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2021. AHRQ Safety Program for Perinatal Care Summary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
      May 01, 2017 - Of note, the toolkit was not designed to recommend clinical practice or develop clinical guidelines … situations and institutionalized and sustained through practice of those skills during in situ simulations … skills.10,11 Using in situ simulations to focus on the practice of teamwork and communication skills … Fostering implementation of health services research findings into practice: A consolidated framework … Implementing best practice safety initiatives to diminish patient harm in a hospital-based family birth

2022. Chapter 1: Introduction (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1a.html
      April 01, 2018 - sector levels due to the fact that the federal government has yet to issue comprehensive, definitive guidelines … Race/ethnicity and OMB Directive 15: Implications for state public health practice. … August 21, 1996). 10 Section 13001 is known as the Health Information Technology for Economic and Clinical

2023. Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
      January 01, 2024 - Brigham Young University Richard_butler@byu.edu Kristi Nelson, MBA, RN Data Manager: Women & Newborns Clinical … Kristi.nelson@imail.org Cempaka Martial, MStat Senior Statistical Data Analyst Women & Newborns Clinical … The Wilson/Blegen staffing model was further validated by a gap analysis based on the staffing guidelines … In this case, the 𝛽𝛽1 = 0 response reflects an optimal use of nursing hours, a practice that yields … Fitzpatrick, 2015) and was validated by a staffing gap analysis based on the AWHONN (2010) staffing guidelines

2024. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
      April 01, 2011 - progress toward goals All clinical staff Involve the patient and family in care practices All clinical … The Care Transitions Program, work on transitional care interventions with advanced practice nurses, … The open family presence policy at Advocate Trinity hospital outlined guidelines for visitors with the … Discharge planning process: applying a model for evidence-based practice. … Are we delivering best practice? A review of the evidence. J Clin Nurs 2009;18(18):2539–46. 11.

2025. CHIPRA 234: Access to Outpatient Dental Care for Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-234-fullreport.pdf
      June 17, 2014 - • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public and private … Health screenings are mandated by the EPSDT guidelines, under which States are required to arrange ( … Measure Topic – clinical quality: No. k. Measure Topic – patient safety: No. l. … Clinical or Other Rationale Supporting the Focus of the Measure (optional) Provide documentation of … Provider Level Practice, group, or facility:** Can compare: (i) practice sites; (ii) medical or other

2026. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
      January 01, 2004 - reminders for improving adherence to guidelines for HIV care, (e.g., additional workload and additional … administration process, as described below, were performed to provide data to the FMEA team on nursing practice … Observers also identified variations in practice that were evaluated as potential failure modes by the … Computerized physician order entry (CPOE) with clinical decision support systems (CDSSs). … Human factors barriers to the effective use of 10 HIV clinical reminders.

2027. Measure Descriptions for Daily Care Processes: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/dailycare-processes-facguide.html
      January 01, 2017 - Assessment Say: The Society of Critical Care Medicine’s 2013 Pain, Agitation, and Delirium (PAD) clinical … practice guidelines recommend the Confusion Assessment Method for the ICU (CAM-ICU) and the Intensive

2028. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/dailycare-processes-facguide.docx
      January 01, 2017 - Delirium Assessment SAY: The Society of Critical Care Medicine’s 2013 Pain, Agitation, and Delirium (PAD) clinical … practice guidelines recommend the Confusion Assessment Method for the ICU (CAM-ICU) and the Intensive

2029. Risk-Based Patient Safety Metrics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
      March 25, 2008 - First, in keeping with OSHA safety guidelines, organizations are charged with identifying and assessing … Assessing risk through analysis and clinical interpretation. 3. … Conclusion The practice of patient safety improvement has evolved significantly over the last decade … Arguably, sufficient evidence is available to merit similar advancements in the practice of patient … Medication error prevention by clinical pharmacists in two children's hospitals.

2030. Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
      April 01, 2022 - Introduction to the Tiered Interventions These modules provide simple steps ICU teams can take to ensure the clinical … insertion, maintenance and removal; the tiers offer specific actions that are built on evidence based guidelines … of catheters in place o Prompting Removal of Unnecessary Indwelling Urinary Catheters – review of clinical

2031. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
      December 01, 2017 - SAY: Simply put, a defect is any clinical or operational event or situation that you would not want to … events, and mortality and morbidity conferences when we want to identify defects that occur in our clinical … Some clinical areas use an ongoing process in which forms are readily available so staff members can … ASK: What are safety events in the clinical area? What systems may have led to the events? … How can staff and others in the clinical area improve communication?

2032. Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
      May 13, 2019 - So-called “preventable” readmissions, described that way because ostensibly some change in practice … ethnicity variable reported in the MAX data and classified based on Office of Management and Budget guidelines … For the purpose of this section, please refer to the definitions for provider, practice site, medical … Provider Level Practice, group, or facility:** Can compare: (i) practice sites; (ii) medical or other … Measuring social class in U.S. public health research: Concepts, methodologies, and guidelines.

2033. Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/sarkar-report.pdf
      January 01, 2024 - themselves may have impacted the overall effectiveness of the trial (such as health behaviors and clinical … on structure, process, and outcomes among vulnerable patients with diabetes: a three-arm practical clinical … The Journal of family practice 2002;51:927-32. 8. Gandhi TK, Lee TH. … The wrong tool for the job: diabetes public health programs and practice guidelines. … Do clinical standards for diabetes care address excess risk for hypoglycemia in vulnerable patients?

2034. Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/design_plan_for_chipra.pdf
      July 01, 2012 - purposes as (1) automated reporting of CHIPRA core quality measures; (2) EPSDT reporting; (3) providing clinical … decision support; (4) providing reports to promote quality improvement in clinical settings and support … Because the guidelines for this category were less specific than for Categories A through D, projects

2035. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
      January 01, 2014 - Dawn (DH) - Once we finish the work with PST this will be inserted here Strategies for Disclosure: Guidelines … Leaving the practice of medicine. 35 Module 1 Involvement in a medical error can increase a clinician … Leaving the practice of medicine, nursing, or other practice area. 35 National Quality Forum Safe Practice … Trauma Support Services (or “MITSS”), the National Quality Forum has published guidance in a “safe practice … regardless of whether it is due to human or system error, all employees involved (including administrators, clinical

2036. How are CHIPRA quality demonstration States using quality reports to drive heatlh care improvements for children? Evaluation Highlight No. 11 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight11.pdf
      September 08, 2015 - Maine, North Carolina, and Massachusetts produced practice-level reports from existing State-level data … Practice facilitators in North Carolina, for example, suggested that practices work on the one or … a learning collaborative on developmental screening, 12 practices began to follow evidence-based guidelines … ” — North Carolina Practice Manager, March 2014 State Technical Assistance for Practices North … Carolina embedded a practice facilitator in each of 14 regional primary care networks.

2037. Final Progress Report: Distance Management of High-Risk Obstetrical Patients (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ferguson2-report.pdf
      January 01, 2024 - Clinical outcomes measurements, a survey tool, and protocols were identified. … Khoury worked with the clinical team to design a randomized controlled clinical trial to evaluate the … She also analyzed 1 clinical year of retrospective clinical discharge data from the Woman’s Hospital … a Memorandum of Understanding (MOU) with the University of Arkansas’ ANGELS (Antenatal and Neonatal Guidelines … listening to and respecting their concerns and by making clear that telemedicine is a support to their practice

2038. Access to Outpatient Specialty Care for Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-fullreport.pdf
      September 01, 2018 - Health screenings are mandated by the EPSDT guidelines, under which States are required to arrange ( … Measure Topic – clinical quality: No. j. Measure Topic – patient safety: No. k. … For physicians who practice at an out-of-State location or whose main clinical activity involves inpatient … Provider Level Practice, group, or facility:** Can compare: (i) practice sites; (ii) medical or other … certification or clinical expertise and experience.

2039. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/Final_Using_the_CAHPS_Database_Webcast_Transcript.pdf
      January 01, 2014 - This percentile section displays the percentage of health plans or practice sites that scored at or … It’s also possible to look at practice ownership and affiliation. … So, if you can clarify how a practice would contract with a vendor to do that?” … A practice would contract with a vendor. … We ask for some identifying information about the practice site itself.

2040. Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
      January 01, 2024 - US guidelines now recommend ART from the time of HIV diagnosis (DHHS Guidelines 2013), and, as of 2013 … An HIV-specialized clinical pharmacist reviews medication for all patients each day. … The modules and quizzes were piloted on clinical pharmacist residents. … Another decrement in the eligible study sample came from a change in hospital practice in which many … The driving reason for the change in hospital practice was the need to maintain the HIV-specialty service