed August 31, 2021. … AACVPR Case Study: Christiana Care Health System . Use Clinician Follow-up to Bolster Enrollment. … AACVPR Case Study: University of Vermont.

405. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
     June 01, 2021 - better decisions about antibiotic prescriptions for residents 2 Collection of Specimens 2 3 Case … Symptoms Incontinence or urgency alone Foul-smelling or cloudy urine Collection of Specimens 3 4 Case … Case 1: Options for Female Residents Collection of Specimens 5 Catch midstream specimen … Case 1: Options for Male Residents Collection of Specimens 6 7 Case 2: Bernard Resident … symptoms (respiratory) and no complaints of urinary symptoms Collection of Specimens 14 15 Case

406. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.docx
     March 01, 2017 - CAUTI Case Review Form Purpose The CAUTI Case Review Form is a performance improvement look-back tool … Pocket Card and the indwelling urinary catheter insertion and maintenance checklists) to assist in the case … Action Plan Catheter-Associated Urinary Tract Infection (CAUTI) Case Review CAUTI Case Review AHRQ … Safety Program for Long-Term Care: HAIs/CAUTI Implementation Guide CAUTI Case Review Form ׀ K-2 AHRQ … Safety Program for Long-Term Care: HAIs/CAUTI Implementation Guide CAUTI Case Review Form ׀ K-3 Immediate

407. Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
     March 01, 2017 - Case studies of two hospitals that have successfully used the QI Toolkit. … sheets on the QIs, a board presentation template, a survey to self-assess readiness to change, and case … the return on investment for an intervention implemented to improve performance on an AHRQ QI, and a case … Case Studies of Improvement Implementation Includes two case studies of how hospitals used the QI Toolkit … PSI Case Study PDF [40.28 KB] PDI Case Study PDF [34.97 KB] Section B: Applying QIs to

408. Appendix V: Tested Measures by DRA Domain (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv2a.html
     June 01, 2010 - Ability to select provider Performance Outcome Measures Project (POMP5) Case Management Survey … Developed for individuals with HIV served in ambulatory settings Case manager helpfulness … manager (also measure of frequency of contact with case manager) AXIS Healthcare (as reported … management (13 items on various dimensions of case management, plus one overall satisfaction item) … POMP5 Case Management Survey Older adults with physical and cognitive disabilities, case management

409. Antibiotic-Targets-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
     June 01, 2021 - Slide 6 Case #1 SAY: Let’s walk through a case, and we can consider what someone on the frontline … Slide 7 Case #1, Continued SAY: The laboratory faxes the urine culture results 2 days later. … In the case we just reviewed, the prescriber made a reasonable decision to prescribe antibiotics. … Moment 4 may have caused the most notable harm in this case. … Antibiotics should only be used when necessary, not “just in case.”

410. Microbiologic-Specimens-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-facilitator-guide.docx
     June 01, 2021 - Slide 2 Case 1: Clara SAY: Let’s start by looking at a case. … Slide 4 Case 1: Options for Female Residents SAY: Take a minute now to think of some alternative … Slide 5 Case 1: Options for Male Residents SAY: Let's consider how the previous case would change … Slide 6 Case 2: Bernard SAY: Let’s move on to another case. … Slide 14 Case 3 SAY: In the afternoon you ask the resident to cough and spit in a cup.

411. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
     June 01, 2021 - think she’d hit her head She asked to “just go back to bed” 8 Communicating With Prescribers 8 Case … notify him of the event He calls back 3 hours later 9 Take 1 Communicating With Prescribers 9 Case … Communicating With Prescribers 13 Case 2: Fred B. … over a week ago, but no one on the floor can recall why 14 Communicating With Prescribers 14 Case … Take 1 Communicating With Prescribers 17 Case 2: Fred B. – Take 2 Situation: Hello, I am calling

412. Applying the AHRQ Pediatric Quality Indicators to Hospital Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b1_pdi_applyingpdis.pdf
     March 01, 2016 - is usually not appropriate for comparison across hospitals or over time because hospitals’ patient case … mix of patients, rather than for its own case mix. … In other words, the risk-adjusted rate is the rate the hospital would have if it its case mix were the … same as the case mix in the reference population. … , whereas for a few other elements, the case is retained.

413. Applying the AHRQ Quality Indicators to Hospital Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
     March 01, 2016 - is usually not appropriate for comparison across hospitals or over time because hospitals’ patient case … mix of patients, rather than for its own case mix. … In other words, the risk-adjusted rate is the rate the hospital would have if it its case mix were the … same as the case mix in the reference population. … , whereas for a few other elements, the case is retained.

414. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
     July 01, 2023 - 2 Read the master case scenario on the following slides. … an obstetric hemorrhage case. … Sonentag arrives to examine the patient. 13 Obstetric Hemorrhage Master Case Ms. … Williams’ case. To briefly recap, Ms. … Williams’ case. Just to briefly recap, Ms.

415. Understanding SOPS Surveys: A Primer for New Users - Gray (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-3-gray-2018.pdf
     January 01, 2018 - Integral to MedStar Washington Hospital Center's Quality Efforts: https://www.ahrq.gov/news/newsroom/case … - studies/201414.html https://www.ahrq.gov/news/newsroom/case-studies/201414.html The Value of SOPS … Medical Office Survey Helps Colorado Hospital Provide Better Care: https://www.ahrq.gov/news/newsroom/case-studies … /201525.html https://www.ahrq.gov/news/newsroom/case-studies/201525.html The Value of SOPS Surveys … /201709.html https://www.ahrq.gov/news/newsroom/case-studies/201709.html Trademark • The Surveys

416. Presentation: Auditing Your Briefings and Debriefings
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
     December 01, 2017 - The former process did not anticipate worst-case scenarios. … For the first pass of observations, we started with the first case of the day. … All of these steps happen before the case begins, or prior to incision. … Several cases were booked as an open case instead of the correct laparoscopic case, and vice versa. … There was even one case where the light handle fell onto the sterile field.

417. Using Patient Cases for Learning | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety4.html
     September 01, 2022 - SIDM Competencies To Improve Diagnosis and Suggested Questions for Debriefing Case Studies … Suggested Steps To Use Patient Cases for Diagnostic Safety Learning   Getting Started  Presenting Case … Present case studies or vignettes. … event reporting, patient reports, and clinician reports, can be used to identify additional diagnostic case … safety events or “good catches” identified from these data sources can be used as diagnostic safety case

418. Introducing the CAHPS Cancer Care Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-cancer-care-analysis-evensen.pdf
     June 02, 2025 - provides a standardized way to: • Construct composite scores out of individual items • Adjust for case-mix … cancer center quality results  Flexibility in setting analysis parameters in control program 45 Case … improvement 48 Thank You 49 Analysis of Results Scoring Macro is standardized and flexible Case

419. Final Progress Report: Physician Organization and the Efficiency of Surgical Specialty Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/miller-birkmeyer-report.pdf
     January 01, 2024 - After accounting for both price and case mix, total payments at high-cost hospitals remained between … In addition to wide variation in clinical outcomes, recent evidence suggests that price- and case-mix … After accounting also for differences in patient demographics and illness severity (i.e., case! … We also describe the extent to which case-mix differences between providers explain this variation. … A much smaller proportion could be explained by case mix—i.e., high cost hospitals caring for sicker

420. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
     July 01, 2022 - The case of Rory Staunton (sidebar) is one example. … � Monthly case conference on diagnosis. … Team Composition for Advanced EHR Strategies Measure Dx | 21 Case Example Case Finding Through … Flowchart for Case Review Consider collecting additional case details using Common Formats for Event … Understanding diagnostic safety in emergency medicine: a case-by-case review of closed ED malpractice