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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
December 01, 2017 - Discuss
Ask various staff members about the factors influencing compliance. … Do staff have any suggestions to improve compliance? … Perceived guideline compliance
How often do you do everything right?
… Physical environment
How does the unit layout affect compliance?
… Unit culture
How does the unit culture affect compliance?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/bim.docx
December 01, 2017 - Ask various staff members about the factors influencing compliance.
1. … Do staff have any suggestions to improve compliance?
Walk the Process
1. … Perceived guideline compliance
How often do you do everything right? … Physical environment
How does the unit layout affect compliance? … Unit culture
How does the unit culture affect compliance?
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www.ahrq.gov/funding/policies/human-subjects/index.html
June 01, 2022 - published in the Federal Register (FR) on January 19, 2017, and was amended to delay the effective and compliance … A Final Rule was issued on June 18, 2018 to delay the general compliance date of the Revised Common Rule … The general compliance date of the revised Common Rule remains January 21, 2019.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/167-hospital-level-gap-analysis.pdf
June 02, 2025 - Is feedback r egarding hand hygiene compliance provided t o units? [IF NO, SKIP TO QUESTION
42 … At what frequency is feedback regarding hand hygiene compliance provided to units? … How is compliance with isolation precautions and use of PPE monitored? Check all that apply. … Is feedback regarding compliance with isolation precautions and use of PPE provided to units? … How is compliance with cleaning of high-touch surfaces monitored? Check all that apply.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
April 01, 2022 - ICUs to determine if there is a relationship between bundle compliance and CLABSIs. … The researchers surveyed 984 ICUs for compliance with the insertion bundle and various elements. … If compliance was lower than 75 percent overall, there was no reduction in CLABSIs seen. … Does it promote increased compliance with the central line insertion bundle? … This might include where to keep the checklist to improve compliance with using it.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/091-decolonization-implementation-fg.docx
April 01, 2025 - One suggestion to ensure patient compliance with their preparations before surgery, is the team may want … They interviewed the staff to find out reasons for why the compliance between bathing and mupirocin use … The team will continue to collect the patient perioperative roadmap and review the compliance data along … If compliance with CHG bathing did not improve, the CUSP team decided that they would consider providing … To track compliance and determine how the intervention reduced the risk, the CUSP team maintained an
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
March 01, 2020 - Research examining
outcomes focuses primarily on compliance with protocols and procedures, as reported … Inclusion of patients in the compliance process was high (98.5% of the 1,000 interactions). … Compliance was statistically
significant when ages were
compared. … varies, and additional
measures like audits or monitoring were necessary to
maintain compliance. … No reviewed study reported a
100% compliance rate.
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www.ahrq.gov/sites/default/files/2024-07/bates2-report.pdf
January 01, 2024 - then will focus on evaluating the impact of these alerts,
reminders, and guidelines on physician compliance … Finally, patient, physician, and system barriers to
compliance will be assessed in a diverse array … First, we expect to show that
provider compliance with guidelines will be improved through the use … To evaluate the impact of automated tracking and follow-up systems on guideline
compliance
3. … First, we expect to show that
provider compliance with guidelines will be improved through the use
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
January 01, 2017 - SSD-ETT Definitions
RATE FACTOR DETAILED DESCRIPTION
SSD-ETT
Compliance Rate
Numerator Total … HOB Definitions
RATE FACTOR DETAILED DESCRIPTION
HOB Compliance
Rate
Numerator Total number of … rate
was 33.3 percent
Target High HOB compliance rate
HOB
Contraindication
Rate
Numerator … SBT Definitions
RATE FACTOR DETAILED DESCRIPTION
SBT Compliance
Rate
Numerator Total number of … rate was 20 percent
Target High SBT with sedatives off compliance rate
AHRQ Safety Program
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/090-decolonization-implementation.pptx
April 01, 2025 - Collect patient compliance data
Monitor impact on infection rates
| 14
Case Example
AHRQ Safety … Uptick in superficial SSIs
Data from the EHR revealed that patient compliance with CHG bathing was at … Mupirocin compliance at 90%
Why Did It Happen? … Collect patient compliance data in EHR
Did it have an impact on the infection rates? … Pre-op CHG compliance question was embedded in the EHR checklist as a mandatory field
How To Know the
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion.pptx
April 01, 2022 - standardized supplies and insertion process
Reduces potentially harmful variations in care
Improves compliance … safe care
Reduces communication failures
Makes it easy for clinicians to do the right practice
Greater compliance … Results:
69% reported > 95% compliance on at least 1 bundle element
↓ CLABSI associated with compliance … of 1 bundle element
>95% compliance on all 5 elements was associated with greatest reduction
Compliance … Central line-associated bloodstream infection reduction and bundle compliance in intensive care units
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www.ahrq.gov/research/findings/final-reports/ptmgmt/design-table2.html
July 01, 2018 - Areas needing self-management (diet, physical activity, smoking, environment, medication compliance, … on patient's prior goals, problems, needs, knowledge, behavior change successes and failures, meds compliance … , and visit compliance.
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-slides.html
October 01, 2020 - LTVV compliance rates (≥4 and ≤8 mL/PBW) for all patients. … LTVV compliance rates (≥4 and ≤6 mL/PBW) for patients with ARDS. … LTVV compliance rates (≥6 and ≤8 mL/PBW) for patients without ARDS. … PEEP compliance rates (≥5 cm H 2 0).
Slide 16: Questions?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
April 01, 2022 - ☐ YES ☐ NO
Note: Correlate with hand hygiene compliance rates. … 28 What are the compliance rates for daily assessment of need for central lines in each nursing unit … What are the results from the dressing compliance audit? … ☐ YES ☐ NO
What are the compliance rates for this in each unit during month in which this … ☐ YES ☐ NO
What are compliance rates in these areas for these policies?
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/resources/qapi-leadership-rounding-guide-centers-for-medicare.pdf
June 02, 2025 - Guide
Disclaimer: Use of this tool is not mandated by CMS, nor does its completion ensure regulatory compliance … Disclaimer: Use of this tool is not mandated by CMS, nor does its completion ensure regulatory compliance … Disclaimer: Use of this tool is not mandated by CMS, nor does its completion ensure regulatory compliance
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www.ahrq.gov/nursing-home/resources/competency.html
May 01, 2021 - designed by AHRQ, supports the use of observational audits which assist in identification of staff compliance
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/observational-audits.pdf
March 01, 2021 - Auditing allows you to obtain accurate compliance rates and identify process
failures, such as a step … To learn more about the
differences between checking competency and auditing compliance, refer to the … • Set up the spreadsheet to calculate the compliance rate, which is
the number of individuals who … • Do your baseline data suggest an opportunity to improve the
compliance rate? … • Continue to measure the compliance rate to assess the
effectiveness of subsequent QAPI activities
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www.ahrq.gov/hai/tools/enhanced-recovery/measuring.html
June 01, 2023 - KB)
The Sample Improving Surgical Care and Recovery (ISCR) Pathway Checklist can be used to track compliance … Audit Tool (XLSX, 236 KB)
The Pathway Audit Tool can help teams collect and evaluate process measure compliance
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
January 01, 2007 - , and that video analysis improves accuracy and compliance.13 Clinical algorithms
linked to real-time … The TR & R Project measures compliance with the prompts—
rather than prelearned algorithms—using video … The compliance of medical staff with prelearned guidelines
remains problematic. … The video audit is used to verify
compliance, error rates, and subsequent patient outcomes. … Strategies to improve compliance with evidence-based
clinical management guidelines.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-ltvv-slides.pptx
January 01, 2017 - LTVV compliance rates (≥4 and ≤8 mL/PBW) for all patients
LTVV compliance rates (≥4 and ≤6 mL/PBW) for … patients with ARDS
LTVV compliance rates (≥6 and ≤8 mL/PBW) for patients without ARDS
PEEP compliance