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461. AHRQ Slide Template 2004 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
     May 14, 2013 - primary care practices” Developed in the social sciences for comparative analysis of small-N (“5-50”) case … studies Care delivery systems are social phenomena; each primary care practice is a potential “PCMH” case … ; most PCMH case series are small To study phenomena characterized by complex causality Equifinality … does not necessarily imply not-A blueshieldca.com A Middle Path Contrast with Regression Single Case … Quantitative Intensive, case oriented Cross-case comparison Extensive, variable oriented Linear Additive

462. PowerPoint Presentation; Deep-Root Your Data
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
     December 01, 2017 - Process measures can be evaluated in real time or after the case. … This artificial data set shows what happens when the case volume is low. … Inpatient unit staff may prefer the patient names to remember the case and the resulting outcome. … Use your data to create a business case for getting necessary resources for your project. … The process for building a business case is far smoother in partnership with your administration.

463. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/107-cusp-psychological-safety.pptx
     October 01, 2024 - confidence | 5 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU CUSP Psychological Safety 5 Case … Challenges: Recent patient safety scores low Speaking up about processes Junior staff | 6 Case Example … ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU CUSP Psychological Safety 6 Case … communication Practice walking in the shoes of others Provide learning opportunities Celebrate success | 7 Case

464. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/106-cusp-psychological-safety.pptx
     April 01, 2025 - confidence | 5 AHRQ Safety Program for MRSA Prevention | Surgical Services CUSP Psychological Safety 5 Case … Speaking up about warming strategies might delay surgeries Junior staff | 6 Case Example AHRQ Safety … Services AHRQ Safety Program for MRSA Prevention | Surgical Services CUSP Psychological Safety 6 Case … communication Practice walking in the shoes of others Provide learning opportunities Celebrate success | 7 Case

465. Quality Improvement Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
     July 01, 2021 - This provides clinicians with access to expert consultation and case reviews. … Provide education to youth and families via case management. … Team Engagement Engage key internal teams (e.g., case management) to lead outreach efforts. … References to case study examples are provided when applicable and notable lessons learned specific to … In this case, continued tracking and trending of measure compliance supported ongoing conversation as

466. Tool: The Five "Whats" of Diagnostic Reflective Practice (KAICS) | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/situation/tools/whats.html
     June 01, 2023 - You may imagine the worst case patient scenario to rule out possibilities and safeguard against diagnostic … foster awareness of all the information relevant to accurate diagnosis, review the clinical diagnosis case … TeamSTEPPS for Diagnosis Improvement: The Case of Mr.

467. Using CAHPS Health Plan Survey Data | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/hp/improve/index.html
     July 01, 2022 - Webcast: Using the CAHPS Database to Compare, Report, and Improve Organizational Performance Case … This case study discusses the strategies implemented by Health Share of Oregon, a coordinated care organization … Health Share of Oregon was selected for this case study because of its high scores on the "Health Plan … This case study focuses on the successful quality improvement methods employed by a health plan to improve

468. Improving-Facnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
     May 01, 2017 - The introductions also give team members a chance to speak before the case starts. … If you see something that concerns you during this case, please speak up.” … If you see something that concerns you during this case, please speak up.” … Start by testing with one team for one case. … anything that could be done better for the next case

469. Making It Work Tip Sheet: Celebrating Success and Spreading CLABSI and CAUTI Prevention Beyond the Unit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/celebrating-success.pdf
     April 01, 2022 - Case Studies, Tools, and Resources The following materials reinforce strategies for spread and celebrating … • AHRQ Impact Case Study: New Jersey Hospital Uses AHRQ Toolkit To Reduce Urinary Tract Infections … o This Impact Case Study highlights how ICU nurses and others participated in a quality improvement … No. 17(22)-0019 April 2022 https://www.ahrq.gov/policymakers/case-studies/201701.html https://www.ahrq.gov … /policymakers/case-studies/201701.html http://www.ahrq.gov/professionals/education/curriculum-tools/cusptoolkit

470. Final Progress Report: Mining complex clinical data for patient safety research (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
     January 01, 2024 - Cognitive analyses and case-based reasoning were also applied. … Case-based reasoning on an errors database was accurate. … Case-based reasoning on an errors database We applied case-based reasoning [4] to an errors database … Given a new case, similar old cases are retrieved according to a set of rules. … Errors in interpreting quantities as procedures: the case of pharmaceutical labels.

471. Optimize Briefings and Debriefings: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
     December 01, 2017 - Action: Check type of case; possible preference card update. … Photograph of operating room team debriefing after case. … Image: Photographs of operating room team debriefing after case. … Incorrect case scheduling. Not familiar with new equipment. … Case not picked correctly. Carts and operating rooms not well stocked.

472. Module 1. Detecting Change in a Resident's Condition | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1.html
     March 01, 2018 - Case discussion. Role play. … Case Discussion The case tells a story. … Case Discussion Most instructors prefer to use the case provided in this module. … But a new instructor may prefer to keep the focus on a familiar case. Case Study Ms. … The case in the Student Workbook is the same.

473. Health Literacy–Informed Intervention Reduces Pediatric Caregiver Liquid Medication Dosing Errors | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/911.html
     April 01, 2024 - AHRQ Seeks Examples of Impact for Development of Impact Case Studies . … AHRQ Seeks Examples of Impact for Development of Impact Case Studies Has your organization used an … The agency would like to learn more about your use of AHRQ resources to develop Impact Case Studies. … Since 2004, the agency has developed more than 400 Impact Case Studies that illustrate AHRQ’s contributions … Available online and searchable via an interactive map , the Impact Case Studies help to tell the story

474. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
     January 01, 2004 - Thirteen consultants reported making notes during or immediately after the case. … Ratings were most commonly made after the case. … and making ratings once the case was over. … This could be done either as a case proceeded or during a postsession discussion. … and would not prevent discussion of nontechnical skills issues as they arise in a case.

475. 2024 HCBS CAHPS Survey Database Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-hcbs-chartbook.pdf
     January 01, 2024 - Case manager is helpful 3 4. Choosing the services that matter to you 2 5. … 11% 89% Case manager helped when asked to get or fi x equipment^ 1,117 Case manager helped when asked … {case manager}? … {program-specific term for case-management services}? … Would you say you would recommend the {case manager}?

476. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
     December 01, 2017 - case for craniotomy. … Attending leaves renal transplant case, returns at 0730. … Slide 28: Case Study: Renal Transplant What happened? Why did it happen? … Slide 29: Case Study: Renal Transplant Image: Renal Transplant Case: System Failures and Opportunities … Slide 34: Case Study: Renal Transplant Image: Renal Transplant Case: System Failures and Opportunities

477. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
     June 01, 2021 - Clinical Case The on-call clinician asked for a urine culture. … Clinical Case (continued) The resident was sent to the emergency department. … Patient Safety 17 Where Are the Problems in This Case?11 18 Image credit: Reason J. Human Error.  … Patient Safety 18 Where Are the Problems in This Case? … Where Are the Problems in This Case? (continued)11 21 Image credit: Reason J. Human Error. 

478. CRP Certification: Promoting Accountability and Learning After Adverse Events (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
     January 01, 2024 - The quality of the case submissions improved significantly over time, providing evidence of improvements … and in appropriate cases to close the case with no disciplinary action. … We estimated that we would receive 100 case submissions for review by the CRP Certification program … Review panel members meet monthly to review each case and to serve as reliability and quality checks … To date, every case has been closed with no disciplinary action. 10 Table 2.

479. Making Effective Changes in Antibiotic Decision Making (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
     November 01, 2019 - Antibiotic Decision Making Slide Title and Commentary Slide Number and Slide Let’s Begin With a Case … SAY: Let’s start with a case. … Care Changes in Antibiotic Decision Making Slide Title and Commentary Slide Number and Slide Case … It is helpful to review this case using the Four Moments of Antibiotic Decision Making framework to … In this patient’s case, antibiotic-related adverse events caused harm but when thinking of potential

480. Module 3. Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
     October 01, 2014 - Case discussion. Role play. … Case Discussion The case tells a story. … The case is included in the Student Workbook. 7. … Case Discussion Most instructors prefer to use the case provided in this module. … Case Study Mr.