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3821. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
      December 01, 2017 - Research Publications & Products AHRQ Publishing and Communications Guidelines … Search Publications Research Findings & Reports Evidence-based Practice … Staff members turn over, and new staff members join the clinical unit. … Say: Encourage proactive thinking about the workflow in your clinical setting. … Leverage those connections both into the wider organization and deeper into your own clinical area.

3822. Small and Rural and Critical Access Hospitals (Transcript) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
      April 01, 2013 - Research Publications & Products AHRQ Publishing and Communications Guidelines … But we also have to make sure that we implement and we translate evidence into practice. … There was so much inconsistency in our practice. So we made a bundle. … It’s a sheet that says, “Did you follow the guidelines? Did you use this? Did you use that? … was saying earlier, it has totally become the platform on which we do our quality improvement on the clinical

3823. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
      December 01, 2013 - Research Publications & Products AHRQ Publishing and Communications Guidelines … Search Publications Research Findings & Reports Evidence-based Practice … Clinical Materials to Share With Primary Care Providers Appendix B. … Clinical Materials to Share With Primary Care Providers (continued) Appendix B. … Clinical Materials to Share With Primary Care Providers (continued).

3824. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
      December 01, 2013 - Research Publications & Products AHRQ Publishing and Communications Guidelines … Search Publications Research Findings & Reports Evidence-based Practice … Clinical Materials to Share With Primary Care Providers Appendix B. … Clinical Materials to Share With Primary Care Providers (continued) Appendix B. … Clinical Materials to Share With Primary Care Providers (continued).

3825. Mental Health and Substance Abuse | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/mhsa.html
      June 01, 2018 - Research Publications & Products AHRQ Publishing and Communications Guidelines … Search Publications Research Findings & Reports Evidence-based Practice … Research Findings & Reports Grantee Final Reports: Patient Safety Evidence-based Practice … Sequenced Treatment Alternatives to Relieve Depression (STAR*D), the largest clinical trial ever of depression … Suicidal ideation is the strongest known clinical predictor for death by suicide.

3826. Client Experience Measures and Gaps | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep4.html
      June 01, 2010 - Research Publications & Products AHRQ Publishing and Communications Guidelines … Search Publications Research Findings & Reports Evidence-based Practice

3827. Appendix V (continued) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv3ab.html
      June 01, 2010 - Research Publications & Products AHRQ Publishing and Communications Guidelines … Search Publications Research Findings & Reports Evidence-based Practice

3828. Program Performance Measures and Gaps | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep5.html
      June 01, 2010 - Research Publications & Products AHRQ Publishing and Communications Guidelines … Search Publications Research Findings & Reports Evidence-based Practice

3829. Tool 5 (continued) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/red/toolkit/postdischarge-doc.html
      March 01, 2013 - Research Publications & Products AHRQ Publishing and Communications Guidelines … Search Publications Research Findings & Reports Evidence-based Practice

3830. Appendix B26: Reducing Falls: A Safety Checklist for the Home | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb26.html
      December 01, 2017 - Research Publications & Products AHRQ Publishing and Communications Guidelines … Search Publications Research Findings & Reports Evidence-based Practice

3831. Identifying Key Areas for Delivery System Research (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/casalino_idkeydsr.pdf
      February 01, 2014 - Clinical information technology is not listed as a key area for study, although this is obviously an … The corporate practice of medicine: competition and innovation in health care. … Assessing an ACO prototype: Medicare's physician group practice demonstration. … , and personal health records—for increasing health professionals’ compliance with evidence-based guidelines …  Use of clinical information technology to support the other processes used by the organization,

3832. Appendix A, Pt. 3 | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
      April 01, 2018 - Research Publications & Products AHRQ Publishing and Communications Guidelines … Search Publications Research Findings & Reports Evidence-based Practice … Research Findings & Reports Grantee Final Reports: Patient Safety Evidence-based Practice … Study design and scope A retrospective analysis of a large administrative, clinical, and financial … Clinical Orthopaedics and Related Research, Issue 182, (January 1984), pp. 117-125.

3833. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
      May 01, 2017 - Research Publications & Products AHRQ Publishing and Communications Guidelines … Debriefings let the clinical team pause and discuss what went well or what could have been done better … It is good practice to debrief in the operating room whenever possible. … When you are first testing the checklist in the clinical environment, test the checklist initially with … Its use is standard practice in many high-risk industries and on high-performance teams.

3834. Communication Strategies to Promote Resident Safety
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
      September 01, 2016 - So in the clinical environment, team members should challenge colleagues if requesting clarification … or members must always know what they are doing, even when the actions taken depart from established guidelines … You have the opportunity to practice now. As you watch this brief video about Mrs. … When I say they're very easy techniques, they do take some practice to start with.

3835. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
      January 01, 2005 - from the standard-of- care (i.e., was there negligent care with failure to follow accepted diagnostic guidelines … We struggled to delineate guidelines that would accurately identify high-risk patients and to design … Analyzing potential harm in Australian general practice: an incident- monitoring study. … Exploring the causes of adverse events in NHS hospital practice. … An international taxonomy for errors in general practice: a pilot study.

3836. Summary and Discussion | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily4.html
      July 01, 2018 - Research Publications & Products AHRQ Publishing and Communications Guidelines … Search Publications Research Findings & Reports Evidence-based Practice … Research Findings & Reports Grantee Final Reports: Patient Safety Evidence-based Practice … Providers tend to focus on the clinical aspects of care, while patients and family members focus on interpersonal

3837. Patient Safety Executive Walkarounds (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
      April 01, 2004 - The face-to-face safety conversations between clinical staff and senior leaders during walkarounds are … A list of key messages for executives who conduct walkarounds provides guidelines for initiating conversations … Pilot Site A nurses ranked within the bottom 30 percent in teamwork climate benchmarked across 101 clinical … highest level that their reports will not lead to disciplinary action, and when they observe this in practice … Framework for analyzing risk and safety in clinical medicine. BMJ 1998;316:1154–7.

3838. Part 4: Health Care of Residents of the U.S.-Mexico Border (continued) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-comm.html
      March 01, 2020 - Research Publications & Products AHRQ Publishing and Communications Guidelines … Search Publications Research Findings & Reports Evidence-based Practice … Research Findings & Reports Grantee Final Reports: Patient Safety Evidence-based Practice … injury are based on the International Classification of Diseases (ICD-9-CM) principal diagnosis codes or Clinical

3839. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
      May 01, 2017 - Research Publications & Products AHRQ Publishing and Communications Guidelines … Search Publications Research Findings & Reports Evidence-based Practice … They bring clinical judgment to the table. … There are ways to practice patient and family engagement while maintaining HIPAA compliance.  … For providers: Advancing the Practice of Patient- and-Family-Centered Care in Primary Care and Other

3840. Facilitator Guide: Tools for Sustainability: Premortem and Scorecard (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
      January 01, 2017 - consider the unit or hospital priorities and how they might compete with the improvement efforts in your clinical … using this tool as a regular part of operations with multidisciplinary team members or within other clinical … ASK: How do you think the next patient in your unit/clinical area will be harmed? … Examine the low scoring domains to determine what is happening in that clinical area. … SAY: The higher the unit response rate is, the more representative the safety scores are to that clinical