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2221. Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
      October 18, 2012 - Least frequently reported was the routine bathing of patients in clinical areas with chlorhexidine … The Readiness Assessment was designed to assess adoption of best clinical practices (e.g. frequency … of bathing patients in clinical areas with chlorhexidine) and prior exposure to CUSP materials or … Pertains to hospital(s) not within the United States O'Grady N, 2002 Guidelines for the prevention … pertain to calculated attributable CLABSI cost estimates Young EM, 2006 Translating evidence into practice

2222. Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
      January 01, 2024 - Many interventions and guidelines appropriately target decreasing the number of opioid prescriptions … messaging promotional component, understanding the need for a scalable follow-up component within a clinical … instructions, prescription instructions, and counseling about safe use per that provider’s customary practice

2223. Final Progress Report: Quality Factors in Nursing Home Choice (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
      January 01, 2024 - The MDS captures indicators of individual clinical status that reflect pathologic changes accompanying … quality of care include improving the efficiency of state survey processes, offering models of best practice … Trustworthiness of findings and rigor of the study were addressed following the guidelines of Lincoln … Definition, measurement, and correlates of quality of life in nursing homes: Toward a reasonable practice

2224. Final Progress Report: Consumer-Led Workshop To Advance Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
      January 01, 2024 - 2nd National Summit on Patient Safety Research: Updating the Research Agenda and Moving Research to Practice … Once we’ve established a best practice, based on proof of concept, built with natural partners and piloted … sectors, are doing to support patient safety research, develop national patient safety policies or guidelines … Wong, PhD, MS, MBA, RPh Vice President Clinical Effectiveness & Performance Improvement Good Samaritan … Clinical Quality Improvement Analyst M.D.

2225. Regulation of Health Policy: Patient Safety and the States (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
      March 01, 2004 - being chiefly responsible for the “safety” problem, and have recommended eliminating the traditional clinical … Arizona requires reporting of “an activity, policy, or practice that violates professional standards … discovered and has not been reported, analyzed, and managed by the organization in accordance with JCAHO guidelines … In practice, there is little difference between statutory provisions requiring voluntary reporting and … meaning, and legislatures may understand a term in a context different from how it is understood in clinical

2226. Preventing Pressure Ulcers in Hospitals: A Toolkit - Section 7, Tools and Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
      January 01, 2004 - Care Plan 3G: Patient and Family Education Booklet 4A: Assigning Responsibilities for Using Best Practice … I do not need to concern myself with pressure ulcer prevention in my practice 5. … Pressure ulcer treatment techniques that are consistent with clinically-based guidelines … Administer the test to nursing and other clinical staff members. 2. … Helps facilitate communication between medical staff, wound team, and unit staff for pressure ulcer practice

2227. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.pdf
      January 28, 2011 - They also benefitted from having clinical backgrounds, which helped them anticipate challenges and … It also is important to train clinical staff on how to work with patient and family advisors. … Some hospitals create competitions to recognize the clinical areas that identify the largest number … • Why does this current practice, situation, or concern exist? … Communicating quality and safety information The following guidelines can help promote an inclusive

2228. Understand the Science of Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
      July 01, 2018 - executive staff at their hospital, the nurses were empowered to enforce the delivery and induction guidelines … Framework for analysing risk and safety in clinical medicine. BMJ . 1998;316:1154–57.

2229. AHRQ Nursing Home Survey on Patient Safety Culture: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/nursing-home/nursinghome-users-guide.pdf
      April 01, 2022 - homes, residents may live in “neighborhood” clusters or communities staffed by a permanent team of clinical … If you plan to hire a vendor, the following guidelines may help you select the right one: • Look for … participation, you can distribute the surveys at staff meetings and serve refreshments, following these guidelines … Assemble Survey Materials Estimate the number of surveys you need to print, using the following printing guidelines

2230. Engaging Stakeholders to Improve the Quality of Children's Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1.pdf
      September 08, 2015 - Developing a Group Charter The Public Health Foundation has written guidelines for creating an effective … These guidelines may be a useful tool for your stakeholder group in drafting its own group charter. … comfortable with and understand the language being used or by helping nonclinical stakeholders understand clinical … participate equally and meaningfully, staff in Massachusetts have noted the importance of avoiding clinical … Using a collaboratory model to translate social work research into practice and policy.

2231. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI (July 9, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-transcript.html
      December 01, 2017 - are always an issue, and there is so much information that nurses need to convey in addition to their clinical … Slide 31, very briefly, if you're giving out patient education materials that are written, some simple guidelines … And in our own practice here at the University of Michigan, we have seen, among our research team, this … I was reviewing the slides last night in practice for today, and I think the information is wrong. 

2232. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
      July 09, 2013 - are always an issue, and there is so much information that nurses need to convey in addition to their clinical … Slide 31, very briefly, if you’re giving out patient education materials that are written, some simple guidelines … And in our own practice here at the University of Michigan, we have seen, among our research team, this … I was reviewing the slides last night in practice for today, and I think the information is wrong.

2233. Final Progress Report: Demonstration Project To Refine, Automate and Test a Novel Emergency Department Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
      January 01, 2025 - traditional methods for detecting and characterizing patient harm,13 have been developed for a number of clinical … all these records, reporting the overall AE rate, event types, levels of harm, and associations with clinical … Popularized by the Institute for Healthcare Improvement, and used in many countries and clinical settings … mapped 97 to structured fields in our EMR.53 We used the AHRQ Healthcare Cost and Utilization Project Clinical … Medication Errors Reporting and Prevention (NCC MERP) Index to rate severity, following IHI and OIG guidelines

2234. Part 4: CME Design Features | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt4.html
      September 01, 2014 - balanced view of available services and will not have a financial incentive to authorize more direct clinical … Resources on CME Staff Training Training, Coaching, and Supervision for Wraparound Facilitators: Guidelines

2235. Impguide2 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/impguide2.pdf
      September 08, 2015 - studies found youth receiving wraparound services: • Experienced less severe symptoms and improved clinical … CME model found that although youth and their families were satisfied with demonstration services, clinical … balanced view of available services and will not have a financial incentive to authorize more direct clinical … Resources on CME Staff Training Training, Coaching, and Supervision for Wraparound Facilitators: Guidelines … Training, coaching, and supervision for wraparound facilitators: guidelines from the National Wraparound

2236. Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
      January 01, 2024 - Rather, there is a range of acceptable values that conform with the general alarm design guidelines … maximize the potential of alarms masking other alarms (and to be consistent with standard alarm design practice … Second, for alarms between devices, clinical engineers should try to make similar-priority alarms as … Guidelines for Auditory Warning Systems on Civil Aircraft. Civil Aviation Authority; 1982.

2237. Chapter 4. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/acfselection/chapter4.html
      July 01, 2018 - Point of care clinical laboratory testing should be considered. … standardized electronic information system is employed at the State, local, or regional level that supports clinical … Authority can include objectives, priorities, expectations, constraints, and other considerations or guidelines … It is also interesting to note the omission of pharmacists from both the NEHC and ACC staffing guidelines

2238. 2018 National Healthcare Quality and Disparities Report: Introduction and Methods (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-intro-methods.pdf
      September 01, 2019 -  Modifications have been made when clinical recommendations change. … For example, clinical recommendations often set new target levels or recommended frequencies for specific … includes the former category of Asian or Pacific Islander prior to 1997 Office of Management and Budget guidelines … This decision was made in part because the International Classification of Diseases, Tenth Revision, Clinical

2239. AHRQ Grant Final Progress Report: Context-Based Hand-Gesture Recognition for the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/wachs2-report.pdf
      January 01, 2024 - Because HCI devices are possible sources of contamination due to the difficulty in sterilization, clinical … The second study also compared the gesture-based system to the usual practice of asking an assistant … WHO Guidelines for Safe Surgery 2009: Safe Surgery Saves Lives. World Heal. Organ. 2009. 5.

2240. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
      January 01, 2016 - as surgical or medical discharges with International Classification of Diseases, Ninth Revision, Clinical … Guidelines for the prevention of intravascular catheter- related infections.