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1901. 011-Ss-Decolonization-Strategies-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/011-ss-decolonization-strategies-fg.docx
      April 01, 2025 - population, which suggests mupirocin is superior to iodophor when examining Staphylococcus aureus and MRSA clinical … Clinical trials include patients undergoing multiple types of surgeries, such as cardiac, hip and knee … Targeted decolonization was the standard of practice for all patients undergoing spinal surgery. … Any practice described in this presentation must be applied by healthcare practitioners in accordance … These practices are offered as helpful options for consideration by healthcare practitioners, not as guidelines

1902. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
      March 11, 2005 - In practice, we found that the overwhelming majority of case submissions came from the fields of medicine … Cases are selected carefully to illustrate a compelling array of patient safety issues and clinical … The editors review each submission using criteria such as clinical interest, patient safety interest … commentators have included many of the world’s foremost authorities on patient safety research and practice … The anonymity of the Internet (and stringent federal guidelines prohibiting detailed collection of user

1903. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
      November 29, 2004 - Rush Abstract Objectives: Diabetes-related medical errors in outpatient practice are common and costly … If error rates are similar at other practice sites, then common outpatient medical errors may contribute … guidelines change, or to meet local needs or preferences. … A preliminary taxonomy of medical errors in family practice. … Demographic and clinical characteristics of the 4,152 study subjects Table 2.

1904. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
      June 02, 2025 - currently identify residents who have experienced a change in falls risk, how they determine if new clinical … transform their current practices and to identify ways to incorporate the On-Time Reports into current practice … If yes, does the policy include the following: Yes No Examination of clinical risk factors (e.g., … practice. … understand steps involved in implementing On-Time and the likely timeline to make the reports part of daily practice

1905. Catheter Care and Maintenance
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-care/cathetercare-maintenance.pptx
      March 01, 2017 - In addition to regular cleaning and disinfecting, it’s good practice to keep those collection containers … Taylor’s Clinical Nursing Skills: A Nursing Process Approach. Philadelphia: Wolters Kluwer; 2015.

1906. CAHPS: Assessing Healthcare Quality From the Patient's Perspective (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/cahps-program-brief.pdf
      July 01, 2022 - English and Spanish; AHRQ encourages the development of additional translations, following CAHPS guidelines

1907. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
      April 01, 2022 - members or patients by identifying and fixing the problem or making amends for the failure in customer or clinical … Guidelines for staff and latitude to act and atone. (See the box below.) … Guidelines for Staff and Latitude To Act and Atone Staff need to have the authority to make decisions … in a health care environment, where people fear that complaining could jeopardize the quality of the clinical … monitoring of Medicare health plans: the relationship between enrollees’ reports and the quality of clinical

1908. Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
      November 01, 2016 - We partner with providers, we work to increase the use of community and clinical preventive services, … appropriate aspirin use, blood pressure control, control of cholesterol, and smoking cessation on a clinical … Going Forward [Slide 21] Peter Briss: Going forward, CDC will continue to work to improve clinical … only in publishing what we think are responsible prescription controls that generally align to the CDC guidelines

1909. Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions, Version 2: Evaluation Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ecareplan/reports/ecare-plan-for-mcc-v2.pdf
      January 01, 2025 - Currently in clinical practice, goals are typically tracked in the context of inpatient treatment or … setting (the broader community and state context within which the sites operate) Policy, regulatory guidelines … For example, using the MCC eCare Plan FHIR® IG in conjunction with FHIR® Clinical Guidelines (“Clinical … Practice Guidelines [CPG]-on-FHIR®”) IG can provide a care plan with CDS to support shared decision-making … Enterprise (IHE), work continues to improve health IT standards to integrate care informed by multiple guidelines

1910. What is Self-Management Support? | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/self-mgmt/what.html
      February 01, 2016 - Health system, policy, and environmental supports. 1 In clinical settings, self-management support … includes a commitment to patient-centered care, providing comprehensive patient education, creating a clinical … includes a commitment to patient-centered care, providing comprehensive patient education, creating a clinical

1911. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
      January 01, 2024 - Safe medication practice depends on institutional (systems) factors, such as standardization of medication … of adverse events and negligence in hospitalized patients: Results from the Harvard Medical Practice … adverse events and negligence in hospitalized patients: Results from the Harvard Medical Practice … Quinn RE, Kimberly JR: Paradox, planning, and perseverance: guidelines for managerial … practice, in Kimberly JR, Quinn RE (eds): Managing Organizational Transitions.

1912. Advancing the Science and Implementation of Patient Narratives: Summary of Presentations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narratives-presentations-summary.pdf
      January 01, 2022 - Plenary 1: The Power of Patient Stories Rachel Grob, Ph.D., Clinical Professor, Senior Scientist, and … To test the use of enhanced feedback reporting methods, the team partnered with practice staff to design … Practice managers found the website easier to use and more interesting than the Excel document. … Practice administrators have guidelines about what to share, and this process conforms to longstanding … guidelines about negative comments in support of a non-punitive safety culture.

1913. Final Progress Report: Pediatric Emergency Assessment Tool (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/gorelick-report.pdf
      January 01, 2024 - The index should also make clinical sense (i.e., have face validity). … If the practice at these hospitals is not representative of generally accepted standards, our results … Clinical practice guidelines in pediatric and newborn medicine: implications for their use in practice … Emergency medicine: scientific foundations and current practice, 3rd ed. … Refusing care to emergency department patients: Evaluation of published triage guidelines.

1914. 2023 National Healthcare Quality and Disparities Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es.pdf
      January 01, 2023 - : Key Findings The 2023 NHQDR includes an Overview that describes SARS-CoV-2 and the biologic and clinical … The percentage reporting a critical shortage of clinical staff, such as physicians, physician assistants … , and advanced practice nurses, ranged between 2% and 4% … Use varied by medical practice type and by population characteristics. … Geographic Variations in Care References Overview of NHQDR Special Emphasis Topics Biologic and Clinical

1915. 2023 National Healthcare Quality and Disparities Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es-rev.pdf
      January 01, 2023 - : Key Findings The 2023 NHQDR includes an Overview that describes SARS-CoV-2 and the biologic and clinical … The percentage reporting a critical shortage of clinical staff, such as physicians, physician assistants … , and advanced practice nurses, ranged between 2% and 4% … Use varied by medical practice type and by population characteristics. … Geographic Variations in Care References Overview of NHQDR Special Emphasis Topics Biologic and Clinical

1916. Final Progress Report: The National Quality Forum Annual Meeting 2004 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
      January 01, 2025 - initiatives and innovative implementation strategies undertaken to improve the quality of care and practice … Safe Medication Practices, The Value of a Safety Self-Assessment Tool to Stimulate Organizational Practice … multiple medications and non-standard concentrations, the lack of a defined labeling system, the common practice … At the end of academic year 2003-2004, 54 family practice and three internal medicine residency programs … Establishing nationwide guidelines for electronic health records is another goal.

1917. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/match.pdf
      August 01, 2012 - ■ Standardization across disciplines and/or practice settings. … Inpatient Practice Setting. … No clinical explanation supports omission. … No clinical explanation supports differences. … Following the steps and guidelines outlined in each chapter of the MATCH toolkit has proven to be the

1918. Implement Teamwork and Communication for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
      May 01, 2017 - These areas include practice, responsibilities, and work environment. … team leader must always know what he or she is doing, even when the actions depart from established guidelines … When invoking this rule and moving up the hierarchy, you need to communicate to the entire clinical … • Background—What is the clinical background? • Assessment—What do I think the problem is? … In addition to patient care guidelines, both authority and responsibility are transferred from one

1919. What Exactly Is Patient Safety? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
      July 02, 2008 - The goal was to be sure that medicine was, and was seen as, a clinical research-driven, reliable practice … health-related disciplines are characterized by specialists who devote themselves to the full-time practice … We describe key attributes of those who practice safety, and we identify its practitioners as all involved … Crossing the classroom-clinical practice divide in palliative care by using quality improvement methods … BMJ clinical evidence handbook. Spring 2008.

1920. Applying CUSP To Promote Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
      December 01, 2017 - CUSP IN PRACTICE In 2004, more than 100 intensive care units (ICUs) in Michigan implemented CUSP in … the extent to which providers participate in quality improvement efforts, adhere to evidence-based guidelines … All clinical and nonclinical providers who work in your perioperative area should be included in this … Perioperative teams must understand the system in which they work to enable change in their clinical … It can help your team identify practice patterns, so you can more easily pinpoint opportunities for